Senior Ye Ming, his family and medical staff took a group photo
At about 11 am on May 14th, 108 days of admission to the hospital for 32 days Ye Ming, a severely ill patient with new coronary pneumonia, recovered and was discharged from the Pudong Hospital affiliated to Fudan University. It has set the record for the highest age of discharge from the hospital for severe new coronary pneumonia in China.
For a time, the news spread all over the country. Many netizens exclaimed: The probability of successful rescue is too small, it’s amazing…
Coincidentally, he and the previous recovery in Shanghai Lingang Fangcai Hospital The 93-year-old man in the cabin, Wang Manru, a veteran who participated in the War to Resist U.S. Aggression and Aid Korea as a nurse on the team (reported in “A Special Ceremony of Exiting the Cabin” on the 4th page of “Health News” on May 11), is a comrade-in-arms during the War to Resist U.S. Aggression and Aid Korea.
Wang Manru (left), Mo Yunzhu (middle) and Ye Ming (right) on the battlefield to resist US aggression and aid Korea /span>
Senior Ye Ming joined the Communist Party of China in the 1930s. During the Anti-Japanese War, he used his identity as an anesthesiologist in the operating room of the Shanghai Municipal Third Hospital to raise medical equipment and medicines for the anti-Japanese guerrillas. During the War to Resist U.S. Aggression and Aid Korea, he joined the medical team and went to the front line.
Ye Ming when she was young
On April 12, the elderly Ye Ming began to have fever, cough, expectoration, and shortness of breath. After being diagnosed with new coronary pneumonia, he was sent to Pudong Hospital Affiliated to Fudan University.
Jiang Qingyuan, the deputy chief physician of the hospital, found that the old man was unconscious, had a history of cerebral infarction, coronary heart disease, etc., was bedridden for a long time, and was relatively weak, and immediately reported the situation to the headquarters.
On the evening of April 27, Ye Ming’s condition suddenly changed, with shortness of breath, poor consciousness, and the lowest pulse oxygen dropped to 79%. Ao Rongguang, the doctor on duty, immediately organized the rescue, and quickly started the expert consultation mode according to the routine diagnosis and treatment of critically ill patients. Combining the CT chest image results and the underlying disease, the expert team judged that the patient had progressed to severe new coronary pneumonia, and transferred the elderly to the ICU for rescue the next day.
Under normal blood oxygen level of 95%, in order to improve the symptoms of respiratory failure, endotracheal intubation is suitable for the elderly. Wang Shuyun, director of the ICU of the hospital, said that the patient is very old, and the recovery time for invasive operations is long, and his daughter is not in favor of intubation. After discussing the case, experts from Zhongshan Hospital Affiliated to Fudan University, and experts from the national supervision team, unanimously decided not to intubate and give nasal high-flow humidified oxygen therapy.
Wang Shuyun introduced that not all human alveoli are used, and some alveoli near the back are not opened. The prone ventilation of patients with severe new coronary pneumonia uses this principle to open the alveoli near the back to replace the alveoli damaged by pneumonia, thereby improving respiratory function and expelling fluid in the diseased lung. Routine prone ventilation requires at least 12 hours at a time. Considering the poor heart function and reduced tolerance of the elderly, the nursing staff pays close attention to his vital signs and helps to adjust the sleeping position at any time according to the changes of the condition. Doing so places higher demands on nursing care.
Under the coordination of the Epidemic Prevention and Control Headquarters, the multidisciplinary expert group has specially formed experts and nurses from cardiology, geriatrics, respiratory, traditional Chinese medicine and other disciplines for the complex physical condition of centenarians. Senior nurses such as Wu Shengtian and other senior nurses are members of the “Old Baby” guardian group. On the basis of adhering to the “one person, one plan”, everyone paid special attention to the old man Ye Ming, and made rounds of wards several times a day to observe the changes in his condition and adjust the treatment measures in time.
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