Yangtze River ** Wuhan Client January 31 - Premature birth before 30 weeks, the birth weight of the child is only 13 kg, multiple apneas occurred on the day of birth. After nearly a month of being assisted by a ventilator, he was finally released after 67 days after being guarded by medical staff day and night. On the eve of the Spring Festival in the Year of the Dragon, the former "slap baby" weighed nearly 3 kilograms and was discharged from the hospital to reunite with his parents.
Anxious! Premature babies weigh only 1 at birth3 kg.
At 10:12 a.m. on November 24, 2023, Xu Hongtao, deputy director of the Department of Pediatrics and director of the Neonatal Ward of the General Hospital of the Central Theater Theater, received an emergency consultation notice from the Department of Obstetrics and Gynecology: Ms. Li, who is 29 weeks pregnant, is about to give birth, please go to the delivery room immediately for assistance. He hurriedly informed the deputy ** chief Cheng Mingzhen and rushed to the delivery room together.
Previously, Ms. Li had been hospitalized in the obstetrics department for several days to protect the fetus because of hypothyroidism and cervical insufficiency during pregnancy, and on the 24th, she had regular contractions, the uterine opening was fully opened, and the baby was about to be delivered. The gestational age is too small, the fetus is extremely immature, but the medical staff hope to fight for a glimmer of life for the child.
At 11:06, the baby was delivered. That's a weight of only 1The boy of 3 kg, ** was thin and transparent, his cry was weak, and his breathing was in distress. After initial management, the child was transferred to the neonatal intensive care unit.
The medical staff carefully treated the "rabbit baby".
This child is a very premature and very low birth weight infant, and needs continuous intravenous fluids for a long time, but his veins are small, and the puncture effect is difficult to guarantee. **Chang Yuan Fang is on vacation, and immediately rushed to the hospital from home after hearing the news, carried out umbilical vein catheterization, and formulated a strict pipeline care plan to ensure the smooth progress of all veins**, and at the same time avoid the stimulation of peripheral venipuncture to the baby.
Urgent! Apnea occurs on the night of birth.
Before his parents could hug him, he left his parents' side, which was too distressing. Colleagues nicknamed him 'Bunny Baby', hoping that this rabbit baby could have the same tenacious vitality as a rabbit. Yuan Fang said that the doctor in the neonatal intensive care unit became the child's temporary parents and carefully guarded him.
The baby rabbit encountered its first life-and-death crisis on the night of its birth.
Respiratory distress syndrome is a common problem in very preterm infants. Despite the use of a non-invasive ventilator immediately after birth, the baby rabbit's breathing was still laborious, and the shortness of breath gradually worsened on the night of birth, and he moaned from time to time, followed by multiple apnea.
The condition is aggravated, and the little life is in danger! The anesthesiologist rushed to the bedside as soon as possible, carefully inserted the tracheal tube into the trachea, and then dripped into the pulmonary surfactant, connected to an invasive ventilator to assist ventilation, and the baby's vital signs gradually stabilized.
Tenacious! 67 days to accompany the baby through the threshold of life and death.
Since then, the baby rabbit has also faced respiratory barriers, nutrition barriers, and infection barriers. The neonatal intensive care unit set up a special treatment team and formulated a detailed treatment plan to accompany him to fight for his life.
In order to help the baby rabbit get off the ventilator as soon as possible, the medical team checked his breathing at any time and adjusted the parameters of the ventilator in time. 5 days after birth, the endotracheal tube was successfully removed and replaced with non-invasive ventilator-assisted ventilation; After 25 days, the non-invasive ventilator was stopped and ordinary oxygen therapy was switched to; At the full moon, the baby bunny can finally breathe completely freely.
The medical staff carefully treated the "rabbit baby".
In order to achieve enteral nutrition as soon as possible, 1 day after the birth of the rabbit, the mother began to give intestinal microfeeding; When the rabbit is 7 days old, the teacher begins to individualize oral intervention according to his oropharyngeal development and sucking and swallowing ability.
Under the protection of medical staff, the baby rabbit is growing tenaciously.
The first thing I do after every day is to see the baby rabbit, and when I see him, the medical staff are very happy when he has a full stomach. Yuan Fang said that colleagues talk to the child every day, cheer him on, and hope that he will grow up quickly and reunite with his parents as soon as possible.
Glad! "Slap Baby" was discharged from the hospital and went home for the New Year.
The Year of the Dragon is approaching, and on January 28, the baby rabbit will weigh 288 kg, all indicators passed the re-examination, and he can be discharged. On the 29th, Ms. Li's family came to the hospital to pick up the child with brand new clothes and quilts, and held the child and looked at it again and again, with tears in her eyes.
These 67 days of life and death are inseparable from the hospital's multidisciplinary collaborative treatment. Xu Hongtao introduced that from the obstetrics department before the birth of the child, accurate prediction and timely consultation; to the postnatal treatment process, the laboratory department, the blood transfusion department of the precise arrangement; And then the radiology, ultrasound imaging, and pharmacy departments at any time, we worked together to create a miracle of life.
It was also an unforgettable 67 days for us, the doctor** and the child in the hospital in a race for life, and we spent our days outside the hospital like years. Thankfully, our wait has borne fruit. The child's father said that when the baby grows up, he will take him back to the hospital to visit the temporary parents in the neonatal intensive care unit to share the joy of the baby's growth.
Yangtze River ** reporter Wang Chunlan, correspondent Qin Liping, Su Xingsheng, Gu Yiming, Li Jing, intern Yan Yangtian).
Editor: Yu Lina].
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