Li Siyuan

Li Siyuan

Live birth infants born before 37 full weeks of gestational age are called premature or immature infants.

At 12:00 noon on November 13, 2014, xiaosiyuan, the youngest premature baby in China, successfully induced labor: weighing 660 grams, only one chopstick long.

The baby girl's little hand is only the size of a normal finger joint, and she only stayed in her mother's stomach for 23 weeks. At birth, he weighed 660g and was 28cm long. In the operating room, all doctors think that she can't live. If she can survive, she will be the youngest premature baby in China.

In the early morning of December 1, 2014, Xiao Siyuan died of pulmonary infection caused by ventilator.

Incubation process

In June 2014, China's youngest premature baby the mother of the baby was pregnant. After about 3 months of pregnancy, Li Runquan, the father of the baby, accompanied his wife to Dianjiang County People's Hospital for the first pregnancy examination. Color Doppler ultrasound showed that the fetus was growing well, but the baby's mother had placenta previa. on the morning of November 7, 2014, the baby's mother began to bleed from her lower body. on the night of November 12, 2014, Li Runquan's wife suddenly felt that the fetal movement had disappeared, and the nurse could not hear the fetal heart rate with a stethoscope. the doctor immediately did color Doppler ultrasound and found that the fetus still had fetal heart rate, but it was very weak. The baby's mother's amniotic fluid is only 1 cm, and the situation is very critical. both Li Runquan and his wife hope to keep the fetus. On November 13, 2014, at more than 7 am, the baby's parents rushed to southwest hospital.

Expert inspection

Professor he Nianhai, a pediatrician, said that they had made a very careful examination of the pregnant women. The fetus was only 23 weeks old, and the placenta previa of the pregnant women was relatively serious, so there was little hope that the fetus would survive.

Emergency disposal

"The fetus may not be able to hold, can only induce labor, to have this psychological preparation..." When the baby's mother was lying in the operating room, Li Runquan heard the news from the doctor. He sat outside, staring blankly at the gate. at 12 noon on November 13, 2014, the fetus was successfully induced to labor. It's hopeless, it's impossible to survive Before the baby was born, the doctors had the answer in their heart. When they saw the baby that didn't move, they were silent. However, suddenly came a cry, broke the silence of the operating room.

About babies

Name: Li Siyuan; gender: girl; height: 28cm; weight: 660g.

The doctor said

The fetus still has weak vital signs, but experience tells them: the fetus is too small, many important organs have not yet been fully grown, even if it is temporarily alive, it will soon die.

Chopsticks doll

Medical staff call the child chopsticks doll

He Nianhai said that according to the regulations, when the fetus is less than 28 weeks old, it can basically give up rescue. In line with the principle of respecting life, the doctor let Li Runquan come to the child's side, explained the situation, and let him decide whether to continue the rescue. Li Runquan said that at that time, his head was blank and his heart was struggling: save? Or not? Save seems to see no hope, do not save? This is my own child! just when he was hesitating, he suddenly saw the baby's stomach beating slightly, which surprised Li Runquan incomparably, and he made a decision in his heart: This is my flesh and blood, he should not die, I must save him. he insisted on rescue. The doctor immediately transferred the fetus to the incubator and installed a ventilator. "When I decided to save her, I was ready to face any difficulties." Li Runquan said that his wife was not in great trouble because she was too weak and had been sent back to Dianjiang home for recuperation. His wife would call him several times a day to ask about the children. He Nianhai said that this child has become the concern of all pediatricians in Southwest Hospital. They call her chopsticks doll and are looking forward to the miracle of life. the day after the birth of the child, Li Runquan named her Li Siyuan, "I hope her life is like a spring, and she can live bravely."

Expert tips

He Nianhai said that Li Siyuan's brain may not be fully developed in the future. Although he is looking forward to miracles, from a rational point of view, even if Xiao Siyuan has passed the five hurdles, his life may be very difficult in the future. Premature infants less than 28 weeks may have brain hypoplasia, language, intelligence, emotion, etc. are not as good as normal people, but also indirectly affect the coordination of limbs and trunk.

