Min Wenqing, a 24-year-old girl, has experienced from a cold to being in an ICU and then having her right leg amputated in one month. A common cold can even cause myocarditis. What's going on?
Myocarditis caused by viral cold is very terrible. There are more men than women in the patients. 20-30 years old is the age of high incidence. Mild symptoms only show that the heart rate is accelerated. Severe patients' condition changes rapidly and the course of disease is short. Once the rescue opportunity is missed, they may die in a short period of time.
Min Wenqing, 24, experienced a test in his life in just one month, from the onset of cold, to the admission to intensive care unit, to the forced amputation of his right leg.
At first, she and her family thought that it would be better to have a rest and take some medicine for the common cold. But what was not expected was that the aftereffect of a cold would be so great - in addition to hundreds of thousands of yuan of treatment costs, she also lost her right leg.
Its attending physician Zhang Xuemei told reporters that Min Wenqing's condition belongs to viral myocarditis caused by cold and severe cardiogenic shock, which will aggravate if he is particularly tired at this time. For young people, myocarditis caused by viral cold is very terrible. There are more men than women in the patients. 20-30 years old is the age of high incidence. Mild symptoms only show that the heart rate is accelerated. Severe patients' condition changes rapidly and the course of disease is short. Once the rescue opportunity is missed, they may die in a short period of time. Zhang Xuemei reminded that if the patient feels flustered and uncomfortable with a cold, shortness of breath, chest tightness, etc., he should be treated early to avoid the late uncontrollable serious situation.
morbidity
A cold, 24-year-old girl with shock and vomiting
On the eve of the attack, min Wenqing, 24, attended two weddings for two consecutive days.
On February 7, she attended her cousin's wedding in Yilong's hometown and drove to help pick up relatives. The next day, she went to her uncle's house to attend her cousin's wedding, and was the bridesmaid of the wedding ceremony. In the eyes of my brother min Ju, my sister is very warm-hearted. She is too busy to rest.
In fact, about an hour and a half before her cousin's wedding ceremony the next day, min Wenqing felt sick and would be tired to climb the stairs. At that time, she and her family thought that it was just a little cold, coupled with two weddings in a row, that the lack of rest led to some fatigue.
At about 4:00 p.m. on February 8, min Ju heard that his sister, who was resting on the second floor, said that she was very sick. He subconsciously looked up and saw min Wenqing lying on the window of the bedroom on the second floor with a bad face. When he ran upstairs, his sister had fallen on the bed.
"At that time, he pinched people, tiger mouths, etc. his mouth couldn't be opened. He was shocked for more than 10 minutes before he woke up. She said that she has stomachache and wants to vomit. We think it should be a cold or a bad stomach. "Min Ju told reporters. The village doctor was soon invited home, prescribed some medicine, and told him to have a good rest.
But after taking the medicine, min Wenqing's condition did not improve, vomiting repeatedly. At about 9:00 that night, he was sent to a hospital in Yilong County for treatment. The doctor said it was gastroenteritis caused by cold after examination. "Min Ju said that her sister had a transfusion in the hospital and then returned home for rest, but she still had vomiting and nausea on and off.
At noon on February 9, min Wenqing went to another hospital in the county for treatment. After the doctor's examination, he suggested that he be transferred to the Affiliated Hospital of North Sichuan Medical College in Nanchong for treatment.
critical
Transferred to intensive care unit, once had cardiac arrest
When min Wenqing was sent to the Affiliated Hospital of North Sichuan Medical College, it was about 5 p.m. and he was soon sent to the intensive care unit. Doctors diagnosed her with fulminant myocarditis, intestinal infection, sepsis, multiple organ dysfunction syndrome and other 9 conditions.
'after the doctor checked, he said that his sister's condition was a little serious and reached the standard of the notice of critical illness. At that time, we were confused. "Min Ju said that at about 11:00 that night, her sister also had a 15 minute emergency of cardiac arrest. Fortunately, the doctor rescued her in time.
Everyone did not expect that a cold would be so serious. During the treatment, the hospital has issued two critical notices, min Ju and his father have been kept outside the intensive care unit. Min Ju sends a picture at the door of the intensive care unit in his circle of friends: "the waiting, the hope, the prayer!"
