The 47-year-old man in Hangzhou returned to his post the next day after his fever dropped, and he was close to "white lung" when he went to see a doctor! In the second week after sunrise, we must do t

The 47-year-old man in Hangzhou returned to his post the next day after his fever dropped, and he was close to "white lung" when he went to see a doctor! In the second week after sunrise, we must do these three things well. 1 drawing, 1 red pen, 1 black pen, 1 mobile phone is in the ward on the 7th floor, Area A, Building 6, First Hospital of Zhejiang University. Mr. Ma, 47, fired the "first shot" of returning to work with a conference call.

Good news came one after another, and the doctor told him that he would be discharged soon during the rounds.

Hangzhou 47-year-old designer went to the hospital urgently.

Close to "white lung"

Mr. Ma is engaged in architectural design. At the end of June 5438+February 2022, after returning to Hangzhou from a business trip in other provinces, I had a fever. He has a strong nature and only took antipyretics. He feels that his fever has gone down and his resistance has improved. He went back to work the next day.

I don't want to spend the next few days. He has recurrent fever, severe cough, chest tightness, shortness of breath, dizziness and fatigue. His temperature is as high as 38.5℃, and he can't relieve it by taking medicine himself. He hurried to the First Hospital of Zhejiang University for treatment.

"After seeing a doctor, I found that his oxygenation index has been declining. CT showed extensive oozing in both lungs, close to the white lung. It is severe pneumonia and is admitted to the hospital immediately. " Professor Sheng, director of the Department of Infectious Diseases of the First Hospital of Zhejiang University, introduced that Mr. Ma received symptomatic treatment immediately after admission, and at the same time, he received gastric mucosal protection and nutritional support treatment.

"To tell you the truth, when I heard that I was in the hospital, my heart was in a mess. On the one hand, there are indeed many things waiting for me at work. On the other hand, I think that my condition is so serious that I don't know if I can cure it. " Mr. Ma recalled, but the only thing he could do at that time was to cooperate with the doctor. Soon, things got better. After three days of treatment, Mr. Ma's temperature began to drop and remained in a normal state, and his chest tightness and asthma were greatly improved, so people could get out of bed and move.

A pennant from Mr. Ma.

On June 65438+1 October1day, 2023, Mr. Ma, whose mental state has recovered to the level before his illness, prepared two pennants and gave them to the medical team who gave him professional medical treatment at the most critical moment. On October 3rd, 65438/KLOC-0, he asked his colleagues to send two flowers to the medical staff.

As a matter of fact, in the First Hospital of Zhejiang University in recent days, patients like Mr. Ma whose lungs have become serious and improved after treatment are discharged from the hospital one after another every day.

The 7th floor of Area A of Building 6 was originally an infectious disease area, which mainly treated patients with various infectious diseases such as liver diseases. From June 5438 to February 65438, 2022, according to the unified arrangement of the hospital, it was adjusted to COVID-19 patient ward.

"The patients in our ward are mainly elderly people, and the oldest is 95 years old." Director Sheng introduced that the treatment team made rounds every day, discussed and formulated personalized treatment plans, and carried out antiviral and basic disease treatment at the same time, and the overall curative effect was ideal.

There is more than one dangerous case like designer Mr. Ma. ......

Takeaway brother yang kanghou

Cardiac arrest caused by overloaded food delivery

65438+1On the morning of October 7th 10, there was a takeaway brother at Xingsha Headquarters of Changsha Hospital of Traditional Chinese Medicine in Hunan Province. Due to neglect of basic diseases, Yang Kang suddenly suffered from cardiac arrest after continuous overwork.

The takeaway brother surnamed Shi, 39 years old, has been transferred to the cardiovascular intensive care unit and is temporarily out of danger.

According to the deputy director of cardiovascular medicine, Mr. Shi suffers from coronary heart disease and has been seeing a doctor in the outpatient department of this hospital. He plans to do coronary angiography and stent implantation.

A sudden epidemic struck. He was also "Yang" in June 65438+February 65438+June last year, but he insisted on working and often delivered meals to the medical staff in the hospital. On the morning of 7th 10, during the transportation, my chest pain suddenly increased and I was sweating profusely. I immediately called 120. In the ambulance, the emergency personnel carry out ECG examination and inform the emergency department to get ready.

