On April 16, 7 experts from Jiangsu People's Hospital (the First Affiliated Hospital of Nanjing Medical University) who stayed in Wuhan formally divided into three places to fight "the final battle" in Wuhan.
On April 14, Chen Xufeng, chief physician of Emergency Medicine Department of Jiangsu People's Hospital, Zhang Ping, chief physician of critical medicine department, Li Jinhai, deputy chief physician of critical medicine department, and Liu Hui, chief nurse of geriatric critical medicine department, were stationed in Zhongfa Xincheng District of Wuhan Tongji Hospital; on the same day, Zuo Xiangrong, chief physician of critical medicine department, was stationed in West Hospital of Wuhan Union Medical College; on April 15, respiratory and critical medicine Qi Xu, chief physician, Chu Minjuan, chief nurse of the Department of critical medicine, entered the East Hospital of Hubei people's hospital. So far, the seven expert group fought in three places in Wuhan and continued to fight against the epidemic.
Seven out of 20: they are ballast stones
According to the novel coronavirus pneumonia Commission, all the Hubei medical teams were evacuated before April 15th. But another group of experts from the national expert group, Peking Union Medical College Hospital and the 20 experts of the national team will remain in Wuhan as a national expert steering group to tackle the last "bastion" of Wuhan's new crown pneumonia. Recently, they were stationed in Wuhan Tongji Zhongfa new town hospital district, West Hospital of Wuhan Union Medical College, East Hospital of Hubei people's Hospital, Wuhan Jinyintan hospital and Wuhan Pulmonary Hospital.
Jiangsu Provincial People's Hospital occupies 7 of the 20 national expert supervision groups. Chen Xufeng, Zuo Xiangrong and Li Jinhai have been working in the main battlefield of Wuhan for more than 70 days since they undertook the construction and management of Wuhan living room shelter hospital and Wuhan Sports Center shelter hospital on February 4 and the critical treatment of Wuhan Jinyintan hospital on March 23. Zhang Ping, Qi Xu, Chu Minjuan and Liu Hui have successively undertaken the responsibilities of Wuhan first hospital and Wuhan Jinyintan hospital since February 13 Novel coronavirus pneumonia has been focused on severe treatment for more than 60 days.
"Stand on the last post": the goal is to "clear" the new crown patients
According to Zuo Xiangrong, there were 19 patients in the intensive care area of West Hospital of Wuhan Union Medical College Hospital, 5 of whom received ECMO (extracorporeal membrane oxygenation) support treatment. "The patients in the ward are mainly elderly, with an average age of 72, the oldest of 93 and the youngest of 54. Our main purpose is to improve the success rate of treatment and reduce the mortality rate. We plan to enhance anti infection, optimize airway management and hemodynamics, improve nutrition, promote rehabilitation and other aspects to improve the patient's condition. "In addition to routine ward round and treatment work, the national expert steering group also conventionally carries out discussion on difficult and critical cases and death cases," we hope We hope that through these discussions, we can work out the best individualized diagnosis and treatment plan. Yesterday afternoon and this afternoon, under the chairmanship of Ma Xudong, director of the national health and Health Commission, we also held multidisciplinary discussions with experts from the transplant center of Concorde hospital, cardiac surgery, thoracic surgery and thoracic surgery of Hubei people's hospital to explore the possibility of lung transplantation in five ECMO patients. "
According to Qi Xu, there are 59 patients in the East Hospital of Hubei Provincial People's Hospital, 11 of whom are critical patients, 1 of whom is treated with ECMO (extracorporeal membrane oxygenation) and 10 of whom are treated with tracheotomy. "The key of our treatment policy lies in four" centralizations ". Qi Xu introduced that the plan drawn up by the national expert supervision group in the East Hospital of Hubei people's hospital is to centralize patients, resources, experts, medical care and treatment. "Specifically speaking, every day we should conduct cabin rounds and guidance for patients with severe and critical diseases, closely observe the conditions of all patients, formulate reasonable treatment plans and flexibly adjust them according to the patients' primary diseases and complications. Another is the multi science discussion of difficult cases." Qi Xu said that although the pregnant women in the ward are mild, they need to monitor the safety of pregnant women closely to prevent the disease from turning serious.
Chen Xufeng introduced that there are 91 new crown related patients in Wuhan Tongji Zhongfa new town hospital area, which are distributed in four disease areas. They are all patients with long course, old age, many complications and complications. It is very difficult to treat them, including 50 critical patients, 15 patients with invasive ventilator support, and 5 patients with ECMO (extracorporeal membrane oxygenation) support treatment. "The task of our national supervision group is to improve the treatment success rate, reduce the fatality rate and gnaw down the last" hard bone "of these new critically ill patients," Chen said. At present, the main work is to check and guide the treatment of patients, including the inspection of key patients and the daily multi-disciplinary discussion of difficult cases; second, according to the condition, to all patient systems The third is to strictly grasp the discharge standard and screen the patients who meet the discharge requirements. "The ultimate goal is to 'clear' the new crown patients." Chen said.
"We will stand on the last guard," said Zuo Xiangrong. "At present, I haven't thought about when I will go home. This must follow the unified arrangement of the state. But I think that when the epidemic situation in Wuhan is completely controlled, the treatment of critically ill patients can show a good cure trend. We win the final battle, which is the best time for us to go home. "
Reporter: Zu Ming
Correspondent: he Yutian
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