The 35-year-old designer stayed up late to work overtime after being infected, and "White Lung" was admitted to ICU, and the doctor reminded him →

A 35-year-old designer in Chengdu stayed up late and worked overtime until the early hours of the morning after being infected with COVID-19 virus, and finally he was admitted to the ICU.

The doctor said that young people don't have this kind of situation. Once it appears, it is likely to be a serious illness and more dangerous than the elderly. This also reminds the general public that we must maintain good living habits, avoid staying up late, and eat regularly after yang.

After "Yang", I still stayed up late to catch up with the design.

35-year-old designer lives in ICU

A few days ago, the Sixth People's Hospital of Chengdu admitted a 35-year-old young male patient. He is a designer and often works overtime because of his work. This time, he insisted on going to work sick after being infected with COVID-19 virus, and stayed up until the early hours of the morning.

Chengdu Sixth People's Hospital

According to Kai He, chief resident of the emergency department of the hospital, the patient had only high fever at first, but a few days later he developed chest tightness and dyspnea. When he felt very uncomfortable, his family took him to the hospital. CT showed that his lower lung had consolidation, and his oxygen saturation was only about 50%, while that of normal people was 95%-99%.

It is understood that low oxygen saturation indicates that hypoxia is serious, and the body may also cause multiple organ damage due to hypoxia, which may also affect the blood supply of myocardium, lead to respiratory depression, cause serious consequences such as myocardial injury and respiratory arrest, and even threaten life.

Dr. He introduced that the patient was sent to ICU after admission. "The disease is progressing rapidly. Two days later, he entered a state of' white lung' and even had respiratory failure. Although after several days of treatment, his oxygen saturation has reached about 90%. "

Will young people get seriously ill?

Doctor: Staying up late and eating irregularly are more dangerous than the elderly.

Why does he have such serious symptoms when he is only 35 years old? Kai He said, first of all, because he stayed up late for a long time, his body's immunity may have declined, and he still stayed up late after being infected. "The virus itself will lead to a decline in human immunity." If you continue to endure the infection, it will lead to the collapse of the immune system, followed by lung infection and even myocarditis.

Although in everyone's consciousness, the elderly are high-risk groups in COVID-19, such young patients are rare in clinic, but once this happens to young people, "it may be very serious and more dangerous than the elderly."

Dr Ho said that this case also tells us that young people should not despise COVID-19. If they cough with thick sputum, thick yellow sputum, or even bloody sputum, they should go to the hospital in time. In addition, if the body temperature exceeds 38.5℃ after yang, you still have fever repeatedly within three days after taking antipyretics, and you have mild activities, such as fatigue, shortness of breath, chest tightness and palpitation after climbing the second floor, you must see a doctor. "Don't ignore these problems at an early stage, so as not to get worse."

After getting sick, you must also maintain good living habits, avoid staying up late, eat regularly, and eat more fruits and vegetables to supplement nutrition. You may lose your appetite during your illness, but you should eat as much as possible to enhance your immunity and increase your resistance. After "Yang Kang", we should keep regular living habits, and strenuous exercise is not recommended for half a month.

The doctor reminded that if citizens have the habit of staying up late and eating irregularly, they can still improve their immunity, strengthen their physique and reduce complications from now on.

On the afternoon of February 30th, 65438, the Red Star journalist learned from the ICU of our hospital that the patient's vital signs were basically stable after multiple rescue programs.

Red Star Journalist Zhang Ling Photojournalist Qin Wang

Editor Li Meng

Extended reading:

Zhang Wenhong said that white lung is not a symbol of Omicrosaurus. How to judge white lung?

Recently, "white lung" has become a hot topic of discussion.

Some netizens think that there are many patients with "white lung"?

Interpretation of Zhang Wenhong

Zhang Wenhong, director of infection department of Huashan Hospital affiliated to Fudan University, said in an interview with CCTV news that the prevalent strain in China is still Omicron strain. The incidence of pneumonia in Omicron is much lower than that in Delta and the original strain. However, due to the large base of infected people, the number of patients with "white lung" or severe pneumonia will also increase. Other bacterial pneumonia, that is, all severe pneumonia will appear "white lung", which is not a sign of Omicron.

How to judge "white lung"?

Recently, "white lung" has been hot searched. What is "white lung"? Is it easier for the elderly infected with COVID-19 virus to develop into "white lung"?

Cha, deputy director of the Department of Respiratory and Critical Care Medicine of Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine, said that the key is to judge from imaging. When we do CT, the lungs we see are all black, because they all contain gas, and they are black on CT. After infection, if there is inflammation in the lungs, the doctor will tell you, "This piece is white." What happens if both lungs are white? It will affect our oxygen exchange function, mainly manifested as breathlessness and shortness of breath. Some elderly people may not be short of breath, but they are particularly depressed and sleepy. If they do CT again, they will have "white lung", which is a critical illness.

