China News Service, Nanjing, April 8 Question: "Reset" and then set off: Jiangsu Medical Team Wuhan continues "Life Miracle"

Author Zhou Ningren He Yutian Wu Nina

Spring is getting stronger. However, for the members of the Jiangsu Medical Team who are still sticking to Wuhan, they have no time to feel the spring and are fully committed to the sprint stage of the decisive battle against the new coronary pneumonia epidemic.

After completing the critical care mission of the First Hospital of Wuhan City, 208 members from the Jiangsu Provincial People's Hospital "zeroed out" and set off again, moving to the critically ill ward of Wuhan Jinyintan Hospital. In order to bite the "hard bones", the medical team established 15 assault teams such as tracheal intubation and bronchoscopy to respond to various emergencies and adopt individualized treatment plans based on the patient's condition and examination results.

The team of Li Jinhai innovatively carried out a modified percutaneous conical dilatation tracheotomy for patients. Photo courtesy of Jiangsu Provincial People's Hospital

In the past few days, the team members have continued to write "life miracles". As of April 6, Jinyintan Hospital admitted 52 patients, including 15 discharged, 17 improved, and 3 extubated.

Successive "two kneels" to fight against time to save lives

March 26 is the third day of the Jiangsu Provincial People's Hospital medical team transferred to Wuhan Jinyintan Hospital. In the afternoon of the same day, an 80-year-old man's sputum accumulated in the airway and oropharynx. He had difficulty breathing and needed immediate respiratory support. Han Yi, the leader of the medical team in the Sixth Severe Ward and the deputy chief physician of the elderly ICU of Jiangsu Provincial People's Hospital, immediately knelt down on the bedside to provide assisted breathing for the patient.

On March 27, Han Yi found that a 70-year-old man had poor mechanical ventilation, high ventilation resistance, and many tracheal secretions. Han Yi quickly climbed onto the bed, knelt on the patient's bedside, and quickly operated the bronchoscope checking. Under the microscope, Han Yi saw a lot of sputum and purulent secretions deep in the left and right bronchi. She immediately lavaged and cleared the secretions in the bronchus. After half an hour, the elderly's vital signs steadily rebounded. Turn danger into danger.

The field team does endoscopic treatment for patients. Photo courtesy of Jiangsu Provincial People's Hospital

A single shot, 56 seconds to save lives

On March 29, in the intensive care unit of the Jinyintan Hospital in Wuhan, the carbon dioxide in the blood gas value of a patient in his 60s suddenly increased and his life was in an emergency.

After discovering this situation, Li Jinhai, a member of the Jiangsu Medical Team and the Deputy Chief Physician of the Department of Intensive Medicine of Jiangsu Provincial People's Hospital, in collaboration with other members, innovatively adopted a modified percutaneous conical dilation tracheostomy for emergency treatment according to the special circumstances of the elderly It took 56 seconds from the puncture to the successful catheterization.

Multi-disciplinary collaboration, staged a 3-minute "speed of life and death"

On April 3, the Jiangsu Provincial People's Hospital assisted the Wuhan Jinyintan Medical Team with remote and multidisciplinary collaboration, and successfully implemented a high esophageal stent implantation for a severe patient with new coronary pneumonia. This was the first merger of new coronary pneumonia in Wuhan during the epidemic. Esophageal stent implantation in patients with esophageal tracheal fistula.

Tian Ye, a member of the Jiangsu Medical Team and the deputy chief physician of the Department of Gastroenterology of Jiangsu Provincial People's Hospital, performed a digestive endoscopy for a 61-year-old female patient and found that there were two fistulas in the esophagus of the patient, and the upper fistula was close to the entrance of the esophagus The most frightening thing is that the two fistulas are connected to the trachea. If they are not blocked in time, they may be life-threatening.

After repeated discussions with the multidisciplinary experts in the back and designing the surgical plan, on the afternoon of April 3, the surgical team led by Tian Ye worked together for 3 minutes to overcome the difficulties and successfully placed the esophageal stent for the patient, which solved the "current troubles" ", But also eliminate the" worries of the future. " (Finish)