This hall was originally used for patients to hang bottles for infusion in summer, because it was hot in summer, it was very stuffy in the infusion room, and many people were willing to go outside to hang bottles, so they opened up this open space and added several rows of long chairs for summer infusion. There are several doors in this hall, and the whole wall is full of windows, once opened, the air circulation is very good, and it is not stuffy in summer, otherwise the summer in Wuhan can cook people.

Now this infusion hall has become a waiting area for fever and emergency medicine, and Dai Yunyang can see that more than half of the seats are full. There were also people who didn't want to sit and stood there anxiously walking around, coughing and crying children.

As soon as the arrangement was made, Dean Shen came to the emergency room and convened a meeting to formally convey the spirit of the meeting. This time fortunately, Wu Hao was prepared, when Li Yanling was busy isolating the fever ward of the emergency room, he had already completed the implementation of the spirit of the National Health Conference and the Party Committee of the hospital in the emergency center in the office, although many of them are clichés, nothing new, but still got the praise of Dean Shen, after all, the implementation of the spirit of the attitude is correct, the style of work is solid, and the positive attitude is worthy of affirmation.

I've been busy with these things all day.

When I got home from work in the evening, I saw my wife Ai Fenfei sitting on the sofa wiping her tears.

Dai Yunyang was taken aback, and hurriedly sat down beside her and asked, "What's wrong with you?" Why are you crying? ”

Ai Fenfei said: "It's nothing, I have a patient who died today, and I feel uncomfortable. ”

For the infectious disease department, the death of a patient is actually nothing new and happens frequently. Although I see less than the emergency department, I usually don't make my wife so sad, and there is definitely a reason for that.

Dai Yunyang hugged her and said, "Wife, why are you sad, it will feel better if you say it." ”

Ai Fenfei's voice was low, with a crying voice: "This patient is the first batch of patients with unknown pneumonia admitted to our hospital, and I have always treated her. In her forties, a woman, very cheerful. She didn't really get sick when she came in, maybe she just had some breathlessness and was on oxygen, but she wasn't intubated. However, two days ago, her condition worsened and she changed to nasal cannula oxygen, but in the afternoon, her ECG monitor suddenly issued an alarm, and her blood oxygen saturation dropped from more than 90 to 80, and her respiratory rate and heart rate increased significantly. ”

"I think it's a little strange, why is this happening? I quickly switched to high-flow oxygen, and the patient's oxygen saturation slowed down, and his blood pressure slowly dropped. I'm in a hurry, I used high-flow oxygen, and increased the flow and oxygen concentration, why hasn't her breathing improved, but the blood sample saturation is still falling? Although the rate of descent was not fast, it was still declining little by little, and sooner or later she would suffer respiratory failure, and at this time, her breathing rate also increased to more than forty times per minute, and her lips were visibly purple......"

Dai Yunyang held his wife's hand and said, "This means that the blood concentration in her body has not been able to rise, so let's switch to a non-invasive ventilator." ”

Ai Fenfei nodded and said, "Yes, I also immediately changed her to a non-invasive ventilator, removed her nasal cannula, and changed her mask." The patient was suddenly irritable on the bed like crazy, and had to reach out to pull the mask, so the nurse and I quickly grabbed her hand and asked what was wrong? She said she couldn't breathe in and said she was going to die. At this time, the ventilator also sounded the alarm, and I never felt the ventilator alarm so harsh, I even wanted to push the ventilator to the ground. I hurriedly comforted the patient, I said don't worry, adjust your breathing, you have to breathe according to the rhythm of the ventilator, it's okay. ”

"But the patient struggled so hard to break free from our hands, to pull the ventilator, as if the respirator was blocking her mouth and nose instead of giving her oxygen. I had to call two male nurses and tie her hands to the railings on either side of the bed with strips of cloth so that she wouldn't have to pull the ventilator. ”

Dai Yunyang was a little surprised, he had never experienced this kind of thing, and said to his wife in surprise: "Is there something wrong with the patient's head?"

"Of course not, she is very conscious, she is very happy to talk and laugh these days in the hospital, and she often tells us some interesting things about selling seafood, why did it suddenly become like this."

"Maybe the lack of oxygen to the brain is causing impaired consciousness."

Well, she kept shouting that she was out of breath and couldn't breathe. I told her that it was useless to let her breathe evenly, and that her breathing was getting shorter and shorter, and her oxygen saturation dropped to 70. ”

Dai Yunyang's heart sank, once the blood oxygen saturation dropped, it means that the oxygen in the blood decreases rapidly, and there is no oxygen in the body organs, just like a small fish leaving the water, it will soon fail. said: "It is necessary to push Valium and calm her down as soon as possible, so that she can adjust her breathing, otherwise the blood oxygen will not go up." ”

"That's what I thought too, so my nurse was ready to push Valium. But just as she was about to settle down, I suddenly found that the oxygen pressure on the ventilator was not enough, and perhaps this was the reason why she was not able to get enough oxygen at all. So I immediately asked the nurse not to inject Valium first, and quickly switch back to high-flow oxygen, and the nurse immediately removed the mask and reinserted the high-flow oxygen nasal cannula for the patient. At this time, the patient had already begun to fall into a coma and did not struggle anymore, because his consciousness was already blurred and the ECG monitor was still ticking. ”

"I reassured the patient not to be nervous, to slow down her breathing, to follow the rhythm, and to be able to inhale oxygen as if she was asleep. The fact that the patient was able to nod her head showed that she was still conscious. And her blood oxygen saturation also returned from seventy to ninety, back to the range of normal values, I was relieved, and everyone present was relieved. ”

Dai Yunyang said: "Isn't that good? ”

Ai Fenfei said: "All of us think so, but I always feel uneasy, because I carefully watched her CT film, most of her lungs have turned white, that is, she has lost the basic function of the lungs, she is on high-flow oxygen, her blood oxygen saturation is barely 90, the respiratory rate and heart rate are very fast, so she is likely to have heart failure again." ”

"But then I realized that I was still overly optimistic, and in fact she was on the verge of organ failure and heart damage at that time. The disease is so cunning that it will not let us see this at all, it will suddenly drag the patient into the abyss of death, and it will not have time to do anything at all. ”

"At the end of the afternoon, I was ready to greet her. She also told me that she wanted to make a call, and I said I'm afraid not, I'll wait until you get out of the intensive care unit. After a while, I heard the sharp alarm of the ECG monitor, she stopped talking, as if she had suddenly fallen asleep, pulled out a horizontal line, I immediately pressed the alarm, and the first aid team immediately rushed in, and we immediately carried out the rescue, and after almost an hour, she was still gone. ”