Foshan Shunde octogenarian "sleepy" for a week, hyperbaric oxygen chamber treatment after waking up

Text, photo/ Yangcheng Evening News all-media reporter Cao Yue correspondent Lin Zilong

On January 10, the reporter learned from the Shunde Hospital of Southern Medical University that recently, an octogenarian was sent to the nephrology department of the hospital for treatment due to a coma. During the hospitalization, despite the active treatment, due to the patient's age, complex primary disease, the elderly's poor recovery of consciousness, still in a state of drowsiness. After multidisciplinary consultation, it is recommended to add hyperbaric oxygen therapy to promote patient recovery on the basis of aggressive treatment.

With the consent of the patient's family, the elderly were escorted by medical staff to a hyperbaric oxygen chamber for treatment. After 50 minutes of treatment in the hyperbaric oxygen chamber, the old man, who had been in a sleepy state before, slowly opened his eyes under the call of the doctor. After 80 minutes of hyperbaric oxygen therapy, the elderly's consciousness improved when leaving the cabin, and it can be simply answered.

Multidisciplinary consultation to find out the "culprit"

The reporter learned that a week ago, 87-year-old Huang Bo was unconscious for nearly a day when he was found by his family. The anxious family immediately dialed the 120 emergency number, and then the old man was quickly sent to the Department of Nephrology of Shunde Hospital of Southern Medical University for treatment.

According to Chen Jiayi, a nephrologist at the hospital, Huang Bo had a history of renal insufficiency and bronchiectasis, and was already delirious when he was admitted to the hospital. After examination, Huang Bo was diagnosed with hypoglycemic coma, metabolic encephalopathy and acute kidney injury.

Medical staff monitor patients in the cabin in real time

"After the patient arrived at the nephrology department, we gave him a series of treatment measures such as rehydration, blood transfusion and oxygen inhalation. With the passage of time, his vital signs gradually stabilized, and various indicators slowly improved, but his consciousness has always been in a vague state, and examinations such as physical examination are not very cooperative. Chen Jiayi said.

For further diagnosis and treatment, the Department of Nephrology consulted with the Department of Neurology and examined related organic diseases. Later, considering that the patient's condition is due to ischemia and hypoxia, the possibility is relatively large, and the addition of hyperbaric oxygen therapy under the premise of active treatment may help the patient's recovery of consciousness to a certain extent, Chen Jiayi invited the staff of the hyperbaric oxygen therapy department to intervene to assess the condition. After a multidisciplinary case discussion, the medical team decided to try hyperbaric oxygen treatment to promote the recovery of the elderly.

"Hyperbaric oxygen therapy" woke him up

After obtaining the consent of the elderly's family, on the afternoon of January 6, accompanied by nephrologist Chen Jiayi, Huang Bo was sent to the hyperbaric oxygen chamber of the hospital for treatment. "Huang Bo, do you feel uncomfortable" "Do you remember what your name is"... During hyperbaric oxygen treatment, Chen Jiayi accompanied the elderly throughout the process, which not only monitored the vital signs of the elderly, timely handled possible emergencies, and ensured medical safety, but also greatly alleviated the tension and anxiety of the family.

What is surprising is that after 50 minutes of treatment in the hyperbaric oxygen chamber, Huang Bo, who had been in a sleepy state before, was able to slowly open his eyes under the call of the doctor, and soon after he was able to open his eyes without external stimulation. After 80 minutes of hyperbaric oxygen therapy, Huang Bo's consciousness improved when he left the cabin, and he could answer simply and answer the questions. Although Huang Bo is still in the hospital for follow-up treatment, his family and medical staff are greatly relieved to see that his condition is gradually improving. "I am very grateful to the medical staff for their dedication and professionalism, which makes us very moved." Huang Bo's family praised.

It is understood that at present, Shunde Hospital of Southern Medical University has two hyperbaric oxygen chambers of multi-person oxygen chamber (air chamber) and pure oxygen chamber, providing 24 hyperbaric oxygen beds, and can carry out more than 70 hyperbaric oxygen treatment services a day. The department will also carry out "privately customized" treatment plans for atmospheric pressure, hypertension and ultra-hypertension according to the specific conditions of different groups of people and patients.

Liang Caixia, a hyperbaric oxygen treatment doctor at Shunde Hospital of Southern Medical University, introduced that the atmospheric pressure in the hyperbaric oxygen chamber is more than ten times higher than that in daily life, and through the action of atmospheric pressure, it can promote the awakening of patients in ischemia and hypoxia coma. According to reports, hyperbaric oxygen therapy is widely used, including cerebrovascular accident diseases, such as cerebral hemorrhage, brain trauma and so on. In recent years, hyperbaric oxygen therapy has also been used in patients with sudden deafness. "After sudden deafness, hyperbaric oxygen therapy within 2 hours and hyperbaric oxygen therapy within 24 hours or even 3 days, the prognosis is completely different." Liang Caixia said that like comatose patients with carbon monoxide poisoning in winter, they can also be treated with hyperbaric emergencies.

Source | Yangcheng Evening News Yangcheng Pie

Editor-in-charge | Wei Qin