On October 10, min Wenqing, who was seriously ill, was recommended by doctors to transfer to the Affiliated Hospital of Chengdu University of traditional Chinese medicine and "go there to do ECMO of extracorporeal artificial membrane lung, so as to save his life, but it costs money.". When the doctor told Minju about his illness and asked for his advice, the elder brother agreed without thinking much. "As long as I can save my sister, even if I have to lose my family.". '
In the afternoon of the same day, Guo Guoxue, a doctor in charge of critical illness in the Affiliated Hospital of Chengdu University of traditional Chinese medicine, and his ECMO team also rushed to the Affiliated Hospital of North Sichuan Medical College to carry out emergency V-A ECMO cardiopulmonary support treatment for min Wenqing. After his condition was slightly stable, he was escorted to Chengdu overnight for further treatment.
first aid
ECMO treatment to save lives, right leg forced amputation
An ambulance carrying min Wenqing arrived at the Affiliated Hospital of Chengdu University of traditional Chinese medicine early Sunday. The doctor's diagnosis was: fulminant myocarditis, cardiogenic shock, brain dysfunction, acute liver injury, arrhythmia, infectious shock of Klebsiella pneumoniae sepsis & hellip; hospital treated min Wenqing with continuous ECMO cardiopulmonary support.
Zhang Xuemei, chief physician, told Chengdu Business Daily that ECMO, an extracorporeal artificial membrane lung, is a device that can completely or partially replace min Wenqing's heart and lung. It is the most widely used device in the field of heart and lung.
Zhang Xuemei said that Min Wenqing's condition belongs to viral myocarditis caused by influenza, serious cardiogenic shock and repeated malignant arrhythmia. The hospital has to use a large dose of vasoactive drugs to maintain blood pressure, which will make its blood vessels shrink and slow down, but will lead to thrombosis, which is also caused by ischemia and necrosis of the right lower extremity of Min Wenqing One reason. In the later stage of treatment, it was also found that bacteria were growing in minwenqing's blood. At that time, she was in a state of serious infection. This bacteria may have come from the place of ischemic necrosis of the right lower extremity. "Zhang Xuemei said that after the doctor's research and consultation, he decided to give up the conservative treatment plan and amputate the right calf, otherwise, the infection would endanger min Wenqing's life at any time.
Min Ju had been struggling until he signed the operation consent, hoping to keep his sister's leg. But when he found experts from many big hospitals such as West China Hospital of Sichuan University, he finally signed. On March 7, he wrote in his circle of friends: "my sister, my brother made a decision today. I really tried my best. I hope you can spend it safely. I hope you must be strong. You must be strong. You must survive!"
In fact, Liu Yang, the deputy chief physician of vascular surgery at the main scalpel, was also confused. He originally planned to amputate minwenqing's right leg below the knee, so that he could keep more of her right leg. However, the examination found that her right leg was too seriously infected and some muscles were necrotic, so he could only amputate from the middle of the thigh.
Liu Yang told reporters that at present, min Wenqing's right leg was amputated wound is slowly healing, there is no infection.
Doctor reminded
A cold should not be underestimated. Carelessness may endanger one's life
Until April 3, min Wenqing was still lying in the intensive care unit of the Affiliated Hospital of Chengdu University of traditional Chinese medicine. Zhang Xuemei told Chengdu Business Daily that after early treatment, min Wenqing's current state is OK, and he has been out of the life-threatening period.
'thank you to the doctors who have pulled my sister back from the edge of death. Min Ju told reporters that before her illness, her sister had been doing sales work in Chengdu. In order to cure her, her family's savings had been used up. In addition to the 170000 yuan donation collected through the Internet, she borrowed more than 600000 yuan of foreign debt. Neither he nor his father went back to work at the construction site outside the province. Instead, he rented a house in Chengdu, took care of his sister and continued to raise money for medical treatment.
Zhang Xuemei said that Min Wenqing's condition belongs to viral myocarditis caused by influenza and serious cardiogenic shock. At this time, if you are particularly tired, your condition will worsen. For young people, myocarditis caused by viral cold is very terrible. If you miss the rescue opportunity, you may die in a short time.
She especially reminded that Min Wenqing's initial influenza was very common in winter, with a 5% chance of developing myocarditis. If the patient feels flustered and uncomfortable, shortness of breath and chest tightness, he should be treated in time. He should not be taken lightly because of a simple cold.