1 drawing, 1 red pen, 1 black pen, and 1 mobile phone in the ward on the 7th floor of Area A, Building 6, Zhejiang University First Hospital, 47-year-old Mr. Ma started the resumption of work with a conference call The "first shot".
Good news came one after another. The doctor told him during ward rounds that he would be discharged soon.
The 47-year-old designer in Hangzhou sought emergency medical treatment.
He was close to "white lung"
Mr. Ma is engaged in the architectural design industry and returned from a business trip to other provinces at the end of December 2022. Hanghou developed a fever. Being a strong-willed person, he only took one antipyretic pill. He felt that his fever was gone and his immunity was strong, so he returned to work the next day.
Unexpectedly, in the next few days, he developed symptoms such as recurring fever, severe cough, chest tightness, shortness of breath, dizziness and fatigue. His body temperature reached a maximum of 38.5°C, which could not be relieved by taking medicine on his own, so he hurriedly came to the First Department of Zhejiang University. Hospital visit.
"After medical treatment, it was found that his oxygenation index continued to decline. CT showed extensive infiltration in both lungs, which was close to white lung. It was severe pneumonia and he was immediately admitted to the hospital." Director of the Department of Infectious Diseases, Zhejiang University First Hospital Professor Sheng Jifang said that after Mr. Ma was admitted to the hospital, he was immediately given symptomatic treatment, as well as gastric mucosa protection, nutritional support and other treatments.
“To be honest, when I heard that I was hospitalized, I was in a mess. On the one hand, I had a lot of things to deal with at work at the time, and on the other hand, I didn’t know if the illness could be cured if it was so serious. "Mr. Ma recalled, but the only thing he could do at that time was to cooperate with the doctor's treatment. Soon, his condition took a turn for the better. Three days after treatment, Mr. Ma's body temperature began to drop and has remained in a normal state. His chest tightness and asthma have also been greatly improved, and he can get out of bed and move around.
The pennant sent by Mr. Ma
On January 1, 2023, Mr. Ma, whose mental state had returned to almost the same as before he fell ill, prepared two pennants and gave them to the person who was in his final days. The medical team provided him with professional medical treatment at critical moments. On January 3, he asked his colleagues to send two bouquets of flowers to medical staff.
In fact, in the past few days, patients like Mr. Ma with severe lung consolidation and whose condition improved after treatment have been discharged from the First Hospital of Zhejiang University every day.
The 7th floor of Area A of Building 6 was originally the infectious disease ward, mainly treating patients with various liver diseases and other infectious diseases. On December 18, 2022, according to the unified arrangement of the hospital, the overall adjustment was to be the new coronavirus patient treatment ward.
“The patients in our ward are mainly elderly people, with the oldest being 95 years old.” Director Sheng Jifang said that the treatment team makes rounds every day to discuss and formulate personalized treatment plans, while also conducting anti-viral and basic disease tests. treatment, the overall effect is ideal.
There is not just one dangerous case like the designer Mr. Ma...
Takeaway boy Yang Kanghou
Overloaded food delivery Causing cardiac arrest
At around 10 a.m. on January 7, a delivery boy at the Xingsha Headquarters of Changsha Traditional Chinese Medicine Hospital in Hunan Province suffered a heart attack due to neglect of basic diseases and continuous overload work after recovery. sudden stop.
The delivery boy, surnamed Shi, is 39 years old. He has been transferred to the cardiovascular intensive care unit and is temporarily out of danger.
According to Liu Le, deputy director of the Department of Cardiovascular Medicine, Mr. Shi had coronary heart disease and had been visiting the hospital outpatient department. He originally planned to undergo coronary angiography and stent implantation.
When the sudden epidemic hit, he also became "positive" on December 16 last year, but he continued to work and often delivered meals to the medical staff in the hospital. At around 10 a.m. on the 7th, while delivering goods, his chest pain suddenly worsened and he was sweating profusely. He immediately called 120 for emergency help. In the ambulance, emergency personnel perform an electrocardiogram and notify the emergency department to prepare.
