Has called for CT imaging as another main screening method for the diagnosis of new coronary pneumonia
Zhang Xiaochun: Guan Tian must stand up and talk
Zhang Xiaochun, a doctor of imaging department at Zhongnan Hospital of Wuhan University, stood on the cusp of the wind. Among the clinical doctors, she was probably the earliest publicly stated: "Don't be superstitious about nucleic acid detection anymore. CT imaging is strongly recommended as the main basis for the diagnosis of new coronary pneumonia."
Although two days after she put forward this idea, the "Diagnosis and Treatment of New Coronavirus Infected Pneumonia (Trial Fifth Edition)" (hereinafter referred to as "the Fifth Edition of Diagnosis and Treatment Scheme") was adjusted to require the addition of "clinical treatment in Hubei Province" The "diagnosed case" classification—that is, a suspected case with imaging characteristics of pneumonia—but that is, during those two days, this original professional topic has been arguing on the Internet.
Many people commented that she dared to tell the truth. She said that human lives are off, why do n’t we healers stand up.
As a healer, "Must stand up and talk"
At about 3 pm on February 3, Zhang Xiaochun turned on his mobile phone after work and saw "a variety of missed calls, as well as WeChat voice calls and video calls." At 9 am that day, she sent a circle of friends calling for CT imaging as another main screening method for new coronary pneumonia in addition to nucleic acid testing, and called for stopping the home isolation method at home and establishing an isolation point.
"I didn't know that this content was swiped." Zhang Xiaochun said, "The original intention was to make the group of patients who could not be treated successfully enter the hospital for treatment."
Tens of thousands of patients were stuck on the nucleic acid test results. After the fifth edition of the diagnosis and treatment plan was formally implemented, only one day on February 12, Hubei increased the number of clinically diagnosed cases by 13,332. "These clinically diagnosed cases are actually the existing patients." Zhang Xiaochun said.
Prior to Zhang Xiaochun's appeal, a positive nucleic acid test result was the only indicator of hospitalization. "A lot of patients ask us for help, but we can't do anything about it. The medical staff has no right to take in the hospital, and the beds in designated hospitals are uniformly dispatched by the prevention and control headquarters."
Prior to receiving the general request of "receivables, receivables, treatments", the designated hospitals in Wuhan were nervous and "may not fully meet the cases that have been diagnosed."
The Deputy Director of the Imaging Section has been living in the office since January 14. After the epidemic broke out, Zhongnan Hospital of Wuhan University where she took over successively took over Wuhan No. 7 Hospital, Wuhan Living Room Fangcai Hospital, and Wuhan Lei Shenshan Hospital, with more than 5,400 beds. In addition to the square cabin hospital, the other three are responsible for the treatment of critically ill and critically ill patients.
Zhang Xiaochun remembered that "I was in a desolate mood" during that period. Some patients had severe lung lesions and died before the diagnosis was confirmed. "Life is off" has become a reason she must speak, even after publishing her circle of friends, many colleagues worry that she "will not affect the unit or the individual." But she said, "What should a doctor do? It is to save the patient by treating the disease. At that time, the priority is to save the life. You can isolate the treatment according to the worst plan, and treat it first, then check the pathogen slowly."
In fact, Zhang Xiaochun discovered signs of lung disease in such patients on December 27, 2019. At that time, colleagues from the same department called her to watch a video, "I blurted out, isn't this SARS!" But because of other pathogens It can also cause similar changes in the lungs. Zhang Xiaochun and colleagues did not think in the direction of infectious diseases. When the emergency response meeting was held on December 31, Zhang Xiaochun thought of this patient, and the patient was diagnosed with new coronary pneumonia.
Zhang Xiaochun said that at that time, many medical staff were alert and thought that there might be human-to-human transmission. After comparing the CT images and nucleic acid test results of more patients, Zhang Xiaochun confirmed that there were a large number of "false negatives" in nucleic acid tests. She knew that as a healer, "you must stand up and talk."
Saves the patient's life more than anything else
After the implementation of clinical diagnostic standards, Zhang Xiaochun urged in the media that mobile CT or cabin CT should enter Wuhan as soon as possible to alleviate the pressure of insufficient CT equipment in the hospital.
"Every time we make a suggestion, we will face a new problem. We must immediately think of other solutions." Zhang Xiaochun said, considering that a large number of patients may have cross-infection problems during CT, they will find ways to place them in mobile CT equipment. Disinfection machine, the fastest disinfection speed reaches 0.69 seconds.
So far, Zhang Xiaochun and more than 30 colleagues in the imaging department have watched nearly 100,000 films.
On February 19, the sixth edition of the diagnosis and treatment plan canceled the classification of "clinical diagnosis cases" in Hubei Province. As soon as the news came out, Zhang Xiaochun received a lot of calls again, "Ask me if the suggestion has been mentioned in vain, or whether I have returned to the original point." After looking closely at the contents of the new version of the plan and giving a reply, Zhang Xiaochun found himself a new job, interpreted the two versions of the guide, and analyzed the corresponding tasks of CT imaging at different stages of the epidemic.
In the face of more than 80,000 cases diagnosed nationwide, CT images should be evaluated in stages. "Judge whether the patient is mild or severe, whether they can be discharged, or whether they can be released from isolation." Zhang Xiaochun said, even if the epidemic is under control, the patient must be followed up for a period of time. This treatment is also a life-saving effect. "
I have been worried but not panic
The "epidemic" scenes these days often remind Zhang Xiaochun of the SARS period 17 years ago. The young medical staff in the imaging department were "as they were when we were in the SARS field, but they seemed more mature and less panic."
She has been in the imaging department for nearly two months. Zhang Xiaochun can only rest for a few hours a day. The other day, she even needed oxygen to continue. After finishing her work during the day, she will also organize the patient image data of the day at night. Everything is happening here in Zhang Xiaochun. Only when talking about his parents, Zhang Xiaochun, who was husky and talking fast, stopped and sighed. Her parents were also infected, but the two did five separate nucleic acid tests, and the results were negative. "When I saw the mother's film, I felt uncomfortable in my heart and thought it was indeed."
Until now, her parents' symptoms have not been alleviated. "This disease is self-healing. Patients must have a positive belief in survival. I advise them to be optimistic and eat without appetite." Zhang Xiaochun said.
Zhang Xiaochun has been in medical care for more than 20 years. She once complained that some patients could not get timely treatment of anger and sorrow. She also lamented that "the medical staff is too busy." Only, "Healers save lives."
China Youth Daily · Trainee reporter Zhu Caiyun from China Youth Daily Source: China Youth Daily