Hubei Daily (Reporter Long Hua, Correspondent Tian Juan, Tian Li) On November 12, in the pediatric surgery ward of the Sino-French New City Campus of Tongji Hospital, 5-year-old Lele (pseudonym) was running around and was about to be discharged from the hospital. Two months ago, Lele came to Wuhan for medical treatment due to recurrence of constipation and intestinal colitis after radical surgery of congenital megacolitis. The pediatric surgery department of Tongji Hospital used the original "anointestinal balance" treatment principle to carefully treat Lele. Before discharge, the child's weight had increased from 16 kilograms to more than 30 kilograms.
Two months ago, in the outpatient clinic, Yu Donghai was shocked when he first saw Lele from Zhejiang: his weight was only 8 kg, less than half of his normal child's weight, he was seriously malnourished, skinny, neither crying nor making a fuss, and lying in his mother's arms very weakly.
My mother recalled that shortly after Lele was born, her family found that he often did not defecate, had a bloated stomach for several days, and was unwilling to drink milk. So he sought medical treatment everywhere and was finally diagnosed with a congenital megacolon and underwent total colectomy locally. However, Lele still repeatedly developed abdominal distension, diarrhea, and even dehydration after the operation. He was hospitalized in Zhejiang and Shanghai many times. He underwent partial small intestine resection due to "intestinal obstruction", but there was still no significant improvement.
In May this year, Lele's condition suddenly began to worsen. The symptoms of enteritis, such as abdominal distension and abdominal pain, repeated over and over again, unable to eat or pull out, his weight dropped sharply, and his legs were so weak that he could not even support his own weight. He could only lie weakly on the bed every day, neither speaking nor paying attention to others. During this period, his parents took him to seek medical treatment, but they could not find a solution.
Lele's mother was unwilling to give up. She learned that the pediatric surgery department of Tongji Hospital was good at treating congenital megacolon . She hugged Lele, who was thin and slim, and found Associate Professor Yu Donghai. After being admitted to the hospital with
, Lele was admitted to the pediatric surgery surveillance room. The medical staff quickly conducted a preliminary assessment of him and immediately carried out emergency treatments such as fluid replenishment, anti-infection, and nutritional support. At the same time, Pediatric Surgery organized a general science and technology discussion, and invited relevant departments such as pediatrics and clinical business departments to consult and formulate individualized treatment plans.
improves Lele's nutritional status as the primary issue. Yu Donghai adopts a combination of parenteral and enteral nutrition. On the one hand, a small amount of continuous milk pumping slowly "train" the intestines to absorb nutrients, and at the same time, the special Chinese medicine retention enema method effectively controlled the further development of enteritis. On the other hand, calculate Lele's intake and discharge of body fluids every day, and adjust the dosage of parenteral nutrition in a timely manner. "This therapy is conducive to correcting the malnutrition status of children as soon as possible," said Yu Donghai.
After three weeks of treatment, Lele began to eat porridge and noodles, her weight gradually increased, and her defecation situation also improved significantly.
htmlOn September 28, Yu Donghai performed imaging evaluation of Lele's intestine and performed anal internal sphincter muscle toxin injection. After the operation, after more than a month of close observation and further confirming the cause of Lele's repeated enteritis, the doctor performed anal internal sphincter incision. After the operation, Lele continued to improve and his weight increased to 15.5 kg.It is understood that the radical surgery for the whole colon megacolon is removed, resulting in poor function of the small intestine and anal, which will lead to severe intestinal stasis and cause postoperative enterocolitis.
Source: Jingchu.com
