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Wang Mengxue's ward is now full of patients with mild symptoms, and Wu Ping has also recovered her health during the treatment of more than ten days, and it is time to be discharged.
"That Nurse Xiaoxue...... I'm about to be discharged from the hospital, you see that Tian Tian nurse said thank you to her for me, if she hadn't found out that I had taken that herb and let me treat it in time, I wouldn't have been able to get better so quickly, thank you for taking care of me for a while. ”
"I will tell her, we are all happy to see you discharged from the hospital one after another, and after you go back, you will cultivate well and eat more good food to replenish your body. Wang Mengxue helped her pack her things and explained with a smile.
The third patient in the ward was discharged in good health, and the discharged people were happy, and their hearts were also happy.
After Wu Ping left, a new forty-three-year-old aunt came into the ward, who was also a mild patient, and even had a mild cough.
"Now I finally have a bed, but I don't feel particularly uncomfortable at home, but I have a little fever and fatigue, and my body temperature has been checked for two days in a row, and I don't feel at ease to come to the hospital for a check-up...... Good thing it came early. "The new aunt also looks optimistic.
"Patients with mild symptoms get better quickly, don't worry, let the family bring some nutritional products another day, we will be at home." Wang Mengxue explained with a smile.
"Okay, there's nothing to be afraid of, now a large number of them are cured. ”
The epidemic has passed the most panicked time, Huoshenshan Hospital has been built day and night for ten days, and the cabin hospitals have been built one after another, so that patients can have beds and receive treatment, and now most people's hearts are finally settled.
Because the critically ill patients are constantly recovering every day, the oxygen supply in the center of the floor can finally be maintained, and Meng Tiantian and the others no longer have to spend a lot of effort to carry oxygen tanks on the first floor every day.
In the ICU ward, two hours before the shift change, there was an emergency situation for the new six-bed patient who came in yesterday, and the monitoring instrument kept sounding the alarm, and the ward suddenly began to get nervous.
"The patient is 71 years old, now the blood oxygen saturation is very low, basically has fallen into a coma, four days ago because of intermittent fever, cough, wheezing transferred to the hospital, has a history of diabetes and hypertension for many years, when admitted to the hospital, the patient is short of breath, chronic serious illness, diagnosed with severe pneumonia, respiratory failure, type 2 diabetes and hypertension, and has taken anti-inflammatory, anti-infection, non-invasive ventilator-assisted ventilation these treatments. ”
Zhang Yue quickly looked through the medical records and told Gao Sichen, who replaced Dr. Jiang Wei, about the patient's situation, and Dr. Gao sighed, "Intubate, now the non-invasive ventilator can't guarantee his blood oxygen saturation, and besides, this patient has a lot of other complications." ”
Meng Tiantian helped Zhang Yue prepare all kinds of items needed for intubation, anesthesiologist Dong Le prepared anesthetics, and quickly began to prepare for intubation for patients after all the items were ready.
In this process, they didn't even dare to speak or cough, and even the movements that wanted to turn over became very gentle, for fear that what noise they would make would affect the doctor's work, and everyone was in awe of life.
Dr. Gao skillfully held the laryngoscope and catheter to find the position, Zhang Yue handed various equipment on the side, and Meng Tiantian observed the monitoring instrument to report the data.
After more than a minute of nervousness, the operation was successful, the patient was pulled back from the line of death, and Dr. Gao also breathed a long sigh of relief.
"Among the infected patients, there are many patients with diabetes or who have a history of diabetes, and their resistance is not good, and they are easily attacked by the virus when their immunity is low. "Although the patient's condition has stabilized temporarily, the situation is still not optimistic.
Meng Tiantian was a little silent when he heard it, in fact, what Dr. Gao said was a little tactful, now there are a large proportion of diabetics in the infected population, and not only that, but also a large proportion of patients with diabetes in the number of deaths, so temporarily out of danger does not mean that we can be optimistic.
Therefore, Meng Tiantian continued to observe the patient's vital signs for a long time, and Dr. Gao was also holding the medical record book to look through the patient's past treatment process and various medications.
After a while, Nurse Zhang Yue was holding her mobile phone and reporting the situation in the ward on the phone, "...... Yes, Dr. Gao intubated the six beds of patients, and now the condition has stabilized, but the patients are still in a coma, and the ten beds are ...... There was no emergency today, so you don't have to worry!"
As he spoke, he handed the phone to Dr. Gao and said, "Dr. Jiang's call." ”
Dr. Gao temporarily put down the medical record book and took the mobile phone and smiled, "Forced you to rest and not rest honestly at home, and called to supervise my work?"
Meng Tiantian had just sorted out the intubation equipment and put it away, and was a little puzzled when he heard this, "Forced rest?"
