Case Report: Opportunities for Treatment of Severe COVID-19 Patients—Lessons From a Death Case

Frontiers in Medicine

Hui-Sheng Wang¹  Jia-Lin Peng²  Yan Wang³  Ke Zhang⁴  Zhuo Niu⁵ 

[1] Department of Medical Service, The People's Hospital of Liaoning Province, Shenyang, China;Department of Neurology, Nan Zhang People's Hospital, Xiangyang, China;Department of Respiratory Medicine, The People's Hospital of Liaoning Province, Shenyang, China;Key Laboratory of Cell Biology, Ministry of Public Health, Key Laboratory of Medical Cell Biology, Ministry of Education, Department of Developmental Cell Biology, China Medical University, Shenyang, China;Key Laboratory of Precision Diagnosis and Treatment of Gastrointestinal Tumors, Ministry of Education, Department of Surgical Oncology and General Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China;

关键词: SARS-CoV-2;    COVID-19;    severe;    rescue;    treatment;   

DOI  :  10.3389/fmed.2020.00533

来源: DOAJ

【 摘 要 】

With the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection, the incidence of coronavirus disease (COVID-19) increases each day. To date, there is no specific anti-SARS-CoV-2 drug. The usual approach to treating COVID-19 is treating its symptoms. However, this approach is limited by the different conditions of each area. We treated a 57-year-old man who was initially diagnosed with a severe type of the infection, but he progressed to a critical condition and eventually died. We learned valuable lessons from this case. The first lesson is the need to use immediate invasive mechanical ventilation if there is no obvious improvement after using non-invasive ventilation for several hours, which directly affects the prognosis. Another lesson is the risk involved in transferring severe COVID-19 patients. In the process of transfer, various threats may be encountered at any time. Thus, accurate assessment of the patient's condition and strict medical conditions are highly required. During the patient's 25-day treatment, we performed cardiopulmonary resuscitation twice. Currently, many patients require invasive mechanical ventilation and transfer to a superior hospital. We hope our findings will provide some advice and help for treating severe and critical COVID-19 cases.

【 授权许可】

Unknown