Open the green medical channel airway bracket "support" to open the life channel of the elderly

Cover news reporter Qiu Tian

Breathing is the basic guarantee for human survival. But this incident is becoming more and more difficult for the 79 -year -old Song Pan Dunzhu (pseudonym). There are only 3.9 mm left in the narrowest part of the atmospheric tract, which may be suffocated at any time due to airway obstruction. The elderly hanged a line, and Chengdu encountered an epidemic at a critical moment. Under this double difficulty, Chengdu Third People's Hospital successfully transferred it to the Department of Breathing and Critical Medicine through a closed green channel. Re -support a "Life Channel".

Sifferential airway hanging a line

Dunzhu's mother -in -law had been treated in her hometown for a period of treatment because of "coughing and permanenting her sexual breathing difficulties", but the problem of difficulty in breathing was still not resolved.

On August 26, despite the epidemic in Chengdu, in order to treat this critical patient, she was transferred to the third People's Hospital of Chengdu Third People's Hospital in the third People's Hospital of Chengdu through the green channel. After the color ultrasound and CT examination, the elderly were "huge thyroid enlargement accompanied by vertical positions, atrium fluttering, and severe narrowing atmosphere." There are only 3.9 mm left in the narrowest point of the airway, but only 1/3 of the normal airway.

The airway of the old man is about to be blocked

"The patient's condition is extremely critical, and it may be suffocated at any time due to airway obstruction. Dr. Li Guoping, director of the Department of Respiratory and Critical Medicine of the Third Hospital of the Municipal Hospital, said that in response to the complex condition and critical state, the department immediately jointly jointly expanded multidisciplinary disciplines. discuss.

The expert team believes that the patient's narrowing is very special -the stenosis is located in the middle of the trachea, with a length of about 3.5 cm, which means that it cannot relieve the symptoms through the trachea, and the tracheal intubation cannot be anesthetized. After discussion, you can only choose to place brackets in a hard mirror to relieve breathing difficulties, but there are still risk of laryngeal spasm and breathing cardiac arrest.

Interventional treatment allows the elderly

How can we put the tracheal stent safely into the patient's narrow airway? In response to this problem, experts from multiple sub -professional groups in respiratory and critical medicine have conducted further discussions. "One is in the body outer membrane and lung technology, that is, the support of the downlink hard mirrors of the artificial cardiopulmonary machine ECOM." Director Li Guoping said that this method is relatively safe, but the overall cost is high. For the original economic conditions, the original economic conditions are the original economic conditions. For poor old people, it is a great burden.

The expert team "supports" a life channel for the elderly

Combined with the elderly's condition and family actual situation, the team gave another treatment plan: placing airway brackets directly under the intubation catheter. Although this treatment method has no trauma and low cost, the entire problem has come to the medical team again -need to work closely between medical personnel. While the intake pipe catheter is required, the accurate airway bracket is placed, so as to support the elderly to support the elderly Open a "life channel" that depends on breathing.

Li Guoping told reporters that the intervention team of the third hospital's respiration and critical care medical department took the lead in the exploration of interventional treatment in the region. So far, almost all the projects that can be carried out by the domestic first -class respiratory intervention team can be carried out. At the forefront, "both difficulties and risk points exist, but we believe that through full preparation and rich experience, we can escort the life of patients."

Life channel is "supported"

On September 4, Director Li Guoping led the airway intervention group, vascular group, intensive group and nursing team to collectively challenge high -difficult surgery. While the pneumatic bracket promoter is slowly promoted, the tracheal intubation catheter is slowly pulled out synchronously. With the "settlement" of the tracheal bracket "settled" in the best position, the airway of the elderly is instantly unblocked, the breathing difficulties are completely lifted. Normally, the elderly finally broke away from the risk of fatal, which also won the opportunity for the next step in the treatment of thyroid enoplane and vertical positions.

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