Integrated broadcast reporter defends news of nimble of Xu Rui of reporter of Wuhan traffic be on the air, Wuhan not, reporter Zhang Wei sends redound to:
Although,the cold has a fever common, but also may be to erupt the inchoate symptom of sexual heart myositis. Recently, a young man has a fever because of the cold long procrastinate to be not treated, sudden acute erupts sexual cardiac muscle is phlogistic, went to meet with before danger sopt. Hospital of place Xing Xiehe weighs disease ECMO group to tighten urgent rush to the rescue, develop ECPR emergency treatment, man eventually take a turn to be out of danger.
On July 3 afternoon, wuhan assist weigh disease medicine division with the hospital (ICU) Professor Shang You is received assist with ICU of river north hospital appeal phone, an acute erupts the young patient that sexual heart myositis, heartbeat stops suddenly needs ECMO (oxygen of lung of the film outside body closes) cure. He is expedited instantly protect by 4 cure (Yang Xiaobo, Li Ruiting, Yin Wei, Zhu Kui) ECMO rescue group of composition carries the equipment that hefts a few kilograms at top speed rush to the rescue. When arriving, the patient is being pressed outside accepting a bosom pressure, right now distance heartbeat stops already 3 many hours. Patient pupil already came loose big, active medicaments maintains maximum dose blood-vessel below, in stop by the space that press, supersonic fall to be able to see slight heart wriggles only. Life on the verge of death or destruction. After be being communicated with the family member, ECMO panel decision goes instantly ECPR. Continue fall by the case that press outside the bosom, ECMO group should finish canal of the buy inside blood-vessel first, provide access to carry out ECMO. But stop as a result of patient heartbeat, use many rescue remedy contractive blood-vessel elevates blood pressure, what artery changes is fine search hard; The supersonic chance that ECMO group carries produced main effect, yang Xiaobo, Li Ruiting is in supersonic guiding to fall, find blood-vessel directly, buy of deft the puncture that finish is in charge of; Right now, ECMO equipment rushs to also be finished beforehand, join instantly hemal conduit, ECMO begins movement. In the conduit of arteries and veins of haemal Cong Jing of wine derivative, after the oxygen outside body closes, return patient system through arterial conduit inside. Subsequently, supersonic observe patient cardiac wriggles to increase somewhat. ECPR wins preliminary victory!
Teach the introduction according to Shang You, CPR namely heart lungs anabiosises, it is the measure that urgent rescue has after producing heartbeat to stop suddenly. And undertake when CPR above did not restore own heartbeat 15 minutes continuously, ought to use ECMO to undertake urgent loop and oxygen add up to support instantly, also call ECPR. ECPR depends on successfully seasonable CPR, strong ECMO group, and follow-up ICU strengthens cure.
Soon patient condition is stabilized somewhat, ground of ECMO group without a stop turns the patient into Wuhan assist with hospital ICU. Baton was handed in already of ready-made be on duty on doctor hand. Arterial buy is in charge of and monitor function of the blood pressure, cruor that monitor to adjust low temperature of sex of heparin dosage, blood transfusion, fluid infusion, control, a series of urgent remedy are fast and of in an orderly way undertake. Hemal and active medicaments of the patient reduces an amount gradually, systaltic increase gradually. To July 4 before dawn at 4 o'clock, medicinal powder big pupil is contractible already it is normal to come, patient already but as requested mobile limbs.
Later, in Yuan Shiying professor, Professor Shang You, Qi Gong is taught and nurse below the scientific cure of the group, heart function of the patient improves gradually, active medicaments chases blood-vessel to stop decreasingly, undertake recovering taking exercise below the case that can take lung ventilator and ECMO. On July 9, after passing meticulous and comprehensive assessment, the patient withdraws ECMO and lung ventilator smoothly.
The blow that stops suddenly because of heartbeat as a result of nephritic function restores not completely, the patient still needs to undertake recovering remedial at present, but place favour rescue is seasonable, other each organ function returns to normal completely already. Introduce according to patient Mr Zheng, the cold already lasted to have a fever before he comes on a week, but did not grant to take seriously all the time, feel oneself are young, carry it is good to carry, which know sequential meeting is so serious.
Because of this, the expert reminds, although,the cold has a fever common, but also may be to erupt the inchoate symptom of sexual heart myositis, must not ignore the body " call the police " signal, have incommensurate seasonable treatment, otherwise small state pulls big mistake possibly also. Patient the circumstance at that time already extremely critical, produce a heartbeat to stop, possibility of the survival below this kind of circumstance is dinky; Have fortunately assist what weigh disease ECMO group with the hospital is urgent assist and the professional treatment of a series of follow-up ICU, just pullback Mr Zheng from dead line.
It is reported, in recent years, wuhan assist the quantitative mushroom that develops ECMO treatment with hospital ICU, save domain of serious illness medicine to develop the come first on the list on the quantitative rank of ECMO in whole Hubei at present. The level of management of ECMO also rises gradually, cure protects a group seasoned, the danger that can expedite 3 ECMO group to save need ECMO to treat at the same time weighs a patient, create many records, be like: Long ECMO cure, individual ECMO collar for a horse is used it is 40 days the most for long, and the patient is cured successfully; Much subaltern is apart from (favour Shi Wuhan) patient of ECMO of have a change of luck; Undertake the rescue of ECPR is waited a moment successfully for many times.
