Life and death rescue 4 days and 4 nights: 39-year-old man sudden respiratory arrest, Punan Hospital staged "life and death speed"

"Save the critical, en tongtian, medical magic hand, fame and legend" "Good medical skills high rejuvenation hand, benevolence and virtue Sian Chae the world" Xiao Cheng, who is full of spirit, gratefully handed over two pennants to the intensive care unit of Punan Hospital and the medical staff of the Department of Cardiology.

If he hadn't experienced the "speed of life and death" of the four days half a month ago, no one would have associated xiaocheng in front of him with the acutely critically ill patient. Passing through the door of life and death, he was in a coma for 4 days and 4 nights, and when he woke up to see the intensive care unit medical staff around him with concern in his eyes, Xiaocheng seemed to have slept.

Time turned back to an afternoon half a month ago.

Xiao Cheng, who was working, suddenly lost consciousness, cyanosis on his lips, and fainted on the ground. The colleague next to him immediately went forward to investigate, found that his breathing and heart stopped, and the crowd immediately pressed the chest on the spot and dialed 120 for help. The emergency 120 team quickly arrived at the scene and found that the patient's heart stopped and was accompanied by ventricular fibrillation, and immediately performed electrical defibrillation, chest compressions and other rescue and sent him to the emergency room of Punan Hospital.

At this time, although Xiaocheng's breathing and heartbeat have recovered, his limbs are stiff and convulsive, his mouth is foaming, and his brain function is obviously impaired during mechanical ventilation of the tracheal intubation. From a medical point of view, after cardiac arrest, it not only hurts the heart but also hurts the brain, which in turn will cause damage to the whole body. The cause of Xiaocheng's cardiac arrest is unknown, and his life is still in extreme danger.

Punan Hospital mobilized multi-departmental linkage at the first time, and departments such as emergency department, cardiology department, intensive care unit, and medical department were waiting for it.

After the hospital completed the coronary angiography and pulmonary artery CTA examination for Xiaocheng as quickly as possible, he was admitted to the intensive care unit. The intensive care unit has already made preparations, ventilators, temperature control blankets, ice caps, tracheoscopes, defibrillators, cardiopulmonary resuscitation machines, rescue vehicles are all in place.

Although Xiaocheng regained his sinus rhythm, he still had intermittent seizures. Frequent ventricular premature beats on the monitoring screen are very likely to recur ventricular fibrillation and cardiac arrest; therefore, in addition to analyzing the cause and maintaining the stability of the internal environment such as electrolytes, the general department is strictly waiting, ready for large-scale rescue such as electrical defibrillation.

Time is pressing, in addition to caring for the fragile heart, brain resuscitation and protection of important organs throughout the body is also extremely important, if not handled well, it is likely to have severe permanent severe disability.

Xiaocheng then presented with a post-CPR syndrome, with stress ulcer bleeding, lung infection, ischemic hypoxic encephalopathy, secondary epilepsy, systemic inflammatory response syndrome, multi-organ injury, and arrhythmia. Under the leadership of Sun Baoling and Zheng Wentao, the two directors of the intensive care unit, all the medical staff of the intensive care unit waited in a strict position, carefully and comprehensively assessed and analyzed the evolution of the disease, and formulated a detailed diagnosis and treatment plan.

Zhao Xiaomin, the head nurse, arranged for nurses to be vigilant at all times, especially at night, and to observe changes such as ECG and blood pressure at any time. Bed doctor Xu Minghua did not dare to relax for a moment, dynamically observed and analyzed the changes in various indicators of patients, maintained the stability of the internal environment, and actively completed the main treatment goals such as brain resuscitation, control of arrhythmias, multi-organ function protection, and prevention of complications.

One day, two days, three days, intensive care unit medical staff waited day and night. On the fourth day, Xiaocheng finally woke up! At this time, his status has been sentenced to two people at the time of admission.

Seeing that Xiaocheng could answer freely and his limbs moved according to the doctor's instructions, the heart hanging from all the medical staff was finally put down. What is even more exciting is that on the fifth day, Xiaocheng can get out of bed and move, and this process of racing against death lasts only 5 days. On the eighth day, Xiaocheng was successfully discharged from the hospital.

According to doctors, about 540,000 people in China have sudden deaths every year, most of which are cardiac. At normal room temperature, brain cells will be irreversible damage after 4 minutes of cardiac arrest; if the time is more than 10 minutes, even if the patient is rescued, there may be permanent disability of brain function, so there is a "golden four minutes" in the emergency of sudden cardiac death.

The reason why Xiaocheng was successfully saved, in addition to the superb medical skills of medical staff, is inseparable from the cardiopulmonary resuscitation of colleagues and the excellent performance of 120 emergency doctors, which is a powerful performance of the comprehensive strength of Shanghai emergency medical treatment.

Doctors also called on the public to consciously learn CPR skills and defibrillator use, so that when people around them have a critical moment of cardiac arrest, they can buy them valuable time.

Author: Li Chenyan Jin Yuya

Editor: Wu Jinjiao

Image source: Courtesy of the hospital