China News Service, Shanghai, March 26th: Shanghai Medical and Nursing Opens "Green Channel" to "Win Back" Life for Critically Ill Patients
China News Service reporter Chen Jing
At the Shanghai New Coronary Pneumonia Epidemic Prevention and Control Press Conference held on the 26th, Wu Jinglei, director of the Shanghai Municipal Health Commission, said that scientific, standardized and reasonable prevention and control measures should be taken for medical institutions and medical personnel, and medical treatment should not be treated because of the epidemic. Institutions are closed, sealed, and stopped to further scientifically and accurately prevent and control the epidemic, and minimize the impact of epidemic prevention and control on people's normal medical treatment.
The reporter learned from several days of interviews that, in fact, medical institutions at all levels in Shanghai have been working hard to open "green channels" for the public during the epidemic, provide emergency services for critically ill patients, and save fresh lives from the hands of death.
A 92-year-old patient with low rectal cancer successfully underwent a difficult stoma-free sphincterectomy
Mr. Xiong, a 92-year-old man who lives in Jing'an District, Shanghai, was rushed to Gastrointestinal Surgery at the Fourth People's Hospital of Shanghai Affiliated to Tongji University due to rectal cancer with liver metastasis during the epidemic.
After careful treatment by the medical staff of the hospital, Mr. Xiong completed one-stage radical stomal-preserving sphincterectomy and partial resection of the left hepatic lobe and was discharged from the hospital.
In early March, Mr. Xiong's related symptoms were getting worse, and he went to the Fourth Hospital of Shanghai with his granddaughter.
The doctor found that the old man's rectal cancer was less than 6 cm away from the anus. At the same time, the old man's coronary arteries and cerebral blood vessels were severely narrowed.
"Old age, male, obesity, low rectal cancer, severe cardiovascular and cerebrovascular diseases", the operation is very difficult and the risk is extremely high.
Tu Xiaohuang, director of the gastrointestinal surgery department of the hospital, introduced that it is extremely difficult to complete the operation for rectal cancer in this super-aged patient and achieve anal preservation. It requires the medical team to have excellent surgical techniques and a complete perioperative diagnosis and treatment plan. Preventive measures for serious complications.
The medical and nursing team optimized the preoperative preparations for "three exemptions, two sedatives and one antibody" (ie, no intubation, no mechanical bowel preparation, no fasting, analgesia, sedation, and anxiolysis) to minimize the discomfort of Mr. Xiong.
Uncle Xiong successfully underwent laparoscopic surgery under general anesthesia.
Under the epidemic prevention and control, his children were isolated.
The medical staff of the hospital undertakes all postoperative rehabilitation tasks for the elderly.
The multi-modal analgesia featured by the specialty makes Mr. Xiong basically feel no pain in the surgical incision. On the first day after the operation, Mr. Xiong got out of bed and started to take in water and clear fluids.
Within a week after the operation, Mr. Xiong's physical indicators all reached the discharge standard, and the underlying disease was stable with zero complications.
The hospital performed ear and nose surgeries for police officers, photo by Liu Guihua
Anti-epidemic police officers "guarded"
In Shanghai Hongkang Hospital, the reporter learned that a patient with colon cancer who lived in Jinshan sought medical treatment because of persistent abdominal pain, and finally got treatment in the hospital and turned the corner.
"I had a stomach ache and went to several hospitals that didn't open the door," the patient told reporters.
She was highly suspected of tumor lesions when she was treated in a foreign hospital, but this hospital under epidemic prevention and control was unable to carry out further diagnosis and treatment.
After learning that she had not traveled to medium and high-risk areas in the past 14 days, the hospital accepted a patient in pain and diagnosed her as "ascending colon tumor with intestinal obstruction". Her abdominal pain was caused by intestinal stenosis and obstruction, which was not treated in time. Fear of life.
The hospital immediately transferred the patient to the general surgery ward and performed surgical treatment to remove the malignant tumor of the right colon, pulling the patient back from the gate of hell.
Mr. Yu (pseudonym), a policeman from the Zhenguang Police Station, continued to have nasal congestion and thunderous snoring when he slept at night, and was dizzy and weak during the day, his hearing and memory were impaired, and his normal work was affected.
Recently, his condition has worsened, and he has been awakened many times from a short sleep.
Seeing that the pressure of epidemic prevention work is huge, Mr. Yu is unable to do what he can do and is very anxious.
In the ENT department of the hospital, Director Lv Yingxue conducted a sleep test on him, which showed that the patient may be in danger of life at any time in patients with severe snoring; Mr. Yu's hearing loss was caused by a tumor in his external auditory canal.
After hospitalization, the hospital implemented ear and nasal surgery respectively to improve the patient's hearing and ventilation.
When Mr. Yu recovered and was discharged from the hospital, it coincided with the implementation of closed-loop management in many communities in Taopu Town, and the prevention and control of the epidemic reached the most arduous moment.
His body gradually recovered, he returned to work in time, devoted himself to epidemic prevention, and became a "guardian" again.
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