第232章 悬浮床(1 / 2)

九星医院 明心飞扬 0 字 2021-09-05

如果未来在星城建设成一间三甲医院的话,张景会在这三甲医院的外围建设一些小型专科医院下沉到社区。

但这些医院不会是像眼科、牙科这样单一的医院,而会注重打造某一科室,但也会适当兼顾其他科室。

比如玄和二院,就是张景打造的小而专医院,专注于妇科、产科和儿科的小型专科医院,其他像外科、内科的力量就会薄弱一些。

今天,二院接诊了一位特别的孕妇——区智芳,她已经39岁,由于各种原因,一直没怀上孩子。

直到去年,她通过试管助孕技术孕育了一个小生命,但仅34周就早产,紧急送到玄和二院时,胎膜已破3小时,婴儿出生时被羊水污染。

这个女婴出生时,把接生的医护人员吓了一大跳。

小婴儿浑身通红,皮肤像纸糊上去的,稍不留神碰到就会破裂流血,整片脱落。

她的四肢更是吓人,血红色的肌肉暴露在外,由于肌肉都没长全,左上肢的肘部都能够看清骨头;

她左侧膝关节处、右下肢自膝关节上方延伸至足背及趾头伸侧皮肤不规则缺失,面积大小不一,肌肉及血管脉络清晰可见,缺失皮肤超过体表皮肤面积10%。

整个人看上去,如同遭受了剥皮酷刑,这让医护人员揪心不已。

原一院的急诊科主任胡长林,在简诞接手急诊科后,就被调来二院做了院长。

胡长林认为婴儿患的是世界罕见病——先天性皮肤缺损,发病率约为10万分之一。

先天性皮肤缺损又称先天性皮肤发育不良,其病因仍不清楚,可能与子宫腔狭小、胎儿皮肤与羊膜粘连、胎盘血管栓塞、宫内感染有关,也可能与遗传因素有关,但遗传方式仍未确定。

这种病同时伴随多种合并症,如大疱性表皮松解症、先天性截肢、唇腭裂、多囊肾等,临床表现复杂多样。

因此胡长林一边给患儿做全面体格检查及相关的影像学检查,以及家系调查和基因检测,一边向张景求援。

张景很快赶到了二院,看到患儿的情况,心里也揪紧了,问胡长林,“现在情况怎么样”

胡长林一边指挥抢救,一边说道:“出现多次呼吸暂停,呕吐出黄色粘液,全身皮肤中度黄染。”

“四肢皮肤缺损10%,已用生理盐水冲洗、碘伏消毒创面,然后外涂药物、凡士林纱布覆盖,用银离子敷料包扎保温及减少渗出。”

“准备放置在暖箱,隔离保护,将持续实施抗感染、胃肠减压、加用氨茶碱兴奋呼吸中枢、蓝光照射等治疗。”

张景全神盯着监测仪器上的指标变化,在全力抢救之下,患儿生命体征暂时恢复正常。

胡长林待患儿放入温箱后,才征询张景的意见:“张老板,患儿的皮肤缺损较多,而且其他部位的皮肤太薄,静脉滴注估计做不了,我想从肩膀处开刀,植入支架,从那里输液进去,你觉得怎么样”

“行,给予小儿复方氨基酸200ml、低脂肪乳50ml、葡萄糖水150ml……给予营养支持。”

“好,如果患儿的情况能够稳定下来,我想先用猪皮植皮,后续再用自体植皮!”

“嗯……这方案可以,我让一院把悬浮床调过来,你先用着。”

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