With the support of Extracorporeal Membrane Lung (ECMO) technology from the Cardiovascular Surgery Department of the Second Hospital of the University of Medicine, Mr. Liu, who is in his 40s, miraculously recovered his health. He pressed the reset button for his precious life.
patient Mr. Liu was transferred to the ICU of our hospital due to chest tightness, shortness of breath and fever for 2 days. The emergency department considered “ myocarditis is likely to be large”. Director Wu Haibo of the Department of Cardiac Surgery knows the situation of the patient is far away. It is more serious than expected: the patient has already experienced shock when entering the intensive care unit. After using a large number of vasoactive drugs , the systolic blood pressure of is only about 80mmHg (usually greater than 100mmHg for ordinary people), and at the same time Combined with obvious dyspnea, apathy, and multiple ventricular fibrillation, the cardiology surgeon and nurse responded quickly in an emergency and gave electrical defibrillation and supportive treatment. At a critical moment, Director Wu Haibo of Cardiac Surgery immediately made a decision that the use of extracorporeal membrane lung (ECMO) treatment is the only option, and it must be implemented as soon as possible to have the hope of saving lives!
After receiving the instructions from Director Wu, the cardiology nurses had a clear division of labor. They contacted the head nurse of the operating room to explain the patient’s situation and prepared for preparations. At the same time, they immediately contacted the medical ladder to transport the patients, race against time, and rob people of death. Every link has been raced against time and seamlessly!
Although the atmosphere in the operating room is tense, everything is proceeding in an orderly manner: arteriovenous puncture, connected invasive arterial pressure monitoring, central venous pressure monitoring, vasoactive drug infusion, endotracheal intubation and mechanical ventilation …Director Xiao Zhaoyang of the Department of Anesthesiology led the anesthesiologist Yang Xianglong to quickly complete the preparations. The nurse on the stage prepared the surgery-related items extremely quickly. The cardiopulmonary bypass surgeon Zhang Baofen quickly prefilled the ECMO machine.Director Wu Haibo calmly incised the skin of the groin area and dissected it layer by layer to expose the femoral arteries and veins, suture the purse-string, puncture the femoral arteries and veins, insert the guide wire, gradually expand the blood vessels, insert the femoral arteriovenous cannula, and connect the outside the body Cycle the pipeline, the machine runs, and the ECMO assistance starts. With the circulatory line connected, starting up, and the blood pump running, the dark red venous blood is drawn from the right atrium, and after flowing through the oxygenator (membrane lung), it is immediately enriched with oxygen and becomes bright red, and then flows from to femoral artery Return to the patient's body.
With the assistance of ECMO, the patient's heart resumed its beating! Seeing the fluctuating lifeline on the ECG monitor , everyone present took a deep breath, and the ECMO implantation once again pressed the restart button for life!
After the operation, the patient was transferred to the ICU of the cardiology surgery. After the careful treatment by the cardiologists and nurses day by day, Mr. Liu was pulled back from the edge of death a little bit: the ECMO assistance was successfully removed on the 11th day; the 12th day was transferred Out of the intensive care unit; on the 15th day of hospitalization, with the help of multidisciplinary joint treatment and nutritional support from a nutritionist, the patient's cardiac function after reexamination reached the discharge standard and was discharged smoothly. A thrilling treatment of critically ill patients ended perfectly with a smooth recovery.
Heart surgery is staged every day with warm and thrilling scenes. It is precisely because of the strong cohesion and communication skills of the heart surgery team that the success of the patient is created. The treatment also embodies the hardworking spirit of the Cardiac Surgery Team of the Second Hospital of the University of Medicine and the sincere heart of helping patients never give up!
Director Wu Haibo reminds the public: fulminant myocarditis is most common in viral infections.The incidence rate is 1% to 5%, and the criticality is no less than acute myocardial infarction. In severe cases, it can be manifested as sudden death, severe arrhythmia, cardiogenic shock or heart failure, leading to acute death, among which children and 40 years old The following adults are mostly. However, the people's understanding of it is far from enough, because its symptoms are not typical. Common symptoms are chest tightness, shortness of breath, palpitations, fatigue, dizziness, and occasionally chest pain, often accompanied by symptoms of upper respiratory tract infection or gastrointestinal tract Symptoms are like having a "small cold". But when there are symptoms of chest tightness, fatigue and dyspnea that cannot be explained by colds and general gastrointestinal inflammation, especially symptoms of shortness of breath and fatigue, or syncope, one must think that it may be fulminant myocarditis.
The condition of fulminant myocarditis is progressing rapidly, and the early mortality rate is high. Once the dangerous period is passed, the long-term prognosis is good. It is necessary to adopt various possible means to try to save the patient’s life and to implement a comprehensive treatment plan based on life support. Cure. In addition to general treatment, it also includes anti-infection, anti-viral, glucocorticoid, gamma globulin, plasma and blood purification, life support measures such as intra-aortic balloon counterpulsation (IABP), extracorporeal membrane lung Oxygenation (ECMO), ventilator assisted breathing, temporary pacemaker implantation, etc. The Cardiac Surgery ICU of the Second Hospital of the University has all the above treatment methods, and can take the most timely and effective treatment to protect the health and safety of the people in Bincheng.
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