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bacteria "crawled" into the heart of a jiangxi man, causing him to go into shock and hang on for nearly half a month

2024-09-09

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jimu news reporter zhao xuechun

correspondents: ding yanfei and zhang yaru

on september 9, a "blanket-style" thank-you letter was handed over to doctors at wuhan university zhongnan hospital from the wife of jiangxi patient mr. zhu (pseudonym). mr. zhu said that he had just experienced a life-and-death test across jiangxi and hubei. he originally thought it was just a common cold and could "handle it", but he suffered from septic shock, respiratory and multiple organ failure, and was rescued in the icu for more than ten days. he almost died, but was finally brought back to life by the multi-disciplinary relay treatment of zhongnan hospital.

mr. zhu, 67, lives in jiujiang, jiangxi province. in june 2024, he had a fever. at first, he thought it was a minor cold, so he took medicine for treatment. unexpectedly, after a week, the fever did not subside at all, so he was hospitalized in a local hospital. in early july, his condition took a sharp turn for the worse. he had impaired consciousness, septic shock, respiratory and multiple organ failure, and was sent to the icu. after 13 days, there was no improvement. on july 21, mr. zhu's condition was very critical, and the local hospital was still unable to confirm the cause of the disease. professor peng zhiyong of the department of critical care medicine of zhongnan hospital of wuhan university was urgently contacted to transfer him to another hospital for rescue. after 3 hours of emergency transfer, mr. zhu arrived in wuhan. professor peng zhiyong and his team, who were waiting in the hospital, quickly received him and conducted a detailed investigation for him. a cardiac ultrasound examination revealed a vegetation over 8 mm in size on mr. zhu's mitral valve. "we think it's infective endocarditis. please consult with the cardiovascular surgery department immediately!" it was already 10 pm. professor liu jinping, director of the cardiovascular surgery department, who had just come off the operating table, rushed over immediately and said, "the patient's condition is very critical now. we need to create conditions for emergency surgery as soon as possible. this is the only way to save his life. our cardiovascular surgery team was on site immediately."

mr. zhu was rushed to the operating room at 2 a.m. during the operation, zhang li, deputy chief physician of the cardiovascular surgery subspecialty of heart valves, found that the patient's infective endocarditis was very serious, and the bacterial infection even spread to the left atrium. the mitral valve was overwhelmed and completely damaged. "the infected area must be removed and an artificial valve replaced." after more than 6 hours of intense fighting, at 8 a.m. the next day, the patient was finally safely transferred back to the icu for follow-up observation and treatment. although the operation went smoothly, the "breakthrough" of life continued. the icu team conducted a comprehensive assessment of mr. zhu every day and formulated a perioperative management plan. for the problems of severe combined respiratory failure and pulmonary consolidation that still existed, effective anti-infection treatment was given while prone ventilation and other treatment measures were taken. finally, mr. zhu's cardiopulmonary function and the functions of various organs gradually recovered, and his consciousness became clear. on the third day after the operation, he passed the respiratory function assessment and was successfully extubated, finally ending more than 20 days of ventilator-assisted treatment. seeing her husband start to eat, mr. zhu's wife cried with joy. she said that although she could not see her husband in the icu, the medical staff here patiently informed her of his recovery every day and took the initiative to help her video chat with her husband. this made her feel very warm in her anxiety, and she could deeply appreciate the care of zhongnan hospital for patients from the details.

on august 3, good news came. mr. zhu's condition was stable and he was transferred to the general ward. after another week of nursing and treatment, he was discharged safely. at this point, the family finally felt relieved.

today, mr. zhu has recovered well and returned to normal life. "i can't forget those chapped hands due to frequent disinfection, those faces deeply marked by masks, and those tired but still strong figures. your efforts are far beyond our imagination; your dedication is worth remembering forever." on september 9, mr. zhu's wife wrote a huge "carpet-style" thank-you letter and sent it to zhongnan hospital to thank the critical care medicine and cardiovascular surgery medical team for their miraculous treatment.