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广西南宁一“巴掌大”早产儿肠穿孔 手术比绣花还难
2017-09-03 05:35:49 中国青年网
南宁市妇幼保健院近日收治了一名只有28周的早产儿,婴儿的体重只有680克,脚掌和成人的大拇指一般大。 (医院供图)
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体重680克,身长32厘米,身体的躯干部分和成人的手掌差不多大……就是这样一个28周的早产儿,8月31日因为肠穿孔,在南宁市妇幼保健院接受了外科手术。这是一个难度很大的手术,因为完成很顺利,宝宝目前正在恢复当中。
给巴掌大的早产儿做手术是一种什么体验?主刀医生说,动作要轻、快、稳,比在丝绸上绣花还要难。
危急
早产儿被发现肠穿孔
8月26日,一位31岁的孕妇在南宁市妇幼保健院产下一对双胞胎男婴。因为只在妈妈的肚子里呆了28周,出生后,老二不幸离世,老大体重极低,仅有680克!他的脚掌长度还不及成年人的大拇指,身体躯干部分还没有成年人的手掌大……
8月31日上午,医生发现宝宝的肚子涨得几乎透明,后经检查确认是肠穿孔。由于肠穿孔会造成肠道内的细菌会进入腹腔,引起败血症等症状,导致死亡,情况非常危急。
院方立即召集外科、新生儿科、麻醉科、医务部进行了会诊,医生们都认为手术风险非常大——如果宝宝生命体征不稳定,可能根本下不了手术台;如果有血压不稳定情况,可能会造成脑部损伤,影响宝宝未来的生活质量。立即手术,宝宝有活下去的可能,不手术,肯定熬不过当天晚上。
在经过和家长的沟通后,家长也希望医院能全力救治宝宝,于是在制定了详细的预案之后,医院马上组织了医生团队给宝宝进行手术。
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