The old man's myocardial infarction encountered heavy hemoptysis and pulmonary embolism.

The Yangtze River Daily Da Wuhan Client September 9th (Reporter Liu Xuan Correspondent Luo Yao) After a sudden myocardial infarction, it encountered 1,000 ml of hemoptysis, combined with pulmonary embolism, and life was supported by the body's artificial membrane lung (ECMO). The 74 -year -old Zhao Lao died. At the critical moment, the Sixth Hospital of Wuhan City (Affiliated Hospital of Jianghan University) opened the green rescue channel. Multi -disciplinary experts joined for 6 hours to live and death to help the elderly through layers of levels and pass the dangerous period smoothly.

On the evening of September 5th, Lao Zhao was sent to the Changhang General Hospital near his family to see the emergency department for sudden chest pain, and was diagnosed with acute myocardial infarction. The doctor implanted a bracket urgently to open his occlusion blood vessels and successfully lifted the heart alarm. After that, Old Zhao continued to be treated with anti -thrombotic drugs. Unexpectedly, on the third day after surgery, he had a sudden hemoptysis, respiratory failure, blood pressure as low as 70/50 mm Hg, life was critical, and the hospital started ECMO urgently to establish an external breathing and cycle for Old Uncle Zhao.

Wuhan Sixth Hospital opened a green channel to fight against time to rescue patients.

In a hurry, the hospital immediately sought the help of the Sixth Hospital of Wuhan City. The Municipal Sixth Hospital is the only national respiratory blood vessel intervention unit of the National respiratory clinical medical research center in the country. Li Fajiu, director of the Department of Respiratory and Cympangers, has repeatedly studied with his team, and decided to let the elderly move to the hospital with ECMO to receive hemoptysis.

"Immediately, there was a hematopoietic patient who was on ECMO, and all staff were quickly in place!" On the afternoon of September 7, Li Fajiu quickly arranged for medical staff to prepare, open the green channel, and wait for the patient to come. At 7 o'clock that night, Old Zhao successfully moved to the Sixth Hospital of the City.

When he arrived at the courtyard, his hemoptysis had a cumulative amount of 1,000 ml, and hemoglobin was only 9g/L. Subsequent enhanced CT examination found that the elderly not only had rupture and bleeding of bronchial arteries, but also caused about two -thirds of the volume of alveoli to be covered by blood, and the right pulmonary arteries and thrombosis caused pulmonary embolism. Multi -disciplinary experts such as cardiovascular medicine, intensive medical department, CT room, intervention room, anesthesiology department and other disciplines were discussed and decided to form a rescue team to escort the hemoptysis of the elderly.

Li Fajiu, director of the Division of Disposal and Critical Medicine, led the vascular intervention team for patients for emergency surgery overnight. Correspondent Luo Yao Photo

At 10 pm, Old Zhao was sent to the intervention room. The vascular intervention team of respiratory and critical condition adopts "double -circuit" surgery: first enters the bronchial arteries from the femoral artery, and embodies three lesions of blood vessels one by one; Solve the problem of hemoptysis and pulmonary embolism. Until 1 am, after more than 6 hours of treatment, the elderly turned in danger. At present, the next step is received in the severe care unit of respiratory and critical condition.

[Edit: Yu Lina]

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