Release date: 2017-08-18
Xinjiang boy Abu (a pseudonym) and his small heart beating under thin skin finally saved! With the support of Shanghai Ka Medical Assistance, the Shanghai Children's Medical Center affiliated to the Shanghai Jiaotong University School of Medicine was transferred to Shanghai for the remote consultation system of the Inter-Medical Medical Association. The 3D printing technology was used to successfully perform the sternal repair. Now, the son's heart is in place, and the heart of his mother hanging in the eyes of the blind man has finally been released.
Pulling open the clothes, Abu’s heart is clear at a glance
Abu won the "first-line vitality", relying on the seven years of hard work of Shanghai Aijiang Medical. From the birth, the heart of this Uighur boy’s heart is clear. His heart hangs on the chest like a hanging ornament, and the heart is higher than the skin under the xiphoid. From the outside, it can be clearly seen that the heart beats under the epidermis. The local doctor judged that he "lived two years old", and as a result, Abu lived to the age of six, which made the mother who had no hope of hope once again ignited the hope of treatment.
Shanghai-Kashi-Zepu consultation, Abu received a Shanghai expert consultation in his hometown
In July 2017, the sixth national counterpart support Xinjiang work conference was held in Kashgar for the first time. After years of construction by the Shanghai Aid Xinjiang team, the Second Hospital of Kashgar has become a medical center in southern Xinjiang. The medical level of Zepu County, which was aided by the Shanghai Minhang District, has also made great progress. The treatment of Abu has been included in the agenda of Shanghai Medical Assistance. . At the beginning of July, the Zepu County People's Hospital referred the rare external cardiac case to Zhang Lei, a child-care provider at the Children's Center in Kashgar. "There are only ten cases reported in China." Faced with this rare congenital heart disease, Zhang Lei was guilty of treatment.
Experts discuss the condition through the provincial medical association consultation system
Can we organize a three-line connection between “Zepu County-Kashi City-Shanghai†to let top experts sink to county-level hospitals to treat critically ill children? Zhang Lei thought of the rear of the country - the National Children's Medical Center (Shanghai Children's Medical Center) just set up the provincial medical association remote consultation system, and his second Kashgar Institute is the South Xinjiang New Medical Association Internet Telemedicine Center. In this way, the Shanghai-Kashi-Zepu three-line medical care. On July 9th, 6-year-old Abu’s doctor’s office in Zepu County’s hometown was “face-to-face†with doctors thousands of miles away – doctors in Zepu, Kashgar and Shanghai “three-line consultationâ€, Shanghai Children’s Medical Center Heart Center Professor Liu Jinfan and Professor Zhang Haibo finally "clad" after the consultation, "We can save this child!"
After admission, Professor Liu Jindis personally examined the child.
On July 17, Xiaobu accompanied her mother to the Shanghai Children's Medical Center. A joint consultation with cardiothoracic surgery and cardiovascular specialists confirmed that the child was suffering from the Cantrell five-link. As the name suggests, it includes five kinds of malformations. It is a rare congenital malformation in the world, with an incidence rate of less than 5 parts per million. The latest statistical results that can be consulted show that the disease is only more than 200 cases worldwide. Only 10 cases have been reported. In addition to sternal defect and external cardiac, Abu also has complete endocardial pad defect, right ventricular double outlet, pulmonary stenosis, and second tricuspid regurgitation.
Tailored the sternum "shell" with 3D technology
Professor Liu Jindis introduced that the child center has treated 3 similar patients. The best time for surgery in these children is 1-2 years old. Fortunately, Abu's general situation is stable, oxygen saturation is about 90%, and it has achieved a cyclical balance. Compared with cardiac correction, the treatment of cardioprotection is even more urgent. On the one hand, as the child is about to enter school, the external heart is most likely to be seriously damaged and endangered by external collisions. On the other hand, Abu is very sensitive to this "weird thing" on his chest. If not corrected as soon as possible, it will have a negative impact on the child's psychosocial development.
The operation was carried out smoothly on the morning of August 2. Professor Liu Jindis said that the small Abu 1/2 sternal defect, the maximum width of the defect is 8 cm, the longest is 12 cm, causing the heart to hang in the chest. After repeated discussions, the medical team used a polymer biomaterial with good bio-melting, high elasticity and high hardness to tailor the 1:1 sternum “shell†through the image inspection and 3D printing technology. At the same time, the material is not easy. Adhesion with other organ tissues is conducive to the development of follow-up treatment. At present, the sternum of the child's defect has been completely repaired, which provides a safe guarantee for the child's normal study life in the future. In the future, we will also follow up on the development of Abu's condition and intervene in a timely manner.
Source: Shanghai Children's Medical Center (Micro Signal SCMC_Shanghai)
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