Shanghai’s “most beautiful bus driver” recently recovered consciousness in the hospital

On the morning of July 4 this year, the 13-way bus driver Liu Shifu suddenly had a cerebral hemorrhage. Before he was in a coma, he pulled down the handbrake and stopped the car. He was sent to East China Hospital by 120 ambulances. Master Liu’s brain hemorrhage is dangerous, and the whole brain is like “bubble” in blood, and life is worrying.

In the past two months, after nearly 60 days and nights and more than 1,400 hours of hard work, under the careful treatment of the doctor and the careful care of the family, he has been brought back from the death line. What is even more gratifying is that the miracle happened. - Master Liu finally opened his eyes and resumed consciousness.

Adhere to passive exercise to hold blood pressure

"Old Liu, Lao Liu! Come and make a number 9 gesture!" Lao Liu calmly lay on the hospital bed, holding a red rehabilitation training ball in his left hand, and moving his left arm and left leg from time to time.

In order to prevent muscle atrophy, from the time of admission, the Hospital Rehabilitation Division insisted on passive exercise rehabilitation training for Lao Liu, 15 minutes each in the afternoon. The head nurse, Chen Yu, said that his left hand can now be lifted, and the strength of his left foot is also good. We also let him listen to the password every day to express the number with his fingers and exercise the brain reaction. At the beginning, his movements were slow, and now the speed is speeding up, and it is already possible to count to "9"!

The brain stem is the center that manages the vital signs such as body temperature, respiration, heartbeat, blood pressure, etc. After brain stem hemorrhage, these vital signs will fluctuate, even causing breathing and heartbeat to stop in a short time. Song Xiaohua, director of the Surgical Intensive Care Unit of East China Hospital said: "When Lao Liu was sent, the breathing was maintained by the machine. The rapid heart rate disorder occurred frequently, but the most difficult thing was blood pressure, just like 'roller coaster'. After the onset, it quickly soared up to 282/149mmHg. The hospital adopted the most accurate arterial monitoring method, and applied four kinds of antihypertensive drugs to barely stabilize. After one week, the blood pressure was lowered to 87/58mmHg. It is generally believed that the sudden drop in blood pressure is a precursor to the disease, but through scientific analysis. After the judgment, I finally held my blood pressure.

In addition, after cerebral hemorrhage coma, various complications followed, acute gastric ulcer, liver damage, kidney damage, etc., the most deadly is lung infection. "Infection should be considered before, and prevention should be done before." Director Song Xiaohua said that in order to prevent aspiration pneumonia, the hospital's "singularity" is to insert the stomach tube into the jejunum to prevent the reflux of stomach contents; various cannula on the patient The catheter must be scientifically coordinated and removed as soon as possible to prevent it from becoming a new source of infection.

Careless care, no body ulceration

The central hyperthermia after brain stem hemorrhage injury is very unfavorable for the treatment and prognosis of brain function. After the onset of the old Liu, the body temperature rapidly increased to 41 °C, and remained high. "In the beginning, I prepared an ice cap and an electric ice blanket for Lao Liu. The temperature of the electric ice blanket was controlled at 16 ° C to 18 ° C." Chen Yu, head nurse of the intensive care unit of Huadong Hospital, said that the comatose patient is more likely to develop hemorrhoids after being frozen. The nurses and sisters turned over and slammed the old Liu every hour for 24 hours. In the past two months, there was no ulceration in Lao Liu.

Every day from 3 pm to 4 pm, it is the time for the family members of the intensive care unit of East China Hospital to visit. In the past 50 days, Master Liu’s wife was on time to wait for the moment when the intensive care unit opened the door. This hour of visiting time is especially precious for her. She talked with Lao Liu and helped him wipe his body, hoping to arouse his consciousness as soon as possible.

Since the onset of Lao Liu, he has been admitted to the intensive care unit, and more than 20 medical staff have regarded him as his family. After the stomach tube was left in place, the food only "goed in" and did not "out", and the head nurse Chen Hao personally "smashed" it out. In order to see the sputum without stimulating the lungs, the nurses changed the frequency of sucking to half an hour, and the most day absorbed nearly 40 times. On the morning of August 15th, in the sucking operation, Lao Liu’s left hand showed a subconscious small resistance movement. This tiny change made every medical staff present excited.