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Parents: I thought it would be good to check the body on time, but I didn't expect that the 2-month-old child was seriously ill

Qilu Evening News Qilu one-point reporter Han Hongli

It is the unshirkable duty of medical staff to take the initiative to undertake medical assistance tasks and carry out precision medical assistance. On the road of medical assistance, Qilu Children's Hospital of Shandong University has not forgotten its original intention, kept its mission in mind, and has been working hard to contribute its own strength. In May 2020, three medical staff, Zhang Dongdong, Zhou Weiran and Liu Xianghong of Qilu Children's Hospital of Shandong University, followed the Jinan Xiangxiang Medical Team into xiangxi people's hospital and began the journey of Jinan-Xiangxi.

Hang up your number next time

As 2020 draws to a close, in the blink of an eye, three members of the Xiangxiang Medical Team of Qilu Children's Hospital of Shandong University have spent half a year in Xiangxi Prefecture People's Hospital.

"The task came urgently, and I remember the department director calling me that morning. My husband basically couldn't take care of the family when I worked in the army, the children were still in kindergarten, and the burden of my family fell on the elderly. In fact, there was a moment of hesitation, but I was obliged to think that there were still many children waiting to help. Zhang Dongdong said that she is also very grateful for the support of her family, which allows her to give full play to her professional expertise and devote herself to her work during the assistance of Xiangxi People's Hospital.

Hard work always pays off, and the three medical staff have won praise from the parents of local sick children with their medical level. Every time parents come to the follow-up consultation, they have to ask, "Doctor, when are you leaving, and next time I will hang up your number." Zhang Dongdong said that every time he hears his parents say this, he feels warm in his heart, and it is worth paying more.

Zhou Weiran is a mother of two children, although the children in the family are still young, one is 3 and a half years old, and the other is only 1 and a half years old, she still resolutely embarks on the road of medical assistance. "There was no pretense or adaptation process, and I came to Xiangxi on the second day and put into intense clinical work." Zhou Weiran said that the work of carrying out ward rounds, outpatient clinics, kidney piercings, clinical bone piercings and waist piercings and other operations and teaching, adapting while doing, and not resting on Saturdays and Sundays to visit the department at any time.

"I'm 44 years old, but I never stopped on the road to medicine, and I dedicated the first half of my life to medicine, and the second half of my life should be the same." Liu Xianghong said that during the aid period, she was most worried about her mother, who was in her 80s and had breast cancer. Liu Xianghong's parents are medical workers, under the influence of her parents, she and her sister also chose to become a doctor, Liu Xianghong said that she became a doctor to understand why in her mother's heart patients are always more important than themselves.

Parents: I thought it would be good to check the body on time, but I didn't expect that the 2-month-old child was seriously ill

Dr. Zhang Dongdong has a free consultation in Zhushan Village

Resolve difficult cases

There are many types of pediatric diseases, many difficult cases, most young doctors in local departments, weak technical strength, three medical team members in the outpatient work combined with difficult cases to teach, so that young doctors have a more vivid understanding of unfamiliar professional diseases.

"I still remember a 2-month-old child who had a physical examination, and the parents said that they knew that the child had hypoxic-ischemic encephalopathy, and thought that as long as the body was examined on time, it would be good." Zhang Dongdong said, "After receiving the treatment, I found that the child had microcephaly, irritability and obvious crying, feeding difficulties, and the head magnetic resonance suggested that the brain was hyperplasiad in small pieces of liquefied fibrous tissue, and after explaining the relevant condition of the parents, he arranged to be admitted to the hospital for hyperbaric oxygen and rehabilitation training. "Parents are very grateful for this, if it were not for Dr. Zhang, who did not know that his child's condition was so serious.

While working in her daily work, Zhou Weiran also undertook multidisciplinary consultation work, especially for critically ill children. "There is 1 acute pesticide poisoning after blood purification treatment of children, no urine for up to 1 week, blood purification effect is poor, in view of the difficult conditions in Xiangxi Prefecture, there is no cavity dialysis tube, can only be replaced by a central venous catheter." Zhou Weiran said, "The central venous catheter has the disadvantages of small lumen, easy embolism, and the need for two punctures to exercise the function of the venous end and the arterial end respectively, so this child frequently calls the police during purification treatment." After consultation, it is recommended to give methylprednisolone shock therapy to reduce tubular and renal interstitial damage; change the position of dialysis tubes, check whether there are blood clots in the tube that affect blood flow speed and other alarm factors, and guide the application of double-lumen tubes and the choice of blood purification mode. "Eventually the child recovered and was discharged from the hospital.

