After only 26 weeks in the mother's fetus, I fell to the ground and had a premature birth of the twins for 84 days.

Author:Hubei Daily Time:2022.09.28

□ Chutian Metropolis Daily Journalist Yan Wen Correspondent Gong Yuxi

After nearly 3 months of careful treatment and gentle guardianship, a pair of super premature twin brothers with only 900 grams and 890 grams of birth at the time of birth only 26 weeks of pregnancy+2 days of birth. Hospital) The newborn department was discharged from the hospital, and they successfully went home and reunited with their loved ones.

Before discharged, the family members sent a correspondent to the Jinqi correspondent to the cure team.

The twin brothers of 26 weeks have come early

At the end of last year, Ms. Tong, the child of Hanyang, Wuhan, was happy with a pair of twins, and the whole family looked forward to the arrival of a new life. However, at the end of May this year, Ms. Tong, who was only 26 weeks of pregnancy+2 days, suddenly broke up amniotic fluid at home in the early morning. The family hurriedly sent her to the emergency department of Wuhan University People's Hospital for treatment.

"A 26 -weekly twin women's amniotic fluid in the emergency department ruptured, and may be giving birth immediately, preparing for rescue!" In the early morning of the end of May this year, the rapid phone ringtone came in the obstetric ward of Wuhan University People's Hospital. The obstetrics receiving emergency help immediately launched the "emergency post of party members". After the doctor on duty rushed to the emergency examination, the diagnosis of Ms. Ms. Ms. for the acute choric membrane shenicitis was high. At this time, if the fetus is given out of urgently, it is likely that the three life will not be guaranteed; but the fetal pregnancy week is only more than 6 months, and the risk of premature babies is extremely high. Faced with the "dilemma" life choice, the hospital's difficulty maternal MDT team was diagnosed overnight, and finally decided that adults and children were "fully guaranteed."

At 9 am that day, under the close monitoring of the obstetric expert team, Ms. Tong gave birth to a pair of twin boys, but the weight of the twins was only 900 grams and 890 grams, respectively. Their skin was as thin as cicada wings. The brothers were born about 12 weeks in advance than normal fetuses. They breathed their own breathing and heartbeat when they were born.

Professor Fang Chengzhi, director of the freshman department who has been fully prepared, immediately organized the medical team of the neonatal intensive care unit medical team to implement the rescue: put the two fetuses in warm boxes to keep warm, clean the respiratory tract, tracheal intubation, ventilator auxiliary respiratory, while applying to promote promoting the promotion Mattal drugs are anti -infection and anti -shock treatment. After more than 20 minutes of emergency treatment and symptomatic support treatment, the vital signs of the twins temporarily stabilized, and immediately transferred to the neonatal intensive care unit.

But this is just the first level of rescue. In the severe care unit of the neonatal family, the brothers' "life breakthrough" journey has just opened.

24 hours of guardians

The age of the fetus, light weight, and the development of various organs throughout the body are immature. To the success of these two small lives, the newborn medical team and children need to break through several "levels" -breath, intracranial hemorrhage, nutrition, nutrition, nutrition And infection, the success or failure of any level is directly related to whether these two small lives can survive. President Fang Chengzhi, the head of the head of the monk Yan Yan, accumulated a wealth of experience in treating super premature babies in the past. The medical team they led to implement a 24 -hour medical integration bed guardian. The team has formulated personalized diagnosis and treatment measures and adjusted at any time according to changes in the condition.

In the medical group, Associate Professor Fu Chunhua and Dr. Xie Lili led the medical team for 24 hours of "one -to -one" to take care of the children, while closely monitoring blood oxygen, blood gas, and various life signs; The nursing team has made every effort to create an internal uterus environment for children, minimizing various bad stimuli to promoting their growth and development. In the past 3 months of hospitalization, twins have experienced various complications such as intracranial hemorrhage, convulsions, respiratory distress syndrome, pulmonary hemorrhage, sepsis, feeding impatience, edema, anemia and other complications. Refined adjustment in real time, and preventing possible premature babies such as severe cerebral hemorrhage and retinal disease in real time.

During the twin hospitalization, Ms. Tong and her family could not visit two babies, and she could not help anxiously. Associate Professor Fu Chunhua often takes photos of the children and sent it to his family to alleviate the feelings of thoughts. He also informs their children's latest situation and treatment progress in time. It not only gentle comfort, so that they should not worry too much, but also give them courage and encouragement.

One day's "break through the barrier", through the two newborns of countless dangerous customs, watching the strong every day. After 84 days after the newborn department, the brothers' correction of the fetal age was 38+1 week. Their autonomous breathing became smoother and smoother. It has reached the standard of discharge. After discharge, they also need to return to the hospital for regular growth and development.

On September 27, Ms. Tong and her husband brought twins to the hospital for review. After routine screening and development evaluation of neonatal and obstetrics, the development of the brothers reached normal levels.

Director Fang Chengzhi said that the 26 weeks of twin rehabilitation was discharged from the rapid development of neonatal medicine. In recent years, the Newborn Department of the People's Hospital of Wuhan University has successfully cured multiple cases of premature babies (less than 32 weeks of birth) and super premature babies (older birth age is less than 28 weeks). Success rates ensure their good long -term survival quality.

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