Source: Zhejiang Voice reporter Wang Xiaoliang and correspondent Zhang Jinrong
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in time. "This life is not easy to recover. I must make up my mind to drink wine." Quit!" Mr. Luo (pseudonym), 33, is from Guizhou. He started drinking at the age of 16 and gradually developed a habit. In the past two or three years, he has been drinking "violently", drinking more than a pound every day. Liquor, he described himself as "when I get addicted to alcohol, I can't stop the car." In the past six months, I have been drunk every night. Long-term abnormal eating has caused my weight to drop rapidly from about 110 kilograms to more than 90 kilograms. This time, he drank himself into the hospital and spent a thrilling 14 days in the respiratory critical care unit of Yiwu Central Hospital.
It all started at a dinner party with friends half a month ago. Not long after the drinking party started, Mr. Luo had already downed a pound of liquor. However, his friends had long been accustomed to it. Mr. Luo's habit was to be addicted to alcohol and never get back drunk. But this time, before the party was over, Mr. Luo suddenly fainted. While he was sobering up in the hospital, he became confused and gibbered. A CT scan showed a lung infection. His friends rushed him to Yiwu Central Hospital. .
At this time, 48 hours had passed since Mr. Luo fainted due to drunkenness, became agitated, hallucinated, and behaved abnormally. When he was sent to the emergency room, he had lost consciousness and had difficulty breathing. The medical staff immediately intubated trachea and upper respiratory tract. Active and effective rescue measures include machine-assisted breathing and infusion.
Extremely low blood oxygen saturation, respiratory failure, severe pneumonia, liver failure, septic shock, renal insufficiency, long-term malnutrition, alcoholic liver disease...Multiple organ failure will end this young life at any time. period. After active rescue, Mr. Luo was immediately sent to the respiratory intensive care unit, and a race against death officially began.
"The patient's condition changes every day, every hour, even every minute and every second. In addition to 24-hour strict monitoring of vital signs and the functions of various organs, we have invited departments such as the Department of Gastroenterology and Infectious Diseases to conduct MDT consultations. Developed plans for ventilator-assisted ventilation, life support treatment, "A comprehensive treatment plan that combines effective anti-infective treatment, maintaining internal environment balance, and nutritional support will jointly protect the patient's treatment." Wu Chunling, director and chief physician of the Respiratory Department, said that after entering the department, the patient developed paroxysmal irritability. It should be related to alcohol withdrawal syndrome, which also brings many difficulties to treatment.
(Little popular science) There are 4 types of alcohol withdrawal syndrome:
1. Withdrawal episodes: usually appear 6-24 hours after stopping drinking.
2. Mild withdrawal syndrome: manifested as tremor , fatigue, sweating, hyperreflexia and gastrointestinal symptoms.
3. Major withdrawal attack: occurs 10-72 hours after the last drink, peaking on the next day, with visual and auditory hallucinations, tremors, vomiting, sweating, sleep disorders, and high blood pressure.
4. Withdrawal epilepsy: The seizure occurs 6-48 hours after the last drink. "Severe withdrawal symptoms" appear 3-10 days after the last drink.
"When I was first hospitalized, my condition was very bad. My body was covered with tubes and I couldn't communicate with us." Due to multiple organ failure, Mr. Luo's family and friends were already prepared for the worst.
"Although the condition is very critical, it is actually improving a little bit every day. Facing every patient, we will never give up any hope and will do our best to treat him!" Wu Hong, the doctor in charge of Mr. Luo, said that the ventilator Assisted ventilation and life support treatment runs throughout the entire process and is also the key to treatment. Parameters need to be adjusted at any time according to changes in the patient's condition. In addition, the nurses’ meticulous care also contributes to the successful treatment of patients.
A week later, Mr. Luo, who had been almost sentenced to death, began to make a dramatic turn for the better and was successfully extubated.Wu Hong said that from the beginning when his condition was very critical to getting better day by day, the medical staff, together with the patient and the patient's family, created a new miracle of life! "I am very excited and very proud! The successful treatment of critically ill patients once again proves the strong comprehensive strength of the Central Hospital as a national respiratory and critical care standardized construction standard unit!"
14 years in the respiratory critical care unit During the day, Mr. Luo said frankly, “It takes a lot of time to breathe.” When I was exhausted, I felt like I wouldn't be able to survive the next second. I am very grateful to the medical staff at the Central Hospital for trying their best to save me. I must praise their medical skills and medical ethics. "Mr. Luo who "escaped from death" over and over again! While saying thank you, I also carefully reviewed my past "chaotic" years, and became more determined to quit drinking.
Wu Chunling reminded that patients with lung infections due to aspiration after drunkenness occur every year, but there are still only a few patients with such severe multiple organ failure due to long-term alcohol abuse. She pointed out that citizens must maintain a healthy lifestyle, drink alcohol in moderation and in moderation, and be wary of diseases caused by "drinking". "For patients with acute alcohol poisoning, preventing aspiration is the 'top priority'. Drunken people must not lie on their backs. They should turn their heads to one side to prevent vomitus from entering the trachea. Try to have someone accompany you when you are drunk, and help the drunken person clean up the vomit in a timely manner. At the same time, we should also be wary of disulfiram-like reactions, acute pancreatitis, rhabdomyolysis, and acute myocardial infarction after drinking alcohol. Death, cerebral hemorrhage, alcoholism, hypoglycemia, Wernicke's encephalopathy, drunken accidents, etc. "
At the same time, she also reminded that if long-term alcoholics want to quit drinking, they should adopt a step-by-step approach and treat alcohol. For patients with dependence, it is recommended to consult a doctor first and carry out targeted scientific treatment based on personal circumstances.
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