The 63 -year -old old man's tooth extraction suddenly fainted!One check is pulmonary embolism!Doctor reminds ...

Aunt Su did not expect that a simple tooth extraction made her suddenly fainted. It turned out that she suffered from pulmonary embolism with a mortality of up to 30%. Fortunately, after timely treatment, she turned in danger. At present, Aunt Su has been discharged smoothly.

Aunt Su, 63, had a good physical condition, but in the past two months, she often felt that she was angry after the event, and her legs and feet were often swollen. I took some medicine to take medicine at the hospital, and I didn't care much after a little relief. Unexpectedly, after a few days, Aunt Su suddenly fainted during the extraction and scared the doctor and family members. On the road to the medical treatment, Aunt Su repeatedly fainted. The local hospital inspected pulmonary arterials as a pulmonary embolism. Considering that the condition was serious, the doctor suggested that she refer to the cardiovascular disease hospital ("Xiaxin") at Xiamen University.

After receiving the consultation of the Emergency Department of Xiamen and Vascular Surgery, the patient's condition evaluation was quickly completed, and pre -surgery examination was improved. It was clear that Aunt Su had multiple embolism with the trunk of the bilateral pulmonary arteries and branches. The ventricular function is seriously affected, the pulmonary artery pressure reaches 60mmHg (the normal value should be below 35mmHg), and the venous ultrasound of the lower limbs indicates that venous thrombosis is formed.

Aunt Su, who turned to Xiaxin, was already sluggish, unable to lie flat, short breath, and the contraction voltage was only 80-90mmHg. Director Zhuang Hui, a heart of Xiajian Vascular Vascular Vascular Surgery, fully evaluated her overall condition. With the cooperation of anesthesiologists, the team launched a minimally invasive pulmonary abolstation surgery for Aunt Su overnight. Because Aunt Su is in a state of high -risk acute pulmonary embolism and the unstable blood flow dynamics occurs, Wang Juxiang, the director of the ICU (intensive care unit), decisively treat it for ECMO (artificial cardiopulmonary) to stabilize his vital signs. With the close cooperation of the multi -team, the operation was successfully completed. However, Aunt Su after surgery still faces many challenges. Her pulmonary artery not only has fresh thrombosis, but also old thrombosis. It's difficult. In this regard, the ICU and in vitro circulation team meticulously evaluated and formulated an individualized treatment plan. Finally, Aunt Su smoothly removed the ECMO cycle support, and the heart and pulmonary vascular resumed normal operation.

When discharged from the hospital, Aunt Su's cycles were stable, and the heart ultrasound reminded the heart of the heart that the right heart size had returned to normal, and the pressure of the pulmonary arteries dropped to 37mmHg.

【remind】

Pulmonary embolism treatment is not timely mortality rate is 30%

"Thromes blocked the pulmonary artery, and it felt like being holding her throat." Zhuang Hui introduced that pulmonary embolism refers to the diseases from various embolism from the whole body vein blocking the pulmonary artery, causing respiratory function and pulmonary vascular dysfunction. Caused pulmonary embolism is the most common, more than 70 % of them come from lower limb thrombosis. Related data show that if the pulmonary embolism is not treated in time, the mortality rate is as high as 30%.

To make matters worse, even if patients with acute pulmonary embolism have passed the acute period, when the disease is delayed to chronic thrombocytalize hypertension, it will seriously affect the quality of life and the life expectancy of the expected life. "If the treatment is timely and effective, the mortality of pulmonary embolism is reduced to less than 8%." Zhuang Hui emphasized that "pulmonary embolism is easy to misunderstand and misd the diagnosis, cause death and cause high residual rate, so it is very important to diagnose early diagnosis and effective treatment in the early stage."

(Xiamen Daily reporter Chu Yan correspondent Liu Yunfang)

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