Patients with a high -risk area Gastrointestinal bleeding This hospital opens the "Life Channel"
Author:Cover news Time:2022.09.16
Cover news reporter Qiu Tian
At 23:38 on September 8th, an elderly man from a gastrointestinal bleeding from a high -risk zone was rushed to the Third People's Hospital of Chengdu to the third People's Hospital of Chengdu. After emergency surgery and further restoration, the elderly's condition has gradually stabilized, and it is expected to be discharged soon.
urgent! Gastrointestinal bleeding in patients with heart disease in high risk areas
Symptoms such as dizziness, fatigue, wetness and cold limbs, and the amount of blood loss exceeded 1000ml, blood pressure is only 72/50 mmHg, and the amount of hemoglobin has fallen to 70g/L, which shows that the life of the elderly patient is suffering serious threats. Except for the above problems, the old man just accepted the implantation of the heart stent three months ago, which is undoubtedly worse.
Gastrointestinal bleeding generally refers to the digestive tract more than 20%of the total blood volume of the whole body (about 800-1200ml), and causes the symptoms of shock and even coma. It is a common critical critical illness that causes patients to die. The annual incidence of acute digestive bleeding is (100-180)/100,000, and the mortality rate is as high as 2%-15%.
Faced with the first -line rigorous and critical illness patients, the Ministry of Medicine led the rapid formation of the treatment team. The team of the Department of Gastroenterology and Acute Gastroenterology Bleeding Center and the Department of Infectious Diseases and Infectious Diseases were jointly formulated to formulate a comprehensive diagnosis and treatment plan.
According to the principle of prevention and control of the hospital, the patient's emergency treatment was carried out in the Department of Infectious Diseases. While fully evaluating the team, the need for surgical equipment to quickly send the required surgery to the Department of Infectious Diseases. In the area, medical staff wearing a full set of protective equipment and expanding the endoscopic first aid on the spot.
Calfly cope with precision "sealing" bleeding lesions
The deputy chief physician of the digestive endoscopic center passed the endoscopy of the bed, and found that the gastrointestinal cavity of the elderly was full of bright red blood. At this time, the ulcers have eroded the blood vessels, the vascular residues are exposed and continuously bleeding, and the hemorrhage may be threatened at any time.
For this aggressive "culprit", the medical team responded calmly. Although the heavy protection equipment hindered the flexibility of the operation, the team still used exquisite endoscopic technology to accurately operate endoscopic injection and electrocoagulation hematopoietic surgery.
The successful completion of surgery is the first step in successful treatment. The patient's condition is dangerous and severe, with severe heart disease, long -term oral anticoagulant drugs, and the risk of re -bleeding and other severe complications after surgery.
In order to further ensure safety guarantee, Du Weiwei, a doctor of the Department of Gastrointestinal, the geneticist of the severe medical doctor, and Huang Yu formed a special medical treatment group to carry out the 24 -hour monitoring and duty to the elderly. After further restoration of treatment, the elderly's condition has gradually stabilized, and it is expected to be discharged soon.
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