When sucking sputum for the 83 -year -old stroke, an accidental found that the patient's lungs were "hidden" with a remnant teeth

Author:Wuhan Evening News Time:2022.07.07

Wuhan Evening News July 7 (Correspondent Zhou Xian) Patients with stroke have multiple swallowing dysfunction sequelae, which often causes accidental inhalation and cause hypoxemia and respiratory failure. The medical staff of the severe medical care room of the Department of Respiratory and Critical Medicine in the Third People's Hospital of Hubei Province (Zhongshan Hospital in Hubei Province) in Hubei Province. When sucking sputum for an 83 -year -old stroke sequelae, an accidental found that the lungs of the elderly "hidden" a disability tooth. In the early morning of July 7, the elderly who fell asleep in Enron said, the medical staff said that who could think of it a few days ago, the old man was still "hovering" in front of the ghost gate.

The old man's surname is Zhang, and because of the sequelae of the stroke, you often misuse. On the evening of July 4, the elderly once again manifested hypoxemia, respiratory failure, and ending of shock due to erroneous inhalation. After dating doctors Du Chuan and nurse rescued, the patient temporarily separated from danger, but was still seriously ill.

Combined with Grandpa Zhang's condition of hypoxemia and infection at the time, after fully communicating with the patient's family members, the doctor He Qing decided to take the sputum of tracheal mirrors for the patient.

After preparing, Liang Yin, deputy chief physician of the department, mainly operated, guided by Zhang Xiaoying, a bronchial mirror technician, and the nursing chief Wang Ping and nurse Xiao Li collaborated to cooperate to use the edge bronchial mirror, hemp medicine irrigation, irrigation fluid irrigation, and irrigation, irrigation liquid, and irrigation. Insert the biopsy pliers. Step by step to suck a lot of pus in patients.

Reriven from the lungs of the elderly.

In the process of sucking sputum, Liang Yin found that there was a defective teeth at the opening of the old man's left and lower lungs. "The patient couldn't cooperate at the time. Only the nurse Wang Ping had firmly grasped his mouth and bite his mouth, otherwise the bronchoscope was likely to be bitten by the patient." Recalling the scene at that time, Dr. Liang Yin said that the whole process could be said to be a wave of twists and turns. The medical staff operated cautiously and used the biopsy to smoothly clamp the teeth.

Liang Yin said that when the elderly missed the remnant teeth, they did not know. Once the teeth blocked the bronchial opening, they would cause lungs, causing permanent damage, and aggravating the condition.

At present, the blood oxygen saturation, oxygen pressure and lactic acid of the elderly have returned to normal, and the condition is stable and is recovering.

[Edit: Yu Lina]

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