近日，美國加州大學(xué)洛杉磯分校（UCLA）美泰兒童醫(yī)院的全體人員，共同見證了一個快樂的結(jié)局，他們告別了一位特殊的患者——五周大的嬰兒Dravyn Johnson。Dravyn是UCLA醫(yī)院第二位接受心臟移植手術(shù)最年輕的的患者，僅23天，一顆草莓般大小的心臟被植入他的身體內(nèi)。
“我們所有的心臟移植患者都很特殊，但我認為Dravyn的特殊在于，我們意識到有風(fēng)險，如果我們不能夠及時的找到捐贈者的心臟。”Juan Alejos醫(yī)生說。Alejos是UCLA美泰兒童醫(yī)院的兒科心臟學(xué)教授及兒科心臟移植手術(shù)主任。
Dravyn出生時患有動脈導(dǎo)管未閉和無肺動脈瓣，其實在母親Eggleston懷孕22周做超聲波檢查時，就已經(jīng)被發(fā)現(xiàn)。醫(yī)生最初認為，Dravyn出生后的未來幾年，心臟要進行一系列的矯正手術(shù)。
然而，Dravyn在橙縣出生后，醫(yī)生發(fā)現(xiàn)他只有一個冠狀動脈，如果進行手術(shù)，會有很大的風(fēng)險。
五天后，Dravyn被空運到UCLA美泰兒童醫(yī)院。經(jīng)過醫(yī)生團隊的討論，最后確定緊急心臟移植是生存的唯一希望。當Dravyn的名字被列在心臟移植的名單上時，奇跡般的事情出現(xiàn)了，他們在二天內(nèi)就得到了器官捐獻?；颊咝呐K移植一般都需要等好幾個月，有的甚至要等上好幾年。在出生后23天，Dravyn成功接受了心臟移植手術(shù)，他成為UCLA第二位最年輕的心臟移植患者，第一位是在1994年，出生后僅16天的嬰兒接受了心臟移植手術(shù)。
加州大學(xué)洛杉磯分校的小兒心臟和心肺移植項目是美國西部的主要轉(zhuǎn)診中心之一。該團隊自1984年以來，已進行了超過300例小兒心臟移植手術(shù)。該項目是由兒科心臟病專家、心胸外科醫(yī)生、牙醫(yī)、執(zhí)業(yè)護士、移植協(xié)調(diào)員、營養(yǎng)專家、社會工作者和兒童發(fā)育專家相互之間的協(xié)調(diào)。來完成每次的救治任務(wù)。
Staff at Mattel Children’s Hospital UCLA witnessed a happy ending today instead of what could have easily been a tragic one when they bid farewell to five-week-old Dravyn Johnson, who went home with his mother, Nicole Eggleston, and two older brothers after becoming the hospital’s second youngest heart transplant recipient. He was only 23 days old when he received his new heart, which was the size of a strawberry.
“All of our heart transplant patients are special, but I think this one was special because we knew there was a risk we might not find a donor in time,” said Dr. Juan Alejos, professor of pediatric cardiology and director of the Pediatric Heart Transplant Program at Mattel Children’s Hospital UCLA
Dravyn was born with a condition called pulmonary atresia in which the pulmonary valve does not form properly. It was discovered during Eggleston’s pregnancy in a sonogram performed at 22 weeks. Doctors had thought initially that his heart could be repaired with a series of corrective surgeries performed over the first few years of Dravyn's life.
However, when he was born in early February at an Orange County hospital, doctors found that he had only one coronary artery instead of two and determined that surgery would be too risky for the baby.
At five days old, Dravyn was airlifted to Mattel where doctors confirmed that the only hope for his survival was an urgent heart transplant. Miraculously, within two days after Dravyn's name went on a list for a transplant, a donor was found. And Dravyn got his new heart. The hospital’s youngest heart recipient was a 16-day-old infant who received a transplanted heart in 1994.
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