China News Service, Shanghai, May 23 (Reporter Chen Jing) Xiong Lize, director of the Shanghai Fourth People's Hospital (Shanghai Fourth Hospital) affiliated to Tongji University, introduced on the 23rd: "At present, the hospital's treatment work is entering the final stage, curing discharged patients. The number of patients has been higher than the number of patients admitted for several days. However, among the patients in the hospital, high-risk elderly patients account for a large proportion, and there is no room for relaxation and carelessness.”
Over the past month of operation, nearly 60% of the patients discharged from the designated hospital are over 70 years old, 262 are aged 90-100, and 15 are over 100 years old.
Under the guidance of experts such as Qiu Haibo, Du Bin, Liu Qingquan, Yang Yi and other experts from the national tour expert group and Professor Zhang Wenhong from the Shanghai-level expert group, the Shanghai Fourth Hospital and the Shanghai Aid Medical Team went all out to guard "Shanghai" and fight side by side. A batch of critically ill patients have been successfully treated.
It is understood that since the outbreak of this round of Shanghai epidemic, in order to strengthen the treatment of severe and critically ill patients, the national itinerant expert group has successively dispatched a number of experts to guide and support the Shanghai Fourth People's Hospital in the treatment of new crown patients.
They mainly come from the majors of respiratory, critical medicine, infectious diseases, geriatric diseases and infection control, and have participated in the prevention and control of new infectious diseases at home and abroad for many times.
The 94-year-old Mr. Huang Lao was one of the first patients admitted after the Shanghai Fourth Hospital was converted into a designated hospital for COVID-19.
After being confirmed to have the new crown, Mr. Huang Lao was transferred to the Fourth Hospital of Shanghai for treatment.
According to reports, at that time, Mr. Huang was in critical condition: breathing difficulties, high fever, and his consciousness was close to a coma.
The elderly also have a variety of underlying diseases such as cerebral infarction, hypertension, coronary heart disease, and diabetes.
After admission, under the key guidance of the supervision team of the National Health and Health Commission, multi-disciplinary joint consultations inside and outside the hospital, anti-virus, aerosol inhalation and other treatments are given. At the same time, patients who have recovered from new coronary pneumonia are given clinical treatment of convalescent plasma, through body position management and respiratory function training. , so that the lung ventilation function of the elderly can be fully improved.
Through the joint efforts of the hospital's medical staff for 48 hours, Mr. Huang turned the corner.
On the 3rd day after being transferred to the designated hospital, the fever of the old man was completely controlled and he regained consciousness. On the 5th day, he was transferred to a non-designated hospital for further treatment after the new crown nucleic acid test was negative twice.
When he was discharged from the hospital, the old man was able to communicate with his family through video and soon recovered completely.
The 93-year-old grandma Chen was transferred to the Department of Infectious Diseases of the Fourth Hospital of Shanghai on April 18. In addition to the new crown, the elderly also suffered from coronary heart disease, chronic cardiac insufficiency, chronic renal insufficiency, grade 3 hypertension, and sequelae of cerebral infarction. disease.
After admission, the expert group gave the elderly blood pressure, vasodilation, heart rate control, anticoagulation therapy, and oral small molecule antiviral drugs.
In order to reassure the family, the medical staff of the hospital will make a video of the elderly and their family members when they have time. In the video, Granny Chen tells her son how she misses her family, but also reassures the family: "I'm fine here, doctors and nurses. You take good care of me, don't worry, the doctor told me in the morning that the test was negative today, and I will be discharged soon."
The hospital told reporters that Granny Chen had recovered successfully and went home, and her family sent a letter of thanks to the hospital.
On April 30, a special patient came to the ward on the 15th floor of Shanghai Fourth Hospital: 73-year-old Ms. Zhu.
She received a kidney transplant in 2002 and received long-term oral anti-rejection drugs. The old man had a history of diabetes and repeated urinary tract infections.
After admission, she developed high fever, drug infection with Escherichia coli, urinary tract infection with Staphylococcus aureus, skin infection on the left arm, and local skin abscess at the infusion site.
Multiple infections have greatly increased the difficulty of treatment for patients. The ward director has repeatedly asked Shanghai-level experts and in-hospital experts for consultation, and contacted the urology experts of Shanghai First People's Hospital who performed kidney transplantation for Ms. Zhu that year to adjust the anti-excretion Different drug doses and anti-infective treatment plans, after unremitting efforts, the patient's body temperature is stable and the basic condition is good.
