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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
顺利接受了手术的宝宝正在保温箱中进行恢复(图片由医院提供)
手术
比在丝绸上绣花还要难
据手术的主刀医生、外科副主任陈振添介绍,这个宝宝的身体太过狭小,手术部位是宝宝的肠道,还要保证不伤及其他的脏器,同时,因为水肿,宝宝的肚皮就像一层纸。由于是早产儿,宝宝体内的器官要比普通的新生儿更脆弱,肠管本来可能只有1毫米厚,因为胀气可能会更薄。如果手术的时间拖得越长,宝宝的术后恢复就越困难,因此手术必须争分夺秒,动作必须轻、快、稳。“在这个宝宝的肠管上动刀,比在丝绸上绣花还难。”陈振添跟记者这样形容手术的过程。
给这样的一个宝宝做麻醉,也相当考验麻醉科医生的技术。据该院麻醉科主任劳诚毅告诉记者,麻醉剂量和患者的体重有关,由于体重仅有680克,宝宝的麻醉药物用量仅为成年人的1%,且药量必须十分精确,偏差值也要缩小,否则宝宝无法耐受。此外,以往新生儿科只负责患儿手术前后的生命体征,但这个宝宝实在是太特殊了,手术的风险极大,因此新生儿科的医生也在手术现场,帮助维护宝宝的血压等。
在多个部门的联合保障下,宝宝顺利地完成了手术。医生切掉了肠子穿孔的部位,并在肚子上开个孔,把肠子引过去,暂时从这里排便。据了解,目前宝宝的手术恢复不错,如果顺利,3个月后,医生将为他做二次手术,把肠子接回原处。
知多点
关于早产儿,产科医生有话说
这个宝宝的遭遇令人心疼,那准父母们怎么做,才能让孩子更健康呢?南宁市妇幼保健院产科主任林红介绍,“二孩”政策出台之后,早产儿越来越多,低体重儿也随之增多。“随着高龄产妇、辅助生殖技术应用的增多,工作压力和环境等造成孕妇出现孕期并发症,都是造成这种现象的原因。”林红说。
林红建议准父母们,在备孕前最好接受孕前体检,准妈妈在怀孕后一定要按时孕检,一旦发现问题及时就医。同时,孕妇要做到合理饮食,适当运动,保持心情愉悦,避免妊娠期糖尿病和高血压等疾病。
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