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    Medical Case1:  Mr. Wang, male, 68 years old
    Mr. Wang was transferred to Clifford Hospital by a hospital in Panyu on April 14th, 2007, because of severe chest pains for 3 hours. He was transferred to ICU by Emergency Department, for there was a possibility of acute myocardial infarction after chest check up. When he was admitted to the Hospital, he suffered from severe chest pains, with heavy sweat, wet and cold skin, pale complexion, and restless mood. At the time he was admitted, he underwent a procedure to open the venous access and was given oxygen inhalation. Also, he was monitored for multiple parameters, such as ECG, blood pressure, respiration, and blood-oxygen saturation level. At the same time, he was checked with blood tests and bedside ECG.

    During the check up, the patient had convulsions, with black complexion, loss of consciousness, and stopped breathing. ECG showed that normal heart pulse had stopped. The patient was dying. The doctor and the nurse, who were on duty, did CPR immediately.  At the same time, they powered the defibrillator to 200 joules to shock him. Soon the patient's heartbeat resumed and his breath and consciousness were regained.

    But after about 16 minutes, his heartbeat stopped again. The medical staff immediately applied defibrillator and anti-arrhythmic medication. Soon his heartbeat resumed. Several minutes later, according to the medical record, the patient suffered massive acute anterior myocardial infarction. That meant the patient might die from such severe disease. At that time the patient was delirious, wet and cold body, and his blood pressure was immeasurable. That indicated the patient had the possibility of cardiac arrest recurrence.

    Time was very crucial. Experienced medical staff treated him with standard rt-PA thrombolytic therapy to get through his blocked coronary artery. Ten minutes later, his chest pain eased and his blood pressure increased. Besides, his consciousness was clear and spirit became better. ECG indicated that the thrombolytic therapy was a success. The patient's coronary artery was re-opened and his heart muscle was saved.

    After 5 days of intensive care and careful treatment by ICU staff, his pathogenetic condition was stable and he was discharged from ICU. On April 21st, 2007, he was treated with heart intervention treatment. Having been treated by a combination of TCM with Western Medicine, the patient recovered and was discharged from the Hospital. In the following 6 months of follow up consultations, he could work and live normally. He has shown no further symptoms.


    Medical  Case 2:   Ms Zhongshan, female, 40 years old, Japanese 
    On April 5th, 2007, Ms. Zhongshan was admitted to ICU of our Hospital because of delirium for 4 days. The patient was involved in a traffic accident on April 1st 2007. She was taken to a hospital in Shenzhen. The diagnosis was as follows: 1. Brain trauma(multiple brain contusion on left forehead and temporal lobe; subdural hematoma on the left forehead; subarachnoid hemorrhage; occipital fracture on the left temporal; scalp laceration; brain hernia)2. Compound fracture on the nearside tibia and fibula  3. Contused wound on the left lung, left pneumothorax   4. Hemorrhagic shock and central respiratory failure .

    In the Shenzhen hospital Emergency Department, the patient underwent surgical procedures, for clearing hematoma by cutting the skull, decompression by clearing bone flap, and temporary decompression. However, she was still in coma and her breath and blood pressure were unstable. She may loose her life at any time. In addition, her right limbs were paralyzed. Her family wanted to send her to Clifford Hospital. So our Emergency Care ambulance service received her. Then she was transferred to ICU.

    Once admitted to the Hospital, she benefited from many procedures, including invasive hemodynamic monitoring, ventilator support, tracheotomy, closed thoracic drainage, plate fix inside to fasten multistage open bone fracture, artificial bone grafting, hypothermy to control body temperature, medication to stabilise circulation, gastrointestinal and intravenous nourishment support, anti-infection therapies, nutrition for brain, herbal medicine, and alternative medicine. With the care by ICU staff, the patient's pathogenetic condition became stable. Then she was discharged from ICU. With the treatment of Neurology, Rehabilitation, and Physical Therapy, her consciousness and limbs function returned to normal and she was discharged from the Hospital. She can live by herself. Many media, like Yangcheng Evening Paper, reported the event.

    Medical Case 3:   Mr. JAN, male, 59 years old, English
    Mr. Jan was admitted to the ICU of our Hospital because of abrupt giddiness for half an hour on Oct.10th, 2006. Before admission, the patient had gathered with his friends and drank a little beer. He suddenly fell into a state of shock, unconscious, sweating and pale. His blood pressure was 80/40mm Hg. His rate of heart beat was 130/min. He had shortness of breath and was breathing in 6-10L/min of oxygen, and fingertip blood oxygen saturation was 85%. Both lungs' sound was clear. ECG showed:SIQIII V1-3 ST section low 0.15mv .

    From his illness history, for the previous week he was flustered and easily fatigued after activity. But that could be relieved if he had some rest. We suspected that he might suffer acute massive pulmonary embolism. After the check up by Doppler ultrasonography and double CTA, it was shown that his right lower limbs had DVT and acute massive pulmonary embolism. Besides, he got bilateral pulmonary artery and pulmonary artery trunk, blood stream change, and fainting spells.

    So we treated him with thrombolytic therapy. The patient had severe chest pain once in the treatment. Then HR became 78/min, blood pressure 120/70mm Hg, and Finger SaO2﹥95%. His pulmonary blood flow basically resumed after 24 hours. He was discharged from ICU after 48 hours, and transferred to Internal Medicine Department. After receiving treatments of integrative TCM and Western Medicine, the patient recovered and was discharged. He went on to take anticoagulant and Chinese medicine. The patient was healthy in 10 months of follow up consultations.

     

     
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