43 minutes of life and death racing!Xiehe Jiangnan Hospital successfully treats 36 -year -old myocardial men

The Yangtze River Daily Da Wuhan client June 22nd F-W (the first medical contact with the guidance pass) is a short time, which is an important factor in the success of the patient's rescue. The latest Chinese acute ST section of the F-W time required for the diagnosis and treatment guidelines of the acute ST section is 120 minutes. On the morning of June 21, a patient with a patient with an acute ST section was successfully cured in the Jiangxia District First People's Hospital (Xiehe Jiangnan Hospital). In just 43 minutes, the rescue time of patients with acute myocardial infarction in Jiangxia was used in just 43 minutes. The treatment of emergency diagnosis (interventional treatment of crude coronary arteries) has now been dangerous.

At about 7 am on the 21st, the 120 emergency center of Jiangxia District received the police: A 36 -year -old male in Qinglong South Road, Jiangxia District, a 36 -year -old man with a sudden pain in the middle and lower sternum half an hour, accompanied by sweating. After receiving the alarm, 120 ambulances quickly arrived at the scene to receive the patient, and collected ECG for the patient on the rescue of the return journey. The 120 doctor uploaded the ECG to the WeChat group of the chest pain center in Jiangxia District. Doctors of the Heart Function Department of Jiangxia District First People's Hospital (Xiehe Jiangnan Hospital) issued a diagnostic report in the group and contacted Deng Zhaowu, the head of the First People's Hospital of Jiangxia District (Xiehe Jiangnan Hospital), and director of the Cardiovascular Department.

"According to the patient's ECG, it can be clearly diagnosed as an acute ST section to raise the myocardial infarction." Deng Zhaowu further issued a instruction from the 120 consultant to the doctor and the medical history: "Start the catheter room with one click". At this time, time is life, "the involvement team is expected to be in place for 5 minutes, and the ambulance is expected to reach the catheter room for 10 minutes." Director Deng Zhaowu decided to implement a "double detour" treatment for the patient (that is, bypass the emergency treatment, bypass the cardiovascular severe care unit monitoring ward ) Plan, fight for more time for rescue.

Because the patient was accompanied by no family members, the green channel was opened after the medical department was authorized by the hospital. When the 120 emergency sent the patient to the catheter room, the chest pain center and the intervention team had long been waiting, and then treated the patient's emergency PCI (transparent coronary intervention therapy) for treatment. "The middle section of the radiograph shows the complete occlusion of the rotary branch. The operation was successfully opened to block the cardiovascular blood vessels and removed a large amount of blood thrombus, and one of the stent was implanted." Director Deng Zhaowu introduced that the postoperative patient's life signs were stable, the symptoms of chest pain disappeared, and returned to the ward smoothly.

Doctors visited the patient after surgery. Correspondent Zhu Yan

Deng Zhaowu reminded that the time of myocardial infarction patients from disease to blood transportation "getting better and better." According to reports, the coronary arteries are suddenly closed and blood flow interruption, that is, a typical acute myocardial infarction occurs. After 20 minutes of the disease, myocardial ischemia starts, and the area of ​​myocardial necrosis is proportional to the blood flow interruption. Even though the reconstruction of blood and transportation restores blood flow, the necrotic myocardium will not restore the vitality, and the surgical effect will be greatly reduced. Therefore, once myocardial infarction occurs, it is necessary to strive for effective treatment. (Chang Xiaofeng, a reporter from the Yangtze River Daily, Chen Lin Zhang Chunhong)

[Edit: Yu Lina]

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