[Construction of High -level Hospital] Patients with multiple ventricular fibrillation of acute myocardial infarction with the chest pain center of the first hospital of the city

"I still remember you, I still woke up several times yesterday. I saw a lot of doctors in the room, and a doctor was still pressing my chest (cardiopulmonary resuscitation). Board (defibrier electrode board) so scary! I now feel that my left rib and right chest are hot and hot! "

"They all say that I am lucky, come quickly, and handle it in time. Thank you very much. You are you who saved me from the god of death!"

In the Heart Department of the First Hospital of the Municipal Hospital, looking at Mr. Tan, who was talking and laughing in front of him, you must not think that he had just experienced a big rescue of "Nine Dead Life" the day before. It was Xiao Chen, an emergency nurse who chatted with him. Condition tracking.

On the morning of May 13th, Mr. Tan was not suitable for chest pain and chest tightness. 11:05 was accompanied by colleagues. The patient's face was pale and sweaty. The symptoms of the patient combined with the patient's symptoms were keenly determined that the myocardial infarction might be myocardial infarction. Immediately, the patient was in bed braking and notified the doctor. V5 (V6, Ⅰ, AVL) leading the left front of the left front, 11:07 diagnosed: "broaden the foretophytic myocardial infarction", immediately give ECG monitoring, open vein channel, oxygen absorption, fast muscle calcium protein detection, oral "oral" " "Double anti -drugs", inform the heart of the heart, and immediately start the green channel ... The rescue is proceeding quickly and in an orderly manner.

11:18: "Dr. Zhang, the patient has a ventricular fibrillation", the nurse reports.

"Cardiopulmonary resuscitation, 200J electrocarring up immediately."

"Successful defibrillation, continuing cardiopulmonary resuscitation"

With the patient's tachycardia at a tachycardia, immediately give synchronous electricity, and gives "5%glucose 250ml+iodine 150mg of intravenous drops ...", Dr. Leslie Cheung is an old emergency doctor who participated in many large -scale rescue. He strictly observed the patient's life signs, calmed the scheduling site, and issued rescue instructions.

"Dr. Zhang, the patient appears room fibrillation again"

In just a few minutes, patients had four room fibrilia!

Patient ECG

Ventricular fibrillation: Also known as ventricular tremor or ventricular fibrillation, it is a very serious arrhythmia. The ventricular rate can reach 250-600 times per minute. As a result of convulsions, loss of consciousness, and even cardiac arrest and sudden death.

After a series of rescue, the patient's arrhythmia finally returned to normal, and the condition was temporarily stable. The cardiac doctor and interventional room had already prepared for surgery. At 11: 28, the patient had a ventricular fibrillation again during the transfer, and the defibrillation was twice .... .. The patient recovered the sinus heart rhythm, 11: 32 safely transferred to the intervention room, from the patient to the patient to the duct expansion (DTOB) last only 42 minutes. After interventional treatment), transferred to the CCU of the Department of Cardiology for further rehabilitation treatment, and was discharged from the hospital on May 18.

Patient Circuit Report

Vascular dredging image

Vascular dredging image

From the diagnosis to dredging blood vessels in just 66 minutes (from the patient to the patient to the dredging blood vessels to grasp the golden emergency time for 120 minutes), the entire rescue process can be described in a thrilling process. Mr. Tan's successful treatment benefits from the rapid and accurate condition judgment and disposal of medical medical staff in emergency medical medical staff, thanks to the timely dredging of the blood vessels in the PCI treatment team, and thanks to the team collaboration of the chest pain center.

Myocardial infarction is myocardial necrosis caused by coronary artery acute, persistent ischemia and hypoxia. It has severe and durable sternum back pain in clinical practice. The changes in the electrocardiogram of sexual electrocardiography can be dangerous in other diseases such as arrhythmia. In recent years, my country's upward trend is obvious. At least 500,000 are newly issued each year, and the patients are getting younger and younger.

If there is a sudden and persistent sternous pain in the back of the sternum or the front area, it is often accompanied by difficulty in breathing, hair, sweating, cold limb, pale face, irritability, or indifferent consciousness. These symptoms should immediately call the "120" first aid call to see the time in time to avoid delaying the timing of treatment.

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