The first case of children in Zhuhai! The Municipal Maternal and Child Health Hospital successfully performed complex airway surgery on a 4-year-old child

Text and photos/Yangcheng Evening News All Media Reporter Zheng Da Correspondent Deng Yingli

“Doctor, please save my child, he is getting more and more difficult to breathe now.” Recently, Mingming’s mother (pseudonym) found Zhuhai City with tears and hope. Chen Hongjun, director of the Pediatric Respiratory Department of the Maternal and Child Health Hospital.

Photo courtesy of the interviewee who performed surgery for Mingming

It turned out that Mingming (pseudonym) was diagnosed with acute myeloid leukemia at the age of 4 years old, and the transplant was successful, but there were successive skin rejection, ocular rejection, and lung rejection. In particular, severe infections have occurred many times in lung rejection, and now the difficulty in breathing is getting more and more serious. Every few steps, I have to take a break and take a few breaths. I often need to inhale oxygen at home, and even when I go out, I need to carry an oxygen bag with me.

Chen Hongjun and his team performed painless bronchoscopy with the strong support of the team of Director Ye Jun of the Department of Pediatric Anesthesiology of the hospital. It was found that 80% of the orifices of the 5-7 bronchial tubes in the respiratory tract were blocked by translucent membrane-like granulation-like substances with uneven thickness. Bronchoscopy was diagnosed as: severe obliterative bronchitis. There are few reports on the diagnosis and treatment of this disease in domestic and foreign literatures. Chen Hongjun and his team were aware of the seriousness and complexity of obliterative bronchitis, which had never happened in Zhuhai. After discussion, it is planned to perform occlusive bronchial airway angioplasty through bronchoscopic intervention with multidisciplinary assistance.

Because the child’s condition is extremely special, and the planned balloon dilation, laser, cryo-thaw, and cryo-resection under the bronchoscope are the highest level of interventional technology in children’s respiratory specialty. The important content is the first case of children in Zhuhai.

In order to ensure the success rate of this difficult “airway reconstruction project” operation, after discussions with experts from the competent authorities and consultation with family members, under the matchmaking of Wang Guilan, chairman of the Children’s Respiratory Intervention Alliance in the Greater Bay Area , Meng Chen and Meng Fanzheng, well-known experts in the field of pediatric respiratory intervention outside the province, once again conducted a full analysis, evaluation and technical guidance on the operation through a video conference.

The purpose of this surgery is clear, the strategy is clear, but the process is not easy. Because there are too many pathological airways, the “airway reconstruction project” needs to be completed in 3 operations, but the experts in the pediatric respiratory department are fully prepared. With the cooperation of the surgical anesthesiology department, Wang Guilan and Chen Hongjun provided technical guidance, and Chen Qiang, the deputy chief physician of the Pediatric Respiratory Specialist, performed the operation.

Finally, the operation went smoothly. After the operation, the child’s symptoms of sleeping, shrugging and breathing were significantly relieved. The operation was a success! Family members have praised the experts for their medical skills.

It is reported that bronchoscopy in children is a new type of airway treatment technology under endoscopy. It is a minimally invasive treatment method with little damage and convenient operation in clinical operation. Commonly used clinical techniques include bronchial balloon dilatation, laser surgery, freezing and thawing, and cryotomy. In recent years, bronchoscopy interventional therapy has developed rapidly in the field of chronic difficult and severe respiratory diseases in children. This new technology and new project are carried out for the first time in the hospital, filling the technical gap of children’s bronchoscopy intervention in Zhuhai City.

Source | Yangcheng Evening News ▪ Yangcheng Pie

Editor | Feng Xiaojing

Proofreading | Zhou Yong