Miracle of life!The baby was saved at 39 hours with an artificial lung

2022-05-06 0 By

Yangtze River Daily wuhan client on February 17 (reporter Wang Chunlan correspondent Gao Xiang Li Han) very not easy to look forward to the baby, just born half a day, suddenly dyspnea, facing death.In an emergency, doctors quickly performed extracorporeal membrane pulmonary therapy (ECMO) for a baby born at 39 hours, giving his heart and lungs a temporary “rest” and winning precious time for treatment.Yesterday, Zhongnan Hospital of Wuhan University announced that the baby is in stable condition and is the youngest newborn treated by ECMO in Hubei Province.At 6 am on Jan 22, the 29-year-old woman became a mother.Son Zhou Baobao birth weight of 3.3 kilograms, chubby, very cute.Before this, Ms. Zhou has experienced an embryo suspension, this pregnancy because of gestational diabetes, the fetus is breech, she accepted cesarean section to usher in the baby, very cherish.The whole family was immersed in joy, but in the afternoon, the child was abnormal.The attentive new father, Mr. Xue, noticed that the child was breathing faster and humming.Evening, the child hum more and more severe, hands and feet color blue, Mr. Xue quickly asked a doctor to check the situation.The doctor found zhou baby hypoxia, recommended transfer to neonatology.”It was a rough night.”Mr. Xue recalled that Zhou baobao was sent directly to the neonatal intensive care unit, he was upset;At 12 o ‘clock in the evening, the doctor informed the baby to do rescue;At 5 am on The 23rd, I received the first critical illness notice.His legs gave way and his hands trembled with fright and fear.The illness took a turn for the worse.At 1 PM on The 23rd, Zhou baobao developed a high fever and respiratory failure.Intubated, ventilator-assisted breathing, still unable to maintain normal oxygen saturation, her life is at stake.At 39 hours after birth, ECMO was asked to “help him breathe”, according to He Bingyan, director of neonatology department of Central South Hospital, emergency cardiac color doppler ultrasound was performed for Baby Zhou, and the results showed that he had severe tricuspid valve insufficiency and severe pulmonary hypertension, enlarged right heart, patent foramina ovale and patent ductus arteriosus.Lack of oxygen has many effects on the baby’s body.He also suffered from neonatal shock, persistent pulmonary hypertension, sepsis, respiratory failure, thrombocytopenia, abnormal coagulation and other problems.He bingyan immediately applied for the launch of multidisciplinary joint diagnosis and treatment.Cardiovascular surgery, pediatrics, cardiovascular ultrasound medicine, new extracorporeal circulation expert team in order to be present, evaluating the repeatedly, eventually confirmed that only the ECMO treatment as soon as possible, continuously in vitro by artificial heart-lung machine help Zhou Baobao breathing and circulation, to maintain life, cure time, just can have a chance.Without help, the child would not survive the night;Save, but also worried about the risk.The whole family discussed all afternoon in a dilemma.In the end, the love of their son prevailed, and Ms. Zhou and her husband decided together: To fight for this hope.At 9:10 p.m., the cardiovascular surgery extracorporeal circulation team performed ECMO implantation on Zhou, who was only 39 hours old.More than one hour later, the operation was successfully completed. With the support of ECMO, the blood oxygen saturation of Baby Zhou was restored from 47% to 100%, and the breathing and circulation functions were gradually stabilized.Bao Bao Zhou is receiving treatment.Changjiang Daily reporter Wang Chunlan remake etiology rare: blood circulation “upgrade” lagging children in the end what disease?Ms. Zhou’s birth report provided a powerful help for experts to identify the cause of the disease: prenatal diagnosis showed that zhou’s fetal heart structure was basically normal.That means he wasn’t born with a heart condition that caused the lack of oxygen.Central South hospital vice president, cardiovascular disease hospital president Liu Jinping inferred from experience, zhou Baobao this is a rare “persistent fetal circulation syndrome.”Before birth, the fetus exchanges nutrients and gases through the placenta and umbilical cord, he said.After birth, the umbilical cord is cut, and the baby’s blood circulation system is quickly upgraded from the “fetal” version to the “adult” version.Zhou Baobao is in this process encountered obstacles, the blood circulation system failed to upgrade in time, resulting in hypoxia, and the heart.After implantation of ECMO, experts give Zhou Baby diuretic, heart strengthening, control of lung inflammation and other treatments, the child’s condition is stable, the circulation system is also very vigorous gradually switch to the “adult version”.After 107 hours of ECMO life support, Zhou was successfully taken off the computer on January 28.At present, he has learned to feed himself and can eat 50 milliliters of milk at one meal. If his recovery goes well, he will be able to go home with his parents next week.According to reports, Baobao Zhou is the youngest newborn treated with ECMO in Hubei Province.Chen Jianfeng, director of cardiopulmonary bypass in the Department of Cardiovascular Surgery, Central South Hospital, said that the operation of ECMO implantation is very difficult for newborns with rapid changes in condition, poor resistance and “tiny” body size.Zhou Baobao aorta diameter is only 3 mm, systemic circulation blood only about 270 ml, is not enough to a small bottle of mineral water capacity, operation must be quick, very fine.After the successful implantation of ECMO, medical staff from cardiovascular surgery and pediatric intensive care units waited at the bedside 24 hours a day to observe the condition at any time to ensure that the child’s vital signs were stable.”I remember the day after the birth, the baby was sent to another building for a check-up before going to ECMO.He was at risk of dying at any time on the short journey to the hospital.Fighting the pain of cesarean section, I let my family hold me up and took a look at the baby halfway through.We are extremely grateful to the hospital for saving the baby from such a desperate situation.”Thinking of the hardships in the treatment process, Ms. Zhou wiped away tears.On February 17th, the couple ordered three flags and sent them to Zhongnan Hospital.”Although the treatment process is difficult, but to save a fresh life, it is worth it!”Liu jinping told Changjiang Daily that in similar cases in the past, if there was no such “life-saving device” as ECMO, the child would have died due to lack of oxygen. “It is the persistence of Zhou’s parents and their trust in the doctors that created the miracle of life together.”For more exciting content, please download the “Big Wuhan” client in each major application market.