(Fighting New Coronary Pneumonia) Academician Li Lanjuan talks about treatment experience: Bringing critically ill patients back from the death line
China News Service, Wuhan, September 24 (Wu Yili) A photo of a patient recovering from new coronary pneumonia with thumbs up "likes" it, which is unforgettable for Li Lanjuan, academician of the Chinese Academy of Engineering.
This is a 59-year-old critically ill patient she was treated at the People's Hospital of Wuhan University.
After treatment, the patient improved and was discharged after 43 days of hospitalization.
Data map: Academician Li Lanjuan took off his mask while ensuring safety.
Photo by China News Agency reporter Wang Gang
At the 13th China Bioindustry Conference held in Wuhan on the 24th, Academician Li Lanjuan said through a video link that China has basically controlled the spread of the local epidemic and has become a model for the global fight against the new crown pneumonia epidemic.
During the epidemic, Li Lanjuan led a team to join the People's Hospital of Wuhan University, which specializes in treating critically ill patients. With the belief of "reducing severe disease and reducing mortality", the team adopted "four resistances and two balance" as the main treatment strategy.
This is a set of strategies that Li Lanjuan's team has summarized when dealing with the H7N9 virus.
"Four antibodies" refer to anti-viral, anti-shock, anti-hypoxemia, multiple organ failure, and anti-secondary infection; "two balances" refer to water electrolysis acid-base balance and microecological balance.
In the treatment of new coronary pneumonia, the "four antibodies and two balance" have been verified again.
After a comparative study with H1N1, H7N9 and other viruses, Li Lanjuan’s team found that the new coronavirus replicates strongly and spreads quickly. The virus over-activates the patient’s immune system and causes a cytokine storm, which damages the patient’s lungs and related tissues throughout the body.
"Compared with starting antiviral treatment 5 days after the onset of illness, patients with new crown pneumonia who started antiviral treatment within 5 days of onset have a milder disease, the virus turns negative earlier, and the body temperature recovers quickly." She proposed that patients with new coronary pneumonia should be treated early to prevent antiviral treatment The cytokine storm is urgent.
Cytokine storms increase the number of neutrophils in patients, and the continuous inflammatory response leads to activation of coagulation. Viral infection, hypoxia, and shock lead to acute kidney injury in patients.
For patients with cytokine storm and rapid disease progression, Li Lanjuan's team used artificial liver blood purification technology for treatment.
"In the ICU of Wuhan University People's Hospital, the survival rate of severe patients with cytokine storm in the early and mid stages of artificial liver blood purification treatment is 100%." Li Lanjuan said, the "four antibodies and two balance" strategy has pulled many critically ill patients back from the death line , Effectively reducing the fatality rate.
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