China News Service, Lanzhou, July 15 (Nanru Zhuoma Tianjian) Recently, in the Gansu Maternal and Child Health Hospital, a premature infant with a 33-week gestational age, acute bowel torsion, and a huge pulmonary embolism after birth Hang a thread. Within 24 hours of the child's birth, the expert has implemented two large-scale operations for emergency necrosis intestinal segment anastomosis and pulmonary artery thrombectomy under cardiopulmonary bypass for the child, which has successfully treated the child and created a miracle of life.

  Through the full rescue and careful treatment of the medical staff, the child gradually turned to safety. At present, all vital signs are stable, and he has been cured and discharged. The successful treatment of this critically ill premature infant marked a breakthrough in the field of Gansu Province Maternal and Child Health Hospital's close collaboration in the diagnosis and treatment of children's congenital diseases and the treatment of critical illness.

  It is reported that at 18:35 on June 1, a pregnant woman Liu Mou delivered a baby boy weighing 2100g in an emergency department. Because of premature delivery, the child has respiratory distress after birth and needs continuous ventilator-assisted ventilation. Experts in the functional examination department performed bedside ultrasound for the children in the operating room to prompt: midgut torsion requires immediate surgery. After intense preoperative preparations, the hospital's pediatric surgery specialists performed torsion reduction, intestinal resection, appendectomy, and intestinal anastomosis for the children at 20:50 that night.

  However, the patient's condition changed 12 hours after the operation, and the oxygen demand increased. The emergency bedside ultrasound showed that hyperechoic masses could be seen in the pulmonary artery of the child. Consider thrombosis. The hospital urgently started a multidisciplinary consultation. Experts tried active medical treatment. After high-frequency shock ventilation, the patient's blood oxygenation and circulation were still difficult to maintain, and both lower extremities, chest and abdomen were severely edema. Another bedside echocardiographic reminder: the hyperechoic mass increased progressively from the previous one. At this time, the child's condition was critical again, and his life was suspended.

  According to the Gansu Maternal and Child Health Hospital, only 2100g premature babies underwent a major operation within 3 hours of birth, and underwent thoracotomy again. Facing the challenges of bleeding, infection, circulation, and respiratory failure, the operation was extremely difficult.

  After evaluation and discussion, the experts decided to let go and fight for the child's last chance to survive. With the close cooperation of relevant professional medical staff in the hospital, the cardiovascular center successfully carried out thrombectomy under the extracorporeal circulation of the pulmonary artery.

  When the surgical team opened the child's pulmonary artery, it was clear that the dark red blood clots almost completely blocked the child's main pulmonary artery and left pulmonary artery. "Everyone is thankful that the second operation is timely. If it is later, the consequences will be disastrous," the doctor said.

  After 2 operations, under the careful treatment of medical staff, the child successfully passed various difficulties such as respiratory failure, circulatory failure, renal failure, coagulopathy, internal environment imbalance, infection, etc. The vital signs gradually stabilized, now He was discharged from hospital.

  It is understood that there are few cases of intestinal torsion of the fetus in the mother by ultrasound, and it is rare to perform two operations for critically premature infants in a short period of time. The successful treatment of this patient demonstrated that the comprehensive ability of multidisciplinary joint treatment of acute, critical and intractable maternal and child patients in Gansu Province has entered the forefront of the country. (Finish)