What's the matter with heart, lung, kidney and liver failure caused by 31 year old woman's little cold? A little cold actually led to the rare fulminant myocarditis in 31 year old Ms. Zhang, who suffered from heart, lung, kidney and liver failure at the same time. So sometimes don't ignore minor illness. If you have any discomfort, go to the hospital at the first time.
After 44 days of treatment, Ms. Zhang finally recovered and left hospital on August 8.
Myocarditis induced by cold after hot spring
On June 18, Ms. Zhang and her family, who lived in Jiangbei District, went home from the hot spring and felt tired and unwell, and then they had high fever and panic. They went to the nearby clinic for treatment, but their condition gradually increased. They also suffered from mental depression, palpitation and asthma, right upper abdominal pain, nausea and vomiting, and decreased urination. Her family quickly transferred her to the nearby large hospital. After examination, she was diagnosed as' severe myocarditis, hepatorenal failure, cardiogenic shock, and acute cholecystitis'. Her condition was very critical. During the hospitalization, Ms. Zhang's condition did not improve significantly, and her heart, liver, lung, and kidney functions further deteriorated. Gradually, she had cardiogenic shock such as cold limbs, no urine, and blood pressure drop. Hope 10 It's uncertain.
At 12:30 on June 25, his family transferred him to the emergency department of Xinqiao Hospital of Army Medical University and sent him to the intensive care unit of Cardiology. At the time of admission, Ms. Zhang was indifferent, pale, cold, and lifeless. She was diagnosed with fulminant myocarditis, high atrioventricular block, multiple organ failure, acute cholecystitis, hypoproteinemia, type I respiratory failure, and multiple serous cavity effusion.
At 15:30 on the 26th, the patient's condition worsened further! Huang Lan, a national famous cardiovascular expert and director of Cardiology, immediately reported to the medical department of the hospital, started the hospital's' extracorporeal life support team 'treatment process, and established a multidisciplinary joint rescue team and special care team mainly in cardiology, critical medicine, emergency diagnosis, anesthesiology, Nephrology, ultrasound and other departments , to make a strong rescue plan, to launch the green lifeline path & hellip; hellip;
Multidisciplinary cooperation to save life for three days
At 5:00 p.m. on June 26, the second day after admission, after targeted treatment, Ms. Zhang's condition did not improve significantly. Huang Lan instructed to immediately organize an emergency consultation in the whole hospital, and decided to immediately start the ECMO emergency team in the whole hospital to implement the 'artificial' extracorporeal membrane oxygenation Technology (ECMO), the ultimate weapon for severe rescue, to replace some cardiopulmonary functions and save Ms. Zhang Near 'collapse' of the heart.
After 9:00 p.m. on the 26th, ECMO was successfully implanted in the body under the cooperation of multidisciplinary forces. Ms. Zhang's sign of life finally came back a little bit, and a foot that had already stepped into the devil's gate was pulled back.
The hospital provides 24-hour monitoring and treatment. Three days later, Ms. Zhang's condition improved and she left ECMO smoothly. When everyone was relieved, she had low fever again and again. She coughed and sputum with blood. Her heart reserve function was still poor. If she was a little careless, she would have heart failure. After targeted treatment, the heart failure was controlled. But then there were high fever, serious infection, decreased hematopoietic function of bone marrow, lack of granulocyte & hellip; & hellip; life was saved, but there were many hurdles to break.
During this period, 14 departments of the hospital, including Department of Cardiology, Department of Cardiology, Department of respiration, Department of Nephrology, Department of Hematology, Department of digestion, Department of gynecology and obstetrics, Department of emergency, Department of Anesthesiology, clinical pharmacy, Department of ultrasound, Department of Radiology, Department of nutrition, Department of laboratory, etc., joined hands for 30 times of consultation and 7 times of multi-disciplinary consultation. Ms. Zhang broke through many barriers and recovered today.
Attention should be paid to chest tightness and shortness of breath after cold
Why does a cold of Ms. Zhang develop into severe myocarditis? Director Huang Lan reminded that myocarditis refers to the inflammatory lesions of the heart muscle. A variety of factors can be caused, such as virus infection, bacterial infection, drugs, poisoning and so on. Among them, the most common is virus infection, including some enteroviruses and influenza viruses.
After Ms. Zhang caught a cold, her body function declined. The virus invaded her heart through blood, causing severe myocarditis. "If fever, palpitation, shortness of breath and poor activity occur after a cold, we must pay attention to it, go to the hospital for ECG and echocardiogram, diagnose as early as possible, and do not delay the illness. "Director Huang Lan said, of course, not all people get viral myocarditis so serious, most people's symptoms are relatively light, such as Ms. Zhang's risk of severe fulminant myocarditis is very low. But once it appears, the consequences will be very serious. If it is not rescued in time, it will directly endanger life.
ECMO, what is it?
Huang Lan introduced that ECMO is an improved "artificial heart lung machine" in essence. It is mainly used to support patients with respiratory and cardiac insufficiency in clinical practice. For patients with various serious conditions but possible reversals, such as pulmonary failure, severe pneumonia, fulminant myocarditis, early use of ECMO to support cardiopulmonary function can win valuable time for further treatment.