C21 He Reported the Death
After Huo Xiaojiang recovered his health, he cherished his rebirth. Once again, they stepped onto the road of the truck. Before they returned to the Suzhou highway, Huo Xiaojiang took the initiative to call the government department to apply for a 14-day medical quarantine for 14 days at the New Coronitis Center in the Suyu Area.
As he personally presented a gold banner, he revealed a lot of details to Liu Handong. During the quarantine period, Quite a number of people who received medical quarantine and observed felt that it had been too long, and their emotions fluctuated. Huo Xiaojiang helped the doctor on duty to persuade everyone in the WeChat group: "We're home. If we really carry the virus, what will it bring to our family? What will the neighbors think of us? " Their heartfelt words gradually calmed everyone's emotions.
The story of Huo Xiaojiang revealed the feelings of an ordinary citizen. In this epidemic prevention and blockage war, The story of an ordinary hero played out every day, and a large number of medical workers risked their lives. They risked their lives to fight on the front line, and many ordinary citizens didn't ask for anything in return. They did not offer their strength for praise. All of them were united. There was no mountain that could not be overturned; their hearts were held by hands; there was no hurdle that they could not overcome. Winning the epidemic prevention and blocking battle. . . The people would definitely be able to do it! The people would definitely be able to!
After Huo Xiaojiang left, Liu Handong thought about insomnia.
The next day, when he finished dealing with the other critically ill patients, he once again put his focus on Chen Shaoguang.
The head nurse reported to him that he was currently operating a tracheoscope, and it ended very quickly.
Not long after she finished speaking, Liu Handong saw Chen Shaoguang's operation record.
Patient's name: Chen Shaoguang.
Gender: Male
Age: 38
Location of operation: ICU 2.
Process of operation: Patient's pmonitis, respiratory failure, a clear indication of the condition of the lung. Immediately perform arthroscopy peritoneum infusion and phlegm absorption on the side of the bed. The patient will be placed in a flat position, and he will be using a mechanical ventilation technique. Adjusting the oxygen concentration by 100%, PEPP0MH2O, monitoring the patient's MPO by 299%. He inserted the trachea along the phlegm absorption circuit. The trachea above the section was open, and the mucous membrane was congested with edema. A small amount of yellow phlegm could be seen in the trachea. The phlegm would be extracted and cultivated. The trachea in the right lung would be washed and preserved as a specimen. The operation went smoothly. After the operation, the mechanical ventilation would continue. Adjusting oxygen concentration by 80%, PEEP 10 CMH2O, monitoring SPO299%.
Result: The operation process went smoothly.
Postoperative precautions: Pay attention not to observe breathing conditions.
Operator: An attending physician, an in-service physician, a graduate student.
It was probably due to Chen Shaoguang's fiancee's many requests that he received all sorts of attention.
It even alarmed Liu Guohui, the doctoral tutor that Liu Handong had not seen for many days.
He actually personally came to investigate the room. It was just that he was not there when he recorded it.
However, he could still calculate the situation on the spot from a detailed and detailed record.
Currently, the patient's main problem was:
Severe infection of blood origin? Intestine origin?: The highest temperature of the patient's body yesterday was 38. 8 degrees Celsius. Under anaesthesia, there was no obvious abdominal pain, chest pain, and other discomfort. Repeated infection index: Blood cell analysis: White cell count: 3. 73 x 10 = 9 / L; neutral cell ratio: 57. 9%; neutral cell count: 2. 16 x 10 = 9 / L; calcium descent: 1. 70 / ml; the source of the infection currently unknown. Continuing to receive intravenous treatment from Aamine Penixis in his Ding. Examining the possibility of urethra, gallbladder, abdominal cavity, colon origin and other infections, monitoring body temperature and change of infection indicators.
2. Selpsis infectious shock cardiac inhibition: The patient's skin temperature was low, the spots were obvious, and he was in a coma. He was going to take 120ug / mun of epinephrine and epinephrine 0. He injected 0. 6 ug / kg / ml of epinephrine into the patient's body. The patient's blood pressure was around 120 / 60 mmHg. Monitoring: LAC: 15. 6ml / L; SCVO2: 70. 8%;
3. ARDS Heaviness: The patient currently does not have any obvious respiratory distress under anaesthesia, and the invigorated invigorated hypoxia assisted by the tracheotomy is above 95%. There was a small amount of white phlegm in the airway. The patient's lungs did not hear any obvious dry-humidifying sound. This morning, the blood and Qi check: PH: 7. 145, PCO 2: 44. 4 mHg, oxygen pressure: 76. 2 mHg, oxygen index: 152. 4 mHg, continue correcting acid poisoning, and the ventilator to assist in respiratory respiration.
4. AKI level 3: The patient had 135ml of urine in 12 hours yesterday, and he had a follow-up examination. Kidney function Urobin: 11. 5ml / L; Muscle Anine: 178ml / l; Continue to ensure that the kidney is injected, and monitor the changes in the kidney function.
Blood coagulation disordered: [No obvious bleeding point on the patient's skin. Check the blood coagulation function. ] Blood Coagulation Enzyme Time: 16. 2 seconds; Activated Part of Blood Solidification and Activated Enzyme Time: 62. 4 seconds; Taking into account the disorder in the Blood Solidification Function caused by severe infections, blood transfusion and blood supplements to correct Blood Solidification Function Disorder Disorder.
6. Lung infection: The patient's tracheotomy assisted ventilation oxygen above 95%. He could suck out a medium amount of yellow and white sticky phlegm from the ventilation duct. He could hear the thickness of the lungs' breathing and did not hear any long-winded sounds. Currently, his experience was given to Aamine Pinesisi to treat the infection. After observing the changes in the patient's body temperature and infection indicators, he would strengthen the treatment of airway management.
Liu Handong once again experienced the seriousness of Liu Guohui's doctoral tutor.
After he looked at the patient, he instructed: 1. Severe infection of blood source? Intestine origin? Sepsis infectious shock cardiac inhibitor: Continue to receive relevant training and actively search for the source of the infection. The patient has serious shock, and considering the high possibility of blood origin infection, Exemplary treatment of amine pedanus was given to him to treat the infection, and he started to perform sepsisbudle. Cardiovascular circulatory mechanics, monitoring the patient's cardiovascular function. He ensured the infusion of organs, infection, and infusion indicators. 2. ARDS Heavy Level: Surveillance of the patient's respiratory force. Lung protective ventilation strategy: Monitoring blood and Qi analysis. 3. AKI 3: Surveillance of the patient's urine volume and kidney function. Carry out CRT treatment to maintain the stability of the internal environment. 4. Blood coagulation disorders: Observe if the patient has any bleeding tendencies. Apply for blood transfusion and actively correct the blood coagulation disorders. 5. Lung infection: Strengthen airway management. Checking the chest scan to observe the condition of the lungs and performing an arthroscopy check. Continue to extract phlegm to nurture. 6. Electroelectrolyte disorder, hypocritical blood syndrome, sodium, hyperchlorimia: Positive correction of electrolyte disorder, observing the patient's consciousness and heart rate changes. 7. Arachnid oscillation: Monitoring the changes in electrolytes, electrocardiography, and myocardial enzymes. Observe the patient's heart rate and heart rate.
After Liu Guohui's personal guidance, Chen Shaoguang's recovery was extremely fast. He could even be considered a miracle.
The next day after he was discharged from the hospital, Chen Shaoguang was reported to have died. All of this instantly caused an uproar.