Difficulties in life

Great difficulty

Xiaosiyuan has been safely in the ICU for 4 days, the situation is optimistic, and the indicators tend to be stable. He Nianhai said that xiaosiyuan still needs to go through the test of five key time nodes, and any small mistake may take her away. now, Xiao Siyuan has passed the first two difficulties for the time being. There are still three battles waiting for her to win He Nianhai said that according to the time of pregnancy, 12 weeks before is called early pregnancy, 13-27 weeks is called mid pregnancy, and 28 weeks later is late pregnancy. Xiao Siyuan was born in the second trimester of pregnancy, and her brain began to develop. However, pulmonary surfactant has not yet grown in her lungs, which means that she has no spontaneous breathing function. "Breathing is the most important level. Xiao Siyuan can't breathe on his own and can only rely on a ventilator." He Nianhai said that the observation in recent days shows that Xiao Siyuan can breathe through the ventilator, which also means that she has passed the breathing barrier temporarily. But if she wants to get rid of the ventilator, she has to wait until 28 weeks after her birth to see if pulmonary surfactant grows in her lungs. three days of birth: feeding from the third day, we should observe the vital signs of Xiao Siyuan and find ways to feed her. He Nianhai said that the function of the gastrointestinal tract of the fetus matures with the increase of gestational age. Therefore, the earlier you leave your mother, the less mature your gastrointestinal function is, and the more difficult it is to feed. "Xiaosiyuan is so small that it can only deliver amino acids, sugar powder, trace elements, vitamins and other nutrients to her through the central catheter of peripheral vein." He Nianhai said that if xiaosiyuan can effectively absorb these nutrients, the chance of survival will be greatly increased. Seven days after birth: jaundice. In three days, Xiao Siyuan will come to the third level - jaundice. He Nianhai said that the probability and severity of jaundice in xiaosiyuan will be much higher than that in full-term infants. They are ready to lower the jaundice index if xiaosiyuan has jaundice. 2 weeks after birth: infection is a fatal threat to premature infants. If you don't pay attention, tiny bacteria will cause fatal damage to xiaosiyuan. He Nianhai said that the incubator Xiao Siyuan sleeps in is the best in Southwest Hospital. The ICU is sterile, and the doctor has to sterilize the whole body. Every step of the operation needs to be disinfected again. "especially to prevent lung infection, in addition, intestinal and blood infections are also prone to occur." He Nianhai said that xiaosiyuan's skin and mucous membrane are thin and tender, and bacteria can easily invade. 5 weeks of birth: at the fifth week of comprehensive care, the gestational age of Xiao Siyuan was about 28 weeks. If she manages to live to this day, she will face the final test. He Nianhai said that the final difficulty is comprehensive consideration. The concentration of pulmonary surfactant is not enough, the physical indicators are not ideal, and unexpected accidents occur during the transition period of ventilator withdrawal These may be the threats to take away Xiao Siyuan.

Looking forward to the miracle

"If uncontrollable factors do not appear, Xiao Siyuan should be able to survive." He Nianhai said that if he can survive, Li Siyuan should be the smallest successful premature infant in China.

Unfortunate death

On the evening of November 30, 2014, due to pulmonary infection and immature development of various organs, the doctor gave Xiao Siyuan emergency treatment and informed Li Runquan. At this time, Li Runquan, who is far away from Dianjiang, is going through the ID card loss procedures for his wife. They are going to apply for the birth certificate for their child. After learning the news of the child's emergency rescue, the family rushed to the hospital. In the pediatric intensive care unit of Southwest Hospital, the couple met the child for the last time. in the early morning of December 1, 2014, the doctor announced that Xiao Siyuan died of pulmonary infection caused by ventilator. Although Li Runquan and his wife had prepared for the death of their daughter, they were still hard to accept for a while. 19 days after the birth of the child, the total cost is more than 70000 yuan. In addition to the more than 20000 yuan he paid in hospital, he has owed nearly 50000 yuan. On December 1, 2014, the staff of Chongqing rescue station of China children's charity foundation 9958 also came to the hospital. They paid off nearly 50000 yuan of medical expenses for Li Runquan. Li Runquan said that in 2015, he will donate money to the foundation to thank the people who have cared and helped Xiao Siyuan, and let more people in need get help.

Chinese PinYin : Li Si Yuan