[周刊王CTWANT] A 17-year-old girl in mainland China was in a deep coma for two days after taking a whole bottle of the drug. Her family, who thought they couldn’t save her, thought of donating organs to prolong her daughter’s life. In order to fight for the last chance, Xian Chunlan, the organ coordinator who used to be the “passenger of life”, urgently contacted the medical and nursing team of the Second Department of Critical Care Medicine of the People’s Hospital of Wuhan University (Hubei Provincial People’s Hospital), and joined hands to miraculously awaken young lives.
“Jimu News” reported that on the morning of April 4, Xiaoyu’s (pseudonym) mother found her daughter lying on the ground, confused and reluctant, and there was an empty medicine bottle on the table. After being rushed to the local hospital for rescue, Xiaoyu twitched all over his body, followed by sudden breathing and cardiac arrest. After emergency cardiopulmonary resuscitation, although his heart rate returned to normal, he was still in a deep coma and could not breathe on his own, and could only be maintained by taking vasopressors. blood pressure.
Seeing that there is no hope for treatment, the grief-stricken parents said, “If you can’t save it, donate all your organs to continue your daughter’s life and help others.” Jian Chunlan, the Organ Transplant Department of the People’s Hospital of Wuhan University, was contacted by the local hospital and learned that The patient was poisoned by high-dose oral drugs and had a very low neurological score (GCS=3). Jian Chunlan and Sun Qin, who wanted to make the last effort to save their lives, suggested that parents transfer the patient to the Department of Intensive Medicine II, Wuhan University People’s Hospital, to see if they could win the last chance.
Professor Yu Zhui, director of the Division II of Critical Care Medicine, led the team to quickly study and judge the condition and found that although the patient suffered from cardiac arrest and was in a deep coma, the local hospital was in a timely manner for CPR. Considering that the patient is in a coma due to taking a large amount of drugs, and the drug itself has a strong inhibition on the patient’s consciousness. With years of experience in critically ill treatment, Yu Zhui believes that the patient is likely to survive, and it is more scientific to conduct cerebral resuscitation evaluation after ruling out the effects of the drug itself.
Yu Zhui led the team to carefully formulate a diagnosis and treatment plan. First, removing the “poisoned drugs” in the blood is the key to the success or failure of the treatment. Plasma exchange is one of the best methods. Although there is a shortage of blood products under the epidemic prevention and control situation, the blood transfusion department of the hospital needs priority to ensure the supply of plasma for the rescue of critically ill patients.
After multiple plasma exchange and hemoperfusion treatments, under the full efforts of the intensive medical care team, Xiaoyu miraculously woke up on the morning of the 6th, and was successfully released from the ventilator, and the tracheal intubation was removed. After a rigorous physical examination and evaluation of impact studies, no neurological sequelae were found. “I thought my precious daughter would never come back, thank the doctor for saving her life,” Xiaoyu’s parents, who were sobbing with joy, brought their daughter home from the hospital on the 10th.
During the treatment process, the medical and nursing team took into account the difficulties of Xiaoyu’s family, and through the “People’s Rescue Service Station” water drop fundraising team of Wuhan University People’s Hospital, assisted in applying for Internet public welfare fundraising assistance, helping to raise more than 170,000 yuan.
Professor Yu Zhui reminded that medicine is a three-part poison. In the event of accidental consumption, overdose or poisoning, you should go to the hospital as soon as possible, induce vomiting or gastric lavage as soon as possible, and closely observe the patient’s breathing and pulse at all times, and give artificial respiration if necessary. and chest compressions to shorten the time of brain hypoxia as much as possible. If the drug has been absorbed into the blood, timely and effective blood perfusion adsorption and plasma exchange to remove the drug is the key to saving lives.
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