10: 47 arrived at the emergency door of the hospital. 10, emergency medical staff for consultation. 10: 52, his heart stopped suddenly. Considering the acute myocardial infarction, the emergency department immediately performed cardiopulmonary resuscitation on the spot. Fortunately, cardiopulmonary resuscitation (CPR) was successful, and the cardiovascular department and the interventional department relayed. Coronary angiography and stent implantation were performed immediately, and they were transferred to cardiovascular intensive care unit for further diagnosis and treatment.

video surveillance

Fever and cough after infection

The first week against the virus is very important. After the "difficult stage", the second week of gradual recovery is actually very important.

Many experts warned that,

The second week after Yang is also very important.

There is an "immune disorder period" after yang, which will last for 1-2 weeks.

Zhang Lei, deputy director of the Department of Respiratory Medicine, Shanghai Children's Medical Center affiliated to Shanghai Jiaotong University School of Medicine, said in an interview on February 23rd, 2022 that it is necessary for people recovering in COVID-19 to rest for 1-2 weeks.

Zhang Lei said that after COVID-19 was infected, there would be obvious disorder of human immune function, that is, the number and function of lymphocytes would decrease in the acute phase of infection, and then gradually return to normal with the recovery of the disease. Most people's "immune disorder period" will last 1~2 weeks. During this period, other viruses, bacteria, etc. It is easy to be used.

2. Generally, after two weeks of infection, a few patients will have a certain reaction to their myocardium.

"Most patients with COVID-19 infection will gradually get better and recover after 5 to 7 days, but a few patients will involve myocardium, which usually happens two weeks after COVID-19 infection. For example, there are some changes in ECG, tachycardia or bradycardia, and sometimes there are symptoms such as chest pain, chest tightness, shortness of breath, palpitations and even syncope. " Zhou Yujie, executive vice president of Beijing anzhen hospital, said in an interview with CCTV News 65438+ on February 26th, 2022 that if the symptoms are serious, you should go to the hospital in time to check whether the myocardial enzymes have changed. If myocardial enzymes are found to increase exponentially, the doctor will comprehensively judge whether myocarditis has occurred according to other corresponding tests. Don't panic when myocardial injury occurs. You can spend the window period through healthy lifestyle management and gradually repair it.

3. The cough has been aggravated for more than 2 weeks, which needs further evaluation.

Xu Kaifeng, deputy director of the Department of Respiratory and Critical Care Medicine of Peking Union Medical College Hospital, said in the article "The Doctor of Union Medical College" on February 26, 2022 that the cough symptoms of COVID-19 after infection last for about 2 weeks on average, and some patients can cough for up to 4 weeks. Cough caused by simple airway inflammation will generally be gradually relieved. If COVID-19's cough symptoms get worse after 2 weeks of infection, or the symptoms are still not relieved after more than 4 weeks, he needs to go to the hospital to further evaluate the possible causes.

Xu Kaifeng reminded that coughing will continue for some time after "Yang Kang", and continuous coughing does not mean that COVID-19's infection is aggravated. However, if the cough symptoms are severe or persistent, especially recurrent or persistent fever, accompanied by symptoms such as lack of oxygen or breath, shortness of breath after exercise, you need to be alert to pneumonia caused by COVID-19 and go to the hospital for chest CT examination in time.

With these symptoms,

It could get worse.

Many clinicians say that after infection, you should not think that you will be cured in one week and need to take care of it for two weeks. Some secondary infections or complications will appear after a period of time. For some patients, especially the elderly and people with basic diseases, sudden pneumonia or myocarditis may occur and turn into severe cases.

The expert group for clinical treatment of diseases in novel coronavirus, Shanghai, cooperated with the National Center for Infectious Diseases to compile the "2022 edition of Shanghai novel coronavirus infection diagnosis and treatment standard and grading diagnosis and treatment process" to remind that if any of the following conditions are met, it can be judged as a severe patient:

Adults meet any of the following conditions:

Shortness of breath, RR≥30 times/minute;

At rest, when air is inhaled, the oxygen saturation is ≤ 93%;

Partial arterial oxygen pressure/oxygen concentration ≤ 300mm Hg;

Pulmonary imaging examination showed that the lesion progressed significantly within 24-48 hours > 50%.

