据2023年7月18日《中国新闻网》报道，一名出生仅4天的新生儿因患肺炎被送往安徽省儿童医院（复旦儿科安徽医院），经详细检查后发现其病症并非普通肺炎那么简单，而是罕见的新生儿支气管胆管瘘。
新生儿在母亲体内时，其胆管与气管之间存在着一种天然的“秘密管道”，这在正常情况下不会造成问题。然而，当这种管道异常开放，胆汁便可能逆流进入气道，引发一系列严重的呼吸系统疾病。在该新生儿的案例中，这种“秘密管道”的异常开放导致胆汁入气道，引起咳嗽加重、呼吸困难等症状，情况危急。
在安徽省儿童医院的多学科团队的共同努力下，医院成功为这名新生儿实施了安徽省首例新生儿支气管胆管瘘闭合手术。手术团队采用了先进的微创技术，精准定位瘘口并进行有效闭合，成功解决了这一复杂难题。手术过程顺利，术后新生儿呼吸状况明显改善，恢复情况良好。
这一成功案例不仅展现了医院在处理罕见新生儿疾病方面的能力，也为国内同行提供了宝贵的经验和技术参考。医生提醒广大家长，新生儿期的健康状况需特别关注，一旦发现异常症状，应立即就医，以免错过最佳治疗时机。
此次手术的成功，不仅为患儿带来了新生的希望，也再次彰显了现代医疗技术在解决罕见疾病难题上的巨大潜力。安徽省儿童医院（复旦儿科安徽医院）的这一壮举，无疑将为更多面临类似挑战的新生儿家庭带来信心与希望。
英语如下：
### Infants with Rare Pneumonia: Successful Surgery for First Case of Bile Entering Airways
According to a report published on July 18, 2023, by China News Service, a newborn, only four days old, was admitted to the Anhui Children’s Hospital (Fudan Pediatrics Anhui Hospital) with pneumonia. Upon detailed examination, the condition was revealed to be an uncommon case of newborn bronchobiliary fistula, rather than a typical pneumonia.
During fetal development, there exists a natural ‘secret passage’ between the bile ducts and the airway, which usually does not cause any issues. However, when this passage opens abnormally, bile can flow backward into the airway, leading to severe respiratory problems. In this case, the abnormal opening of this ‘secret passage’ caused bile to enter the airway, exacerbating coughing, difficulty breathing, and other critical symptoms.
The multidisciplinary team at the Anhui Children’s Hospital successfully performed the first case of a newborn bronchobiliary fistula closure surgery in the province. Utilizing advanced minimally invasive techniques, the surgical team accurately located the fistula and effectively sealed it, resolving the complex issue. The surgery was conducted smoothly, and the newborn’s respiratory condition significantly improved post-operation, with a good recovery.
This successful case not only highlights the hospital’s capability in handling rare neonatal diseases but also provides valuable experience and technical references for its peers in China. Medical professionals advise that the health of newborns requires special attention, and any unusual symptoms should be addressed immediately to avoid missing the best treatment opportunity.
The success of this surgery not only brings new hope to the patient but also underscores the immense potential of modern medical technology in tackling rare disease challenges. The Anhui Children’s Hospital’s (Fudan Pediatrics Anhui Hospital) achievement promises to provide confidence and hope to families facing similar challenges for their newborns.
【来源】http://www.chinanews.com/sh/2024/07-18/10253170.shtml
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