The first case in the province!For newborns who are less than 3 days of newborns, a heart pacemaker surgery is completed in Xiamen

Author:Xiamen Daily Time:2022.09.10

This intervention has filled the province's gap. (Photo by Wang Yanni)

Parents of children are worried about medical expenses. (Photo by Chen Lixin)

Yesterday morning, a special life relay race was held at Fudan Pediatric Xiamen Hospital (Xiamen Children's Hospital) — Dr. He Lan, who was resident in Xiamen from Fudan Pediatric Huang Guoying Medical Studio, was a freshman who was born less than 72 hours. The child successfully settled into the pacemaker, setting a record of the lowest age of cardiac pacemakers in the province.

The birth check found that the child's heart rate is too low. Doctors recommend that immediately caesarean operation

This morning, when the reporter saw Xiao Zhang at the Newborn Medical Center of the Xiamen Children's Hospital, the 25 -year -old new father saw other parents to pick up the child. He said he wanted to hug the child. The child had only seen it twice in 4 days. Once, he transferred from Longyan to Xiamen's ambulance, and once he hurriedly glanced after the operation came out yesterday.

In the past few days when I came to Xiamen, Xiao Zhang hadn't slept a sense of peace. In order to save money, he did not live in the hotel, and found a chair outside for a night. During the more than ten weeks of pregnancy, his wife went to the provincial maternal and children to check, and the child's heart rate was more than 80 times. On September 7, when the wife who was going to give birth in Longyan's hometown went to the birth checkup, the doctor said that the child's heart rate was too low and he had to take a cesarean section immediately.

"If the temporary pacemaker is settled this time allows the child to restore the normal heart rate, it is best, but if you need to implant a permanent pacemaker in the future, you may need a medical fee of 200,000 to 300,000." Xiao Zhang Said, although the current cost is still within its own scope, it is still worried about future.

Children's heart rate is too low. Considering that the mother may have problems with her own immune, she cannot breastfeed. At present, the child's mother is hospitalized in Longyan. Because the child's neonatal care unit in the hospital does not need to take care of Xiao Zhang, he considers returning to his hometown to take care of his wife. "The biggest wish now is to want mother and child to be healthy," he said.

Multi -disciplinary experts joint diagnosis and treatment involvement surgery fills regional blank

It is understood that the hospital has formulated a meticulous treatment plan for this pacemaker.

On September 8th, under the leadership of Professor Cheng Guoqiang, director of the Freshman and PhD instructor of the Fudan Pediatrics, Professor Cheng Guoqiang, experts from the neonatal department, surgical anesthesiology, cardiovascular department, ultrasonic department, radiology department and other related departments carried out MDT multidisciplinary joint Diagnosis and treatment, determine the intervention plan, and dispatch temporary pacemakers from Shanghai immediately.

On the morning of the 9th, Dr. He Lan, a cardiovascular expert in Xiamen in Xiamen, conducted interventional surgery. He placed the 1.7 mm blood vessel sheath on the right side of the newborn 2 mm right side vein. The vascus sheath will temporarily start pairing electrode catheter through the vein of the femoral vein to the lower cavity vein, to the right atrium, and then to the right ventricle. The end of the right ventricle is placed at the tip of the right ventricle to stimulate the heart fighting, allowing the heart rate of the newborn to return to the normal level of 120 from more than 50 to 120.

The doctor said that the baby was found to be too slow during the fetus and was born in more than 36 weeks. After birth, the heartbeat was slow and blood pressure was unstable. It was diagnosed with a congenital three -degree room conduction block, and then transferred to the newborn medical center of Xiamen Children's Hospital through the Fudan Pediatric Xiamen Hospital's crisis and freshman transshipment system.

Cheng Guoqiang said that the baby's condition is serious, and he tried to use the drug to adjust the heart rate without great effect, so he decided to install a temporary pacemaker. Because the child is still very small, you may restore the heart rate. The pace can give the child a buffer period and explore the cause during this period. If you can find the cause, you can treat the symptomatic treatment and help children return to normal heart rate.

It is understood that this is the youngest patient with the pacemaker in the province, and the success of the intervention surgery fills the regional gap.

(Xiamen Evening News reporter Wang Yanni correspondent Chen Ping)

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