Leader of the medical team to treat black face doctors: Yu Gongyu wants to save them

category:Global
 Leader of the medical team to treat black face doctors: Yu Gongyu wants to save them


Leader of the medical team who is not only a doctor-patient but also a comrade in arms interviewing and treating black face doctors (source: video synthesis)

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Leader of the medical team who is not only a doctor-patient but also a comrade in arms interviewing and treating black face doctors (source: video synthesis)

Yi fan, cardiovascular surgeon, Wuhan Central Hospital. Hu Weifeng, deputy chief physician of Urology, Wuhan Central Hospital. The two doctors were novel coronavirus pneumonia patients.

Zhan Qingyuan, head of the critical illness treatment group of the national aid and anti epidemic medical team of China Japan Friendship Hospital, and his colleagues accompanied Yi Fan and Hu Weifeng through a difficult road of rebirth.

In public, in private, in love and in reason, we all want to save them.

The novel coronavirus pneumonia case in Wuhan has been increasing more than three months ago. In Wuhan Central Hospital, the normal diagnosis and treatment and operation have not stopped. Novel coronavirus pneumonia was forenoon in January 22nd, when the body felt extremely uncomfortable, so that colleagues completed the operation for themselves, and did CT examination. Just a week later, Ivan developed severe respiratory distress. Even the oxygen content in the blood of the last toilet will be reduced to the point of life-threatening. He was transferred to novel coronavirus pneumonia in Wuhan central hospital with Hu Weifeng, a doctor who was infected with the new crown pneumonia, in Wuhan.

That is to say, at the same time of Yi Fans illness, since January 23, China Japan Friendship Hospital has sent 6 batches of 164 medical teams to help Wuhan. As the third group of medical team members dispatched by the hospital, Zhan Qingyuan arrived in Wuhan on February 1 and started work in Zhongfa new town hospital area of Tongji Hospital. The colleague introduced the condition of Yi Fan and Hu Weifeng to Zhan Qingyuan and invited him to consult the two doctors.

Zhan Qingyuan:

We are colleagues. Unfortunately, they are infected with the new coronavirus in their work. I want to save them especially in public, private and emotional. Its like we go swimming together. Theyre drowning when they fall in the river. I can swim, even have a swimming circle. We must save them!

On March 2, Hu Weifeng was transferred to the Sino French New Town District of Wuhan Tongji Hospital, where the medical team of China Japan Friendship Hospital is located. On March 3, Dr. Yifan transferred in.

Novel coronavirus pneumonia and respiratory failure, and other complications, the two doctors transferred to the ward of China-Japan Friendship Hospital were completely unconscious. The situation of Yi and Hu Weifeng was full of uncertainty.

Zhan Qingyuan:

According to the requirements, you cant have any problem in every link. Once there is a problem, the patient may turn down irreversibly and fall down like we walk on the wire rope. And the treatment of this disease is not immediate, it is a long process, but the longer the time, the greater the risk. I have confidence in my team, but I must also have higher requirements for them, otherwise this battle may lose in a certain link.

Two hearts and three lungs to maintain life and be ready to deal with massive hemorrhage

Before that, doctors intubated Yifan and Hu Weifeng, and went on ECMO twice. After doing CT, Zhan Qingyuan judged that the lung recovery of the two doctors patients would be very slow. In this case, he decided to give them ECMO again, in order to give them enough time to recover and treat their complications at the same time.

reporter:

I read that its called two hearts and three lungs?

Zhan Qingyuan:

ECMO itself is both a personal work heart and a personal work lung, so it is equivalent to two hearts. A person normally has one lung. If he has a ventilator, he will be counted as one lung. In addition, the artificial lung is three lungs.

reporter:

The vital signs of the two people are completely supported by the hardware to maintain such a stable state?

Zhan Qingyuan:

Yes, its hard to imagine them living until then without these supports. The second thing we did at the time, apart from giving them CT, was to have both patients tracheotomy. Once a person wakes up, all his physiological defense functions can be mobilized, so they need to be cut when they are not awake. But there is a very big risk in incision, because the anticoagulant we give is not easy to coagulate, so it is easy to have massive bleeding, which is easy to appear. We also actively dealt with the problem of bleeding, and finally stopped it.

Had to replace ECMO catheter twists and turns, thrilling

On March 5, Dr. Hu Weifeng developed symptoms of infection. Wang Chen, academician of the Chinese Academy of engineering and former president of the Chinese and Japanese hospitals, came to the new town hospital area of China France to consult with the doctor team of the Chinese and Japanese hospitals on Hu Weifengs condition. He made a decision to replace the catheter for the medical team.

Wang Chen:

Ill make up my mind for you. You may also find it very difficult to change the tube. Im afraid its not easy to make up your mind, but if you dont make up your mind, the patient will not be able to get by. I think its still necessary to change the pipe. We have no other means at this time.

Both Yi Fan and Hu Weifeng have blood borne infection, which means that every means should be taken to remove the source of infection in the blood. The most important and crucial thing is to replace all the catheters on them, especially the most dangerous ECMO catheters. However, the replacement of ECMO catheter is thrilling and twists and turns.

Zhan Qingyuan:

We failed to replace Hu Weifeng for the first time, and a big complication was massive hemorrhage. At that time, I said that you should stabilize your blood pressure first. At that time, I thought that as long as the blood pressure was maintained, I would go to the stage to stop the bleeding place, and I had to go to the stage to die.

