Cover News Reporter Zhou Jiayi
On the morning of April 3, 2020, "En En", the youngest ultra-premature infant of Sichuan Province's second youngest gestational age who was successfully treated nationwide, was successfully discharged from the West China Second Hospital of Sichuan University. The Neonatology Department of the hospital established multiple professional management teams to work together carefully. After more than 130 days of hard work day and night, "Eun's" vital signs were stable and met the discharge standards. Today, the Neonatology Department held a warm farewell party for En'en. .
Late at night on November 17, 2019, the Neonatology Department of West China Second Hospital received an emergency call from a lower-level hospital. A newborn baby with a gestational age of 22 weeks and 6 days needed to be urgently transferred to a higher-level hospital for rescue. The neonatology department immediately provided remote guidance on early life support for ultra-low birth weight infants. At the same time, it urgently dispatched a transport team composed of senior doctors, nurses and professional respiratory therapists to the local hospital overnight to provide full monitoring, life support, and cluster management. Next, the child was transferred to the neonatal intensive care unit NICU 8 hours after birth.
Focusing on premature children, the Neonatology Department of West China Second Hospital, under the leadership of Director Tang Jun, has established multiple professional management teams, including diagnosis and treatment team, breastfeeding team, respiratory treatment team, nutritional management team, developmental support nursing team, blood collection/blood transfusion precision team The chemical management team and others carried out treatment and guarded the hospital 24 hours a day and night, and were not affected at all during the epidemic. The
diagnosis and treatment team is composed of an expert treatment team led by Professor Mu Dezhi, a leader in neonatal academics. They carefully formulate a diagnosis and treatment plan for the child, and dynamically adjust the diagnosis and treatment plan at any time according to the baby's condition changes to provide full treatment.
The breastfeeding team adheres to the principle of breastfeeding and remotely guides mothers on lactation methods and techniques. Through guidance, colostrum was successfully collected and delivered to our department in more than 10 hours, and the amount of breast milk fully met the intake needs of the child.
The respiratory therapy team is composed of a team of professional neonatal respiratory therapists. They implemented tracheal intubation . The tracheal tube was removed after 42 days of mechanical ventilation and non-invasive assisted ventilation was continued for 42 days. There was no respiratory infection (ventilator-associated pneumonia) complications The patient was successfully weaned off oxygen after 120 days of hospitalization, and no severe bronchial dysplasia occurred.
The nutrition management team achieved total enteral nutrition after 50 days of hospitalization by indwelling umbilical artery /umbilical vein catheter for 13 days, peripheral central venous catheter (PICC) for 36 days, intravenous nutrition for 49 days, and oral motor training. , the child drank milk completely on his own within 95 days after birth.
The developmental support nursing team formulates a personalized care plan for the child, and formulates a concentration time for the operation according to the child's treatment arrangement to avoid over-stimulation of the child. It adopts pain management, clustered measures to prevent intracranial hemorrhage, and self-made measures suitable for the child. With personalized water pillows and water beds, the children did not suffer from intracranial hemorrhage complications that are common in premature infants. At the same time, caring for the delicate skin of newborn babies at 22 weeks and 6 days is also a great challenge for the team. Tracheal intubation, gastric tubes, arteriovenous catheters, sensors, etc. all need to be fixed with tape to ensure firmness and prevent prolapse. Avoid damaging your baby's skin. Our department uses various methods such as artificial skin , hydrocolloid dressings, glue removers, etc., and operates gently to avoid infection caused by extremely delicate skin damage. The
blood collection/blood transfusion refined management team designed a personalized blood collection and transfusion form, and the blood volume of each blood collection was accurate to 0.1ml. For a child who was hospitalized for 136 days, the blood collection volume for necessary medical examinations was only 20ml, and small-dose blood transfusions were only performed three times.
The baby was not easy to come by. The family was grateful to Huaxi and named the child "En'en". After going through a series of difficulties such as breathing, nutrition, infection and other complications related to premature babies, the little "En'en" was born at 130 After many days and nights of careful treatment and careful care, with the unremitting efforts of medical staff and the trust and cooperation of parents, he passed one "life checkpoint" after another. His weight increased from 550g to 3840g, and his vital signs were stable, meeting the discharge standards.
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