Arrived at the emergency gate of the hospital at 10:47, received the emergency medical staff at 10:51, and suffered a sudden cardiac arrest at 10:52. Considering that it was caused by acute myocardial infarction, the emergency department immediately performed cardiopulmonary resuscitation on the spot. . Fortunately, cardiopulmonary resuscitation was successful. The Department of Cardiovascular Medicine and the Department of Interventional Medicine immediately performed coronary angiography and stent implantation. After the operation, he was transferred to the cardiovascular intensive care unit for continued diagnosis and treatment.
Video surveillance
Fever and cough after infection
The first week of fighting the virus is very important. After getting through the "difficult stage", the first week of gradual recovery The second week is actually very critical.
Many experts have reminded that
The second week after impotence is also very important
1. There is an "immune disorder period" after impotence, which will last for 1- 2 weeks
Zhang Lei, deputy director of the Respiratory Department of the Shanghai Children's Medical Center affiliated with Shanghai Jiao Tong University School of Medicine, said in an interview on December 23, 2022 that it is necessary for people who have recovered from the new coronavirus to rest for 1-2 weeks. .
Zhang Lei said that after experiencing new coronavirus infection, the human body's immune function will show obvious disorders, that is, the number and function of lymphocytes will decrease during the acute stage of infection, and then slowly return to normal as the disease recovers. normal state. This "immune disorder period" will last for 1 to 2 weeks for most people. During this period, other viruses and bacteria can easily take advantage of the situation.
2. Generally, a small number of patients will have certain myocardial reactions two weeks after infection
“Most symptoms of new coronavirus infection improve and gradually recover within 5 to 7 days, but there are also a few Patients will experience myocardial involvement, usually two weeks after being infected with COVID-19, and experience symptoms such as electrocardiogram changes, tachycardia or bradycardia, and sometimes chest pain, chest tightness, shortness of breath, palpitations, and even syncope," said the Executive Vice President of Beijing Anzhen Hospital. In an interview with CCTV News on December 26, 2022, Chang Zhou Yujie said that if the symptoms are severe, you should go to the hospital in time to check whether there are changes in myocardial enzymes. If cardiac enzymes are found to be doubled, the doctor will comprehensively determine whether myocarditis has occurred based on other corresponding examinations. If myocardial damage occurs, don’t panic. You can spend the window period through healthy lifestyle management and gradually repair it.
3. The cough lasts for more than 2 weeks and has worsened, and further evaluation is needed
Xu Kaifeng, deputy director of the Department of Respiratory and Critical Care Medicine, Peking Union Medical College Hospital, said in "Peking Union Medical College Doctors" on December 26, 2022 "The publication stated that cough symptoms after new coronavirus infection last for about 2 weeks on average, and some patients' cough can last as long as 4 weeks. Coughs caused by simple airway inflammation generally subside gradually. If the cough symptoms worsen after 2 weeks of COVID-19 infection, or the symptoms have not been relieved for more than 4 weeks, you need to go to the hospital for further evaluation of possible causes.
Xu Kaifeng reminded that coughing will continue for a period of time after "Yangkang". The persistence of coughing does not mean that the new coronavirus infection is getting worse. However, if the cough symptoms are severe or persist, especially if the fever recurs or persists, is accompanied by hypoxia or breath holding, and shortness of breath after activity, you need to be alert to pneumonia caused by the new coronavirus and go to the hospital in time to check your chest. CT.
If these symptoms appear,
it may be becoming severe
Many clinicians said that after infection, do not think that it will be fine after a week, and you still need to nurse yourself back to health. Monitor for two weeks. Some secondary infections or complications will not show up until some time later. For some patients, especially the elderly and people with underlying diseases, sudden pneumonia or myocarditis may occur and become severe.
The "2022 Shanghai Novel Coronavirus Infection Diagnosis and Treatment Standards and Graded Diagnosis and Treatment Process" compiled by the Shanghai New Coronavirus Disease Clinical Treatment Expert Group in collaboration with the National Center for Infectious Diseases reminds that any one of the following can be judged For severe patients:
Adults meet any of the following:
Shortness of breath, RR≥30 times/min;
In a resting state, breathing On air, it means oxygen saturation ≤93%;
Arterial blood oxygen partial pressure/oxygen concentration ≤300 mmHg;
Pulmonary imaging examination shows that within 24-48 hours The lesions have significantly progressed >50%.
