Chengdu Third People's Hospital: Even if medical services are not discounted under the epidemic situation

In Chengdu, which is "very time", there are people who continue to adhere to the "routine move". They are "medical workers" and have been accelerating to the war -to -disease to protect the health of the city.

Faced with the situation of severe epidemic prevention and control, while increasing the prevention and control of the epidemic in Chengdu, Chengdu Third People's Hospital has taken a good measure to do a good job of medical protection services for patients, special groups and ordinary people, to ensure the prevention and control of the epidemic, technical breakthroughs, and breakthroughs in technical breakthroughs. The daily diagnosis and treatment lines have steadily advanced, allowing medical services to have both the "rigidity" of prevention and control and the "strength" of development.

Tackling the problem

Grandpa He (pseudonym), a 75 -year -old man with a tight heart and a sudden black, has been diagnosed as "incomplete on the aortic valve" recently, and was transferred to the Third People's Hospital of Chengdu. To solve the problem of the heart of the elderly, you need to replace the "problem valve" work through surgery.

If it wasn't for surgery, Grandpa He was facing risk of death; if surgery, he weighed less than 100 pounds, and he would be difficult to withstand the crackdown on the current physical condition. How to do surgery? Luo Yong and Deputy Director Cheng Lijian, director of the Heart Vascular Surgery, led the team to conduct further discussion. It is recommended The valve starts to maintain human operation.

Although the treatment of patients with extremely difficult aortic valve closure patients with incomplete and severe diseases, the city's third hospital's cardiac vascular surgery has accumulated a rich experience in TAVR surgery, but Grandpa He's treatment still gives you a problem: the patient is right bow and right, right bow and right Downside, huge horizontal heart, aortic valve damage ... "Especially the problem of underworia bowl anatomy, the patient's aortic arch shows a sharp angle." Cheng Lijian said that the femoral artery on the leg is a common channel for TAVR surgery , But for Grandpa He, using this blood vessels as a channel, it is easy to cause damage to the aortic arch and ascending theotrams during the transportation of the valve, causing major bleeding.

How to do? Change! "The choice of new channels, we also made a lot of consideration." Cheng Lijian said that after the "Sea Selection", the left and right cervical arteries, left and right armpit artery entered the field of vision, but in the end the team chose the left axillary arteries. The left cervical artery and right axillary arteries are too pedantic, and the right cervical artery needs to be protected by brain protection. In contrast, the left axillary arteries are thicker, the operation time is sufficient, and there is no concerns of cerebral ischemia.

After careful analysis and discussion and improvement of surgical strategies before surgery, why the multi -disciplinary team conducted minimally invasive surgical treatment on August 29. "The blood vessels have been selected, but the difficulty of operation is still very high. The surgeon needs to be familiar with the anatomical structure in order to accurately send the valve to the place where they settled." Cheng Lijian said that the patient was an unusual reverse flat flat -laying lying flat flat flat flatness during the operation. The equipment required for the operation should not be placed as usual, but the doctor acts as the "human stent" to be responsible for the "flat" device and maintain stability operation.

Although the operation is not easy, under the collaboration of the multi -disciplinary team, the Municipal Third Hospital finally successfully completed the first TAVR surgery of the municipal public hospital from the left axillary arteries as a lane, marking a new new one to the heart intervention of the valve replacement technology. Step. After a few days of recovery, Grandpa He was about to recover to be discharged.

As the "vanguard" of the municipal public hospital, the "epidemic" was imposed in front of the complex epidemic prevention and control situation in the face of a complex epidemic prevention and control situation. At the same time, it is also continuously seeking technical and academic breakthroughs with practical actions to achieve high -quality diagnosis and treatment of patients with critical condition.

Collaborative guarantee

The 24 -year -old Xiao Hu (a pseudonym) was sent to the city's third hospital for medical treatment because of severe abdominal pain. After inspection, it is determined as an acute appendicitis and needs to be surgery as soon as possible. On the evening of September 1, the Ministry of Medical Affairs and the Ministry of Institute organized multi -disciplinary and departments such as ordinary surgery, anesthesiology, day operating room, disinfection supply center, and post -insurance department to make full preparations for the safety of the operation. "The materials required from patients to routes, the materials required for surgery, postoperative disinfection, medical waste transfer, etc. have all carried out detailed deployment." Liao Hui, the nurse of the day operating room, said that in order to ensure the seal -controlled area and other patients The treatment has prepared an independent surgical treatment area in advance, and will be detailed and improved according to the specific situation of the patient. In response to this operation, the five -person surgery care team was sent to escort.

