New breakthrough!Hunan Provincial People's Hospital successfully completed a case of airway Y -shaped metal membrane stent in operation

A few days ago, the Hunan Provincial People's Hospital's Yuelu Mountain Hospital Comprehensive Department of Internal Medicine Breathe has successfully completed a case of a pilot Y -shaped metal membrane stent under the condition of Mama sedimentation and analgesics.

The development of this technology is a new breakthrough in the treatment of comprehensive internal medicine. It has laid a good start for complex airway therapy and airway stenosis emergency treatment.

Mr. Luo, 53, who lives in Wangcheng District, Changsha, was diagnosed with "chronic obstructive pulmonary disease acute aggravation and atrocrity tremor" a month ago.

After being discharged from the hospital, there are still cough, sputum, and gradually appearing to eat and feel more and more serious. Even after eating severe cough, drinking water can not swallow.

In order to alleviate discomfort, he took cough syrup at home, but he had a severe cough, which caused the symptoms of accidental suction and chilling fever.

The family members immediately sent him to the third department of emergency treatment of Yuelu Mountain District of Hunan Provincial People's Hospital.

Improve the chest CT prompts "Luyan inflammation, esophageal CA?", And the deputy director of the Department of Internal Medicine and the respiratory expert Liu Weiyan's film considers the left main bronchial fistula of the esophagus, and put him into the hospital.

[On the day of admission, the respiratory and digestive experts of the Yuelu Mountain Hospital of Hunan Provincial People's Hospital performed the bronchial and gastroscopy for the bronchial mirror and gastroscopy]

After admission, while actively anti -infection, fasting water, venous nutrition, etc., the bronchial mirror examination was improved on the afternoon, and the gastroscopy examination was combined with the comprehensive gastrointestinal team.

The bronchial mirror showed the severe stenosis (about 70%of the stenosis), the left main bronchial was close to the occlusal state (about 90%), and the diagnosis of the esophagus-left main bronchial fistula was clarified; The report prompts "esophageal squamous carcinoma".

While actively controlling lung infection and nutritional support, the chief physician of the respiratory specialist Liu Wei invited the three teams of the three subjects of gastrointestinal gesture, oncology, radiology, and anesthesia for MDT multidisciplinary discussions. It is decided to place the Y-type airway bracket to block the esophageal-left main bronchial fistula and improve the stenosis of the trachea and the left main bronchies.

After the scheme was agreed by the patient and family members, it immediately customized the Y -type airway metal diaphragm bracket for it.

[Breathing expert Liu Wei, chief physician Liu Wei, and other pneumatic Y -type metal film stents for patients]

On June 27, under the guidance of Chief Physician Liu Zhiguang, Chief Physician Liu Zhiguang in the Department of Respiratory Medicine, the three teams of the Department of Internal Medicine and Anesthesiology cooperated together. Metal brackets, accurate positions, good paste, closed fistula.

On the first day of the operation, Mr. Luo's difficulty in breathing was significantly improved. You can drink water and eat a small amount of water without coughing.

On the third day of the operation, the fiber support mirror was reviewed again. The position of the tracheal stent was seen under the mirror, and the fistula was blocked well. The next step will be treated with tumor -related treatment.

[Director Liu Wei View the patient after surgery]

The airway bracket is mainly used in the treatment of severe stenosis and complicated esophageal fistula in the trachea, bronchial pipes, and can quickly relieve the respiratory obstruction and block fistula, so that the symptoms of patients can be quickly controlled, effectively improved the quality of life of patients, and for further tumor treatment Win more treatment opportunities and survival time.

Liu Wei said that the patient's rapid diagnosis and treatment, thanks to the "efficient, fast, and minimally invasive" emergency concept of the Yuelushan Hospital of Hunan Provincial People's Hospital, showing the comprehensive strength of the multidisciplinary treatment of Hunan Provincial Emergency Center.

(Edit Rainbow.)

Hunan Medical Chat Special Author: Liang Huilu Dongmei, Hunan Provincial People's Hospital

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