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style="text-indent: 2em; line-height: 1.75em;">據(jù)估計(jì)，全球范圍內(nèi)每年有120萬(wàn)例兒童罹患膿毒癥，膿毒癥患兒的病死率在4%-50%不等，大多數(shù)死亡患兒合并有難治性休克和(或)多器官功能障礙綜合征，且多數(shù)發(fā)生在起病的48-72 小時(shí)內(nèi)。早期識(shí)別并進(jìn)行恰當(dāng)?shù)膹?fù)蘇和管理對(duì)改善膿毒癥患兒的結(jié)局至關(guān)重要。</p><p><br/></p><p style="text-indent: 2em; line-height: 1.75em;">近日，我院兒科在省醫(yī)派駐專(zhuān)家組鐘勁主任及陳炫煒主治醫(yī)師、梁家儀主治醫(yī)師的指導(dǎo)下，成功救治一名化療后膿毒性休克患兒，目前患兒已治愈出院。</p><p><br/></p><p style="text-align: center;"><a href="/upload/image/2022/06/23/6379157659279148313341351.png" target="_blank"><img src="/upload/image/2022/06/23/6379157659279148313341351.png" width="650"></a></p><p style="text-indent: 2em; line-height: 1.75em;">12歲患兒程某，4月前在外院行鞍區(qū)腫瘤切除術(shù)確診中樞生殖細(xì)胞瘤，并在外院定期規(guī)律化療?；純河?月25日在外院化療后出院，回到家中患兒出現(xiàn)反復(fù)腹瀉，隨后出現(xiàn)發(fā)熱及意識(shí)障礙，由家屬送入我院兒科治療。入院時(shí)患兒血壓測(cè)不出，神志不清，血常規(guī)提示白細(xì)胞計(jì)數(shù)0.76×10?/L；中性粒細(xì)胞0.03×10?/L；血紅蛋白濃度72g/L；血小板計(jì)數(shù)33×10?/L。接診醫(yī)生立即進(jìn)行搶救治療，并迅速組織兒童危重癥專(zhuān)業(yè)歐陽(yáng)科副主任醫(yī)師、小兒呼吸專(zhuān)業(yè)吳永忠主任醫(yī)師、小兒心血管專(zhuān)業(yè)賴(lài)偉權(quán)主任醫(yī)師、小兒腎病專(zhuān)業(yè)張敏慧副主任醫(yī)師、小兒內(nèi)分泌專(zhuān)業(yè)黃坤美副主任醫(yī)師進(jìn)行科內(nèi)討論，診斷患兒為中樞生殖細(xì)胞瘤化療后出現(xiàn)膿毒性休克、全身多器官功能不全、重癥肺炎。省醫(yī)小兒血液病專(zhuān)家梁家儀主治醫(yī)師根據(jù)患兒處在化療后骨髓抑制期，提出有針對(duì)性的使用升白細(xì)胞藥物和輸注血小板。 </p><p><br/></p><p style="text-indent: 2em; line-height: 1.75em;">參考2020版國(guó)際兒童SEPSIS指南，對(duì)患兒進(jìn)行控制感染，擴(kuò)容復(fù)蘇、糾正休克，器官支持、保護(hù)及預(yù)防等治療，經(jīng)過(guò)醫(yī)護(hù)人員爭(zhēng)分奪秒的搶救治療后，患兒第二天神志逐漸清醒，血壓逐漸上升并維持穩(wěn)定，在醫(yī)護(hù)人員的共同努力下，患兒在入院后的第8天順利出院。</p><p><br/></p><p style="text-indent: 2em; line-height: 1.75em;">我院在2020年5月成立河源市危重兒童和新生兒救治中心，在省醫(yī)兒科專(zhuān)家組帶領(lǐng)下，在努力加強(qiáng)自身素質(zhì)建設(shè)的同時(shí)，加強(qiáng)與省內(nèi)兒科領(lǐng)域著名單位合作，積極提升技術(shù)水平，竭盡全力救治患兒，為兒童的健康保駕護(hù)航。</p><p><br/></p><p style="text-indent: 2em; line-height: 1.75em;">兒科中心配備高流量吸氧裝置、無(wú)創(chuàng)及有創(chuàng)呼吸機(jī)、床旁動(dòng)脈血?dú)夥治鰞x、床旁彩超、床旁X光機(jī)、高端監(jiān)護(hù)儀、有創(chuàng)動(dòng)脈壓監(jiān)測(cè)等危重癥搶救監(jiān)護(hù)儀器，同時(shí)開(kāi)設(shè)有新生兒專(zhuān)業(yè)、小兒呼吸專(zhuān)業(yè)、小兒心血管專(zhuān)業(yè)、小兒血液病專(zhuān)業(yè)、小兒腎病專(zhuān)業(yè)、小兒內(nèi)分泌專(zhuān)業(yè)、小兒神經(jīng)病學(xué)專(zhuān)業(yè)、小兒消化專(zhuān)業(yè)、兒童生長(zhǎng)發(fā)育和兒童康復(fù)專(zhuān)科門(mén)診多個(gè)特色專(zhuān)科，全心全力守護(hù)兒童健康成長(zhǎng)！</p><p><br/></p><p style="text-indent: 2em; line-height: 1.75em;">廣東省人民醫(yī)院進(jìn)駐我院兒科專(zhuān)家組團(tuán)隊(duì)</p><p><br/></p><p style="text-align: center;"><a href="/upload/image/2022/06/23/6379157662328367593090096.png" target="_blank"><img src="/upload/image/2022/06/23/6379157662328367593090096.png" width="650"></a></p><p style="text-indent: 2em; line-height: 1.75em;">鐘勁</p><p style="text-indent: 2em; line-height: 1.75em;">廣東省人民醫(yī)院河源醫(yī)院兒科主任，副主任醫(yī)師</p><p style="text-indent: 2em; line-height: 1.75em;">從醫(yī)近28年，參與新生兒科臨床醫(yī)療、臨床教學(xué)及臨床科研工作。