Three months of successful five heart surgery in Ji'nan, Shandong
http://www.sd.xinhuanet.com/sd/jn/2013-08/22/c_117047810.htm
" after a continuous operation, the child's life index is normal, and a week after the operation he is back home... " A few days ago, the Shandong University Qilu children's hospital successfully completed the operation for a child with complex congenital heart disease, which was born 3 months and weighed only 5 kilograms in Caoxian, Heze.
Liu Yimin, chief physician of the Department of cardiac surgery, told reporters that the condition of the patient is complex, and the difficulty and risk of operation is very great, which is very rare in China.
children have not been named, and they are registered as "Li Fengzhi girl". According to the introduction, little children have been faced with various tests of "ghost gate" since they were born - often cold and asthma, frequent heart failure and cyanosis symptoms. A month ago, color Doppler ultrasound revealed that the child was complicated congenital heart disease. Her mother, Li Feng, ran around the hospital with her children. The reply was that "the child's hope for survival is very slim." After many days of fruitless running, the whole family plunged into deep despair.
Li Fengbao took his children to the Qilu children's Hospital of Shandong University. Liu Yimin was also surprised by the complex condition of the child. He said, "the aorta is wrong in the right ventricle, the pulmonary artery is wrong to the left ventricle, and the very small coronary arteries on both sides of the root of the aorta have a position of error."
at the same time, children had multiple ventricular septal defects, coarctation of the aorta, patent ductus arteriosus and severe pulmonary hypertension. "One of the Swiss cheese type ventricular septal defects on the apex, like a sieve, is very difficult to repair." Liu Yimin said. Wang Hui, vice director of heart surgery, Wang Hui immediately collated the information of the children's illness, studied the business with Li Shoujun, the director of the Department of pediatric cardiovascular surgery in Fuwai Hospital of Beijing, and invited Lee to Ji'nan to form a group of surgery experts, such as Li Shoujun, Wang Hui, Liu Yimin, and so on. A careful operation plan.
"every time before the operation, communication is a process of" centering "for the parents. Liu Yimin said that in addition to telling parents about their children's condition and risks, efforts should also be made to support their parents.
"the heart of a child is only the size of an egg, and it must be operated with a magnifying glass." A little carelessness, even if it is a millimeter error, can make the heart of a child stop beating forever. Liu Yimin said. In his opinion, this operation is more like doing art in the heart. The thickest place of the child's coronary artery is as thick as Mao Xiantou, the finest place is the pencil tip of the pencil head. After about 40 minutes of anesthesia, the operative group reduced the whole body temperature to 18 C by cardiopulmonary bypass (CPB). A total of five kinds of surgery were performed for the children, including the large artery bypass operation under the general anesthesia, the repair of ventricular septal defect, the coarctation of the aorta, the patent ductus arteriosus suture, and the oval foramen suture. Even doctors can perform such a difficult operation, which is a miraculous success. "The recovery is very good. There is no need for any staging operation." Liu Yimin said. The incidence of congenital heart disease was 7 per thousand -8 per thousand. The new congenital heart disease in the whole province was about 10 thousand, the cure rate was up to 95%, of which 90% could be cured at once, and only 10% extremes needed to be performed by staging operation only.
Liu Yimin said, "only early surgery can survive." In this hospital, the average age of children undergoing congenital heart disease surgery is five or six months, more than half of them are less than 6 months, and the smallest body weight is only 1.8 kilograms. "Some eight or nine year old children with simple congenital heart disease, because of too long delay, ventricular septal defect is too serious, resulting in no cure."
children's congenital heart disease operation, tens of thousands or even tens of thousands of Yuan's cost, for a rural family, it is really unbearable. This is also an important reason why many children in the past can not operate in time.
Li Fengzhi's luck is not only to get top experts' diagnosis and treatment, good medical conditions, but also policies and benefits. According to the Shandong new NCMS medical insurance policy, 20 major diseases such as congenital heart disease of children are included in the insurance coverage. The new CCMS can also enjoy the "two reimbursement" of high medical expenses after the NCMS are reimbursed. The proportion of the personal medical expenses paid for the compliance medical expenses exceeding 8000 yuan is 73%, and the maximum compensation per person can be 200 thousand yuan per person per year. If the cost is 150 thousand -20 yuan, the reimbursement ratio of NCMS will reach more than 85%. The Red Cross of Shandong province will also donate 10 thousand yuan to every child with congenital heart disease in Shandong who comes to the hospital. It