Recently, the intensive care unit of the Department of Infectious Diseases of the Second Affiliated Hospital of Xi'an Jiaotong University sent a fever patient whose blood pressure could not be measured, and the doctor on duty immediately accepted the patient, and considered renal syndrome hemorrhagic fever (the end stage of fever and the overlapping period of hypotensive shock) in combination with the patient's medical history and external hospital examination, which is the most critical and critical situation. The medical staff on duty immediately treated the patient, the nursing team urgently established intravenous access, immediately expanded the volume of fluids, supplemented albumin, corrected electrolyte disorders, etc., the second-line doctor Li Yaping on duty, and the third-line chief physician Jia Xiaoli organized the rescue on the spot, and with the joint efforts of the medical staff on duty in the department, the patient's vital signs gradually stabilized and passed the first dangerous period in the course of the disease.
The patient, Wang, a 46-year-old farmer, developed a fever with a maximum temperature of 40 after doing farm work four days ago0, accompanied by fatigue, headache, low back pain, etc., the patient feels "cold", and the body temperature can drop to normal after taking cold medicine at home, but the above symptoms gradually worsen, and the local doctor is positive for Hantavirus antibody Igm, and the diagnosis is "hemorrhagic fever with renal syndrome", and the critical condition is recommended to be treated by a superior hospital, so the thrilling scene at the beginning occurred.
After the patient's blood pressure was stabilized, the intensive ** group comprehensively assessed the condition, formulated individualized **, and arranged CRRT** in a timely manner in combination with the patient's condition, the patient was in the most critical extreme stage of the patient's condition in the oliguric stage, and at the same time of renal failure, type I respiratory failure, acute lung injury, coagulation dysfunction and other conditions occurred, after the unremitting efforts of the medical staff of the intensive care unit of the infectious disease department and careful comprehensive treatment, the patient's symptoms gradually improved, the condition was stable, and he successfully passed the critical period, and has now entered the polyuria stage.
At present, it is the peak period of hemorrhagic fever, and it is also the high incidence period of respiratory infectious diseases, the symptoms of hemorrhagic fever in the early stage of the disease are similar to colds and fevers, and they are easy to be ignored and delayed. The Department of Infectious Diseases of the Second Affiliated Hospital of Xi'an Jiaotong University is located in the northwest of China, with the heart of the hometown, after several generations of efforts and accumulation, it has rich experience and exquisite technology in the treatment of critically ill hemorrhagic fever patients. We will continue to put patients at the center and strive to improve the standard of medical care to bring health and hope to more patients.