擅長(zhǎng)專(zhuān)業(yè)：危重癥新生兒院際轉(zhuǎn)運(yùn)，臨床診治（包括極早產(chǎn)兒、極低出生體重兒的臨床管理，早產(chǎn)兒慢性肺部疾病的氣道管理，呼吸機(jī)管理，新生兒期復(fù)雜型先天性心臟病的圍手術(shù)期管理，術(shù)后并發(fā)癥的管理，先天性心臟病手術(shù)出院后隨訪管理）。善于把影像學(xué)技術(shù)應(yīng)用于診治過(guò)程中，熟練掌握心臟B超的操作，術(shù)前術(shù)后能利用心臟B超動(dòng)態(tài)觀察心臟結(jié)構(gòu)與功能的改變，觀察手術(shù)患者肺部與膈肌的情況，及時(shí)發(fā)現(xiàn)肺部與膈肌病變或手術(shù)并發(fā)癥。熟練掌握心臟CT影像的解讀，并與心臟B超結(jié)合；熟練掌握兒童纖維支氣管鏡診斷及治療技術(shù)。參與新生兒科疑難氣道疾病的診治管理；參與兒童保健及危重病兒出院后的隨訪工作；在嬰幼兒喂養(yǎng)、生長(zhǎng)發(fā)育方面積累了相當(dāng)?shù)慕?jīng)驗(yàn)。</p><p><br/></p><p style="text-align: center;"><a href="/upload/image/2022/06/23/6379157663215866977812067.png" target="_blank"><img src="/upload/image/2022/06/23/6379157663215866977812067.png" width="650"></a></p><p style="text-indent: 2em; line-height: 1.75em;">陳炫煒</p><p style="text-indent: 2em; line-height: 1.75em;">醫(yī)學(xué)碩士，主治醫(yī)師</p><p style="text-indent: 2em; line-height: 1.75em;">專(zhuān)業(yè)（方向）：兒科心血管疾??；參與新生兒及兒童的臨床醫(yī)療、教學(xué)及科研工作。熟悉危重癥新生兒及兒童的臨床診治及院際轉(zhuǎn)運(yùn)，對(duì)危重患兒呼吸機(jī)管理、復(fù)雜型先天性心臟病的圍手術(shù)期管理、術(shù)后并發(fā)癥的管理積累了較多經(jīng)驗(yàn)。2009畢業(yè)從醫(yī)至今，參與發(fā)表論文十余篇。</p><p><br/></p><p style="text-align: center;"><a href="/upload/image/2022/06/23/6379157664000241832247719.png" target="_blank"><img src="/upload/image/2022/06/23/6379157664000241832247719.png" width="650"></a></p><p style="text-indent: 2em; line-height: 1.75em;">梁家儀</p><p style="text-indent: 2em; line-height: 1.75em;">醫(yī)學(xué)博士，主治醫(yī)師</p><p style="text-indent: 2em; line-height: 1.75em;">2014年畢業(yè)于中山大學(xué)附屬第一醫(yī)院血液內(nèi)科，同年就職于廣東省人民醫(yī)院兒童血液科從事臨床診治工作。專(zhuān)業(yè)特長(zhǎng)：擅長(zhǎng)兒童白血病、淋巴瘤、血小板減少癥等多種血液腫瘤疾病的診治?？茖W(xué)研究：長(zhǎng)期從事腫瘤及白血病細(xì)胞分子信號(hào)轉(zhuǎn)導(dǎo)通路及白血病干細(xì)胞與骨髓微環(huán)境的研究。在國(guó)內(nèi)外刊物發(fā)表論著多篇。</p><p><br/></p><p style="text-indent: 2em; line-height: 1.75em;">河源市危重兒童和新生兒救治中心24小時(shí)值班電話(huà)：18163272628</p><p style="text-indent: 2em; line-height: 1.75em;">兒科病區(qū)聯(lián)系電話(huà)：3185174</p> </div> <div class="mzgxnld" id="pages" class="text-c"></div> <div id="lkdrcxh" class="share"> <div id="kcozava" class="bdsharebuttonbox" ><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到騰訊微博"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空間"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人網(wǎng)"></a><a href="#" 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