Children meet any of the following conditions:
Extremely high fever or persistent high fever for more than 3 days;
Shortness of breath;
Restless When inhaling air, the oxygen saturation is ≤93%;
Assisted breathing occurs;
Drowsiness and convulsions occur;
Refuse to eat or have difficulty feeding, There are signs of dehydration.
Lin Minggui, director of the Department of Infectious Diseases at Tsinghua Chang Gung Memorial Hospital in Beijing, told the People’s Daily Health Client reporter on December 25, 2022 that there are clinical individual differences in the time when severe symptoms appear, which may be related to the number of infected viruses and the number of infected viruses in the patient. It is related to basic physical diseases, age, vaccination, etc. Don't think that everything will be fine once your symptoms improve. The virus may still be in a state of not being completely eliminated from the body. During this period of time, our sick bodies are generally unable to withstand strenuous activities and overloaded work intensity.
So after infection, the body should be given at least half a month to a month to recover and rest. "The most important thing is to pay attention to your physical symptoms, and to identify and intervene early on signs of severe symptoms. This is more meaningful to the individual."
The second week after Yang,
Be sure to do these three things
Many people begin to enter the recovery period after experiencing a week of discomfort. Combining the "Expert Guidelines for Health Management of Patients During the Recovery Period of Novel Coronavirus Infections" and expert advice, it is very important to do these three things during the recovery period!
01 Eat
_Those who have a poor appetite after "Yangkang" or have taste disorders are advised to eat smaller meals more often;
_Keep a variety of food , pay attention to the balance between meat and vegetables, and the combination of thickness;
_Eat more fresh vegetables, fruits, soybeans, milk, and cereals;
_Eat fish, poultry, eggs, and lean meat in moderation , preferably fish, shrimp, poultry and lean meat, and eat less fatty meat;
_Eat a light and non-greasy diet, avoid eating spicy and irritating foods, fried and greasy foods;
_Guaranteed For water consumption, boiled water is preferred, and drink less or no sugary drinks. Drink 1500-2000ml of water every day.
_Reasonable use of medicated diet for nutrition and diet therapy, combined with the winter climate characteristics, it is recommended to use Sydney monk fruit water, corn silk orange peel water, white radish honey water, walnut, green onion and white ginger soup, pear soup, yam, winter melon and lotus seeds Porridge, coix kernel, poria, yam porridge, etc.
_After "Yangkang", it is best to quit smoking and limit alcohol consumption.
02 Move
_Start with low-intensity activities, such as walking, baduanjin, simple daily housework, etc. Reduce exercise intensity appropriately. Generally, exercise intensity drops to about one-third of its original value.
_If there is no obvious discomfort, the activity intensity can be gradually increased within a few weeks, such as walking up and down stairs, brisk walking, jogging, cycling, swimming, and dancing until the patient returns to the normal activity state before the illness.
_If chest pain, palpitations, dizziness and other uncomfortable symptoms occur during exercise, you should stop exercising immediately and seek medical treatment if necessary.
03 Sleep
Some people may have difficulty falling asleep, short sleep time, shallow sleep, and excessive dreams during the recovery process. Suggestions:
_Bake more sun and do some low-intensity exercise, such as walking, if your body can tolerate it. Especially in the afternoon every day, going outdoors to receive half an hour to one hour of light is an important method to quickly rebuild biological rhythms.
_Try to stop using electronic devices such as cell phones and tablets an hour before bed.
_Reduce your intake of nicotine, caffeine and alcohol as much as possible.
_Try relaxation techniques to help you fall asleep, such as meditation, mindfulness-based stress reduction, mindfulness or bathing, aromatherapy, tai chi, yoga, and music. Chinese medicine soaking and washing can also be used.
_At the beginning of returning to work, start with lighter tasks. If possible, take a 20-30 minute lunch break.
_If insomnia is really severe, you can also take sleeping pills, but it is recommended to use them under the guidance of a physician.