"Patients with myocardial infarction are in critical condition and are at risk of sudden death anytime and anywhere." At 3 a.m. on August 29, Shangluo Huangma Hospital (Shangluo International Medical Center) received a 38-year-old patient with sudden chest pain . Li Qing, the doctor on duty at the Second Affiliated Hospital of Xi'an Jiaotong University who supported Shangluo , thought he had acute extensive anterior wall myocardial infarction and was in critical condition. At the critical moment, the medical team of Huangma Hospital urgently activated the cardiac interventional operating room of the epidemic-related hospital. Shangluo Central Hospital immediately provided special medical supplies. Under the technical guidance of the cardiology team of the Second Affiliated Hospital of Jiaotong University, the final operation was successfully completed and the patient Turn danger into safety.
"I encountered a critical situation on my first day of night shift in Shangluo.
I suspected he had a myocardial infarction without any examination."
After the outbreak of the epidemic in Shangluo, medical staff from many places came to Shangluo to provide support. Li Qing, a cardiologist at the Second Affiliated Hospital of Jiaotong University, is one of them. She told reporters that the patient was a very young man, only 38 years old. At 3 a.m. on August 29, the patient suffered a sudden chest pain. At that time, he was treated by Ren Jianwen, deputy chief physician of the pre-examination triage of Huangma Hospital. I immediately contacted her who was on duty, "At that time, I thought it might be myocardial infarction based on the patient's description, and immediately did an electrocardiogram to confirm my suspicion. The electrocardiogram showed that It was an acute extensive anterior wall myocardial infarction. We have seen this kind of myocardial infarction very often, and the condition was critical, and we had to treat it as soon as possible. At that time, I only had one idea, which was how to save the patient’s life quickly.”
Then, Dr. Li Qing. Just arrange for the medical director to send the patient to the ward, and ask another medical director to help the family members handle the hospitalization procedures. "Under special circumstances, we also adopted an emergency plan, opened a green channel, arranged for nurses to collect medicines, and Dr. Luo Yanni of the inpatient department received and treated the patients. Since the hospital involved in the epidemic did not have the consumables for interventional surgery , the patients with myocardial infarction were in urgent condition. The first option was to perform intravenous thrombolysis, which took about 1 hour. The patient's condition was relieved, and I felt a little relieved," Dr. Li Qing said.
After remote consultation, it was decided to perform surgery on the patient.
The three hospitals cooperated in a race against time to prepare the surgical conditions.
After the patient’s symptoms were relieved, Dr. Li Qing immediately reported to the team leader. Chief Physician Li Mu and deputy team leader Chief Physician Fu Rongguo reported, and after remote connection and consultation with Chief Physician Deng Jie, deputy director of the Department of Cardiovascular Medicine at the Second Affiliated Hospital of Xi'an Jiaotong University, the decision was made after full communication with the family considering that the patient was relatively young. Perform coronary angiography on the patient to clarify the condition of the blood vessels, and stent implantation if necessary. After confirming the need for surgery, the Central Hospital and Shangluo International Medical Center simultaneously handed over consumables and opened a green channel as soon as possible to create treatment conditions for the surgery.
After receiving the call for help from Shangluo International Medical Center, Li Yinshan, director of Shangluo Central Hospital, arranged for Huang Xuebin, director of the third ward (CCU) of the Department of Cardiovascular Medicine, to cooperate. Director Huang Xuebin told reporters, "Before the patient's treatment, Dr. Li Qing and I formed an emergency plan for the handover of consumables, patient treatment, etc. After the patient's treatment, the plan was immediately launched to handle matters related to the surgery after thrombolytic treatment. , around 6 a.m., the surgical supplies arrived at the interventional room of the International Medical Center smoothly.”
Director Li Chunzheng of Shangluo International Medical Center Hospital told reporters, “In order to cooperate with the completion of the operation, we immediately disinfected the room. Considering that the operation needs to be performed under strict secondary protection, it is different from the traditional operating room. The Second Affiliated Hospital of Jiaotong University Cao Chunhui, deputy head nurse of the cardiology department’s cath lab, leads cath lab nurses Wang Xiaofang and Yu Wufu into the catheter A large number of tasks including disinfection of the room, preparation of intraoperative consumables and medicines, personnel training, and smooth communication of information were also opened in advance to ensure the smooth completion of the operation at the two hospitals (Xi'an-Shangluo). Hospital-Shangluo International Medical High School-Shangluo Central Hospital) This cooperation model provides strong conditions for this operation.”
