Read Chuang/Shenzhen Business Daily reporter Xiao Bingfeng looks gentle on the outside, but hides a troubled little universe in his heart. Huang Zhiyong, Director of Vascular Surgery, Luohu District People’s Hospital. After graduating in 1998, he has been working as a general sur

Read Chuang/Shenzhen Business Daily reporter Xiao Bingfeng

looks gentle on the outside, but hides a little universe that loves tossing in his heart. Huang Zhiyong, Director of Vascular Surgery, Luohu District People’s Hospital. After graduating in 1998, he has been working as a general surgeon at Longnan Hospital in Daqing Oilfield, Heilongjiang. For ten years, he has been facing routine diseases in general surgery, including thyroid gland, breast gland, liver, gallbladder, gastrointestinal and other diseases every day. Huang Zhiyong, who "wanted to do something different", felt that he should find a differentiated development route. .

By chance, Huang Zhiyong came into contact with vascular surgery, which was relatively unknown in China at that time. This "mysterious" subject greatly touched him. In 2007, he had always wanted to study further, so he gave up the relatively comfortable status quo of the hospital's status as a central enterprise and took the initiative to apply for the only place in the department to go to the Vascular Surgery Department of Shanghai Changhai Hospital (now the Naval Medical College). The occurrence and development of vascular diseases, pathogenesis, surgical practices, etc., during more than a year of further study, the vascular surgery research center of the entire army and even the country, whether it was medical technology or management concepts, brought Huang Zhiyong A new experience, theory and practice have been greatly improved. "The weather in the north is too cold. Compared with those who come to the south, vascular patients get sick earlier and there are more people affected. At that time, I hoped to give back the new technologies I learned to the elders in my hometown."

In April 2016, I was already a child in my hometown. Huang Zhiyong, who was well-known and wanted to seek greater development space, gave up his job in a central enterprise and came to Shenzhen to the Vascular Surgery Department of Luohu District People's Hospital. It mainly performs (except cerebrovascular and cardiovascular) thoracoabdominal aortic disease, visceral artery disease, peripheral arteriovenous disease of the lower limbs, etc. About 75% of them are relatively large-scale third- and fourth-level surgeries.

Each vascular disease has its own symptoms and signs. How to diagnose the cause in time and prevent misdiagnosis? In daily clinical work, rich medical knowledge and solid medical technology are the prerequisites for ensuring that patients receive timely treatment. These three common symptoms, coldness, numbness, and pain, are often not taken seriously because they are not acute diseases, thus delaying the best treatment period. In fact, it is caused by blood clots blocking blood vessels, and they are all symptoms caused by vascular diseases. Take acute lower extremity arterial embolism as an example. If the thrombus formed by atrial fibrillation breaks off or the thrombus forms in the arteries of the lower extremities, after the arteries of the lower extremities are blocked, blood cannot be supplied to the distal end of the limb. Without blood supply to the distal end of the limb, the body temperature will increase. If it decreases, cold symptoms will appear; secondly, if there is no blood supply to the body part and tissue ischemia, metabolic waste will be produced, which will stimulate the peripheral nerves, causing pain symptoms, and then the function of the nerves will also be affected, leading to numbness symptoms. "Vascular diseases are relatively specialized and are prone to misdiagnosis. acute arterial embolism If acute arterial embolism is detected promptly and within 6 to 8 hours, the thrombus can be quickly removed, the blood vessels can be opened, and the blood can be supplied to the distal end, the limb will be preserved. Down, its function will be retained. If it exceeds this period, distal foot drop will occur. Symptoms often lead to serious consequences, ranging from loss of leg function to severe cases such as amputation and loss of the leg. "

