China News Service, Nanjing, May 19 Question: Women's cardiac arrest for two hours hospital "do not give up" rescue to create a "resurrection" miracle
Author Sun Qian Xu Shanshan
The heart, known as the "engine" of the human body, once stopped, the brain will die within 6 minutes. Zhang Ling (pseudonym), 34, suffered a shock and stopped her heart for two hours, but fortunately, the medical staff did not give up any hope, and the multidisciplinary forces jointly treated. After more than 20 days of careful treatment, recently, Zhang Ling finally woke up and regained consciousness and was able to communicate normally with her family.
At the end of April, Zhang Ling went to the gym as usual. After sweating for an hour, Zhang Ling suddenly fell to the ground and his heart stopped breathing. The staff rushed her to the nearby Jiangsu Provincial Hospital of Traditional Chinese Medicine, when Guo Tao, deputy director of the emergency department of the hospital, and Zhang Feng, the doctor, happened to pass by.
The hospital "do not give up" rescue and create a "resurrection" miracle. Photo courtesy of Jiangsu Provincial Hospital of Traditional Chinese Medicine
"The patient looks very bad and the situation is critical." Guo Tao immediately rescued the patient on the roadside and took turns in cardiopulmonary resuscitation with Zhang Feng. "However, after five minutes of compression, the patient's condition did not improve." Guo Tao quickly rushed into the emergency department of the hospital not far away and borrowed a cart. Several people placed Zhang Ling on the cart and continued to press the heart. room.
"The patient didn't have any vital signs when he came, and 20 minutes have passed from falling to the emergency room. There is little hope for successful treatment." Wang Yijun, chief physician of the emergency department of Jiangsu Province Traditional Chinese Medicine Hospital on duty that day, recalled. But he and the medical staff did not give up, took all rescue measures, and continued cardiopulmonary resuscitation. "I only thought she was in her 30s, and it was a pity that her young life passed away."
Just for nearly two hours of continuous compression, a miracle happened: Zhang Ling ’s hand moved first, then the original ventricular rhythm on the display screen changed to sinus rhythm, and the arterial pulse recovered, and she finally had a weak Heartbeat.
However, the risk has not been ruled out. Because the cause of cardiogenic shock is unknown, although heartbeat and blood pressure are restored, due to prolonged ischemia and hypoxia, heart function is extremely poor.
The hospital "do not give up" rescue and create a "resurrection" miracle. Photo courtesy of Jiangsu Provincial Hospital of Traditional Chinese Medicine
The Department of Critical Care Medicine immediately launched the ECMO emergency mechanism. However, the use of ECMO is not foolproof, and it still faces many challenges.
Due to prolonged cardiac arrest and respiratory arrest, Zhang Ling developed severe coagulation disorders. When puncturing her, blood couldn't stop going out. To this end, the hospital arranged for someone to stay by her bed, take local pressure to stop bleeding, adjust medication, and infuse blood products.
After ten days of careful treatment, Zhang Ling's vital signs were stable, and ECMO was successfully removed on May 6. However, the EEG that was subsequently reviewed showed that the situation was not very good, and it was very likely to become a vegetative.
At the time when the family was extremely sad, the doctor did not give up. "The patients with CPR showed convulsions indicating that there was still a response. We have always believed that she can wake up." The medical staff said.
The god of luck came again. After sleeping for more than half a month, Zhang Ling woke up completely, and then pulled out the endotracheal tube to achieve free breathing. Now her consciousness has completely recovered, she can communicate with people normally, and she is undergoing lower limb rehabilitation treatment.
"At normal room temperature, irreversible damage to brain cells occurs after 4 minutes of cardiac arrest. If the time is more than 10 minutes, even if the patient is rescued, it may be brain death. Like the patient, cardiac arrest for two hours can still After successful treatment, recovery of consciousness as usual is an example after all. ”On the 19th, Jiang Hua, deputy director of the Department of Critical Care Medicine, said that the patient was in a special situation. On the one hand, she received cardiopulmonary resuscitation shortly after falling to the ground. In addition, young age and good physical fitness are also important factors.
After a long quarantine period of epidemic, many people have recently chosen to exercise "revenge". In this regard, experts reminded that excessive exercise is not advisable, it must be an appropriate amount, you can determine whether the exercise intensity is appropriate by monitoring the heart rate, the heart rate should not exceed 140 times per minute. In addition, do not insist on exercise with illness. (Finish)