Uremia high potassium blood causes cardiac arrest, foreign body entrapment, nasal blood flow... On January 4, after the outbreak of the new crown epidemic in Zhuhai, some areas were listed as sealing and control areas, and closed-loop management was implemented, and the demand for medical treatment in the area continued to increase.
The reporter learned from the Fifth Hospital of CUHK that since January 18, the Fifth Hospital of CUHK has used the Fenghuangshan Ward as a treatment area for ordinary patients in the sealing and control area, and sent a medical team to assist the Xiangzhou Second Hospital on the 21st. At present, the problem of medical treatment for the masses in the sealing and control areas has been greatly alleviated, especially the life and health of patients with acute and critical illnesses have been guaranteed to the greatest extent.
Cardiac arrest with a minimum heart rate of 20 beats per minute
"My mother, 88 years old, chest tightness, is currently in the control area, can not normal to ordinary dialysis area dialysis, dialysis center doctors are familiar with her condition, we want to do hemodialysis treatment in your hospital..." On January 19, the doctor on duty at the Phoenix Mountain Ward Blood Purification Center of the Fifth Hospital of cuhkunivers received a call from a patient's family and immediately contacted the medical department to arrange for treatment.
The picture shows the medical staff of the Nephrology Blood Purification Center in the Phoenix Mountain Ward treating the patient.
About 40 minutes later, the patient arrived at the Phoenix Mountain Ward, and the receiving doctor inquired about the symptoms, combined with the physical examination and previous onset of the disease, considering that his chest tightness was an acute left heart failure caused by excessive volume load, and immediately underwent hemodialysis treatment, while closely monitoring vital signs and changes in the condition, and improving laboratory tests. With the continuation of hemodialysis, the symptoms of chest tightness gradually eased, and the parameters of the whole process and CRRT (continuous renal replacement therapy) monitoring parameters were stable.
Wang Cheng, director of the Nephrology Department of the hospital, introduced, "The patient has been doing hemodialysis treatment in our hospital before, and the situation is very dangerous if he does not get timely and effective hemodialysis treatment if he is not treated in a timely and effective manner, and the situation is very dangerous because of the advanced age, combined with coronary atherosclerotic heart disease, chronic heart failure." ”
On January 24, the medical team of CUHK Fifth Hospital stationed at Xiangzhou Second Hospital received a cardiac arrest patient caused by uremia and high potassium blood. Due to the recent lack of timely and effective dialysis, when the patient arrived at the Second Hospital of Xiangzhou, the blood potassium was as high as 8.5 mmol/L (normal 3.5-5.5 mmol/L), and shock symptoms appeared, and the ECG suggested a stop of more than 10 seconds, and the heart rate was as low as 20 beats/min (normal 60-100 beats/min), which was critical.
The picture shows the medical team members of the Fifth Hospital of CUHK in Xiangzhou Hospital rescuing the cardiac arrest patient.
Medical team leader Pang Pengfei commanded the backbone forces of hemodialysis, cardiac, emergency, nursing and other backbone forces of the medical team to unite with the medical staff of the Second Hospital of Xiangzhou to rescue them. After blood pressure boost, potassium drainage, expansion, acid correction and other treatments, the patient gradually turned the crisis into safety, the heart rate and vital signs recovered and stabilized, and after hemodialysis treatment, he was successfully discharged from the hospital in the afternoon.
Pang Pengfei said that since the medical team stationed so far, 29 people have carried out hemodialysis, successfully rescued 1 critically ill patient, and consulted more than 30 people, of which more than 10 were multidisciplinary consultations. Relying on the comprehensive advantages of multiple studies and the prevention and control experience of designated hospitals, the medical team not only optimized the medical consultation process and infection control supervision of difficult cases, but also organized joint volunteers to go deep into the Nanping community to explore the needs of patients with chronic diseases such as uremia and tumors, and arrange for drug delivery to the door.
3 cm fish with a throat jam, 2-year-old children urgent medical treatment
On January 19, a 2-year-old child in the sealing and control area was referred to the Phoenix Mountain Ward of the Fifth Hospital of CUHK due to accidental ingestion of fish bones, and Dr. He Peng of the Department of Otorhinolaryngology & Head and Neck Surgery found that the fish spines were on the lower pole of the left tonsils after careful examination. At that time, the child's expression was painful, he Peng comforted the child and his family, and quickly removed the fish bones about 3 centimeters long.
The picture shows Dr. He Peng taking fish bones for the child.
"The child is not very expressive, but he can clearly feel that he is very uncomfortable, and he wants to relieve his pain as soon as possible, and he does not think much about it." In the past few days, He Peng has received many treatments and quickly relieved the pain of patients.
On January 22, Aunt Wang of the sealing area suddenly suffered from persistent bleeding in the right nasal cavity, which was still bleeding repeatedly after treatment in the community hospital, and then, after contacting the community to report, she was referred to the Phoenix Mountain Ward of the Fifth Hospital of CUHK. After careful physical examination, He Peng found that the rupture of the right arteriole of the nasal septum caused continuous active bleeding, so simple tamponade could not stop the bleeding quickly.
"The patient's nasal bleeding is incessant and lasts a long time, so he has been in a state of high mental tension when he visits the doctor." While comforting the patient and avoiding the increase in blood pressure caused by tension, increasing the amount of bleeding and the difficulty of hemostasis, He Peng carried out precise tamponade to stop the bleeding on the right nasal cavity of the patient, and completed the treatment in only 2 minutes.
Li Zhonghe, vice president of the Fifth Hospital of CUHK, said that the hospital has fully communicated with relevant grass-roots hospitals and communities to smooth the green channel and ensure that the medical needs of the masses are met in the first time. At present, there are nearly 100 medical team members stationed in the Second Hospital of Xiangzhou and medical personnel stationed in the Phoenix Mountain Ward, who are responsible for ensuring the life and health of the people in the sealing and control areas around the clock.
Nanfang Daily reporter Huang Helin wu feng
【Author】 Huang Helin; Wu Feng
【Source】 Southern Press Media Group South + client