A 47-year-old woman worked overtime for a long time, came to Shanghai to play, suffered a cardiac arrest and fell into a coma for a day and two nights to regain consciousness

A 47-year-old woman worked overtime for a long time, came to Shanghai to play, suffered a cardiac arrest and fell into a coma for a day and two nights to regain consciousness -A-47-year-old-woman-worked-overtime-for-a-long-time-came

When she was about to leave the amusement park, the 47-year-old Ms. Zhang fainted suddenly, her breathing and heartbeat stopped.

On August 21, The Paper learned from Shanghai Pudong New Area People’s Hospital that the day of the incident was August 14. The medical staff in the emergency department of the hospital immediately activated the emergency response mechanism after receiving the 120 critical forecast. , Ms. Zhang went directly to the rescue room through the green passage of the hospital, and the doctors and nurses on duty immediately entered the rescue state.

Taking advantage of the summer vacation, Ms. Zhang took her children to a playground in Pudong New Area, Shanghai. At noon on the day of the incident, Ms. Zhang felt chest tightness and nausea, but in order not to affect the play plan, she did not take a rest and seek medical treatment in time. At around 6:30 in the evening, when Ms. Zhang was about to leave the park with her children, she suddenly fainted and became unconscious.

At that time, enthusiastic tourists asked for help from the playground staff and dialed 120 in time. The staff arrived at the scene quickly, and together with tourists with first aid experience, after assessment, it was determined that Ms. Zhang suffered from breathing and cardiac arrest. The staff immediately reported to Zhang. The woman underwent CPR and was defibrillated with an AED. After the 120 ambulance personnel arrived at the scene, they continued to perform cardiopulmonary resuscitation on Ms. Zhang, and immediately sent her to the People’s Hospital of Pudong New Area, which is the nearest to the playground.

During the rescue process, the medical staff helped Ms. Zhang connect to ECG monitoring, opened venous access, took blood, improved the ECG, and opened the artificial airway. A large amount of pink foamy sputum spewed out of the patient’s airway, which indicated that Ms. Zhang had serious symptoms. of pulmonary edema. Five minutes later, ventricular fibrillation appeared in the electrocardiographic monitoring, and then the medical staff immediately defibrillated. Finally, Ms. Zhang returned to sinus rhythm. But the dangerous condition did not give the doctors and nurses any chance to breathe. Ventricular fibrillation still appeared frequently, and more than 10 electric defibrillations were given in a short period of time…

After receiving the consultation notice, Chen Song, the deputy chief physician of the Department of Emergency and Critical Care Medicine of Pudong New Area People’s Hospital, rushed to the emergency room immediately. Considering the patient’s frequent ventricular fibrillation attacks, electrocardiogram, myocardial markers and other examination results, he was considered to be in serious condition. Cardiac sympathetic electrical storm state.

Chen Song introduced,Sympathetic electrical storm refers to ≥3 episodes of ventricular tachycardia or ventricular fibrillation within 24 hours, which can easily lead to cardiac arrest and is a serious life-threatening emergency, may take Ms. Zhang’s life at any time. In order to block the continuation of the sympathetic electrical storm as soon as possible, Chen Song immediately and decisively administered an ultra-short-acting β-blocker intravenously, and Ms. Zhang’s condition finally gradually stabilized.

After a day and two nights of coma, Ms. Zhang withstood multiple tests in the process of cardiopulmonary cerebral resuscitation, finally regained consciousness, and successfully got off the ventilator.

Looking back at her medical history, Ms. Zhang said that the onset of the illness was likely due to long-term overtime work and travel fatigue, coupled with hot weather and excessive sweating, resulting in electrolyte loss. This series of factors increased her risk of sympathetic electrical storms.

The above-mentioned doctor reminded that citizens who travel in hot summer weather should plan their itinerary reasonably, avoid excessive fatigue, and pay attention to timely replenishment of water and electrolytes.

Charity In China reported , all right reserved