A cold, a 70 -year -old man infected with "super bacteria" life!Doctor reminds ...

● Time: mid -April

● Hospital: Second Hospital of Xiamen Medical College

ICU nursing staff of the Second Affiliated Hospital of Xiamen Medical College is carefully taking care of Uncle Zheng.

Uncle Zheng, 70, is a patient with chronic pulmonary obstruction. He suffered a cold, and the symptoms of slow pulmonary block increased, and consciousness disorders caused by the acute retention of carbon dioxide. To make matters worse, when he was sent to the Second Affiliated Hospital of Xiamen Medical College (hereinafter referred to as the "Affiliated Hospital"), he was confirmed that he was infected with "super bacteria" and his life was dying.

With the full treatment of medical staff, Uncle Zheng finally escaped from the danger of life and was discharged on July 3.

Patients have more than ten years of chronic blocked pulmonary history

Because of the long -term smoking, Uncle Zheng, who lives in Xinglin, has a history of slow lung blockage for more than ten years, and is the "frequent visitor" of the hospital. In mid -April this year, Uncle Zheng had symptoms such as fever, repeated cough, and sputum due to a cold. After 5 days of treatment at home, his condition suddenly worsened, and symptoms such as dyspnea and conscious disorders occurred. He was urgently sent to the Affiliated Second Hospital for rescue by his family.

Li Jianjiang, a attending doctor of the Department of Critical Medicine of the Second Affiliated Hospital, introduced that when he was admitted, Uncle Zheng was diagnosed with acute aggravation of chronic obstructive pulmonary disease, lung infection, and respiratory failure. In a vernacular, he was infected with lung infection due to cold, and the disease of the pulmonary blocked slowly. The body could not discharge carbon dioxide, carbon dioxide retention, and therefore had symptoms of mental abnormalities. When he was admitted to the hospital, he was already asleep.

Phlegm culture found "super bacteria"

The ICU medical staff of the Affiliated Hospital of the Second Hospital of the Affiliated Hospital for the first time was performed by Uncle Zheng's tracheal intubation. However, Uncle Zheng's lung infection was very serious, and his sputum ability was poor, resulting in the accumulation of sputum accumulation in the lungs. Three days before admission, Li Jianjiang should use the instrument to suck phlegm every day, and it can suck out about 30 ml of yellow phlegm at most once.

After a week of conventional anti -infection treatment, the white blood cells, C -reactive protein and calcium calculus of Uncle Zheng's blood decreased significantly, and the CT images of the lungs were not signs of improvement. This shows that the infection is not effectively controlled. Sure enough, sputum culture found "Super Bacteria" -bowman Bacteria, which is a multiple drug -resistant bacteria, and the results of the drug sensitivity show that it is completely resistant to the drug that is made of drug sensitivity. Doctors saw such pathogenic bacteria in a heavy mood.

This kind of bacteria exist in nature, which is a conditional pathogenic bacteria. Most of the infected patients are elderly patients. Patients with severe diseases, weak body resistance, and long -term use of broad -spectrum antibiotic treatment. It is difficult to control or even endanger life.

Based on the clinical experience of severe infection in the intensive infection, Director He Fei adopts a dual -combined anti -infection plan for treatment for the characteristics of the bacteria, and immediately collects the sputum specimen and microbial laboratory. Pharmaceutical combination of drug sensitivity experiments. Fortunately, after 3 days of medication, Uncle Zheng's hot peak began to decline. After 5 days of medication, the relevant inflammatory indicators gradually decreased. "Super bacteria" was controlled.

Psychological treatment and psychological guidance work

The treatment of multiple drug -resistant bacteria infections is more difficult and long for treatment. In addition, Uncle Zheng is caused by severe malnutrition caused by chronic obstructive pulmonary. The height of 1.75 meters is only about 45 kg. After about 1 month, he still couldn't get rid of the ventilator. Moreover, long -term bed has caused his muscles to shrink and possibilities of other complications.

In response, the medical team strengthened the treatment of Uncle Zheng, carefully planned and gradually increased his nutritional support. After the lung infection was effectively controlled, the condition gradually improved, and then carefully designed the subsequent respiratory machine departure plan and rehabilitation plan.

Due to the infection of multiple drug -resistant bacteria in Uncle Zheng, doctors and nurses need to wear specialized isolation clothes during the treatment process, and their families cannot accompany them. This made Uncle Zheng's great emotional fluctuations in the early days of treatment, often anxious and shouting to go home. Under the individual chemical treatment and psychological guidance of Director He Fei, Uncle Zheng's condition gradually improved and began to gradually disconnect the ventilator. Uncle Zheng saw his own progress and was more willing to cooperate with the medical team. In the process of disconnecting the ventilator, he also took the initiative to start recovery training.

When he left the ICU to the general ward, he could only be pushed back to the general ward with a wheelchair. By the discharge of the hospital on July 3, he had been able to go through the full discharge procedures himself.

【Doctor Notes】

Do not abuse antibiotics

● Li Jianjiang Xiamen Medical College Affiliated Hospital Severe Medicine Department of Severe Medicine Department

In recent years, Bowman's infection has gradually increased and has become more resistant to drugs, which has attracted close attention from clinical and microbiologists. However, for multiple drug -resistant bacteria, people do not have to panic, and ordinary people with normal immunity are rarely infected by it.

Ordinary people should pay attention to that when you are sick, do not take antibiotics by yourself, but you should follow the doctor's guidance. Patients who are already taking antibiotics should be scientifically treated in strict accordance with the regulations of the drug use. It is worthy of attention that the abuse of antibiotics and antibiotics and insufficient treatment will also produce drug resistance.

Here, I also want to remind patients with chronic obstructive pulmonary diseases that first of all need to quit smoking. Quit smoking can improve the disease and improve the quality of life.Diet, appropriately increase nutrition, pay attention to prevent colds, relieve mental stress, and reasonable medication can prevent the occurrence of acute aggravation of chronic lungs.(Text/Xiamen Daily Reporter Liu Rong correspondent Ling Zitu/Second Hospital of Xiamen Medical College provided

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