一吃奶就吐原来食管少一截 A milk will vomit originally esophageal less a section

　　省医医生打开新生儿胸腔为他缝合 Provincial medical doctor open neonatal chest for his suture

　　“儿子生下来后，一吃妈妈的奶水就吐，这可怎么办？”不久前，安顺市的冯康(化名)夫妇抱着刚出生两天的宝宝求诊时被告知，孩子的食管竟然天生差了一截，一端食管还与气管相连。当地医院不敢做手术，夫妻俩赶紧抱着娃娃来到省医求助。

"Son after birth,Eat a mother's milk will vomit,This can do?"Not long ago,AnShunShi FengKang of(alias)Couples holding the new born baby when attending the two days was told,The child's esophageal unexpectedly born sent a section,End esophageal and connected to the trachea.A local hospital can't do surgery,A couple hurriedly holding the baby came to province medical help.

　　孩子出生后，一吃奶就吐 After the child is born,A milk then spit

　　冯康讲述了事情的来龙去脉。他媳妇在安顺市当地医院生下一个儿子，体重2.6公斤。不过很快，沉浸在喜悦中的一家人心情便“转喜为忧”。“娃娃他不吃奶，一吃就吐。”

FengKang about the whole thing.He AnShunShi daughter-in-law in local hospital gave birth to a son,Weight 2.6 kg.But soon,Immersed in the joy of family and mood"Turn xi for sorrow"."Doll he doesn't eat milk,Eat a sick."

　　这是怎么回事？冯康马上找到医生，做了检查后确诊为“食道闭锁并伴随支气管肺炎”。

This is how to return a responsibility?FengKang immediately find a doctor,Do the examination for diagnosis"Esophageal atresia and adjoint bronchopneumonia".

　　“孩子连胃管都插不上，只能靠输液维持生命体征，体重也在进一步下降。”冯康夫妇为此急得团团转，因手术风险大，术后并发症多，死亡率高，他们抱着儿子去多家医院求治都遭婉拒。孩子出生后两天，他们来到省医小儿外科。

"The child even stomach tube not interrupt,Can only rely on transfusion to maintain vital signs,A further decline in weight."FengKang couples for this urgent around,Because the operation risk big,Postoperative complications were more,High mortality,They embrace a son to many hospitals QiuZhi are in decline.Two days after the child is born,They came to the province medical pediatric surgery.

　　宝宝入院后，通过消化道造影和CT照片显像发现，患儿的食管差了一截，形成一个有两公分长的“空当”，一端食管还与气管相连，这就造成了孩子吃奶时，奶不能通过食管到达胃部，反而会呛进支气管里，造成了肺炎，如不及时救治，娃娃将很快面临死亡。

Baby after admission,Through the gastrointestinal angiography and CT imaging found photos,The patient's esophageal sent a section,Form a have two centimeters long"gaps",End esophageal and connected to the trachea,This will cause the child to eat when milk,Milk can't through the esophagus to stomach,It will choke into in the bronchus,Cause pneumonia,If not treated in time,Baby will soon face death.

　　小儿外科副主任何国庆高度重视并组织全科讨论，联合麻醉科和新生儿科制定出最佳的治疗方案。在完善术前准备后，在该患儿出生4天之际施行手术治疗。

Deputy director of pediatric surgery HeGuoQing high attention and organization general discussion,Joint anesthesiology department and new pediatric decide on the best treatment.In the perfect after preoperative preparation,In the child was born four days of treatment of surgery.

　手术：将两截食管缝合在一起 surgery:Two section esophageal suture together

　　小儿外科副主任医师唐应明介绍，手术时，先在患儿的胸口处打开一个五六公分的切口，手术刀进入胸腔后，从肺部下面，找到食管的断端，看到原本该是一个整体的食管，长岔了，食管长到了气管上。

Pediatric surgery of doctor of vice director of TangYingMing is introduced,surgery,First in the patient's chest place open a five or six centimeters of incision,Scalpel into the chest after,From the lungs,Find esophageal cut ends,See originally this is an integral part of the esophagus,Long branch the,Esophageal long on the trachea.

　　医生将“长岔”的这截食管切除，对气管进行缝合手术，然后再将两截食管缝合在一起，形成一个正常的食管通道。

The doctor will"Long bifurcation"This section esophageal resection,For trachea suture surgery,Then two section esophageal suture together,Form a normal esophageal channel.

　　“因患儿极年幼且体重轻，脏腑娇嫩，食管只有筷子粗，机体条件较差，断端两头相距较远，所以术中医生在缝合时，精神是高度集中，小心翼翼。”唐应明告诉记者，如果两端食管没有缝合好，孩子吃东西时，食物便会漏进胸腔、肺部，造成感染，严重的还会形成败血症。

"Because of the very young children and light weight,Viscera and delicate,Esophageal only chopsticks coarse,The poor conditions,Broken end two head far apart,So during the operation, the doctor when sewing,Spirit is highly concentrated,Be careful."TangYingMing told reporters,If both ends esophageal no stitching good,Children eat,Food will leak into the chest/lung,Cause infection,Serious still can form sepsis.

　　因此，医生是用比头发丝还细的线，精神高度集中地一针一针缝合，不敢有丝毫的马虎和大意。

therefore,The doctor is to use each thinner than a thin line,The spirit of high intensively a needle a needle stitching,Can't have any careless and careless.

　　术后，患儿入住新生儿科，因为之前的食管缺口，导致支气管肺炎、气胸、硬肿症等严重并发症。孩子很坚强地“克服”了这一系列困难，一段时间后，可以正常进乳，手术处未出现吻合口瘘、吻合口狭窄、支气管瘘等并发症，痊愈出院。

the,In the new children pediatric,Because before the esophageal gap,Cause bronchial pneumonia/pneumothorax/Hard swollen sickness and so on serious complications.The child is very strongly"overcome"This a series of difficulties,After period of time,Can the normal into milk,Surgery does not appear in the anastomotic fistula/Anastomotic stenosis/Complications such as bronchial fistula,Healed up and left hospital.

　　唐应明告诉记者，以往这类患儿因其家长对该病认识不够或其它原因，往往放弃治疗，或在一些医院手术后因术后监护、护理等条件限制而失败。该例患儿的成功手术顺利出院，是省医首例成功抢救的食道闭锁新生儿。(贵州商报 孙纯蓉 记者 刘丹)

TangYingMing told reporters,Before this kind of children because of the parents to the disease knowledge is not enough or other reasons,Often give up treatment,Or in some hospital surgery for postoperative care/Care and failure conditions.The cases of successful operation smooth discharge,Is the first province medical rescue success of esophageal atresia neonatal.(Guizhou commercial daily reporter SunChunRong separately)