First of all, if basic immunization and intensive immunization are fully implemented, the rate of severe and critical illness will be reduced by about 80%. If you have not been vaccinated or the underlying disease is not particularly stable, you should pay special attention to the situation of dyspnea, listlessness, confusion and even incontinence after infection.

If the blood oxygen saturation is lower than 93, and the respiratory rate is obviously increased and more than 30 times per minute, please go to the medical institution in time to judge whether it is "white lung" through CT examination.

Is "white lung" related to COVID-19 original strain or δ strain?

Are there any sequelae?

Recently, some netizens reported that with the increase of infected people in COVID-19, the number of seriously ill patients is also increasing. Is the original strain back? Is there any sequela of "white lung"? How to prevent high-risk groups? National Health Commission organized Yu Kaijiang, Dean of the First Affiliated Hospital of Harbin Medical University, He Yingli, Director of Infectious Diseases Department of the First Affiliated Hospital of Jiaotong University, and Ma, Director of Critical Care Department of the First Affiliated Hospital of China Medical University, to respond to the hot issues of public concern.

Q: Some netizens said that there were more and more infected people in COVID-19, and many people were infected with pneumonia because they were not treated in time. How to understand this problem?

Yu Kaijiang: The state has made relevant arrangements while introducing optimization measures in time. Implement graded diagnosis and treatment, give full play to the positive role of the three-level medical and health service network in urban and rural areas, and clarify responsibilities and positioning. In particular, tertiary hospitals should focus on treating high-risk groups such as the elderly and patients with basic diseases, expand fever clinics and emergency departments, expand critical resources, especially critical beds and medical strength, and focus on meeting the diagnosis and treatment needs of critically ill patients.

At present, individual patients are late for medical treatment. In order to avoid this problem, it is suggested that they should monitor their health at home if they have symptoms of infection. If you have a high fever and difficulty breathing for more than three days in a row, you must seek medical attention in time.

Q: Recently, some infected people in COVID-19 found pneumonia in the process of diagnosis and treatment, and even "white lung" appeared on lung CT. Some netizens think that "white lung" is related to the original COVID-19 strain or Delta strain. Is this view correct?

Yu Kaijiang: At present, the COVID-19 we have monitored are mainly subfamilies BF.7 and BA.5.2 of Omicron mutants, but no early original strain and Delta strain have been detected. This has nothing to do with vaccination. The current clinical results and domestic and foreign literature show that the probability of severe illness will be significantly reduced after vaccination, and the risk of severe illness will increase without vaccination.

He Yingli: Not only in COVID-19, respiratory syncytial virus, influenza virus and other pathogens may cause lung inflammation. In addition, the cold winter climate in the north increases the risk of lung infection. Not all "white lungs" are caused by COVID-19.

Q: If "white lung" appears, what treatment measures are taken in clinic? What is the prognosis? Are there any sequelae?

Yu Kaijiang: There are three main measures in clinic: one is oxygen therapy, including invasive mechanical ventilation and noninvasive ventilation; The second is prone position ventilation; The third is immune conditioning and nutritional support. These methods can help patients recover as soon as possible, and most of them have good prognosis.

Ma: From the clinical observation in the past three years, no matter from the lung function or the absorption of imaging, most patients have recovered well, and it is extremely rare to have obvious residual lung damage.

Q: Previously, Omicron mainly infected the upper respiratory tract with mild symptoms and no symptoms. At present, some elderly people are infected with COVID-19 virus, which leads to pneumonia and even death. How to explain it?

He Yingli: Generally speaking, the number of critically ill patients in hospitals has increased compared with before, mainly because of the large infection base. The risk of serious illness caused by Omicron itself has not increased, but the number of infected people has increased, and the corresponding severe patients have also increased proportionally.

Ma: Some very old people, people with heart and lung diseases, diabetes, cerebrovascular diseases, and patients who need long-term dialysis or advanced cancer are susceptible people themselves, and their conditions will get worse after infection. This group of people should be our key protected group.

Q: Some netizens suggested that patients with chronic obstructive pulmonary disease are high-risk groups in COVID-19, and they can easily develop pneumonia. How to prevent it and how to treat it in case of infection?

Yu Kaijiang: Patients with lung diseases should pay more attention to personal protection, reduce aggregation, do a good job in daily disinfection, avoid COVID-19 infection as much as possible, and monitor their health more scientifically and rigorously at home. If you have unhealthy behaviors such as smoking, you should quit smoking as soon as possible to reduce the adverse effects on the respiratory tract.

Ma: If high-risk people infected with COVID-19 have persistent high fever, shortness of breath and dyspnea, especially the obvious decrease of blood oxygen saturation and the aggravation of basic diseases, they should be on high alert, which may be a sign of aggravated injuries. They should go to the hospital for treatment as soon as possible. During the treatment, large-flow oxygen inhalation, noninvasive ventilation and expectorant and antiasthmatic drugs can be used to facilitate early recovery.

This article is synthesized from: CCTV News, Xinhua News Agency and Shangguan News.

Related authors: Huangyangzi

Wechat Editor: An Tong

Proofreading: Kelly