Protect the life Protect the kidney Guard

Protect the life Protect the kidney Guard
Staff reporter Meng celebrate reporter of will mountain Yang Wen enter general week "Doctor, child's urine has come out, the urine has come out! " Mother washing the clothes can not wipe the soapsuds on hand, run to doctor's office excitedly. Doctor, nurse making the rounds of the wards who puts the case history in order, have next door the parents in the ward hear the news to run outside at once, busy people almost knock into it together. A young nurse is even overjoyed with tears. This to take place in calculus of Hebei children's hospital infant treating and curing a scene in the specialized inpatient area October 13. As accepting the more serious calculus infant's fixed hospital for medical treatment, over half months, such a scene will appear once every several days. Though children have little urine, there may be a wine cup, " chicken's chicken " sometimes In shed intermittently yellow liquid,it last adult " the things holy " in the heart that be stayed up till eyes become bloodshot to seem . The materials from department of public health of Hebei show, by October 14, should save and meet and examine, sift and look into 1,800,000 people totally, diagnose as the calculus infant of urinary system is more than 16000, are mostly outpatient services. Have 1815 people who have already left hospital in more than 1900 people of hospital treatment, 177 people are in hospital. 4 serious disease cases diagnosed, 3 people have already left hospital, there is a person's hospital treatment. "The peak has already passed, medical treatment enters key stage to sift checking. " Deserve chief of province department of public health Yang Xin and build commenting. Intervene surgery to 19 more serious infants On October 14, it is glad day to one of Lao Zhang of Xingtai of Hebei. His treasure daughter a year old, with leaving hospital together. Lao Zhang married couple, the child's grandparents, another relative, 5 persons have met children after one have come. "Tossed about for more than one month, it was good at last. " Lao Zhang's excited feeling is shown between the lines. With changing over to the children's hospital of Hebei from hospital of native place with October 1. Ultrasonography B check, reveal until condition that is the same as very serious. Children's director Li Jiang says, such a big child, the normal renal pelvis is generally 3 millimetres big, 10 about of thicknesses millimetre,but with with 5 times big,thin and half the. Because there is calculus in the left ureter, the urine can not go out, suppress. Full of twists and turns with the treatment together. It is afternoon October 2,doctor is at general anesthesia to with with putting managing cystoscope ureters left, discharge some calculus piece. Ultrasonography B is reexamined on October 4, the left kidney is still very big, the left ureter has calculus of 7 millimetres. Reexamine again on October 5, the left ureter though relatively takes a favorable turn while making one section of echoes, the left kidney is still very big. On October 7, with a small amount of sand a kind of calculus with discharging. In the morning of October 9, with accepting left ureteral mirror holmium lasertripsy of ureteral calculus under the general anesthesia together, put pairs of J into, in charge of behind the rubble, calculus is arranged out successively. Reveal October 10 Ultrasonography B,with with diminish,only 5 millimetres, does not be lasted calculus. Leave hospital smoothly on October 14. According to the introduction of Li Jiang, do not perform the operation in the strict meaning of this kind of therapeutic method, the damage to the child is relatively little. Li Jiang tells reporters, the infant's first-selected conservative treatment of internal medicine department of calculus. Through fluid infusion, alkalize the urine, promote calculus to discharge, correct water, electrolyte and acid-base balance disorder. As to heavier infant, for example amalgamate acute renal failure, take the blood to purify the method, correct situations of jeopardizing the life such as high blood potassium,etc.. There are some heavier infants, can not be guarded and treats calculus and can not come down by internal medicine department, and the kidney of kidney water accumulation is damaged and aggravated, may jeopardize the life and must adopt surgery to intervene the means. So far, the whole province adds up to and intervenes surgery to 19 more serious infants, very effective. Tackle key problems jointly grams of experience lack difficult will it be will it be 6 hour afternoon October 14 such as question, already quitting time has passed altogether, but it is still atmosphere warm that the calculus infant of children's hospital of Hebei treats and cures the specialized consulting room of inpatient area. Deserve the department of public health of the province and cure the policy Jiang JianMing, vice section chief of and preside over the meeting, doctors arrange checking, discuss to the conditions of more than 40 children in hospital one by one. This is one " Unite the army " ,Except province urology surgery of children's hospital, the doctors of kidney internal medicine department, Ultrasonography B department, still come from 3 doctors of the second hospital, third hospital, fourth hospital of Hebei Medical University. "The child has steady condition, there are few people holding a consultation. When being the most, including the expert in Shanghai that Ministry of Public Health sent, members come from 4 disciplines, 8 units. " Jiang JianMing says. Since the last ten days of September, " brain " that these consulting room made into temporarily by the ward succeeded more serious infant treated and cured the condition . Jiang JianMing tells reporters, in order to improve the level of treatment and cure of serious disease and condition more serious infant, the department of public health of Hebei combines the medical resources in the whole province, sets up the system of holding a consultation of every day of expert panel, hold a consultation to more serious and more serious disease