Take a few steps to pant, the doctor washed 24 bottles of "milk" from her lungs

Author:Changjiang Daily Time:2022.07.15

I feel tired as soon as I walk, I can't get angry

The seventies of the elderly are not far away from Xinjiang to seek medical treatment from Xinjiang

The inspection originally suffered

Rare alveolar protein deposition

The doctor performed the whole lung irrigation for it

Try to wash 24 bottles of "milk" from it!

图片

Washed some milk -shaped liquid.

After a few steps, you are panting. The old man suffered from alveolar protein deposition

Grandma Zhao, 74, went to Xinjiang when she was young, and has been working there since then. Beginning at the end of last year, she felt that her physical strength was not as good as before. She took a few steps to pant, and the treatment in local hospitals did not improve significantly. Grandma Zhao's sister and daughter were in Wuhan, and suggested that she quickly return to Wuhan for treatment. A month ago, she and her family arrived in Han from Urumqi to find Professor Zhao Su, chief physician of the Department of Respiratory and Critical Medicine of Wuhan Central Hospital.

Director Zhao carefully asked the medical history and checked the results of the lung CT examination, and considers the patient's rare alveolar protein deposition. Due to the history of lung tumor disease in the patient's family, in order to clarify the diagnosis, Hu Yi, the director of the Department of Respiratory and Cympapture Medical Division, performed a bronchial mirror frozen lung biopsy for Grandma Zhao, combined with irrigation liquid paraffin buried and special dyeing, and special dyeing. The ultimate diagnosis was diagnosed with alveolar protein deposition.

Wash the 24 bottles of "milk" 12,000 ml of the elderly, the breathing is smooth

At present, the best treatment method is full lung irrigation, ultra -dose of salt water washing the lungs, and the treated lungs must not be irrigated and out of water, but also "difficult" to ensure respiratory function. Under normal circumstances, the water may be terrible, sending a few kilograms of liquid into the lungs for a short time, and how to turn "terrible" into "life -saving". In addition to testing the level of breathing intervention, it also has high requirements for anesthesia technology.

图片

The Department of Respiratory and Critical Medicine and experts of anesthesiology are closely cooperated to perform a whole lung lavage surgery for patients. Correspondent Liu Shanshan Photo

Considering that patients have high blood pressure, diabetes and other diseases, the risk of intervention treatment is very high. In order to ensure that on one side of the lung washing treatment, the lungs on the other side can be normally ventilated and the patient's normal oxygen is used. Under anesthesia two -cavity bronchial intubation lung isolation, while washing the affected lungs, it implemented mechanical ventilation against the lungs of the healthy side, and ensured that the irrigation liquid will not enter the lungs of the healthy side. Absorption causes pulmonary edema.

图片

When a team of experts "washing lungs" for patients, the milk -shaped liquid was cleaned. Correspondent Liu Shanshan Photo

Hu Yi led the breathing intervention team to "wash the lungs" for the patient, and poured the warm and agarous saline prepared in advance from imports into the lungs. Through the three -way tube, the milky white liquid was constantly flowing from the export source. After nearly 4 hours of bilateral lung After washing, washing the liquid changed from milk -like to clear. After surgery, the cleaned liquid was equipped with 24 bottles, 500 ml per bottle, and a total of 12,000 ml. After surgery, Grandma Zhao's life signs were stable and returned to the ward safely. After surgery, the old man's breathing was smooth.

At present, Grandma Zhao has resumed well and has been discharged smoothly.

图片

图片

Expert reminder

Once the activity occurs

When symptoms such as poor breathing

You should go to the hospital in time

So as not to cause more serious consequences

37 degrees 丨 Yangtze Health Merchants Products

Reporter: Qi Yan Correspondent: Liu Shanshan

Edit: Yu Lina Drawing: Ma Jingjing

For more exciting content, please download the "Da Wuhan" client in the major application markets.

- END -

The National People's Republic of China Maritime Affairs Bureau on issuing the "Guide to the Prevention and Control of Ship Chigor New Crown Pneumonia" (Tenth Edition)

Guide to prevent and control operation of Shipbuilding Ship Chip Pneumonia Epidemi...

If you often check the medical examination, do you know the indicator of the inspection?

Source: Science Popularization ChinaIf you often check the medical examination, do...