A few days ago, a 71-year-old critically ill COVID-19 patient with respiratory failure, septic shock and intestinal obstruction was treated at the designated location for the treatment of COVID-19 in the northern part of the Ninth Hospital. He was successfully treated in the ICU of the hospital and accelerated his recovery with the support of the integrated Chinese and Western medicine program. He was transferred to the general ward on May 5.
The designated hospital of Shanghai No. 9 Hospital for the treatment of new crowns has treated the first batch of patients since April 18. As of 22:00 on May 8, a total of 1,676 patients have been treated, and a total of 1,676 people have used traditional Chinese medicine, with a utilization rate of 100%. . There are currently 644 patients in the hospital, 372 of whom are over 70 years old.
Wang Changqian, vice president of the Ninth Hospital, introduced that there are many elderly patients in designated hospitals. During the treatment process, traditional Chinese medicine practitioners, according to the different conditions of the patients, apply “every person to each side”, and make corresponding drug delivery methods for some patients. Adjustments, such as changing from traditional oral administration to sublingual administration of Lianhua Qingwen granules, not only alleviated gastrointestinal reactions, but also maintained the efficacy of the drug to the greatest extent; for some children with asthma, according to traditional Chinese medicine winter The treatment principle of summer treatment of illness is to give an applicator to relieve discomfort; in addition, some patients are also given Chinese medicine auxiliary methods such as wormwood hot water soaking method to speed up their recovery. During the whole treatment process, the Department of Traditional Chinese Medicine and the Department of Pharmacy of the Ninth Hospital gave full cooperation and support.
“In the ICU ward, the 71-year-old patient with multiple severe illnesses recovered quickly, largely thanks to the team leader of the ICU first medical team and the Wuhan First Hospital (Wuhan City Center). Dai Wei, Deputy Chief Physician of the Hospital of Integrated Western Medicine), immediately determined the use of Western medicine antibiotics combined with traditional Chinese medicine injections to clear heat and detoxify, and led the joint medical and nursing staff of Wuhan No. 1 Hospital, Wuhan No. 4 Hospital and Shanghai Ninth People’s Hospital. A member of the medical team, giving patients meticulous treatment and care.” Professor Xiong Weining, director of the intensive care unit of the designated hospital of the ninth hospital and director of the department of respiratory and critical care medicine of the ninth hospital, said.
Deputy Chief Physician Dai Wei from Hubei Aid Medical Team introduced that the patient was wearing a mask in the middle of the night on April 27. The tracheal intubation was urgently transferred to the ICU. She was in a light coma, the whole body was wet and cold, the surrounding skin mottled was very obvious, and the mean arterial pressure was lower than 50mmg. The condition was very critical. Prolonged low blood pressure, fast heart rate, and tidal breathing have put the frail patient on the verge of failure.
After physical examination, bedside ultrasonography, combined with a series of test results such as the patient’s medical history, blood gas, and biochemical indicators, the diagnosis of critically ill COVID-19, respiratory failure, septic shock combined with intestinal obstruction was made. . The medical staff on duty immediately provided mechanical ventilation to improve the patient’s breathing and oxygenation. At the same time, deep cervical vein catheterization was performed to rapidly replenish blood volume for fluid resuscitation, and arterial puncture was used to monitor blood pressure. The patient’s shock was gradually corrected, and urine output began to recover.
During the course of treatment, due to the clinical manifestations of gastrointestinal intestinal obstruction, the medical and nursing team adjusted the treatment plan in time. Qi mixture, supplemented by acupoint massage, such as Pishu and Weishu points, can improve intestinal obstruction and promote gastrointestinal peristalsis.
A few days later, the infection in the raging patient was controlled, the patient’s vital signs gradually stabilized, the infection index decreased, the urine output gradually increased, the vasoactive drugs were reduced until they were discontinued, and enteral nutrition was implemented.
On May 3, the patient was removed from the tracheal intubation and changed to nasal cannula for oxygen inhalation; on May 5, the patient was transferred to the general ward for further rehabilitation and is currently recovering well.
Author: Tang Wenjia Xu Ying
Editor: Tang Wenjia
Editor in charge: Jiang Peng
*Wenhui’s exclusive manuscript, please note for reprinting Clear source.