Modern Express News (reporter Zhu Whale Run) Recently, The incident of Meng Meng, an 18-year-old girl in Hebei, being poisoned paraquat by her brother-in-law has touched the hearts of thousands of netizens. On January 7, Chen Jingyu, a well-known lung transplant expert and director of the Lung Transplant Center of Wuxi People's Hospital, said that he had performed double lung transplant surgery for Meng Meng, and at present, Meng Meng has woken up, her vital signs are stable, and she can withdraw the ECMO ventilator in a short period of time and enter rapid recovery.
△ Chen Jingyu sent a text to Beijing to save the sick girl
"After a night of travel, at 10:30 p.m. on January 6, I went to Beijing for emergency consultation and surgery, and treated a little girl poisoned with paraquat in Hebei at the Emergency Double Lung Transplant at the Eighth Medical Center of the Plath General Hospital of the People's Liberation Army, and the double lung transplant surgery was successfully completed at 3 a.m. on January 7." At noon on January 7, Chen Jingyu was already on the high-speed train returning to Wuxi from Beijing, he told the Modern Express reporter that many netizens had previously left messages on Weibo, making him pay attention to Mengmeng, and then Mengmeng's family also contacted chen Jingyu in many ways, hoping that experts would save the child's life. Because the child was already on a ventilator and long-distance transport was difficult, the family contacted the Eighth Medical Center of the PLA General Hospital. Chen Jingyu introduced that he had also undergone lung transplant surgery in the hospital before, so the hospital also trusted him. "In the online consultation discussion, everyone felt that the best treatment plan for this patient at present is to do lung transplant surgery."
On the afternoon of January 7, Chen Jingyu learned that through the distribution of the national donor network distribution system, the little girl had obtained a lung source donated by love, and Chen Jingyu immediately rushed to Beijing to carry out lung transplantation for her.
△ Chen Jingyu rushed to Beijing
According to reports, at present, under the careful management of the postoperative lung transplant team of the Respiratory and Critical Care Department of the Eighth Medical Center of the Plast General Hospital, the little girl has woken up after the double lung transplantation, the vital signs are stable, and the ECMO ventilator can be withdrawn in a short period of time and enter rapid recovery.
△ Chen Jingyu and the surgical team
Chen Jingyu said that paraquat is a poison without a "regret medicine", even a small bite, it is enough to be deadly, it gives the poisoner time to regret, but no longer gives him a chance to live. Paraquat poisoning can affect multiple organs, the most deadly of which is irreversible interstitial fibrosis of the lungs.
"However, only lung transplants can give these patients a silver lining." While most of our lung transplant experiences are learned from the West, the early Western experiences are more of a failure lesson for paraquat-related lung fibrosis lung transplants. Coincidentally, Chen Jingyu said, the Wuxi team recently published an article in Frontiers in Surgery, introducing the timing and efficacy of lung transplant treatment for paraquat poisoning, providing Valuable Experience in China around the world.
"As early as 2014, the world's first double lung transplant treatment of paraquat poisoning patients was successfully operated, and the patient survived for a long time, in 2019, this patient received a second transplant at the Wuxi Lung Transplant Center due to chronic rejection, and has survived since the operation." Wuxi lung transplant team and collaborative hospitals completed a total of 4 cases in 2018-2021, we wrote an article to summarize, and compared and summarized with the characteristics of cases reported worldwide, and preliminarily summarized the experience of successfully treating such patients: for these patients with paraquat poisoning, on the basis of multidisciplinary active treatment in the acute phase, removing poisons from the body, maintaining organ function and circulatory stability, as far as possible through the acute phase, about 1 month after poisoning, double lung transplantation is carried out. These patients underwent adequate preoperative treatment, including hemodialysis and ECMO support, and paraquat was generally undetected in the blood and urine, and paraquat was qualitatively tested negative in postoperatively removed lung tissue. The 4 patients we summarized are all cases of self-medication, so for such patients, postoperative rehabilitation should not only pay attention to the lungs, but also pay attention to the mental and psychological health and growth, so that they can return to society as soon as possible, accept the warmth and love of the family, cherish the donation from love and modern medical technology, and bring them the opportunity to live again. And the little girl was poisoned, and we are still the first case. Chen Jingyu finally called on everyone to cherish life and stay away from paraquat.
(Courtesy of Chen Jingyu himself)