Zhan Qingyuan:

Because he had pierced that place many times, it was really very difficult to operate. As soon as the pressure increased after the ECMO was opened, the small mouth became a big mouth, and the blood flowed out. At that time, we immediately pulled out the tube, or changed it to its original position. When we made ECMO, the blood stopped slowly.

After Hu Weifengs ECMO pipeline was successfully replaced, Yifans ECMO pipeline was also replaced. The move led to a significant decline in infection indicators in the two doctors patients, indicating that the infection had been removed. On March 6, Hu Weifeng regained consciousness. On March 7, Yi Fan woke up.

Before leaving ECMO, Yi Fan was cheated like this

In the ICU novel coronavirus pneumonia, medical staff often do not insist on seeing the hope, but because they do not give up their persistence and see hope. After the multi-disciplinary treatment and protection of medical staff, on March 15, Yi Fan was separated from ECMOs life support. Before leaving ECMO, Zhan Qingyuan told Yi fan that his ECMO had been shut down for two days. These two days were totally dependent on the ventilator, which had nothing to do with ECMO. The offline test was very successful, which made Yi Fan have confidence in leaving ECMO.

Before offline, Yi Fan wants to drink water. Zhan Qingyuan feeds Yi Fan with a cotton swab dipped in water and tells him that the water is manna.

Zhan Qingyuan:

It is a key step for ECMO to withdraw him. The ultimate goal is to let him out of the hospital. If he is not discharged, he must return to the society.

reporter:

At that time, trust was particularly important?

Zhan Qingyuan

its not important, its the most important, because he put his life in your hands. No matter he or his family members, or Wuhan Central Hospital have 100% trust in us, so Im particularly touched by this. But I also know that these two patients are really very difficult. I want to save him as much as I can, at any cost.

Yi Fans condition began to improve, but Hu recovered slowly. One day, he even started to have a high fever. Considering that it was caused by infection, Zhan Qingyuan risked pulling out the tube for Hu Weifeng.

Zhan Qingyuan

I have to take a risk at this time. I took a risk and pulled him out. Because I think he may have a light infection after unplugging, his respiratory rate may come down, and he may still be maintained by the ventilator. I cant support him for several days. I will give him another ECMO. Although that is the fifth ECMO, I can interrupt the infection. After the evacuation, he couldnt carry it. That night, the carbon dioxide in his blood was more than 100. At last, I carried it for about seven or eight days, and the respiratory rate gradually improved.

The doctor thanked the doctor for writing miracle in medical history on his bed

On March 22, Dr. Hu Weifeng also successfully removed ECMO. On April 6, the day before leaving Wuhan, the white soldiers of the national anti epidemic medical team of Beijing China Japan Hospital, who had been fighting for more than 70 days in Wuhan, bid farewell to Yi Fan and Hu Weifeng in the ward. Hu Weifeng was very excited and wanted to express his gratitude, but he couldnt speak. He picked up his pen and wrote a miracle in the history of medicine! A few words.

Zhan Qingyuan

This is a kind of affirmation, thanks and mutual understanding and trust between our comrades in arms.

The farewell video before the evacuation touched many people. Because of the black faces of the two doctors and patients, it has aroused great public concern.

Zhan Qingyuan:

We also have his early photos. At that time, it was a little dark. In the later stage, because of the long time of using polymyxin B, it became darker and darker, but it didnt have a great impact on the recovery of other organs. If you recover later, you can recover slowly.

Hu Weifeng has cerebral hemorrhage I believe Lao Hu can survive

On April 7, 164 soldiers in white in Hubei medical team of China Japan Friendship Hospital successfully completed the anti epidemic task in Wuhan and won the victory safely. After Zhan Qingyuan returned to Beijing, Dr. Hu Weifeng was transferred to the general ward on April 14. On April 22, Zhan Qingyuan got the news that doctor Hu Weifeng had cerebral hemorrhage. At present, Hu Weifeng is still in the hospital for rehabilitation treatment.

Zhan Qingyuan:

I believe Lao Hu can survive. He really has a lot of life. It is not fatalism that we talk about fate. The vitality of his body and his repair ability are different from people. I think Lao Hu has strong vitality, and I still have hope for him.

Yi fan leaves the hospital and goes home: hasnt inhaled oxygen in the past 20 days to try to get back to work as soon as possible

On May 8, Yi Fan was discharged from the hospital and returned home. Its Yi Fans daily life to accompany his daughter in Internet class, dancing and rehabilitation training. With the gradual improvement of the physical condition, the skin color of the former black is also turning white.

reporter:

Is it OK to recover after discharge?

Yifan:

I think its OK. I havent inhaled oxygen for nearly 20 days. Its easier to walk than in hospital. I can do 20 squats.

reporter:

What are the plans for the future?

Yifan:

Strive for early recovery and return to work.

(function(){(window.slotbydup=window.slotbydup||[]).push({id:u5811557,container:ssp_5811557,async:true});})(); Its recommended that doctor black face accompany his daughter to take online lessons when he comes home. He said that the family would be very happy when they were together. Wuhan doctor was rescued and turned black. Expert: the body may turn white again after recovery. Wuhan two confirmed severe doctors were rescued and turned black. Source: CCTV news client responsible editor: Wang Ning, nb12468