10 years pneumoconiosis, sudden pneumothorax! Respiratory failure! What else can he do besides a lung transplant?

Parental love

Broad and generous

They use their arms

Give it all

Sheltered us from the wind and rain

My father

When he was young, he wanted to feed his family

Vacuuming dust on the construction site

Do high-intensity physical work

Years

Something went wrong

now

Severe lesions in the father's lungs

Diagnosed with "pneumoconiosis"

Has been completely incapacitated

Because of pneumoconiosis

Every time I watch him breathe

It's like someone

It was as if his hand was stuck in his throat

Can't breathe

10 years

Father every few months

All are hospitalized at the county hospital

New Year's Day this year

The father's breathing difficulties worsened

The county hospital diagnosed pneumothorax

A long tube is inserted into the chest cavity

Drained for more than 20 days

There are still a lot of bubbles

Overflow from the drainage bottle

For months

I ran away with my father's case

Countless hospitals

With a helpless sigh from the doctor

Our whole family seemed to have fallen into the abyss of despair

In front of the father

It's really just lung transplants

Can this road go?

not

force

●

receive

picul

Expensive medical expenses

Scarce source of lungs

Endless waiting

Plus the harsh age

and physical condition

Get a father a lung transplant

It can only be deterred

Father said again and again

Reluctance to continue receiving treatment

But I was clearly in his eyes

I saw the expectation of wanting to live

again

try

One

times

Is it really just like that?

That's when it happened

A message is like light in the dark

Illuminated the hopes of the whole family

——Zhengzhou Central Hospital affiliated to Zhengzhou University

Department of Respiratory Critical Medicine

Zhang Hua's team

There are ways to treat this persistent air leak!

Grab a glimmer of hope

I got in touch with Director Zhang Hua

Director Zhang Hua and Deputy Chief Physician Li Zhenhua

Attending Physician Yu Yaohua

The father's condition was assessed

Judge that the father belongs

Pneumoconiosis is secondary to rupture of pulmonary bullae

Causes refractory pneumothorax

It can be treated with internal medicine thoracoscopy!

Got the news

Father had trouble breathing

And perennial pain on the face

A rare smile also emerged

Although we found hope

But Director Zhang Hua also told us

The father due to poor lung function

Lung infections are severe

Malnutrition, hypoproteinemia

There is no ability to cough up sputum spontaneously

The risk of surgery is high

It's a lot of difficulty

Here is my father's last hope for survival

Our whole family is willing to gamble!

letter

allow

Director Zhang Hua said:

We contacted the hospital for multidisciplinary consultation

For the old gentleman

Adequate anti-infective therapy

Repeated bronchoscopic suction

Unobstructed sputum drainage

……

A range of comprehensive treatments

Due to severe infection in the patient

Closed drainage time is long

The thoracic cavity is likely to be present

Infection and severe adhesions, respiratory failure

Single lung ventilation is likely

This makes it difficult to extubate after surgery

In order to ensure the quality of surgery

Surgical team and outpatient anesthesia team

Patients are fully evaluated before surgery

and emergency preparedness

finally

After full preparation

The patient accepted

Internal medicine thoracoscopic lung repair

During surgery

As we expected

Thoracologic

The old gentleman's lungs have been

Loss of normal structure and elasticity

The pleura is extensively adhesions

And the surface is attached

A thick layer of puss

If surgery is not performed

The left lung will never be able to reopen

Separation adhesions

Peel off pleural pus lichen

Look for leaks...

It should also be avoided during surgery

To the already bad lung tissue

Worse

The surgical process is challenging

After 2 hours of fighting

The surgery was finally completed

Preoperative

Postoperative

After the operation, the old man's lungs have been

There is no obvious air leakage

But because the patient has a lot of sputum

Lung infections are severe and the partial pressure of carbon dioxide is high

Difficulty of offline

Transfer to RICU for further treatment

Li Zhenhua checks the room every day

Pay close attention to the drainage of the old gentleman

and sputum conditions

Assessment offline possible

With the joint efforts of everyone

The old gentleman went offline smoothly

Transfer back to the general ward

For cases of heavy infection, sputum, and weakness in sputum production

Bedside tracheoscopy is taken to aspirate sputum

For long-term illness leading to low mood and irritability

Enlighten and encourage patients every day!

For poor lung function

A full-time nurse guides postoperative pulmonary rehabilitation training

1 month later

The old man successfully removed the chest drainage tube

Review of chest CT

The left lung is well-ventilated

Indicators of infection are close to normal

Possibility to get out of bed

Walk tens of meters on your own

The old gentleman said:

"I thought my life was over like this

I didn't expect that

Lung transplantation is not required

I can also get my life back!"

Can still recover so well!

Ten years on, for the first time I felt

Can take a good breath

It feels so good! ”

Zhang Hua had something to say

There have been several cases of pneumoconiosis with refractory pneumothorax

Thanks to this technology

Thoracoscopic techniques for internal medicine

New hope for these patients

On the mainland

Patients with COPD and pneumoconiosis

It is the most common population of secondary pneumothorax

Such people due to

Pural rupture of the lung

Causes gases in the lungs to enter the pleural space rapidly

Compressing the lungs causes difficulty breathing

Can be caused when severe

Tension pneumothorax, mediastinal emphysema

Life-threatening

And the recurrence rate is high

Up to more than 30%.

For patients with pneumoconiosis and COPD

No doubt worse

Bullae can be treated by treatment

and the leak effectively terminates the air leak

Promotes pulmonary relapse

Maximize lung function preservation

These are patients with impaired lung function

Treatment is preferred