Text/Yangcheng Evening News all-media reporter Xue Renzheng
Correspondent You Hualing
Photo/Visual China
Recently, a man in Guangzhou City was sent to the ICU for rescue the next day after being hospitalized due to the problem of sleeping posture after drunkenness, which actually led to complications such as rhabdomyolysis, compartment syndrome, and hyperkalemia. After the treatment of blood purification and left lower limb incision and decompression surgery in the Third Affiliated Hospital of Southern Medical University (hereinafter referred to as "The Third Hospital of Southern Medical University"), the patient's condition improved significantly, the condition was stable, but it still needed a period of recovery.
Drunken paralysis, resulting in impaired visceral function
According to the patient's family statement, the patient gathered with colleagues to eat and drink the night before the onset of the disease, did not return all night, and found at seven o'clock the next morning that the patient locked himself in the bathroom, knocking on the door occasionally had a response, but never opened the door. The family thought that the patient was drinking too much and sleeping more deeply, and did not care, and was afraid that the patient just did not dare to force the door behind the door, so several people took turns to knock on the door and call, about an hour later, the patient finally opened the door.
After the door opened, the family saw the patient sitting naked and paralyzed on the ground, the right leg pressed against the left leg, the back against the door, the person was still relatively confused, they wanted to help it up, but at this time the patient could not stand, the family could only carry the patient to the living room sofa. The patient has been crying pain, the legs are weak, the lower limbs are cold and stiff, the lower limbs of the left leg are still a little purple, and they want to pee and can't urinate. Seeing that the patient's condition was getting worse and worse, the family dialed 120 and sent him to the Third Hospital of Southern Medicine for treatment.
After receiving the emergency department of the Third Hospital of Southern Medicine, the patients were examined for 110,000 IU/L (normal upper limit 310 IU/L), myoglobin 2.16 million ng/ml (normal upper limit 72 ng/ml), and many internal organ function indicators such as kidney and heart were significantly abnormal. Diagnosed: rhabdomyolysis, compartment syndrome, multi-organ dysfunction syndrome, hyperkalemia, metabolic acidosis. After emergency blood purification and left lower extremity incision and decompression, they are sent to the ICU for further treatment.
The patient's condition deteriorated on the second day of admission, and after evaluating the patient's overall condition, ICU Director Yang Hong decided to enable the patient's "artificial heart-lung machine" - ECMO, so that the patient's heart and lungs can fully rest and buy time for the next treatment. After 80 hours of ECMO treatment, the patient's condition improved significantly, his condition was stable, and he was successfully withdrawn. Yang Hong introduced that the patient's multi-organ function is impaired, but due to the timely rescue, the recovery situation in the later period is quite optimistic, hoping not to leave too serious sequelae, and the recovery of kidney function takes a long time.
After "drunkenness", lie on your side
Yang Hong reminded that after drunkenness, many people think that spitting out and sleeping will pass, in fact, for drunks, it is more important to maintain the correct posture and prevent serious complications that may occur after improper posture after drunkenness. Like this patient, if you sleep in bed that night, keep warm, and your legs are not under pressure, it is indeed possible to sleep and be fine, and there will be no such serious and even life-threatening situation.
According to the following three postures, drunk people should not take.
Lying flat: This is the posture usually taken by drunks. Drunk people tend to vomit, but after drunkenness, the pharyngeal reflex and swallowing action are relatively slow, then if the drunkard is lying on his back, the vomit is likely to flow back into the trachea and misinsorb. Mild cases can cause aspiration pneumonia, and severe cases can cause tracheal blockage and suffocation to death.
Prone position: drunk people are mostly in a coma, the muscles of the whole body are loose and paralyzed, and the support force for changing positions is weakened. In the prone position, the mouth and nose are facing down, and they are often buried in the futon or soft pillow, resulting in poor breathing channels in the mouth and nose. The respiratory center of the deeply drunk person is inhibited to varying degrees, the breathing movement is greatly weakened, and the gravity of the body compresses the chest and abdomen, further restricting the breathing. The superposition of many factors may lead to insufficient inhalation of air, making the body lack of oxygen, and further aggravating the coma after drunkenness.
Sitting position: Deeply drunk people due to the inhibition of internal circulation, cardiovascular reflex regulation ability is weakened, coupled with vomiting, sweating, etc. can make the body lose a lot of water, blood volume in the blood vessels is relatively insufficient, easy to lead to hypotension, shock occurs. When blood pressure is low, sitting in position will not be conducive to the blood supply of the brain, nor is it conducive to the return of blood in the lower body, resulting in more insufficient blood volume, so that the blood supply of important living organs such as the heart, brain, and kidneys is further reduced.
Correct posture: Lying on your side
First of all, the drunk person should untie the tie, clothing button, trouser belt, etc., lift the jaw, tilt the head back, and keep the respiratory tract open; then take the side lying position, so as to facilitate the drainage of vomit, to prevent accidental inhalation of the trachea and cause suffocation. Finally, once a drunk person is in a dangerous situation, family or friends should promptly send the drunk person to the nearest hospital for treatment. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | ZHANG Hua