The choice under the sealing: life outside the police cordon is above everything A life and death rescue in the epidemic control area of the Second People's Hospital of Shenzhen

On January 16, Shenzhen Second People's Hospital resumed outpatient services.

On Huafu Road, which has been silent for 4 days, taxis are waiting on the auxiliary road in front of the hospital early in the morning.

Door emergency department sealing management for 4 days, here staged a "pull up the cordon" of life and death rescue.

■ "Open the cordon and save the most urgent life in front of you"

On the morning of January 12, the emergency department of Shenzhen Second Hospital was still busy as usual.

Near noon, the Shenzhen Second Hospital suddenly received a notice from the Shenzhen Municipal Center for Disease Control and Prevention: on January 11, a patient who had a positive nucleic acid result of the new crown virus came to the hospital for treatment.

The reporter learned that this case is not a patient in a medium- and high-risk area, but also holds a negative nucleic acid test certificate for the new crown virus within 48 hours, and came to the emergency department for treatment due to symptoms of upper respiratory tract infection (nasal congestion, pharyngeal discomfort).

The epidemic suddenly came, and the Second Hospital of Shenzhen immediately adopted the highest standard of prevention and control measures - closure of the department, closure of the hospital!

The original bustling emergency department was urgently sealed and completely eliminated, and no one was allowed to enter and exit at will.

Not long after the sealing, at the end of the empty corridor, someone suddenly shouted: "Someone has vomited blood, quickly save people!" ”。

The doctors and nurses in the emergency department heard the news and ran out.

Attending physician Li Qiming ran to the front and saw a weak girl in a wheelchair outside the cordon, pale, and on the ground was a large pool of blood she had just vomited.

At this time, the epidemic is inside the cordon, and life is outside the cordon.

"Do you take the risk of pulling the patient into the rescue room at the first time, or do you quickly report the situation to your superiors and wait for instructions?" It took Dr. Li less than a second to make the decision: open the cordon and treat the most urgent life in front of him.

Immediately, the girl was quickly pushed into the rescue room, and the emergency team played the most skilled set of combination punches: intensive care, acid suppression, hemostasis, fluid resuscitation, monitoring hemoglobin...

■ "Both the epidemic and the disease"

After emergency treatment, the girl's condition stabilized.

Afterwards, the girl told her about the onset of the disease: the night before the treatment, she vomited several times after drinking, although she felt dizzy and weak, but thought it was alcohol, but just this morning there was black stool, and even vomited blood, which came to the hospital for treatment, did not expect to just enter the door, encountered the epidemic control, hung up the number and thought about waiting for the hospital to further place, but vomited blood again.

After the emergency rescue, Li Qiming still wondered, a young woman without underlying diseases, suddenly vomited blood, must be an acute lesion of the gastrointestinal mucosa, the danger has not been ruled out, but also need further gastroscopy.

So Li Qiming dialed the gastroenterology department to inform him of the condition.

However, due to the closure of the epidemic, the comprehensive inspection of the hospital is not over, all areas are prohibited from entering and leaving, the consulting doctor cannot come, if this girl is sent to the gastroscopy room, it will expose the whole building to risk.

Li Qiming was once again caught in a dilemma.

"Fortunately, with the gradual onset of drug treatment, the patient's mental state continues to improve, and the results of blood tests suggest that hemoglobin is 96g/L, indicating that the total bleeding amount is not too much, estimated at about 600ml." Li Qiming said that if there is no more bleeding, conservative treatment is the best solution.

Between the outbreak and the condition, the doctors and nurses in the emergency department try to do both.

However, Li Qiming did not dare to relax his vigilance at all, and instructed the girl that once there was any nausea, panic, fatigue and other discomfort, she should be informed at the first time, and at the same time, the incident was reported in detail to the superiors.

■ Wear three-level protective equipment for rescue

In the evening, what Li Qiming was worried about happened.

The girl felt palpitations, irritability, sweating, and the numbers on the ECG monitoring suggested risk: heart rate 156 beats per minute, blood pressure 74/46 mmHg, and 26 breaths per minute.

The doctor knew at a glance that the patient had developed acute hemorrhagic shock due to heavy bleeding again.

After a while, the girl vomited 300ml of blood again, and after the gastric tube, 150ml of bloody gastric juice was drawn. This is a strong reminder of active bleeding in the upper gastrointestinal tract, which must be stopped urgently under gastroscopy.

Li Qiming reported again to Deng Zhe, the director of the emergency department.

"Rescuing critically ill patients and keeping life-saving channels open and unobstructed is a top priority, and the treatment of critically ill patients must not be affected by epidemic prevention and control." Deng Zhe stressed that he immediately asked Fang Zhiye, director of the Medical Affairs Department, and Yan Bin, the head of the hospital's general duty class, and reported to the Hospital Infection Prevention and Control Command Office, and contacted the gastroenterology department to carry out emergency gastroscopy to stop bleeding.

After multi-party coordination, Zhao Sufang, chief physician of the Department of Gastroenterology, and Hu Yinqing, head nurse, led the team to the rescue room wearing tertiary protective equipment and carrying emergency gastroscopy equipment.

The gastroscope entered and saw a bloody blur, a huge blood clot in the stomach, and the bleeding point was hidden in a hidden corner. After some rinsing and searching, I finally found the entrance to the stomach, that is, the cardia, there was an active bleeding foci, and a stream of blood was constantly gushing out.

Zhao Sufang skillfully and accurately used two titanium clips to close the gushing blood vessels, rushed and rushed, looked and looked, and confirmed the success of hemostasis.

At the end of endoscopic treatment, the values reflecting vital signs on ECG monitoring are stabilized.

The hearts of all the medical staff were hanging, and finally let go.

On 14 January, the girl was able to eat liquid food and meet the discharge criteria, and after being arranged by the joint prevention and control working group, she was transferred to her home for oral medication.

The relevant person in charge of the Second People's Hospital of Shenzhen said that since the outbreak of the epidemic, for the people with medical needs, especially the acute and critical patients, we will carry out timely and effective treatment, set up a buffer area, and treat patients who have not been excluded from the new crown virus infection, on the basis of good protection, and then transferred to the general ward after the new crown pneumonia is eliminated.

[Reporter] Liu Shan

【Author】 Liu Shan

【Source】 Southern Press Media Group South + client

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