Xiong Lize told reporters, "For more than a month, as a designated hospital in Shanghai Fourth Hospital, the medical system in the hospital has been continuously improved, the medical force has been continuously enriched, the management of hospital sense has been strictly standardized, and the logistical support has been fully in place. It is inseparable from the strong support of the State-owned Assets Supervision and Administration Commission of the State Council Joint Medical Team, the Fujian National Critical Care Medical Team, the Shanxi Provincial Medical Team, and the Jiangxi Provincial (Jian, Jiujiang) Medical Team, as well as the guidance of the National Touring Expert Team!”
The reporter learned on the same day that the Hunan-aided Chinese medicine medical team set foot on the return journey in batches on the 23rd.
The medical team arrived in Shanghai from Changsha on April 15, and immediately joined the construction and treatment of patients at Gudan Road Fangcang shelter hospital in Pudong New Area.
The patients stayed in the cabin for an average of 5.9 days.
Except for full-term pregnant women, infants and young children, 100% of the patients in the cabin were treated with traditional Chinese medicine.
There are "zero accidents" in the cabins, "zero deaths" in patients, and "zero infections" in the team members.
The Hunan Provincial Aid Shanghai Traditional Chinese Medicine Medical Team consists of 12 medical teams, consisting of the First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, the Second Affiliated Hospital of Hunan University of Traditional Chinese Medicine, the Affiliated Hospital of Hunan Academy of Traditional Chinese Medicine, and the First Affiliated Hospital of Hunan College of Traditional Chinese Medicine. It is composed of 4 provincial TCM hospitals including the First Hospital and 7 cities and prefectures with strong TCM strength.
Gudan Road Fangcai Hospital in Pudong New Area has been operating for 30 consecutive days. A total of 5,242 patients with new coronary pneumonia have been treated, 5,163 people have been out of the cabin, and 79 people have been referred. Among the patients admitted, the oldest is 92 years old and the youngest is only 31 days old.
The medical team provided treatment in strict accordance with the national and Shanghai guidelines, and at the same time carried out syndrome differentiation and treatment focusing on the main clinical symptoms of patients with new coronary pneumonia such as fever and cough, as well as gastrointestinal discomfort, emotional abnormalities and other related manifestations.
In fact, in accordance with the principle of "acquiring as much as possible", Shanghai's makeshift hospitals are responsible for the medical treatment of new coronary pneumonia. Some patients with underlying diseases such as hypertension, diabetes and asthma, as well as the elderly, children, pregnant women, and even Patients with mental disorders were also admitted to the shelter.
It is understood that in Gudan Road Fangcai Hospital, such special patients account for nearly 25%.
The medical team has set up a special ward in the cabin to carry out warm service and personalized medical treatment, creating a harmonious doctor-patient relationship and shortening the time out of the cabin.
The medical team has set up a care area for the elderly with internal and external treatment, specially recruited elite soldiers from the departments of pulmonology, cardiology, and encephalopathy, and specially coordinated the purchase of a batch of simple toilets.
Xiao Wenming, chief leader of the Hunan Provincial Aid Shanghai TCM Makeshift Medical Team and Deputy Director of the Hunan Provincial Administration of Traditional Chinese Medicine, told reporters: "The makeshift hospital ensures safety in emergencies, and makes specialties special in delays, and implements hierarchical, classified, and partitioned management for special patients. , set up special wards, use the characteristics and advantages of Huxiang traditional Chinese medicine, concentrate resources, focus on treatment, and focus on care, and actively create a cultural atmosphere of traditional Chinese medicine, which not only saves medical resources, but also fully demonstrates the humanistic care of traditional Chinese medicine, which helps patients as soon as possible. recovery."
The TCM medical team treated more than 260 cases of insomnia, headache, cough, joint pain, enteritis, diarrhea, etc. by using ear acupoint pressing bean therapy, warming moxibustion ointment, and homemade enteritis sticking acupoint sticking therapy, which effectively relieved the symptoms.
The doctors and nurses also used traditional Chinese medicine emotional intervention to guide patients' health education, learn anti-epidemic righteousness exercises, lung-clearing exercises, etc. to relieve stress.
It is reported that when encountering patients with high psychological pressure, depression and emotional instability, the medical team adopts traditional Chinese medicine emotional counseling and five-element music therapy to actively intervene in the mind and body, and leads them to the traditional Chinese medicine health-preserving exercise area to strengthen their bodies and relieve them. pressure.
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