For the treatment of Xiaohu, the nursing team of ordinary surgery, anesthesiology, and day operating room was further discussed, and decided to complete minimally invasive surgical treatment through laparoscopy in a general tingling state. "I have also worked for patients for treatment before wearing protective equipment, which has accumulated certain experience." According to the treatment plan, the anesthesiologist quickly completed a whole body anesthesia for Xiao Hu and monitored the operation throughout the process.

Later, ordinary surgeon Yang Huawu used laparoscopy to perform surgery. "The protective surface screen will restrict some operations, and the field of surgery will be limited to a certain degree." Although it is difficult to treat The operation was successfully completed in half an hour.

It is also tortured by the "pain" problem. The severe "cutting out of the anus" has caused her to be troubled by pain for more than 4 months. On September 5th, after coordination, she was sent to a high -risk zone ambulance to the city -Third Hospital to send a popular nesting clinic. After the diagnosis of anorectal team, surgical treatment should be taken immediately and formulated an individualized plan for the condition. After full preparation of multiple departments and multi -department rooms, on September 6, Dr. Du Lijuan and the main doctors of Lu Changyao were under the collaboration of the day's operating room. "The medical team is really not easy, thank you very much!" Aunt Luo was touched by the efforts and efforts of the third hospital team of the city. After each surgery is completed, the day surgery team will immediately dispose of equipment, dressing and garbage, and disinfection at the operating room. "Through the treatment again and again, we have also found a lot of places worth summing up." After completing all work, the team will review the work, hoping to continue to improve and continue to improve service capabilities.

Grasp the epidemic in one hand and protect your health in one hand. At present, the city's third hospitals are strictly controlled in accordance with the requirements of epidemic prevention. While putting the masses' first place in the first place, the service is "not discounted". From September 1st to September 6th, under the multi -disciplinary linkage, more than 30 patients from high -quality risk areas or management and control areas have provided high -quality diagnosis and treatment.

Persist in health and health

"Director Wu, you can help me see it. I feel that I can't breathe smoothly, and I have a good food. What should I do?" Aunt Chen (pseudonym), 68 -year -old, came to the mammary thyroid surgery of the municipal hospital. Director Wu Jian During the clinic, full of anxiety.

More than ten years ago, Aunt Chen found that she had a thyroid nodule. Recently, it has increased more obvious, and symptoms such as swallowing obstruction and uncomfortable breathing have occurred. The inspection found that the nodule has grown to 13cm, which is a "huge nodular thyroid m Qemon." Because of the huge volume, the trachea and esophageal compression occurred, so the problem of swallowing and breathing blocked. If you do not take surgical resection as soon as possible, you may cause severe tracheal stenosis and cause suffocation to threaten life.

"The lumps reach the throat level, and the rear of the sternum involves a lot of body parts." Director Wu Jian said that in response to the complex condition of Aunt Chen, he immediately joined forces to consult with teams such as anesthesiology, general thoracic surgery, radiation imaging department to formulate individuals to formulate individuals Surgical treatment plan. In the early morning of September 4, the multi -disciplinary team collaborated as an operation as Aunt Chen. First of all, after the daily operating room anesthesia unit Jiang Hua completes the general anesthesia of the stenosis difficulty, under the escort of advanced equipment such as ultrasonic knife, laryngeal nerve function monitor, thyroid fluorescent detector, etc. The duration finally removed this huge nodular goiter.

"Now is the time 'very time', I am still wondering whether it will be inconvenient to treat, thank you too much for your efforts!" For the high -quality treatment under this "very state", Aunt Chen, who has been healthy, praised again and again. Essence

Medical quality has quality and temperature. While building a protective wall of the epidemic, the city's third hospital continued to protect the "lifeline". Through deployment and overall plans, various forms of smooth consultation channels are adopted, and 65 specialty disciplines, expert outpatient clinics, special demand outpatients, and emergency treatment have been held as usual, achieving full guarantee for the demand for citizens. (Contribution of Chengdu Third People's Hospital)

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