Liu Xianghong successfully treated more than 20 critically ill newborns during the period of assistance, and there were no deaths. Diseases include neonatal respiratory distress syndrome, neonatal respiratory failure, premature infants, neonatal ischemic hypoxic encephalopathy, neonatal sepsis, neonatal necrotizing enterocolitis, severe neonatal hyperbilirubinemia neonatal heart failure, neonatal arrhythmias, etc. "There is 1 case of hyperbilirubinemia in severe neonates indicated by blood exchange transfusion, we actively carry out blue light irradiation treatment, prepare for blood exchange, and the medical staff of the local department are familiar with the blood exchange process and precautions, and also lay the foundation for saving more children." Liu Xianghong said.

Parents: I thought it would be good to check the body on time, but I didn't expect that the 2-month-old child was seriously ill

Zhou Weiran made a big round

Build outpatient clinics to share experiences

In order to improve the diagnosis and treatment level of young doctors in the assistance department faster, Zhang Dongdong conducted department business training once a week and shared difficult cases, and conducted a total of 40 department business trainings, including 26 business trainings, 14 times of sharing difficult and rare cases, and trained more than 2,000 people.

"Nutritional diseases in children are the focus of operational training, because nutrition is the foundation of child health care and a top priority in child health care." Zhang Dongdong said. Guide local departments to carry out nutrition clinics and developmental behavior clinics, introduce international standard diagnostic standards, supervise young doctors in the department to grasp the diagnosis and treatment guidelines and expert consensus of various diseases, greatly improve the diagnosis and treatment level of young doctors' developmental and behavioral diseases, and actively apply to the relevant departments of the hospital for the lack of treatment drugs for developmental and behavioral diseases in the department, in order to better standardize the diagnosis and treatment level of developmental and behavioral diseases in the department.

In the past six months of help, Zhou Weiran has given 10 lectures, studied English literature 21 times, organized 4 articles written and submitted by the pediatrics, led the pediatrics to produce 7 scientific research projects, and carried out 6 new businesses and new technologies. Zhou Weiran began to teach relevant knowledge hand in hand and shared his literature retrieval account with everyone. "English reading is the biggest obstacle in everyone's search for foreign language literature, in order to improve everyone's English literature reading level, I lead every week to learn English literature, on the one hand, through phonics and translation to master the foreign language vocabulary of medical professions, on the other hand, to learn the new progress and new guidelines of foreign disease research, improve everyone's clinical ability." Zhou Weiran said that after 6 months of unremitting persistence, everyone from headaches, fear of reading English articles to gradually master the basic vocabulary of common diseases, and then gradually able to spell, recognize common medical English prefix suffixes, can not use translation software to translate English abstracts, a little progress, literature inspection is to provide a different new idea for everyone's diagnosis and treatment.

When Liu Xianghong aided Xiangxiang, the local hospital was relocating the new inpatient ward building, and the neonatology department would also be separated from the pediatric department and set up a separate ward. Liu Xianghong assisted the director of the department in formulating the department plan, work system and process, and put forward reasonable and constructive suggestions on patient admission and management, ward layout, physician duty, and doctor duty. And purchased 3 sets of neonatal regular frequency and high frequency invasive ventilators, 4 non-invasive ventilators, and 1 advanced incubator.

In addition to the 12 offline lectures during the six months, Liu Xianghong also carried out online training, which shared the knowledge of the new version of neonatal resuscitation tutorials, neonatal hyperbilirubinemia, neonatal respiratory support, neonatal critical illness identification, premature infant management, neonatal critical illness identification, neonatal necrotizing enterocolitis, neonatal hypoxic-ischemic encephalopathy, neonatal sepsis, neonatal chest imaging, imaging of common brain injuries in newborns, and neonatal nutritional support. Two sessions of training were given, including neonatal resuscitation procedures and ventilator parameter adjustment. The attendance involved pediatric, neonatal, obstetric medical staff and obstetricians and pediatric staff of nearby hospitals.

Parents: I thought it would be good to check the body on time, but I didn't expect that the 2-month-old child was seriously ill

Conduct business training

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