Jimu news reporter Yan Wen
Correspondents Zou Yaqin, Xia Wenfang, Zou Handong, Liu Zhou
Xiao Liang (pseudonym), a 13-year-old teenager in Tongshan, Xianning, burned charcoal for heating in a house with closed doors and windows, and did not want carbon monoxide poisoning to fall into a coma and risk tragedy. On February 4, after 5 days of meticulous treatment by the medical staff of the Department of Critical Care Medicine of Wuhan University People's Hospital (Hubei Provincial People's Hospital), Xiao Liang (pseudonym), who had fallen into a deep coma and had a lifeline, was finally discharged.
On the evening of January 29, because of the cold weather, Xiao Liang closed the doors and windows before going to bed, and moved the charcoal brazier placed in the living room to warm it into the house. Worried that he would accidentally kick over the brazier at night, he also deliberately stuffed the brazier under the bed and added some new carbon before going to bed.
Unexpectedly, a small action buried the hidden danger of death. At 7 o'clock the next morning, the adults were ready to take the children out to visit relatives, but there was no answer to the knock for a long time. After breaking through the door, the scene in front of him frightened everyone present, 13-year-old Xiao Liang (pseudonym) was lying on the bed, his lips were bruised, and he was foaming at the mouth.
The family hurriedly dialed the 120 emergency number, and the emergency personnel arrived and found that Xiao Liang had fallen into a deep coma, with both lungs auscultation rales, bilateral pupil reduction, sluggish reflex to light, and his life was in danger. The local hospital recommended that he be immediately transferred to the People's Hospital of Wuhan University, and at the same time urgently contact Professor Zou Handong of the Intensive Care Medicine Department of the hospital to prepare for treatment.
At 12:40 p.m. on January 30, Xiao Liang was delivered to Wuhan by ambulance. When he was admitted to the hospital, he was in a deep coma, with a fast heart rate, poor oxygenation, and shortness of breath. Bedside blood gas analysis suggests severe hypoxemia, metabolic acidosis, and hyperlactic acidemia. At the same time, his heart muscle was severely damaged, accompanied by cerebral edema, and his condition was very critical.
The medical staff immediately gave the endotracheal intubation ventilator to assist breathing, considering that Xiao Liang was carbon monoxide poisoning, and gave high concentration oxygen ventilation at the same time, supplemented by sub-low temperature, sedation, dehydration, nutritional myocardium and other supportive treatment. After the endotracheal intubation, Xiao Liang oxygenation improved, but at 8 o'clock that night, his body temperature suddenly rose sharply to 39.5 ° C, and the medical staff guarded his bed and spent a sleepless night.
Due to the critical condition and the long time of carbon monoxide poisoning, it is very likely that he will have multiple organ insufficiency and severe infection, and Xiao Liang will be critically ill again. The family is both remorseful and anxious, and hopes that the medical staff will do their best to rescue and treat them. Although it is the Spring Festival holiday, the medical staff still stick to their posts, meticulously treat and continue to guard, and look forward to a miracle.
On January 31, the test results showed that Xiao Liang's carboxyhemoglobin level was gradually becoming normal, and the general medical staff was slightly relieved. Professor Zou Handong led the medical team to formulate a daily diagnosis and treatment plan in a timely manner according to the changes in his condition, and at the same time conducted psychological counseling for the family. On February 1, the day of the Lunar New Year, Xiao Liang was finally awakened, and the cardiopulmonary function also improved significantly, around 11 noon, the offline test was successful, and the endotracheal intubation was successfully removed at 11:30. On the 2nd, Xiao Liang began to eat independently; on the 3rd, he made a video call with his family to share his feelings; on the morning of the 4th, Xiao Liang was finally discharged from the hospital smoothly, and there were no complications left.
Professor Zhan Liying, director of the I. Department of Critical Care Medicine, introduced that every winter is a high incidence of carbon monoxide poisoning, mostly when burning charcoal for heating, using coal stoves or gas water heaters, etc., due to the closure of the room and the lack of air circulation. He pointed out that after carbon monoxide poisoning, mild people have symptoms such as headache, dizziness, nausea, vomiting, general weakness, rapid heartbeat, etc., and many people will mistakenly think that it is a cold or gastroenteritis, and do not leave the scene in time. As the poisoning deepens, delirium occurs, the skin flushes, the hands and feet do not listen to the call, and the ability to save themselves is lost.
In the case of carbon monoxide poisoning, how should it be treated urgently? Professor Zhan Liying said that first of all, it is necessary to cut off the source of carbon monoxide, immediately open the window for ventilation to convect air, quickly close the gas, gas stove, water heater valve, pipeline gas facilities and equipment, and extinguish the charcoal fire. The patient is then quickly removed from the scene of the poisoning and transferred to a place where the air is fresh and well ventilated. And untie the neck button of the poisoned person, keep the respiratory tract unobstructed, and pay attention to keeping warm to prevent complications. Patients should keep quiet rest, avoid activities that aggravate oxygen consumption, and allow patients to take oxygen as soon as possible when possible. For moderately severe patients, while performing on-site first aid, the emergency number 120 should be called immediately and sent to a hospital with a hyperbaric oxygen chamber for treatment as soon as possible. For critically ill patients with respiratory and cardiac arrest, artificial respiration and cardiac compressions should be given immediately, and they should be quickly transferred to the hospital for rescue treatment.
Professor Zhan Liying finally suggested that in the cold season, if possible, try to choose central heating. When using heating equipment such as coal stoves and charcoal fires indoors, ensure that the coal is fully burned and do not cover them. Frequently open doors and windows for ventilation and ventilation to keep the indoor air fresh. When using heating equipment such as coal stoves and charcoal fires in the home, it is best to install carbon monoxide detectors and regularly check and maintain them to ensure the normal operation of the detectors.