82-year-old Uncle Zhi suffered from a variety of tumors, and went to Changzhou Third Hospital for treatment because of pain all over his body. After the multidisciplinary joint diagnosis of the hospital, the hospital made every effort to rescue, and at present, Uncle Zhi has turned the corner and been discharged.
In December last year, Uncle Zhi was in pain all over his body, and then the pain became more and more serious, and it became difficult to breathe, and he couldn't speak, so he was sent to Changzhou Third Hospital for emergency treatment by his family.
At that time, the emergency examination found that the troponin in the cardiac enzyme spectrum was 'off the table', but it could not be detected, so I told the laboratory to do a quantitative examination, and after diluting the blood, it was found that his troponin reached 100,000, and the average person should be less than 17. Zhang Luxi, deputy director and chief physician of the interventional department of Changzhou Third Hospital, introduced, "After reviewing the relevant literature, it was found that this is a rare case, and the incidence of immune-related myocarditis in the first process of population immunity is less than 1%, the mortality rate of the population is greater than 50%, and the mortality rate of critical cases is more than 86%. ”
Uncle Zhi suffered from a variety of tumors such as urinary system and liver in the early stage, and this time he suddenly became seriously ill, coupled with his age, his condition was very critical. After being admitted to the hospital, the hospital attached great importance to the hemodialysis center, nephrology, cardiology, ICU, infection and other multidisciplinary joint consultations, Zhang Luxi also consulted the Nanjing Military Region General Hospital and the national authoritative experts in oncology, and after a comprehensive assessment of the condition, finally formulated a detailed and thorough treatment plan.
Zhang Luxi introduced, after the consultation, we will give immunoglobulin shock**, hormone shock**, and then a large dose of plasma exchange, hormone to 500 mg to 1 gram, we usually use 10 mg to 20 mg for internal medicine patients, according to the guidelines these measures should be in place within 48 hours, more than 48 hours is meaningless.
Time is of the essence, after 16,000ml plasma exchange, high-dose hormone shock, and systemic nutritional support, after the all-out rescue of medical staff, Uncle Zhi finally turned the corner.
Now the patient's troponin has dropped from the highest 100,000 to 50, and the high-dose hormone has also been withdrawn from 500 mg to 10 mg, changed to oral, and the patient's vital signs have been stabilized. ”
* Before being discharged from the hospital, Uncle Zhi said excitedly, "The doctor here ** is dedicated to treating me, calling me in the middle of the night, sometimes I can't breathe and can't breathe in, Director Zhang rushed over from home without saying a word." Thank you to them for saving me! ”