In the entire treatment process, vascular surgery is relatively behind, and many people tend to do so. Only when conservative treatment fails, or when surgical intervention is needed, will the patient come to vascular surgery for intervention. A 60-year-old woman suddenly suffered from symptoms of coldness, numbness, and pain. She had no knowledge of the symptoms, so she thought it would be over if she tolerated it, so she used a hot water bottle to keep warm at home. After coming to the hospital for a consultation at the surgery, the doctor believed that this was caused by a waist problem, and the patient went home for conservative treatment for more than half a month. An ulcer about 5 cm in diameter gradually formed on the instep of the foot. After multi-department consultation, Huang Zhiyong discovered that the patient’s symptoms were caused by thrombus blocking the blood vessels. After timely incision and thrombectomy, the blood supply to the patient's legs was restored and the pain was quickly relieved. After several dressing changes after the operation, the entire ulcer healed. However, due to early misdiagnosis, the patient still suffered from partial functional insufficiency in his legs.

Blood vessels are distributed throughout the human body.Doctors in vascular surgery are like firefighters in a hospital, going wherever there is need. During the operation, if a blood vessel is damaged and colleagues in other departments cannot handle it, then the vascular surgeon must "put out the fire" to help deal with the blood vessel damage problem and ensure that the operation proceeds normally and smoothly. Major surgery not only tests the doctor's medical skills, but also a double test of patience and physical strength. Interventional surgery As a relatively common type of vascular surgery, it uses minimally invasive guidewire catheters with the assistance of digital subtraction machines to treat vascular diseases. When performing this kind of surgery, doctors often have to wear protective clothing weighing 20 to 30 kilograms, which can take as short as 2 hours and as long as 15 hours. After each operation, Huang Zhiyong and his colleagues feel like they have taken a shower.

is highly professional, which makes it relatively difficult to popularize extensive knowledge. This is the dilemma that Huang Zhiyong and his colleagues in the department have been facing. How to popularize professional knowledge in a popular way, not only to patients, but also to colleagues in other departments, forming a full-life cycle closed-loop diagnosis and treatment mechanism to achieve early detection and early treatment. Acute arterial embolism is common in people after the age of 50, and is more common in patients with atrial fibrillation. It is a terrible invisible killer. If the patient is a little careless and fails to detect atrial fibrillation in time and does not do a good job in anticoagulation, it is especially easy for thrombus to form in the atrium. Atrial fibrillation causes blood turbulence to form, causing blood clots to be washed away from the heart and into the aorta. Upward, it may cause cerebral artery embolism; downward, it may cause arterial embolism in the lower limbs.

Nowadays, cardiovascular surgical diseases tend to be younger and younger. Huang Zhiyong said that this is often related to the lifestyle of young people. Thrombosis is caused by damage to blood vessels, thick blood, or slow blood flow. After the lower limbs are injured, the patient will stay in bed for a long time. If preventive measures are not taken, the blood flow will be slow and thrombosis will easily occur. Some young people lack daily physical exercise, often stay up late, and like to eat big fish and meat, which results in higher blood fats and higher blood lipids and thicker blood. Thrombosis may also occur if you sit for long periods of time playing games or computers and have little leg activity.

In recent years, thanks to the hierarchical diagnosis and treatment mechanism created by Luohu medical reform, Huang Zhiyong and his colleagues have not only widely used various new media methods to regularly publish popular science knowledge online, but also conducted offline activities in communities and social health centers from time to time. Free clinic activities to popularize knowledge about vascular diseases for social health doctors. At the same time, combined with the family ward in the community, for the elderly with limited mobility, social health doctors will visit the homes together to provide diagnosis and treatment opinions to the patients. "Before it became popular, Shekang might send patients directly to municipal level tertiary hospitals. After training, Shekang doctors could transfer the patients to them as soon as possible through the internal process of Luohu Hospital Group, without having to travel. You can get timely treatment if you travel a long distance.”

Doctors can only treat diseases, but cannot save people. Not all diseases can be cured. A harmonious doctor-patient relationship is the basis for treating diseases and saving lives. "Try your best to cure the patients and let every patient return home satisfied."

Reviewed by: Sun Shijian Jiang Zhuxuan