In the middle of the night on March 9, Shanghai Children’s Medical Center affiliated to Shanghai Jiaotong University School of Medicine issued an announcement, and the hospital blew again. The battle horn of closed-loop management of epidemic prevention and control… The implementation of closed-loop management means that in addition to maintaining the necessary treatment of patients in the hospital, other medical services have temporarily pressed the “stop button”, and environmental screening, nucleic acid testing, and regional disinfection have become Daily priorities for the next 14 days.
Xiao Jingjing, a twin born prematurely, was born at 32 weeks of gestation. He was only 23 days old and his belly was bulging day by day, highly suspected of necrotizing the small intestine. colitis. Necrotizing enterocolitis is a necrotizing disease of the intestine caused by intestinal infection caused by various reasons. It is a severe gastrointestinal emergency in neonates. This disease is more common in premature infants, and is characterized by abdominal distension, vomiting and blood in the stool. Once diagnosed, it is necessary to fast immediately, and to carry out anti-infection and various supportive treatments. If necessary, surgical treatment is required.
In the early morning of March 12, the Department of Neonatology applied for a general surgery consultation, and an urgent operation was imminent… In principle, all operations were suspended during the closed-loop period, but the situation was critical, following the principle of “life first”, the hospital Approved by the Ministry of Health, general surgery, neonatology, anesthesiology and other disciplines quickly assembled. After completing the emergency video preoperative conversation, all relevant medical staff conducted prevention and control according to the corresponding level, and the negative pressure operating room was urgently opened… 5 am, The bloated premature baby finally entered the operating room for an exploratory laparotomy. Working in a negative pressure environment and wearing N95 masks, everyone’s breathing seems so heavy! One minute and one second passed, and it was confirmed during the operation that the child suffered from neonatal necrotizing enterocolitis with intestinal necrosis, and necrosis of the ileocecal and ascending colon had occurred. Fortunately, the operation was timely, the necrotic bowel was removed and an enterostomy was performed, and no bowel perforation occurred. After the operation, Xiao Jingjing was arranged in a single ward for follow-up isolation treatment. Currently, she is recovering well, and a critically ill child has regained a new life!
Xinmin Evening News reporter Zuo Yan