On February 18, the Spring Festival is a day of farewell to the old and welcome the new and family reunion. However, at this time, the emergency transport team of the Department of Neonatology, the Department of Pediatric Intensive Medicine, and the Department of Intensive Care Medicine of Hubei Provincial Maternal and Child Health Hospital was still busy.
From the early Chinese New Year's Eve of the Spring Festival in 2024 to the eighth day of the Lunar New Year in 2024, within 15 days, the three transfer centers of Hubei Provincial Maternal and Child Health Hospital received more than 40 transfer applications, and successively went to more than 10 cities and counties such as Xiangyang, Suizhou, Xiantao, Jingmen, etc., to transport premature infants from 31 weeks to 11-year-old children and expectant mothers at different gestational weeks, with diseases including premature respiratory distress, severe sepsis, severe pneumonia, sepsis, central nervous system infection, foreign body entrapment, carbon monoxide poisoning, acute pancreatitis ......More than 40 critically ill patients have been actively treated.
Xiantao neonates have pneumothorax dyspnea.
On February 11, Ms. Zheng from Xiantao gave birth to a baby boy by cesarean section. The child had difficulty breathing after birth, and the local hospital neonatologist put him on a non-invasive ventilator, which still could not be relieved. At 8:30 a.m. the next morning, the local hospital submitted an application for transfer to the neonatal department of Hubei Provincial Maternal and Child Health Hospital.
Neonatologists are transporting the child back to Wuhan.
After receiving the transfer notice, neonatologists Liu Weiyu and Huang Xin prepared the material vehicles in an orderly manner and set off as soon as possible. When Liu Weiyu arrived at the hospital, Liu Weiyu found that the baby had shortness of breath and dyspnea under non-invasive conditions, and the two doctors and nurses immediately gave the child standardized and accurate tracheal intubation, and the baby's dyspnea was quickly relieved.
On the way back, the child relied on the neonatal emergency transport vehicle to be on the ventilator, and was monitored on the way according to the special nursing standard to ensure safety and the baby's vital signs were stable. The intensive care unit, which is the terminal of the transport chain, has prepared the neonatal incubator, ventilator and monitor after receiving accurate information from the child, and all the equipment has been adjusted to a functional state.
At 1 o'clock at noon on the same day, the transfer vehicle successfully arrived at the Hubei Provincial Maternal and Child Health Hospital. After investigation, the child was found to have pneumothorax and mediastinal emphysema, unstable breathing and circulation, fluctuating oxygenation and shock.
At 3 p.m., after the child's condition was relatively stable, the doctors and nurses were relieved to sit down for lunch.
After 5 days, the baby's condition has improved significantly, the pneumothorax is fully absorbed, and the milk has been opened, and it is about to be weaned.
The grandfather and grandson were charcoal for heating, and carbon monoxide poisoning.
On the evening of the Chinese New Year's Eve, 11-year-old Xiao Ke (pseudonym) and his grandfather used charcoal fire to warm themselves in their bedroom. At 9 a.m. the next morning, the family found that the grandfather and grandson had not yet gotten up, and when they broke down the door, they found that they were unconscious, and rushed them to the local hospital for emergency treatment.
When the local hospital was treated, Xiao Ke's blood oxygen saturation was as low as 60%, and he was still vomiting, convulsions, stiffness and shaking of his limbs after tracheal intubation, and he was unconscious. The local hospital called the emergency transport of the Department of Pediatric Intensive Care Medicine of the Hubei Provincial Maternal and Child Health Hospital**. Xia Zhi, deputy director of the section, immediately led the transfer team to Tongshan County, Xianning. After arriving at the local hospital, the child was still unconscious with twitching of his limbs, Xia Zhi gave him a respiratory clearance, and used anticonvulsant **, under the assistance of a ventilator, and the child was transported immediately after his vital signs stabilized.
After returning to Han, the child successively completed cranial CT, electrocardiogram and cranial nerve function assessment, indicating that cerebral edema, brain injury and myocardial damage were already present.
The medical team of the Department of Paediatric Intensive Care worked hard to treat critically ill children who were transferred back to Han.
After 3 days of active treatment, the child's consciousness and spirit gradually recovered, and there were no further convulsions, and then he was transferred to the Department of Pediatric Neurology for *** At present, the child's condition has been stabilized and he is about to be discharged.
Pregnant mother suddenly has acute pancreatitis after a meal on Chinese New Year's Eve.
At noon on the thirtieth day of the Chinese New Year's Eve, Ms. Shang, who was 21 weeks pregnant, had a New Year's dinner at home, and her relatives sandwiched a lot of dishes for her. Two hours after eating, she began to have epigastric pain, and when she visited the local hospital in Xinzhou, the doctor found that her pancreas was somewhat enlarged, and the blood amylase was as high as 660, which was preliminarily judged to be acute pancreatitis. Acute pancreatitis in a pregnant woman is not only dangerous to her body organs, but also to the baby in her womb, so the local doctor advised her to be transferred to the Hubei Provincial Maternal and Child Health Hospital immediately.
At more than 8 o'clock that night, the medical staff of the Hubei Provincial Critical Maternal Transport and Treatment Center transferred Ms. Shang to the Hubei Provincial Maternal and Child Health Hospital, where the emergency doctor perfected the relevant examination and found that her pancreas was full, and the pink oil was drawn out during the blood test, and after precipitation, two-thirds of it was thick white oil, and the triglycerides were as high as 60 (normal is 1.).7), blood amylase rose to more than 800, which confirmed that it was hyperlipidemic acute pancreatitis. This type of pancreatitis can easily become severe and life-threatening.
*ICU medical care does blood purification for pregnant women with acute pancreatitis**.
The hospital immediately transferred her to the **ICU, when Ms. Shang had already shown signs of premature labor such as shortness of breath, increased heart rate, decreased urine output, and tight abdomen, and her vital signs were extremely unstable. **ICU Director Gan Quan immediately led the team to administer medication**, and at the same time used blood purification, hoping to safely reduce Ms. Shang's blood lipids to a safe level in the shortest possible time. After two rounds of blood perfusion and hemodialysis to remove inflammatory factors**, Ms. Shang's acute pancreatitis improved significantly and her vital signs stabilized.
It is reported that Hubei Provincial Maternal and Child Health Hospital is the emergency transport center for critically ill newborns and the transport center for critically ill pregnant women in Hubei Province. For the transshipment team, the Spring Festival is the same as usual, they always stick to their posts, 24 hours on call, and set off as soon as the transshipment ** bell rings. A minute early, the critically ill patient has more hope.
Yangtze River ** reporter Zhang Ming correspondent Huang Jieying Wang Wenqian **Production Zhang Ming).
Editor: Yu Lina].
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