【Commentary】 On May 13, Beijing's first critically ill patient with new coronary pneumonia who successfully detached from extracorporeal artificial lung membrane (ECMO) was discharged from Beijing Ditan Hospital. On the day of discharge, the 79-year-old rehabilitation patient horse grandma and family members sent flowers to the medical staff to express their gratitude. Recalling the 98 days of fighting against the disease, Granny Ma's memory is still fresh.
[Same period] Rehabilitation patient horse grandma
I didn't know that I would rescue a fever and coma here. When I opened my eyes, all the leading medical staff were in front of me, caring about me, and trying to take care of me to help me recover. It was the loved ones here who saved me and gave me a second life. I must fight for another 20 years, 100 years old, 101 (years old), 102 (years old).
[Commentary] According to doctors, Grandma Horse was admitted to the hospital from February 5th, and her condition was very serious. On the evening of February 9th, her condition was critical again. The director of Liu Jingyuan led the team to install ECMO for the elderly and start the life-defense battle.
[Same period] Liu Jingyuan, director of the Department of Critical Care Medicine, Beijing Ditan Hospital
The ECMO support process has actually been "walking a tightrope", requiring a variety of balances. For example, if a large amount of blood is drawn out, anticoagulation is required. If the dose of anticoagulation is too large and it is easy to bleed, it is necessary to constantly find a balance. The second is to survive the infection. While preventing these complications, it is also necessary to promote the recovery of her lungs. After about 23 days, the lung function of the elderly gradually improved gradually.
【Explanation】 Under the day-and-night treatment of the Beijing Critical Care Expert Group and 14 support nurses, the continuous nucleic acid test of the grandma's milk was negative on February 23. On March 3, she successfully escaped from ECMO and slowly entered the rehabilitation period. On May 3, she completely removed the ventilator and pulled out the tracheotomy tube. Liu Jingyuan said that at present, the lung function of horse grandma is recovering well, but oxygen is still required, and regular review is required after discharge.
[Same period] Liu Jingyuan, director of the Department of Critical Care Medicine, Beijing Ditan Hospital
She usually rechecks in two weeks. Our severe new coronary pneumonia may eventually have certain pulmonary fibrosis, and the repair of lung fibrosis takes a relatively long time. After our assessment, she can still walk around the basic life of the elderly in the case of home oxygen therapy. It is possible to go to the bathroom and ask the family for assistance.
【Explanation】 It is understood that since the Beijing Ditan Hospital participated in the treatment of the new coronary pneumonia, the intensive care unit has admitted a total of 35 critically ill patients. The expert team conducts multiple professional consultations for patients every day, and customizes the treatment plan.
[Same period] Liu Jingyuan, director of the Department of Critical Care Medicine, Beijing Ditan Hospital
(Current) There are a dozen patients with mild disease. If there is no input (case) and no local (case), it is estimated that it should be able to end in one month. We still have a case of critically ill patients who are still under control and need some time to continue treatment. The Beijing Municipal Health and Health Commission and the Hospital Authority attach great importance to the treatment of critically ill patients. The principle in the city is to do everything possible to treat each patient and minimize the mortality.
Liu Xuanting reports from Beijing
Editor in charge: [Wang Kai]