infant of the condition every day, make the scheme of making a diagnosis. Department of public health in charge of vice the intersection of drawing room and progress stay children's hospital command, treat and cure, apply, send two 6 national-level expert come the intersection of Hebei and guidance treat and cure to Ministry of Public Health. Meanwhile, still transfer pediatrics, urology surgery, kidney expert and nurse of internal medicine department to responsible for infant's treating and attending to garrisoning in the children's hospital in the province from the provincial hospital. "It has inadequate experience to treat and cure the greatest difficult problem faced. " The children's hospital of Hebei secretes head of the department of surgery Zhao XueQiang of the urine and says, " I have worked as child's surgeon for 28 years, there is no calculus case seen this month more. " The infant's course of disease of calculus is changed quickly. Some child the previous day calculus is very small, but became great suddenly the next day; Calculus is scattered in shape on the previous day evening, lumped in the morning; Calculus still may have stopped up to the ureter on falling in the afternoon in the renal pelvis in the morning; Other child's congenital ureters are narrow, increase and treat and cure the difficulty even more. The ones that make up in the multi-disciplinary, many unit jointly tackle key problems to play a key role. Reporter interviews on, is running into the children's hospital and following up a case by regular visits to a child who left hospital a few days ago. Child's father responds on the phone, the situation is very good. This have only little girls one month old because calculus, generating heat, live in the children's hospital of Hebei to the end of September. Hold a consultation through the multi-disciplinary expert, is succeeded in intervening surgery by two experts from Shanghai finally, leave hospital smoothly on October 10. Already Hebei of the class cure courtyard doctor Zhang Yong of sophomore period and say in more than 10 days on the children's hospital, everybody collided out in a lot of healing solutions. It is still very big when disputing sometimes. By the look of present situation, the infant's therapeutic effect is more ideal, but because the infant has illness coming on for time shorter, the long-term result still needs to observe. " three is protected " Protect " protect " Except have inadequate experience clinically, the special medical apparatus lacks and perplexes and treats and cures another difficult problem of the work at first. "The child's therapeutic apparatus is different from adult. " Li Jiang says. Ultrasonography B pops one's head, children must be specialized, the adult's easy mistaken diagnosis. There are no specialized cystoscopes of children; The ureteral mirror has big child's, it is used that there are not the children under the age of 1. " Over one month, we have acquired the apparatus at several million yuan, the ureteral mirror is 4.5 millimetres, specially use for the child under the age of one. " He says, " this will thank government for government's support. " Yang Xin builds telling reporters, Hebei is after sifting and checking the peak period, medical treatment and enters key stage, have confirmed " Three is protected " Protect " protect " Therapeutic principle, according to assuaring life treat, last kidney treating, requirement of guarding treatment, guarantee to realize " Guarantee that no people will die " Goal. The serious infant should protect the life at all costs, the heavier infant should protect the kidney by every possible means, lighter infant must guard and treat, can't bring the injury on the body to child. Infant can't delay to follow up a case by regular visits to the outpatient service there is a child in Ningjin county of Hebei, go to the hospital to sift checking, calculus is very small, observe at home after the outpatient service in mid-September. After going home, parents are unwilling to throw the milk power away, eat for children again, two weeks later, child's urine will not come out. Go to the county to the hospital to check, find calculus already very large, transfer to the children's hospital of Hebei at once, fortunately treat and cure it in time, child's condition at present is steady. Such an example is more than one. As " milk power of question " Severely afflicated area,until Hebei is present while in hospital by infanting,last case to clinics original for quite a few, accord with during subsequent visit and in hospital and receive treatment standardly and in hospital. So, the ones that did to the outpatient service infant well followed up a case by regular visits to and reexamining, becoming should save one of the next focal points of infant's medical treatment of calculus. The department of public health of Hebei requires, all parts should strengthen the management of the work of making a diagnosis and giving treatment to the treatment infant at home, the infant making a definite diagnosis of, receiving treatment at home the clinic, organize the professional to follow up a case by regular visits to, reexamine regularly, guide in treating in time. The condition is more serious, accept and treat in hospital in time, avoid meeting accident. This drawing room cures the person in charge of policy to tell reporters, they are popularizing the method of Tangshan to the whole province, managing the principle according to the possession, the infant has implemented " 1+1+1 " in hospital to not diagnosing and secreting urine calculus tentatively The mode is managed, namely a county (department) Grade cadre, 1 medical worker and an infant form the antithetical phrase, sets up infant's house treatment case history, follow up a case by regular visits to and guide and reexamine Ultrasonography B, urine test regularly, the whole record of the progress of course of disease, until the infant recovers. Follow and follow up a case by regular visits to to supervise and guide treating the not infant of hospital treatment, until the infant gets well.

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