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与H7N9抗争的82天

2017-08-11 13:47:59   中国青年网

危急!“咕噜咕噜”,听诊器里传来宛如热水烧开的声音,傅小云取下听诊器, “这是极为严重的肺水肿表现”。

滴、滴、滴,呼吸机给氧量达到了最大值。嘴唇干裂发紫的情况并没缓解。H7N9病毒对老李的双肺进行了猛烈的攻击。X光片显示,他左肺三分之二以上的部分变成了白色,而正常的双肺在X光片上呈现黑色。

老李随时都会失去生命。转院!只要转院就有一线希望!从170公里外的遵义医学院附属医院赶来的医生们决定,等待最佳时机,连夜转院。

早上5点35分,老李被送进遵义医学院附属医院ICU第二区,穿好隔离服的护士医生已在病房门口等待。与H7N9搏斗,一场战役才刚刚开始。

李九林的病房实行24小时值守制度。每班有4个医护人员,每4个小时轮换一次。穿着厚厚的隔离服,4个小时是值班医护人员身体能承受的上限,有人因为闷热缺氧昏倒,还有人穿着成人纸尿裤来值班。因为人手有限,遵义市卫计委从各县区人民医院协调了医生护士参与。

心电监护仪发出报警声,滴——滴——滴,持续亮起黄灯、红灯,红色、黄色、绿色的线条在屏幕上扭动。穿着隔离服的医生护士忙着抢救,屏幕显示氧合80mmHg!心率173次/分钟!高压80!低压59!

一切都失常!

10多名医生正在会诊。医生梅鸿发现,病人肺泡表皮毛细血管损伤,形成一层透明膜,兜着大量肺水。嘴唇干裂发紫,他的呼吸正在衰竭。

“马上做气管切管手术。”

垫起双肩,老李的颈部中间位置,被划开一个2厘米长的口子,穿刺针在气管中探路,气泡溢出,放入一根导丝,拔针,扩开气管切口,置入一根透明套管,一端连着呼吸机。呼吸机的参数调到了最大值,给氧量达到100%。

肺部压力减轻,再减轻,但老李的痛苦并没有减轻。淡红色的血性痰从一条塑料管中引入到一个透明玻璃瓶中。很快,瓶子变成了淡粉色。每隔两个小时甚至更短时间,护士就要清理一下瓶子。

医生观察到,病人没有一点尿,这意味着肾在衰竭。医生迅速推来一个半人高的机器,血液通过这个机器过滤净化,心脏负荷稍微减轻。

病毒不仅要吞掉老李的肺,还延伸到他身体的其他器官,肝脏、心脏、大脑。紧接着,急性右心衰!每一个衰竭的器官功能都被机器替代。鼻肠管、胃管、尿管……他身上的管子增加到了10根。

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