China News Service, Shanghai, January 20 (Chen Jing, Xi Xiaolei, Jiang Rong) The reporter learned on the 20th that Xiao Jianan, who had been treated in Shanghai for nearly a year and had experienced several life challenges, was discharged from the hospital.

Cheng Guoqiang, chief physician and doctoral supervisor in charge of Xiao Jianan's Department of Neonatology at the National Children's Medical Center and the Pediatric Hospital of Fudan University, told reporters that Xiao Jianan's treatment process was full of hardships due to failure of weaning, gastrointestinal bleeding, repeated infections, and pulmonary hypertension. .

  Cao Yun, director of the Department of Neonatology at the National Children's Medical Center (Shanghai) and the Pediatric Hospital of Fudan University, told reporters on the same day that when she was admitted to the hospital, Xiao Jianan was diagnosed with severe bronchopulmonary dysplasia (BPD), combined with pulmonary hypertension and severe infection.

The BPD multidisciplinary team of Fudan Pediatrics works together to provide treatment.

Experts dynamically optimize respiratory management strategies and realize individualized and refined care, gradually changing from invasive respiratory support to non-invasive respiratory support.

Rehabilitation doctors also intervened early, and carried out early rehabilitation measures such as oral intervention and physical therapy to promote the development of children's neurological functions.

  According to reports, during the 328 days she was hospitalized in the NICU of the Neonatology Department of the Pediatric Hospital of Fudan University, Xiao Jianan spent her 1st birthday and many "firsts" in her life: the first time she turned over, the first time she sat down Small chair, holding a small toy for the first time, listening to an ancient poem for the first time... Doctors and patients worked together to overcome many barriers such as breathing, digestion, circulation, infection, etc., and went through difficult challenges one by one, and the condition improved day by day.

  Before being discharged from the hospital, Xiao Jianan, who was 1 year and 5 months old, weighed nearly 10kg. She could feed smoothly and met the discharge standard.

Parents came to the family ward of the Neonatology Department a week early to learn the relevant knowledge and skills of family oxygen therapy, nursing, first aid, and rehabilitation, participate in the care of the children, and fully prepare for Xiao Jianan's discharge.

  It is reported that the Pediatric Hospital Affiliated to Fudan University is the largest treatment and transfer center for critically ill neonates in East China, and a multidisciplinary team for bronchopulmonary dysplasia has been established under the Department of Neonatology.

The hospital told reporters that the hospital has established a bronchopulmonary dysplasia clinic this year, and will continue to provide comprehensive medical security services for the management of children after discharge to promote their long-term health.

  During the interview that day, the reporter learned that medical experts in Shanghai are always looking for better treatment strategies for neonatal diseases.

Congenital airway stenosis is a disease that seriously threatens the life, health and growth and development of children.

However, due to the difficulty of the operation and the difficulty of postoperative recovery, the treatment of the disease has left many cardiothoracic surgeons helpless.

The National Children's Medical Center (Shanghai) and the Cardiothoracic Surgery Department of Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University School of Medicine Wang Shunmin's team conducted a 10-year retrospective analysis of many tracheal stenosis surgeries in infants under 1 year old in this hospital.

The research team found that individualized treatment strategies, including special treatment for bridging bronchi and selective anterior tracheal wall suspension, can achieve good clinical results in infancy-related surgery, and the overall operative mortality rate has decreased from 12.5% ​​in the previous period. fell to 2.27%.

Relevant research results were published in the international authoritative journal "The Journal of Thoracic and Cardiovascular Surgery".

  It is reported that the tracheal treatment team of the Cardiothoracic Surgery Department of Shanghai Children's Medical Center has been exploring the treatment of tracheal stenosis since 2007. Through more than ten years of experience accumulation, it has mastered a set of teamwork treatment procedures for various tracheal stenosis diseases, while focusing on perioperative Long-term rehabilitation and multidisciplinary cooperation, make unremitting efforts for children to breathe freely.

Relevant clinical achievements have won honors such as Huaxia Medical Progress Award and Shanghai Medical Science and Technology Award.

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