“I am Liu Ruilin, the captain of the critical care team of Tongji Hospital in the Public Health Center. First of all, I would like to thank two experts from Tongji Hospital’s headquarters for participating in our online case discussion. This is an elderly patient from Shanghai Tongji Hospital. …” On May 3, in the intensive care unit on the 2nd floor of Building A1 of Shanghai Public Health Clinical Center, an online multidisciplinary diagnosis and treatment of critical cases connecting the headquarters of Shanghai Tongji Hospital and the intensive care team of Shanghai Tongji Hospital in the Public Health Clinical Center Discussion is ongoing.
The severe case mentioned above is 91-year-old Mr. Yang. In the early morning of May 1, he suddenly lost his speech function at home and could not move his limbs, and then gradually fell into a deep coma. The family sent him to the emergency department of Shanghai Tongji Hospital overnight. The initial judgment was that it was probably a stroke. However, the result of Yang’s rapid nucleic acid test showed that it was positive, so he was sent to the emergency negative pressure isolation and observation ward for treatment. After the vital signs stabilized, according to the arrangement, Uncle Yang was transferred to the new crown intensive care unit of Shanghai Public Health Clinical Center. The person responsible for treating Uncle Yang was the intensive care team of Tongji Hospital in the Public Health Center. Liu Ruilin, a doctor at Jinyintan Hospital.
Emergency Negative Pressure Isolation and Observation Ward of Tongji Hospital
After being diagnosed by the expert team, Mr. Yang The left thalamic hemorrhage broke into the ventricle, hypostatic pneumonia with respiratory insufficiency, not only infected with the new crown, but also urinary tract infection, hypertension, cardiac insufficiency, liver damage, poor swallowing function with malnutrition, electrolyte imbalance and low protein Symptoms such as blood. For such cases, a discussion of multidisciplinary care is essential. Since there are no specialists in neurology and medical imaging in the intensive care team of Tongji Hospital in the Public Health Center, the team sought consultation from the hospital headquarters.
Tongji Hospital intensive care team treats the elderly
During the discussion, the medical imaging department, Experts from more than 10 departments including neurology, respiratory and critical care medicine, cardiovascular medicine, gastroenterology, nephrology, otolaryngology and head and neck surgery have put forward corresponding diagnosis and treatment suggestions, and finally formed a comprehensive and detailed professional diagnosis and treatment plan. After the unremitting efforts of the critical care team, on the evening of May 4, Mr. Yang’s vital signs were stable, his mind was clear, and he could slowly open his eyes. Liu Ruilin said that after the nucleic acid turned negative, Mr. Yang will return to the headquarters of Tongji Hospital to continue his recovery.
Editor: Sun Xinqi
Source: CCTV News
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