Medical workers worked closely with
to rescue patients with myocardial infarction.
At around 10:30 that morning, the patient entered the catheterization laboratory and was quickly sent to the catheterization operating room according to the yellow code hospital's scheduled route.Coronary angiography showed that the patient had 90% stenosis in the proximal segment of of the anterior descending artery of , the blood flow slowed down, and there was a possibility of sudden death at any time! Under the video guidance of the team from the Department of Cardiovascular Medicine, the Second Affiliated Hospital of Jiaotong University, the operation was successfully completed at 12:30.
"Actually, I was very nervous at the time, especially when I was having surgery in another place. Although I had been working for ten years and had been doing surgery for five or six years, after all, I was out of town and wearing protective clothing lead clothing . Wearing a lead shield for surgery greatly increases the difficulty of the surgery. We use The iPad was remotely connected to Deputy Director Deng Jie to ensure the safety of the operation. Teacher Ma Wei from the International Medical Center provided the equipment, and with the cooperation of the interventional nursing team of the Catheterization Laboratory of the Second Hospital of Jiaotong University, we successfully carried out the coronary interventional surgery. It was precisely because of the teacher's support. , cooperation and the trust of the patient, this operation can be carried out smoothly," Dr. Li Qing said with emotion.
The reporter contacted Ma Wei, deputy chief physician of the International Medical Center who was also involved in the operation. He said that as a medical worker, he was able to overcome difficulties during the epidemic and do his little bit to save the lives of acute myocardial infarction patients. It’s a responsibility and an honor. "I was still a little worried at first, because it was never my experience to perform interventional surgery under good protection. Isolation suits, lead suits, surgical gowns, visors, two layers of gloves... Wearing these things on the body will cause The delicate operation caused great inconvenience - I admire the doctors and nursing team of the Second Affiliated Hospital for being a highly skilled team that helped the patient open the infarcted blood vessel and successfully complete the operation. "
In this regard, the reporter contacted. Dr. Li Mu, the leader of the team who arrived at the Second Affiliated Hospital of Jiaotong University, was full of worries about the off-site surgery at the beginning. “First, I was worried about where the surgical supplies would come from. Fortunately, Deputy Director Deng Jie and Dr. Li Qing knew Shangluo Central Hospital. Director Huang helped us solve the equipment problem. Secondly, I considered that the visor worn by the doctor would cause unclear vision and increase the difficulty of the operation. Fortunately, our Dr. Li Qing has excellent skills and deputy director Deng Jie’s remote video. guidance, interventional care The cooperation of the management team ensured the successful completion of the operation. Third, I was worried that we were not clear about the conditions of the cath lab and the staff were unfamiliar with the operation. Fortunately, President Li of the International Medical Center actively cooperated, and Deputy Director Ma Wei The operation was coordinated with the strong assistance of the doctors, and the close cooperation of these three links was indispensable."
Captain Li Mu was also full of praise for Dr. Li Qing's fearless performance in the face of danger, "We. Dr. Li Qing is still a young girl, but she never expected to be able to handle such a big job. This proves that our hospital has sent a trustworthy team, and all the team members are carefully selected technical backbones for the people of Shangluo. Service, our team can endure hardships, fight, and withstand the test. "
At present, the patient's chest tightness and chest pain symptoms have been significantly relieved, and his vital signs have stabilized, and the crisis is over. With the full cooperation of three hospitals in two places, the treatment of this 38-year-old young patient with myocardial infarction was successfully completed. In this regard, Dr. Li Qing solemnly told reporters that the most feared diseases for chest pain are myocardial infarction, aortic dissection, pulmonary embolism. Such diseases are now tending to be younger. “Our center has performed the youngest The patient with myocardial infarction is only 23 years old. Myocardial infarction is related to drinking Food and living habits are closely related. Therefore, I suggest that young people should improve their lifestyles, maintain a happy mood, and do not delay seeking medical treatment if symptoms such as chest pain occur. They should quit smoking and drinking, limit smoking and drinking, pay attention to blood pressure and blood sugar, and pay attention to blood pressure and blood sugar regularly. Get a physical check-up and avoid fatigue.”
reporter from China Business News. Cheng Juan Editor Huang Yanan
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