[Concurrent] Jian Chunlan, Organ Donation Coordinator, People's Hospital of Wuhan University
Even if there is still a glimmer of hope for this patient to survive, we will pay 100% of our efforts to rescue them.
[Explanation] Recently, Xiaoyu, a 17-year-old girl from Xianning City, Hubei Province, fell into a deep coma after taking a whole bottle of medicine and entered a state of brain death clinically.
The distraught family once thought of "donating organs to prolong their daughter's life".
In order to fight for the last chance, Jun Chunlan, the organ donation coordinator of the People's Hospital of Wuhan University, urgently contacted the medical and nursing team of the Department of Critical Care Medicine II of the People's Hospital of Wuhan University, and joined hands to miraculously awaken young lives.
[Commentary] In an interview with reporters on April 27, Jun Chunlan said that as an organ donation coordinator, although the family members have signed the organ donation agreement, it is the best way to not give up any life and try their best to treat the patients. The first thing in front of medical staff.
[Concurrent] Jian Chunlan, Organ Donation Coordinator, People's Hospital of Wuhan University
When we find a potential donor, our first step is to make a comprehensive assessment of the patient's condition, not to give up treatment as soon as we find that she is a potential donor (organ donor). .
So we don't give up one person's life in order to save the lives of several people.
[Explanation] During the rescue, Xiaoyu twitched all over, followed by sudden breathing and cardiac arrest. After emergency cardiopulmonary resuscitation, although the heart rate returned to normal, he was still in a deep coma, the brainstem reaction disappeared, and he was unable to breathe on his own, with clinical judgment Criteria for brain death.
[Explanation] Jian Chunlan, who wants to make a last effort to save young lives, suggests that parents transfer the patient to the Department of Intensive Medicine II of Wuhan University People's Hospital for treatment to see if they can win the last chance.
[Concurrent] Jian Chunlan, Organ Donation Coordinator, People's Hospital of Wuhan University
The determination of brain death also has certain standards and techniques. In the end, we have to do a confirmation test of brain (death) several times. After the confirmation test, we can diagnose as brain death to see if she meets the standard of brain death.
Therefore, for this little girl, we came first to rescue him, so no further diagnosis was made.
If it is said that the effect is not good after our rescue, it is still on the clinical standard (brain death), and we will do the next confirmation test.
[Explanation] Yu Zhui, director of the Department of Critical Care Medicine II at the People's Hospital of Wuhan University, led the team to quickly study and judge the condition, and found that although the patient suffered from cardiac arrest and was in a deep coma, the local hospital was more timely for CPR.
Considering that the patient was in a coma due to taking a large dose of the drug, the drug itself has a strong inhibition on the patient's consciousness.
With years of experience in critically ill treatment, Professor Yu Zhui believes that patients may still have hope of survival, and it is more scientific to conduct cerebral resuscitation evaluations after ruling out the effects of the drugs themselves.
[Concurrent] Yu Zhui, Director of the Department of Critical Care Medicine II, People's Hospital of Wuhan University
After we came here, we adopted double plasma exchange combined with hemoperfusion for treatment. Usually, if the amount of plasma exchanged for plasma exchange is sufficient to completely replace her with plasma, it will be fine, and there is no need to do any more. For blood perfusion, because the source of plasma was very tight, only 600 ml was prepared, so we added blood perfusion later.
[Explanation] Under the full efforts of the intensive care team, Xiaoyu miraculously recovered after 2 days, and was successfully released from the ventilator, and the tracheal intubation was removed.
After strict physical examination and imaging evaluation, no neurological sequelae were found.
At present, Xiaoyu's parents have returned home with their daughter discharged from the hospital.
[Concurrent] Yu Zhui, Director of the Department of Critical Care Medicine II, People's Hospital of Wuhan University
This is mainly due to the sudden cardiac arrest that occurred under (the doctor's) direct vision, and then the resuscitation was very timely. The initial resuscitation was very timely and effective. Then, in the later stage, it is speculated that the poisoning drug was completely removed. sequelae.
She finally brought us the pennant, walking with her father.
[Explanation] Yu Zhui reminded that it is a three-point poisonous medicine.
In the event of accidental ingestion, overdose or poisoning, the patient should be sent to the hospital for rescue as soon as possible and induce vomiting or gastric lavage as soon as possible. .
If the drug has been absorbed into the blood, timely and effective blood perfusion adsorption and plasma exchange to remove the drug is the key to saving lives.
Reporter Zou Hao reports from Wuhan, Hubei
Responsible editor: [Li Ji]