Children meet any of the following conditions:

Ultra-high fever or continuous high fever for more than 3 days;

Shortness of breath;

At rest, when air is inhaled, the oxygen saturation is ≤ 93%;

There is the phenomenon of assisted breathing;

Appear drowsiness and convulsions;

Refuse to eat or have difficulty eating, accompanied by dehydration.

Lin Minggui, director of the Infectious Diseases Department of Tsinghua Chang Gung Memorial Hospital, told the People's Daily Health Client reporter on February 25, 2022 that the time when severe cases appear in clinic is different, which may be related to the number of virus infected by patients, basic diseases, age and vaccination. Don't think that everything will be all right when the symptoms get better. The virus may still be in a state of not being completely eliminated in the body. During this time, generally speaking, our sick bodies can't bear strenuous activities and overloaded work intensity.

Therefore, it is necessary to give the body at least half a month to a month to recuperate after infection. "The most important thing is to pay attention to your physical symptoms. For individuals, it is more meaningful to identify signs of aggravation and intervene early. "

The second week after sunrise,

We must do these three things well.

After a week of discomfort, many people began to enter the rehabilitation period. Combined with the "Guide to Health Management of Infected Persons in Recovery Period in novel coronavirus" and expert advice, it is very important to do these three things well in recovery period!

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_ If you have a bad appetite after "Yang Kang" or have a taste disorder, it is recommended to eat less and eat more meals;

_ maintain the diversity of food, give consideration to both meat and vegetables, and match the thickness;

_ Eat more fresh vegetables, fruits, soybeans, milk and cereals;

_ Eat fish, poultry, eggs and lean meat in moderation, preferably fish, shrimp, poultry and lean meat, and eat less fat;

_ The diet is light and not greasy, and avoid spicy food and fried greasy food;

_ Ensure drinking water, give priority to boiled water, and drink less or no sugary drinks. Drink 1500-2000ml of water every day.

_ Reasonable use of medicated diet for food maintenance and dietotherapy, combined with the winter climate characteristics, it is recommended to use Sydney Siraitia grosvenorii water, corn silk orange peel water, white radish honey water, walnut onion ginger soup, pear flower soup, yam melon lotus seed porridge, coix seed poria cocos yam porridge, etc.

_ It is best to quit smoking and limit alcohol after Yang Kang.

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_ Start with low-intensity activities, such as walking, eight-segment brocade, simple daily housework, etc. Reduce the intensity of exercise appropriately. Generally, the intensity of exercise drops to about one-third of the original.

_ If there is no obvious discomfort, you can gradually increase the intensity of activities within a few weeks, such as going up and down stairs, brisk walking, jogging, cycling, swimming, dancing, etc., until you return to your normal state of activities before you get sick.

_ If you have discomfort symptoms such as chest pain, palpitation and dizziness during exercise, you should stop exercising immediately and seek medical advice if necessary.

sleep

Some people will have symptoms such as difficulty in falling asleep, short sleep time, shallow sleep and dreaminess during the rehabilitation process. Suggestion:

_ Get more sunshine and do some low-intensity exercise, such as walking, when your body can eat. Especially every afternoon, it is an important way to quickly rebuild the biological rhythm by receiving half an hour to 1 hour of light outdoors.

_ Try to stop using mobile phones, tablets and other electronic devices one hour before going to bed.

_ Minimize the intake of nicotine, caffeine and alcohol.

_ Try relaxation techniques to help you fall asleep, such as meditation, mindfulness-based decompression therapy, thinking or bathing, aromatherapy, Tai Chi, yoga and music. You can also use traditional Chinese medicine to soak and wash.

_ At the beginning of returning to work, start with lighter work. If possible, take a lunch break for 20-30 minutes.

_ If insomnia is really serious, you can also use sleeping pills, but it is recommended to use them under the guidance of a doctor.