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浙江每年接生千余例早产儿 过半孩子体重3斤以下--亲稳舆论引导监测室
2012-07-27
省妇保每年接生千余例早产儿 FuBao province each year more than cases of premature birth
过半孩子属3斤以下低体重儿 More than half of children under 3 pounds of low birth weight
如何给这些孩子抽血输液是一件难事 How to give these children blood transfusion is a difficult
省妇保成功探索用脐带代替静脉给孩子输液 Save FuBao success with umbilical cord instead of vein to explore child infusion
医者仁心,有时候不光体现在对患者的言语关心上,还需要不断专研技术,帮助患者减少痛苦。
Thompson, the doctor,Sometimes not only reflected in the words of the patient care,Also need to keep grinds only technology,To help reduce pain patients。
浙大附属妇产科医院(以下简称省妇保)新生儿科的姜舟医生,每天的工作就是接触孩子,12年的临床经验,让他不断想办法减少患儿的痛苦。上周,他刚刚自己摸索出了一种脐动脉穿刺的办法,给一名29周的早产低体重儿置管,减少小患儿的痛苦。
Zhejiang university hospital(Hereinafter referred to as FuBao province)New JiangZhou doctor of pediatrics,Every day the work is contact with children,12 years of clinical experience,Let him constantly trying to reduce the pain of the children。Last week,He just oneself fumble an umbilical arterial puncture a way,Give a 29 weeks premature low birth weight buy tube,Reduce the pain of small children。
“现在早产儿越来越多,特别是1500克以下体重的低体重儿也越来越多。”姜医生说,现在因为不孕不育的夫妻比以前要多,这些夫妻会采取试管婴儿等辅助生育技术怀孕,和自然怀孕的孩子相比,这类孩子更容易早产,同时多胞胎的增多以及母亲健康状况等因素的影响,早产儿的发生率也在增加。
“Now more and more premature babies,Especially under the weight of 1500 grams of low birth weight also more and more。”Ginger doctor said,Now because of the sterility of husband and wife more than before,The couple will take the test tube babies assisted reproductie technologies such as pregnancy,And natural pregnancies compared to children,This kind of children are more likely to premature birth,At the same time increase of the number of multiple births and maternal health factors,The incidence of premature infants are also on the increase。
据了解,近五年来,省妇保新生儿科每年接诊的早产儿都达到一千余例,其中近一半的孩子是低体重儿,要给这些孩子抽血输液,是一件非常不容易的事情。
According to understand,Nearly five years,New Year FuBao province pediatric became at more than one thousand cases of premature infants,Nearly half of the children is the low birth weight,Want to give these children blood transfusion,Is a very not easy thing。
“以前,我们会在桡动脉,也就是大家熟知的手腕脉搏这个地方抽血输液。但是这种方法对于低体重的早产儿来说,很困难,而且反复多次,小孩子也很痛。”姜医生说,每次抽血,孩子都会哭闹,不但痛苦,也会引起血压的波动,接触久了,就考虑能不能减少孩子的痛苦。
“before,We will in radial,Also is known as the wrist pulse this place blood transfusion。But this method for low weight for premature babies,Very difficult,And repeatedly,Children also very pain。”Ginger doctor said,Every time blood,The crying child would,Not only pain,Can also cause blood pressure fluctuations,Contact for a long time,Consider the pain of the children can reduce。
脐带是所有新生儿身上最不受宠的组织之一,因为大多数孩子的脐带会在半个月左右结疤掉落。就是这个被忽视的组织,被姜医生看中了。
Umbilical cord is all newborn child is not the most loved one of the organization,Because most of the children in umbilical cord a half month scarred drop。Is this the neglected organization,By ginger took a fancy to the doctor。
“脐带是和母体连接的生命线,一般有两条脐动脉和一条脐静脉,通过这个通道,也能给孩子输液、抽血,既减少了痛苦,也不影响监测。”姜医生说,这种办法一些发达国家已经在使用,他虽然听说了,但实际操作挺难。因为脐动脉的直径不到1毫米,脐静脉的直径不到2毫米,要找到这个通道,同时放入管子抽血,挺难的。
“Umbilical cord is the lifeline of the matrix and connected,There are two general umbilical arterial and a umbilical vein,Through this channel,Also can give a child infusion、blood,Not only reduce the pain,Also don't affect the monitoring。”Ginger doctor said,This method has been used in some developed countries,Although he heard,But the actual operation quite difficult。Because the diameter of the umbilical arterial less than 1 mm,Umbilical vein of less than 2 mm in diameter,To find this channel,Add also the tube blood,hard。
多次摸索后,上周,姜医生终于成功了,今后这一方法就可以在一些低体重的早产儿身上使用。
For many times after,Last week,Ginger doctor finally succeeded,This method in the future can be in some low weight on the use of premature infants。
“如果孩子是早产的低体重儿,可以在脐带的处理上,长度留得长一点,用来置管,这样就能让小孩子不用反复穿刺抽血了。”姜医生说,一般置管最多放置七天,不会影响到孩子脐带的脱落。(通讯员 孙美燕 记者 黄淼君)
“If a child is premature low birth weight,In the processing of umbilical cord,Stay a little longer length,Used to buy tube,So let children need not repeated puncture blood......。”Ginger doctor said,General buy tube placed most seven days,Won't affect children of umbilical cord off。(Correspondent SunMeiYan reporter HuangMiao ruler)
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