China Youth Daily, China Youth Network Intern Reporter Gong Ayuan Reporter Wang Peinan Correspondent Zhao Zhihong Wang Zibing.
When the male patient in his early 30s was admitted, his heart had stopped beating for 3 hours, and the hospital issued a critical illness notice, but Li Fuxiang, director of the intensive care medicine department of the Western Theater General Hospital, was unwilling to give up, and he quickly led the ECMO (cardiopulmonary assistance) team members to urgently perform cardiopulmonary assistance**.
After the ECMO was running, there was a "heart storm" ...... the man's heart
Three hours ago, Mr. Wang, who was traveling from Hainan to Sichuan with his lover, suddenly went into shock and collapsed in the scenic spot of the Chengdu Giant Panda Breeding Research Base, losing consciousness.
The emergency department of the General Hospital of the Western Theater received first aid**, and 10 minutes later, an ambulance arrived at the scene. On the way back to the hospital, the attending doctor, Liu Wenjun, performed cardiopulmonary resuscitation for the patient without stopping, and after the patient was admitted to the critical care ward of the intensive care department, he was so sweaty that he sat down on the ground.
Doctors in the intensive care department wrestle with death every day. Li Fuxiang said. Doctors watched the male patient's vital signs at the bedside, performed multiple electrical defibrillations, and implanted arteriovenous lines.
Finally, after 3 hours, the patient's heart rhythm returned to sinus. The team's hanging heart did not fall, and the ECMO ran for 122 hours before the patient's heart function was basically restored. However, medical staff in intensive care units encountered more difficulties: bleeding at the puncture site, inadequate anticoagulation, gastrointestinal bleeding, non-healing wounds and other complications. They also performed vascular repair sutures on the patient with the assistance of a cardiovascular surgeon.
As the patient's consciousness gradually returned, the doctors breathed a sigh of relief. To their surprise, the patient did not have any sequelae. After 45 days, the patient was transferred to the emergency room, intensive care department, and cardiology ward, and was finally discharged.
As a military doctor, Li Fuxiang and the doctors in the department often say, "Serving the people is sharpening the knife, and serving the army is a bright sword." The Department of Intensive Care Medicine is located at the end of the east side of the outpatient clinic on the 3rd floor of the General Hospital of the Western Theater of Operations, where the lights are always bright, the sound of instruments and equipment comes and goes, and medical staff conduct 24-hour real-time monitoring of patients.
Pay attention to the breathing and heart rate of the 9 beds. ”
Thirteen beds were placed with deep venous catheters. ”
The blood and urine test results of the 15-bed patients came out and ...... to me as soon as they came out”
In the first two years of the establishment of the department, Li Fuxiang did not dare to leave the office too far, for fear that the patient would suddenly become ill, and the farthest place he walked was the lotus pond at the entrance of the hospital, and he could rush back to the department within 1 minute when the mobile phone rang.
One year, a 25-year-old soldier was accidentally squeezed by a forklift during training, resulting in serious injuries to his lower abdomen, hui** and both lower limbs, and underwent seven surgeries in the resident hospital, and his condition was still life-threatening at any time, and he was sent to the Western Theater General Hospital.
After the hospital-wide consultation, Li Fuxiang led the team to save his life. Subsequently, after a long time, the comrade-in-arms was finally discharged from the hospital.
The intensive care unit is quiet, where the equipment runs 24 hours a day. Medical staff monitor patients 24 hours a day, day and night, and turn patients over every two hours. A patient's daily infusion, diet and other inputs, drainage, defecation, urination and other outputs, whether their ** is red and swollen, whether the limbs are thick or thin, the color and smell of sputum, medical staff should carefully record and calculate.
The ICU ward is known as the closest place to death. On the benches outside the door of the ward are always sitting or lying on the patient's family members, with anxious and sad looks on their faces, afraid of being called by the medical staff and eager to know the latest situation of their loved ones.
One day not long ago, during the rare short visit time of the day, there were a little more people in the intensive care unit. "We are not waiting for you while we live, waiting for you is our whole life. A haggard young woman leaned over and whispered in her father's ear, tears streaming down her cheeks.
At the bedside in the corner, an old man holds a notebook and wears reading glasses, and softly reads to his wife the letters he wrote to her when he was young......
The Intensive Care Department has 19 beds and is full all year round. The medical staff always save lives before treating the disease, and they are the last line of defense for the life and health of critically ill patients in the hospital.
Most of the patients admitted to the department are nearby residents and military families, and every year, the medical staff of the department also receive a small number of comrades-in-arms, including older retired veterans and young soldiers.
We are soldiers and people. Without the usual training, we would not have been able to win on the battlefield. Li Fuxiang said.
Over the years, he had become accustomed to going to bed at 1 p.m. Li Fuxiang was a respiratory doctor in his early years, and the intensive care department was a general practice, and after work, he was the time to learn the latest advances in various specialties.
