Chapter 137: It's Uncomfortable
Dai Yunyang can't handle it alone, Secretary Gao Song still has various monitor wires and infusion pipelines, which must be straightened out one by one in the process of turning over. So Dai Yunyang said: "I'll go tell Director Wu and Director Fu, and call a few nurses to come over and help together." ”
"Go and scream!"
Dai Yunyang hurriedly ran out, found Wu Hao and the deputy director, and told him about the situation, both of whom were surprised. However, Secretary Gao wanted to do the experiment himself, and no one dared to object, and the prone ventilation was not effective, and the patient was just a little uncomfortable. After all, it's quite uncomfortable to stay on your stomach for twelve hours, and you haven't found anything bad other than that.
The two hurriedly made arrangements and called a few nurses with nimble hands and feet and gentle movements to help. It took almost half an hour to replace Takamatsuji with one lying face down little by little, and straightened out all the pipes to make sure they were all smooth, which was reassuring.
A miraculous scene appeared, after Secretary Gao changed to prone ventilation, the oxygen saturation, which had been stalemate at about 88%, began to rise slowly but continuously, until it rose to 95%, and then stopped.
95%, which is the normal value range, although this is the result achieved with the use of invasive ventilators, but it is much better than before, at least it has been out of the danger zone of hypoxemia and returned to the normal value range.
Everyone cheered and happily collided with each other to express their joy. On the front line of the epidemic, there is no way to shake hands or high-five, so as to avoid cross-infection, they can only choose to greet each other by touching each other and walking to express their congratulations.
Secretary Gao Song couldn't see the monitor, but the careful Director Fu had already told him the result in his ear. He was also very happy, gave a thumbs up, and said in a sullen voice: "Fortunately, Xiao Dai thought of this trick." ”
Everyone also nodded again and again, looking at Dai Yunyang happily. This made Dai Yunyang very embarrassed, and hurriedly waved his hand and said: "This is not what I thought of, this is what Director Fu thought of, and it is his credit." ”
Director Fu shook his head and said, "Although I thought of this method, I didn't think it worked, so it didn't work." You were the first to dare to eat crabs – the first to eat crabs in the treatment of coronavirus pneumonia. ”
Wu Hao said: "The reason why this prone ventilation is effective, I pondered for a while, it seems that the severe new crown pneumonia patient has been lying flat in bed for a long time, and the fluid oozing from the lungs sinks, causing the lung tissue at the bottom to collapse and the alveoli above to expand excessively. Prone ventilation can reduce the compression of the chest wall and heart on the lungs, avoid the excessive expansion of the upper alveoli when lying flat, promote the re-expansion of collapsed lung tissue, and promote the outflow of sputum. ”
Director Fu nodded again and again: "That's it, this discovery is too important, it seems that we still lack the courage." I told everyone to hurry back and promote, everything is on the ventilator oxygen saturation and still can't get up, you can try to use prone ventilation, see what the effect is? If it works, let's do it. ”
Wu Hao nodded and said, "Yes, this proposal is too good." Prone ventilation is simple and easy, just a little troublesome, it doesn't matter, as long as it can treat the patient and alleviate or even eliminate hypoxemia, it is worth promoting and worth our energy to implement. ”
As a result, doctors on each floor immediately began to organize and try to ventilate their patients in the prone position.
The good news came that almost all patients had recovered to varying degrees of oxygen saturation. And most of the patients are recovering obviously, and now everyone cheers together, this discovery is too important, at least they have one more weapon to deal with the new coronavirus.
After Secretary Takamatsu used prone ventilation, oxygen saturation was always maintained at about 95%, which greatly increased his spirits. He has more energy to deal with some important matters that he needs to deal with, one of which is calling for plasma donations from patients who have been cured and discharged from the hospital.
This was already being done before Secretary Gao Song fell ill and was admitted to intensive care, and the expert group of the National Health Commission once proposed that the plasma of patients who had been cured and discharged could be used to transfuse severe new crown pneumonia patients. Because there is currently no specific drug for this disease, patients who are cured and discharged from the hospital have antibodies to this disease in their blood, which can help the body's immunity fight the virus.
When the human body is infected by a virus, it develops an immune response, or specific immunity. In other words, the body produces a memory lymphocyte and specific antibodies to attack the virus. The next time the human body is attacked by the same virus, the human body will automatically produce this specific antibody, so that the human body is protected from the virus.
The antibodies produced by the body of the cured new crown pneumonia patients can be transfused into the body of the seriously ill patient through blood delivery, so that the patient can obtain such specific antibodies to resist the re-infection of the virus and lead the patient's body to produce antibodies to defeat the virus. However, the amount of blood needed is relatively large, and there are not many patients who are cured and discharged from the hospital, and many patients are unwilling to donate blood, even if it can be used to save people.
In this kind of mobilization and persuasion, it is not possible to go to the patients one by one to talk to them, and it is best to appeal through various media.
The news and propaganda part was mainly grasped by Secretary Gao Song, and after he fell ill, this work was handed over to President Liu Ming, but the effect was not obvious.
After Secretary Gao Song recovered his spirits, he immediately contacted Liu Ming through mobile phone video to inquire about immune plasma donation. He was anxious when he learned that the number was too small to meet the needs of the clinic. Although this method is not a panacea for the new crown pneumonia virus, it can help improve the body's immunity, thereby shortening the recovery time and enhancing the ability to fight the virus, and the effect cannot be ignored.
Gao Song called Liu Ming again.
Dean Liu Ming smiled bitterly on the phone and said, "Secretary, it's not that I don't want to do it, it's that it doesn't work!" When other patients did not come, I asked Zhou Weiyan to submit articles to TV stations and newspapers, and issued an appeal to everyone to come to the hospital to donate blood and treat critically ill patients. But it's not that the consciousness is not high, in fact, many people are willing. However, many of these patients have been severely damaged after the new coronavirus, and their bodies are not as good as before, and they are all very weak. ”
"After Zhou Weiyan's investigation, several patients had the new crown, although they were cured, or they were not cured, but their health was not as good as before. I used to be able to run a marathon, but now I have to go upstairs and am out of breath, and it takes quite a while to recover. In this case, many people must prioritize their own body and ensure that their body is well maintained before saving others. If the body is so weak, donating a few hundred milliliters of blood, the body will be even weaker, and maybe you will fall ill, this situation is actually completely understandable, there is no way. ”