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欧冠足球比分
欧冠足球比分
欧冠足球比分
欧冠足球比分
欧冠足球比分

小柠檬

发布时间:2020-06-05 信息来源: 【字体:

2020年6月1日新生儿科出院患儿3床张毛毛父母为管床杨柳医生送来锦旗及鲜花,感谢这38天对宝宝的精心治疗。

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这是在我院行试管婴儿后并由我院产科经剖宫产出生的一例孕30+2周的早产儿,出生体重仅1.27Kg,因妈妈单脐动脉(正常胎儿脐带由2条脐动脉和1条脐静脉),宫内发育迟缓,加上早产,导致了脆弱的宝宝从出生就输在了起跑线上,出生后立即转到新生儿科NICU,出生后出现进行性呼吸困难、发绀等严重缺氧表现,病情危重,杨柳医生从事新生儿科工作多年,临床经验丰富,迅速带领科室其他医生、护理人员投入到患儿的救治工作中,谨慎小心地为患儿进行插管、上呼吸机,使用三次肺泡表面活性物质促进肺成熟,时刻监测患儿病情变化;吸氧是早产儿的必需品,但是它也会导致视网膜病变,细心的新生儿科医生护士严格掌握氧浓度的管理要求,在保证患儿血氧均衡的情况下,尽可能的降低氧浓度。

宝宝太小,没有咳痰能力,为了给极低出生体重(出生体重1.25kg-1.499kg)的患儿排痰,杨医生特意从家里带来了电动牙刷,严格消毒、干净纱布包裹,震动后再慢慢行吸痰护理;于4月25日从有创呼吸机改为了无创呼吸机正压通气,氧浓度也逐步降低;护理人员给予患儿早产儿奶微量喂养,耐心、细心的从1毫升、到2毫升、到10毫升逐渐加量,让小宝宝一天天强壮起来,每天给宝宝用温水擦洗身体,涂抹润肤油。

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 5月9日凌晨1点,患儿因支气管肺发育不良,又出现了呼吸困难等严重缺氧表现,重新气管插管、上呼吸机,并出现肺部出血这一危重症状,检验报告出现了凝血功能障碍、重度贫血、低蛋白血症,新生儿科的医疗团队全科讨论、重新调整诊疗方案、通力抢救,输血红蛋白、血浆、白蛋白、丙种球蛋白,精细的调节呼吸机参数慢慢肺出血好转,呼吸机参数下调。

5月16号,距离患儿插管已经过去了一个星期,在这一星期里,严密监测患儿病情变化及各项指标,欧冠足球比分决定给她撤掉有创呼吸机,改用无创呼吸机辅助通气,随着病情的好转,患儿对氧的需求下降,5月22日彻底撤掉了呼吸机。

小宝宝因只在母亲子宫里呆了30周零2天,出生后一直住在医院保温箱。袋鼠护理是提高早产儿存活率的一种护理方法,又叫肌肤接触,就是像袋鼠妈妈一样,把宝宝贴在自己的怀里,跟宝宝肌肤相亲,给宝宝温暖?;だ砣嗽毕虮ΡΠ职?、妈妈详细告知袋鼠护理的注意事项后,从5月24日开始宝宝妈妈来到医院开始行袋鼠护理,宝宝感受着妈妈的体温,聆听着妈妈的心跳,宝宝享受其中,同时也减少了妈妈由于压力带来的负面影响。

通过一周的家庭式袋鼠式护理,妈妈的产奶量得到提升,宝宝的体重增长速度变快,住院38天奶量增加至40ml每次,能自主吸吮不需要氧气依赖,体重也增加至1.85千克5月28日这一天顺利出院了。

(撰稿:王妍    审核:谭大林)



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