A few years ago, under the leadership of Li Fuxiang, the Department of Intensive Care Medicine set up an ECMO treatment team, established an ECMO emergency process, and was able to start ECMO within 1 hour after receiving the task, and they have successfully treated patients with cardiac arrest, fulminant myocarditis, and severe acute respiratory distress syndrome many times.
In April 2023, a young designer suffered a cardiac arrest and was transferred to the intensive care unit in critical condition. During the treatment, he also suffered repeated cardiac arrests, and after two hours and four rounds of rescue by the medical staff of the department, the patient was finally out of danger.
Sixteen years ago, Li Fuxiang heard that the hospital's neurology department had received a soldier. The young man in his early 20s had a temperature of over 40 degrees Celsius when he arrived. The paramedics tried to pour ice water on him and inject ice saline into his body, and the patient's heart, which had stopped beating for more than 10 minutes, finally restarted, but his pupils had dilated.
In a week, the medical staff tried various ** solutions, but the young patient still lost his life, and Li Fuxiang began to pay attention to heat stroke.
Heat stroke is a severe heat stroke, which usually occurs in summer when the temperature is high and accompanied by high humidity, and the human body is due to the dysfunction of body temperature regulation caused by high temperature, which will further cause damage to nerve organs, and is a fatal disease with a high mortality rate. As soon as summer came, Li Fuxiang's heart began to tug.
The difference is that residents near the hospital often get sick in July and August when the heat is scorching, and they are brought in for rescue because of heatstroke, while the high-risk period faced by officers and soldiers will be brought forward to April and May. In recent years, as the actual combat training of the troops has advanced in depth, the training of officers and men in high temperature and high humidity environments has been increasing day by day, and the risk of heat stroke has increased.
In 2017, Li Fuxiang received two young heatstroke patients in the intensive care department, and when they were brought in, they had already missed the first time for treatment, and one of the patients was misdiagnosed by the local hospital as having chills and was "sent to the hospital wrapped in a quilt".
The patient has fallen into a coma and cannot be called! "The body temperature is 41 degrees Celsius! "Patient arrhythmia! "Abnormal liver function and coagulation indicators! "This is a typical case of heat stroke when it arrives at the department.
Li Fuxiang will lead the team to immediately rescue the patient, cool the patient, establish an artificial airway, infusion, blood transfusion, dialysis ......*Chang Chen Juan led the nursing team to pay attention to the changes in the patient's body temperature, heart rate, liver and kidney function, coagulation function, cardiac enzyme profile and other indicators 24 hours a day.
In addition to treating heatstroke patients in hospitals, Li Fuxiang also takes the medical staff of the heatstroke team to Sichuan and surrounding troops to popularize the knowledge of heatstroke treatment and inspect the cooling facilities in the training sites of various units after the Spring Festival every year.
They engraved the lecture on heat stroke prevention and treatment into a CD, and whenever the troops needed it, he would mail it directly. The first page of the courseware is Li Fuxiang's ** number, and he often tells the military doctor of the grassroots army: "You write down my **, and if you don't understand the on-site processing, call me directly."
Now, under the leadership of the PLA General Hospital and with the efforts of joint control units at all levels, heatstroke has been successfully prevented and treated throughout the army.
In addition to the ICU ward, the team of the Intensive Care Medicine Department of the General Hospital of the Western Theater also fights on a snowy plateau at an altitude of more than 4,000 meters, as well as various training grounds. In recent years, they have participated in major tasks such as the rescue of the Maoxian debris flow, the Jiuzhaigou earthquake relief, the China-Laos "Peace Train" humanitarian medical rescue joint exercise, and the peacekeeping mission to the Democratic Republic of the Congo.
It is often said that the ICU is a dangerous place, and Li Fuxiang and his comrades-in-arms have lost count of the years and how many times they have rescued patients from the brink of life and death. Often patients are discharged from the hospital, and their families will send pennants to express their gratitude, and they bow deeply to Li Fuxiang and the doctors in the department, "It is you who give the patient a second life, and also give us hope for family life."
Similar words made Li Fuxiang and his colleagues realize the meaning of saving lives and helping the injured again and again - saving a patient and a family.
What are the chances of an ICU giving a patient? Li Fuxiang and his colleagues could not answer in numbers. But it is their efforts and persistence that have brought about miracles of successful rescue time and again.
In the intensive care unit of the General Hospital of the Western Theater of Operations, the sound of running machinery and equipment sounded from time to time. In this voice, there is a hidden time when the military doctor has no time to get along with his family, and the desire for life of the patient who is struggling on the line of death.
We are warriors in white coats. Military doctor Li Fuxiang and his comrades-in-arms did not dare to relax in the slightest, "We are fighting against death every day, and we are charging into battle every day."
*: China Youth Daily.