Chinanews.com, Shanghai, May 6 (Reporter Chen Jing) The reporter learned on the 6th that the Hubei medical team and the Shanghai Ninth People’s Hospital, who are supporting the treatment of designated hospitals in Shanghai, successfully rescued a case of combined hepatitis C cirrhosis and liver cancer. , portal hypertension, gastrointestinal bleeding in severe new coronary pneumonia patients.
A 57-year-old critically ill patient with new coronary pneumonia was admitted to the ICU of Shanghai No. 9 Hospital New Coronary Treatment Designated Hospital. He had respiratory failure. The oxygen inhalation of the mask could not maintain the patient’s oxygenation, and he had persistent dark red blood in the stool and a drop in blood pressure. obvious. The Shanghai Ninth Hospital told reporters that this is a typical manifestation of hemorrhagic shock caused by massive gastrointestinal bleeding.
In the Hubei medical team to aid Shanghai, the first ICU medical team led by Deputy Chief Physician Dai Wei from Wuhan First Hospital immediately organized the rescue. The medical team members gave the patients high-flow oxygen inhalation and respiratory support. At the same time, they performed deep venous catheterization to quickly replenish blood volume, arterial puncture to monitor blood pressure, urgently check blood routine and biochemistry, and prepare for blood matching. They also carried out bedside cardiac and chest color Doppler ultrasound examinations. . After a series of emergency measures, the patient’s vital signs finally stabilized.
In order to provide patients with precise treatment and care, Dai Wei, the leader of the first medical team, and medical staff from Wuhan No. 1 Hospital, Wuhan No. 4 Hospital and Shanghai No. 9 Hospital respectively The team members assessed the patient’s condition in detail and formulated a careful treatment plan, including keeping the patient’s oxygen partial pressure stable, suppressing acid, protecting the stomach and stopping bleeding, maintaining blood pressure, and anti-infection. At the same time, the members of the first medical team update the latest changes in the patient’s condition at any time in the WeChat group, adjust the treatment plan, nursing points and precautions, etc.
Due to the patient’s diarrhea, Cheng Li, a tube bed nurse from Wuhan First Hospital, took the trouble to clean up the patient’s bed sheets and related parts to prevent the occurrence of sacrococcygeal pressure ulcers; at the same time, she Patients are often encouraged to have the confidence to overcome the disease. Under the careful care of the doctors and nurses, the patient’s condition has improved significantly, the gastrointestinal bleeding has been cured, the high-flow assisted breathing has also been changed to nasal cannula oxygen inhalation, and early pulmonary function rehabilitation exercises have been carried out.
To the relief of the medical staff, the patient’s new crown nucleic acid test has been negative for two consecutive times, reaching the discharge standard. (End)