A large number of listings are underway, and Zhejiang women are urgently being sent to the ICU! The main culprit is it, it falls ill within 2 hours
"I didn't expect to get pricked while cleaning the crabs, and the consequences were so serious. Thank you for saving me!" Ms. Liu from Ningbo recently delivered a banner to the hands of medical staff in the intensive care unit of Fangqiao Campus of the First Affiliated Hospital of Ningbo University. In the past few days, she took a spin at the gates of hell.
I got pricked while cleaning the crabs
After two hours, the high fever will be over 39 ℃
Ms. Liu is 40 years old this year and is a mother of two children.
A few days ago in the afternoon, she was preparing dinner at home as usual. The recently released large number of swimming crabs are loved by everyone in the family. During cleaning, Ms. Liu's left palm was pricked by the crab's shell. The wound was not too deep, and the blood quickly stopped. For those who go to the kitchen, this is just a small episode in their daily lives.
Unexpectedly, two hours later, Ms. Liu began to have a fever, shivering, and her body temperature suddenly dropped to over 39 ℃.
After a day of treatment at the local hospital, the body temperature did not decrease, but the condition worsened. The next evening, the family quickly sent Ms. Liu to the Emergency Department of Fangqiao Campus of the First Affiliated Hospital of Ningbo University.
According to recollection, when she was sent to the emergency department, Ms. Liu had already developed symptoms of septic shock. Fever, nausea, vomiting, only occasionally speaking to a doctor.
At that time, she and her family did not associate the threatening illness with being pricked by a crab.
Soon, Ms. Liu was diagnosed with sepsis.
Sepsis is an organ dysfunction caused by an imbalanced response to infection in the human body, mainly characterized by symptoms such as chills, fever, limb fatigue, poor appetite, palpitations, and shortness of breath. Sepsis can develop into severe sepsis and septic shock, leading to organ dysfunction and circulatory disorders, with a high mortality rate.
Procalcitonin is an important indicator of sepsis. When Ms. Liu was admitted, the value of this indicator was as high as 9.37ng/ml, and the normal value should not exceed 0.046ng/ml, exceeding the limit by more than 200 times!
Early morning left ventricular ejection index plummeted
The "heart strengthening needle" has been added to the limit value
In the early morning, a raging infection storm swept through Ms. Liu's entire body.
The body temperature is over 39 degrees, but the limbs are cold.
The upper and lower blood pressure values are only 80 and 45mmHg, respectively.
The heart rate reaches over 180 beats per minute.
Cardiac ultrasound shows that the overall systolic function of the heart is weakened. Among them, the ejection index of the left ventricle is only 16%, and the normal value should be above 55%. This index reflects that the left ventricular contractility is already precarious.
Under the resuscitation of a large amount of liquid, commonly known as the "heart strengthening needle", norepinephrine has been added to the limit value but still does not work.
The doctor believes that Ms. Liu's sepsis has already affected the myocardium, resulting in sepsis related cardiomyopathy, and the heart cannot contract autonomously. Without good cardiac support, the consequences would be unimaginable.
ECMO allows fragile hearts to rest
It can be basically confirmed that the crab caused the trouble
Rescue team decision - go to ECMO!
Ye Jihui, Deputy Director of the Department of Critical Care Medicine at the First Affiliated Hospital of Ningbo University, introduced that the full name of ECMO is extracorporeal membrane oxygenation, which can act as an artificial heart and artificial lung, and is currently the highest means of life support, allowing Ms. Liu's fragile heart to rest.
Fortunately, Ms. Liu's condition has finally stabilized and gradually improved.
Four days later, ECMO successfully withdrew from the aircraft. After 6 days, the ventilator was successfully removed
"Ms. Liu's condition is currently stabilizing and is undergoing further recovery. She will soon be discharged from the hospital," said Ye Jihui. In the subsequent treatment process, she learned that Ms. Liu has good physical fitness, no liver disease, and no other underlying diseases. Her lifestyle is relatively healthy. Although there is currently no clear bacterial or viral infection that caused Ms. Liu's sepsis, based on chronological inference and excluding other factors, it can be basically determined that she was injured by a crab. When Ms. Liu was sent to the emergency department, there were gray black bruises on the punctured area of her left palm, and small red bleeding spots were densely distributed on her hands and body.
How to prevent sepsis?
Ye Jihui gave several suggestions
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▶ Firstly, manage the underlying diseases well. Patients with diabetes, liver cirrhosis, AIDS, and people with immune deficiency should pay special attention and seek medical attention in time if they have fever and other infectious symptoms.
▶ Secondly, if there is a wound on the body, even if it is relatively small, it should be treated in a timely manner, and the wound should not be contaminated as much as possible.
▶ Again, pay attention to dietary hygiene. Sepsis can also enter through the mouth. Previously, a patient had sepsis caused by eating fried noodles stored in the refrigerator for several days, leading to multiple organ failure.
▶ In addition, when handling seafood, it is best to wear gloves to avoid being stabbed or scratched.
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