The 91-year-old Mr. Ren was on the brink of death three weeks ago because of the new coronavirus infection. He and his family once thought that he would not be able to overcome this “hurdle”… But Jing’an District Zhabei Central Hospital The medical staff did their best to save the dying life, not only helping him defeat the new crown virus, but also regulating various chronic diseases of the elderly who were “chaotic”, so that the old man’s body gradually recovered. Recently, after the observation and permission of the hospital, the old man returned to the rehabilitation hospital to continue his recovery.
Caption: The medical staff of Zhabei Central Hospital in Jing’an District did their best to save the dying life The 91-year-old new crown patient overcomes the virus and gradually recovers . During the shelter, the old man suddenly developed symptoms of shortness of breath and confusion, and was immediately transferred to Zhabei Central Hospital in Jing’an District by 120.
At the time of admission, the patient was in a coma, bradycardia, and was in critical condition. When the family members could not be contacted, the ICU of the hospital’s comprehensive internal medicine department immediately organized the medical and nursing forces into the rescue, and a race against time began.
According to the test results, the old man was initially diagnosed with novel coronavirus pneumonia (severe), and was also associated with type I respiratory failure, lower extremity venous thrombosis, electrolyte metabolism disorders, liver and kidney Insufficiency, diabetes, severe malnutrition and other diseases. The ICU team immediately gave the patient a series of symptomatic rescue, such as oxygen inhalation, ECG monitoring, opening of the venous channel, antispasmodic and asthma relief.
At 11:00 in the middle of the night, the old man had difficulty breathing and hypoxemia again. The doctor on duty immediately contacted Guan Jun, the director of the ward. The army immediately instructed nurses to use ventilator-assisted ventilation for the elderly. Half an hour later, the old man’s breathing slowly stabilized, and the hypoxia condition improved significantly, and everyone breathed a sigh of relief.
Because Mr. Ren is an elderly patient infected with the new crown virus, and he suffers from a variety of chronic diseases, during his treatment in the hospital, his condition repeated several times like a roller coaster.
In addition to daily ward rounds to discuss the condition, the expert group also organized joint consultations of the city and district-level expert collaboration groups for many times, and specially invited one of the “Severe Eight Immortals” – Peking Union Medical College Professor Du Bin from the Department of Critical Care Medicine of the hospital came to the hospital for consultation. Everyone worked together to implement the optimal treatment plan for Mr. Ren, and the old man’s condition was finally effectively controlled. On the 12th day of admission, the old man was transferred from the ICU to the sub-severe ward.
Although the initial dangerous period has passed, for Liu Weichun, the director of the sub-severe ward, the challenge has just begun. In addition to being diagnosed with new coronary pneumonia, the elderly also had a variety of serious underlying diseases. After being transferred to the sub-severe ward, the elderly developed upper gastrointestinal bleeding, persistent high fever over 39 degrees, diabetic ketosis, and severe hypernatremia. disease.
Under the leadership of Liu Weichun and Head Nurse Ding Huiqin, they carried out a “One person, one policy” targeted treatment. Taking advantage of the team’s original professional advantages in the Department of Respiratory and Critical Care, a series of specialized treatments such as high-flow humidified oxygen therapy support, airway clearance, and prone position ventilation were carried out. TCM treatment guidance from experts.
Because of the patient’s previous severe hypoxemia, prone position ventilation is the best choice, but such a position is not difficult for ordinary patients, and it is difficult for ” It is very difficult for Mr. Ren, who is vulnerable”.
The elderly have various pipes indwelling on their bodies, and they are ventilated in a prone position. Every time they turn over, two or three people are required to assist them. The signs are stable, and the various pressure parts of the body are protected to avoid pressure sores.
Faced with difficulties, the nursing team decided to prolong the treatment time by increasing the number of nursing sessions. Although the process was arduous, with the joint efforts of everyone, the treatment method of prone position ventilation achieved obvious results, the patient’s oxygenation index increased significantly, and the team’s efforts were also praised by the expert group.
After 3 weeks of careful treatment and care, Mr. Ren not only regained consciousness, but his condition improved significantly. After two consecutive negative nucleic acid tests, he was finally discharged from the hospital. “I thought my father would not be able to get over this ‘hurdle’, but I didn’t expect them to try their best to treat my father. I am very grateful for all the efforts of the medical staff,” said the old man’s children.
It is understood that since April 19, Jing’an District Zhabei Central Hospital became the designated hospital for the treatment of new coronary pneumonia at the district level, and more than 50% of the patients are over 80 years old. Elderly patients.
They basically have underlying diseases combined with multiple organs, including respiratory system diseases, cardiovascular and cerebrovascular diseases, nervous system diseases, diabetes, uremia, advanced malignant tumors, etc.
In order to save every life and effectively reduce the severe rate and mortality rate, Zhabei Central Hospital of Jing’an District insists on classified and centralized treatment of critically ill patients, establishes a multidisciplinary cooperation mechanism, strengthens The three lines of integrated western medicine are in parallel, trying our best to save every life.
Correspondent Wang Wenying Xinmin Evening News reporter Jiang Yuezhong