Zhang Yue couldn't help but laugh a little, "Yes, forced rest, if the hospital didn't force Dr. Jiang to rest, he would have stayed at home? Yesterday, he directly issued a mandatory rest order to some doctors who have not rested, so he is willing to take a day off, and after he went out yesterday after changing shifts, it is said that he almost fainted, and the working hours were too long." ”
Meng Tiantian also understood when he heard this, "You have to be forced to rest, and you can work better when you rest!"
"Did you hear it, take a good rest at home, don't think about it and make a phone call to supervise other people's work. Dr. Gao teased with a smile.
Meng Tiantian heard a hoarse voice on the phone, "...... It's not worrying, which of those serious cases can reassure people, it's an emergency at every turn, I've worked hard for you today, I won't say much, if there is anything uncertain, just call me, I can be on call at any time. ”
"Why are you calling? Let you come back to work? Okay, you can get some rest!"
"It's not impossible to go to work, I know more about several serious cases in the main ward, and I can give some advice if it's urgent. ”
Dr. Gao smiled and said a few more words to him, and before he could hang up the phone, he heard a red alarm from the ward again.
"It's a six-bed patient!"
"Not long after the intubation, I saw that the situation had stabilized, why did the alarm suddenly appear again?" Meng Tiantian was also very shocked.
On the phone, Dr. Jiang Wei anxiously asked, "Is it a diabetic complication?" This kind of old age and many years of diabetes history, once there are urgent complications, it will be dangerous!"
Dr. Gao didn't answer, and directly handed the phone to Meng Tiantian, "Don't hang up yet, open a hands-free!"
Meng Tiantian took his mobile phone and followed Dr. Gao to the side of the sixth bed, the patient is still in a coma, but because the blood oxygen saturation is reduced, the whole person is convulsing unconsciously, and the body is also writhing unconsciously.
"First I helped to compress the heart and lungs, and now the tracheal intubation has also been done, and the patient's lung condition is not optimistic, so we can only help him recover his breathing on the basis of intubation. Dr. Gao sighed with a headache while paying close attention to the patient's vital indicators.
Although Jiang Wei was not at the scene on the phone, he was also very anxious, "The artificial heart-lung machine in our hospital is insufficient, and the cost is too great, otherwise we can use it now." ”
"The artificial heart-lung machine is not a panacea, and this patient has too many messy medical histories, and now he has complications...... Wake up!"
Dr. Gao said, seeing the patient struggling to open his eyes, his hands kept scratching upward, Zhang Yue kept pressing his chest for him, but the blood oxygen saturation could not come up.
Meng Tiantian looked inexplicably uncomfortable, although the patient still had a tube in his mouth, but he kept opening his mouth and sending out vague bytes in his throat, Meng Tiantian listened carefully, as if saying "help".
Dr. Gao has been constantly encouraging his patients, "Adjust your breathing, don't be nervous, be strong, and persevere!"
Jiang Wei also kept shouting on the phone, "Don't give up, you can resist it if you hold on!"
The patient's expression was painful, his eyes were wide open but unfocused, he was still spitting out vague bytes in his throat, and the entire ward was like he was in an ice cave because of his indistinct cry for help, but at this time, Dr. Gao and Jiang Wei seemed to have no choice.
Meng Tiantian held a sputum suction device to help him suction to relieve the symptoms of dyspnea, but the patient continued to have difficulty breathing, blood pressure increased and blood oxygen saturation could not be improved.
Dr. Gao also took turns to help relay chest compressions to help him regain spontaneous breathing, and after more than ten minutes of cardiopulmonary compressions, the patient's condition still did not improve, and his hands that were clutching upwards gradually lost their strength.
At the last minute, this dying patient even wanted to grab the tube in his throat with one hand, his chest rose and fell violently, desperately panting desperately to survive, but he still couldn't improve his blood oxygen saturation, Meng Tiantian watched his face be bruised, and there were even some bruises on his forehead.
"Help me...... Save ......" two cloudy tears flowed from the corners of the eyes of the six-bed patient, and finally his hand was still trying to grasp upward, but the violently undulating chest slowly calmed down, from the hospital to the present, he spent most of his time in a coma, and woke up in the last few minutes of his life, Zhang Yue was still desperately helping to press his chest, but it was completely useless.
The three people involved in the rescue were all out of breath, Meng Tiantian even felt that his protective suit was already soaked and stuck to his body, and Dr. Gao's shoulders were also a little drooping, and he looked like he had suffered a lot of blows.
"If there is an artificial heart-lung machine...... Maybe we can salvage it. Jiang Wei also knew what was happening, his voice was low and depressed on the phone, but to no avail.
The core part of the artificial heart-lung machine is a new word "ECMO" that often appears in the news recently, the scientific name is "ECMO extracorporeal membrane oxygenation", the core part is the membrane lung (artificial lung) and blood pump (artificial heart), which can replace the heart-lung work of critically ill patients and win time for the rescue of critically ill patients, but in fact it is not effective for all critically ill patients.