80 aortic mezzanine surgery per year, with a mortality rate of only 2.2%!See how Jinan, a heart surgery team to shine swords to death

On the morning of September 10th,

A photo of a Jinan Cardiologist who was paralyzed on the ground after surgery caused attention.

Thousands of reviews,

There is admiration for his superb medical skills,

There is a praise to him to save the wounded,

There is also a distress to save his body throughout his overdraft ...

He is Zhang Fengquan, director of the Heart Surgery of Jinan Central Hospital.

It is not uncommon to sit on the ground,

Fighting twenty or thirty hours is also commonplace

At 8:30 in the evening on September 9th, two aortic selapse patients were sent to Jinan Central Hospital at the same time. From 10:40 pm until 10:50 am the next day, the operation of two patients was successfully completed.

In fact, for Zhang Fengquan, it is not uncommon to sit on the ground after surgery. Sometimes even the surgery plus emergency surgery, it is also commonplace for twenty or thirty hours in a row. Colleagues are called Zhang Fengquan "Iron Man". And every time everyone talks about his desperate, he said, which cardiologist is not like this? This is nothing. The delay of surgery of critical patients in emergency treatment may cause patients to suffer a lot of health. Zhang Fengquan said, "Let's not do this kind of thing."

"Most of the surgery performed by cardiac surgery is mostly in critical patients, and the difficulty and risk of surgery are very high, so there are high requirements for surgeons, anesthesiologists, and operating room nurses. Timely disposal is likely to be life -threatening. In order to be able to follow up, medical staff guards patients, eat and live in the department for several days, or often come from home late at night to rescue ... "Zhang Fengquan introduced that the patient was within 5 days after surgery, and the department was within 5 days after surgery. The doctor is required to guard the patient 24 hours a day to accompany the patient to the postoperative danger period and deal with emergencies at any time. Therefore, everyone often cannot go home for many days in a row. It is precisely because of the doctor's adherence that the patient is safe.

It is understood that in the past year, Zhang Fengquan has participated in the treatment of more than 20 cases of emergency veins and more than 30 cases of type A on aortic fideline. Among them, the maximum age of patients with emergency bridge is 86 years old, and the average age of type A on the Actoric fideline is 52.3 years. He often said that "there are always many ways than difficulties." Over the years, he has never picked patients and is willing to risk risks. Many old and dangerous patients are sent. As long as there is a chance, he will not give up, no matter when the patient will send it to the patient Hospital, he always rushed to participate in the rescue as soon as possible.

Battle, night war and blood battles ...

I don’t dare to wait at a moment when the aortic mezzanine

"Active arterial sandwich surgery is suffering, night battles, and blood battles. It must be raced with time in order to recover the vitality for patients." On the morning of September 13th, Zhang Fengquan said in an interview with Ai Jinan reporter that just 2 hours ago, he just just just had just two hours. Complete surgery for a active mezzanine patient. The aortic layers are endometrium, middle membrane, and outer membrane. After the endometrium and middle membrane are pendant, there is only one layer of external membrane. The outer membrane is very thin. Once it is ruptured, the patient will be within a few seconds. It will die, so the protection of the outer membrane is the time for the doctor to fight for rescue.

"In the morning, because there is still a round -up room, I can only rest intermittently in the office. The patient's surgical difficulty and volume is relatively large. The indicators within 12 hours after the operation are critical." Director Zhang introduced. The patient was referred from Qihe County at 10 pm on the 12th. At about 11 am on the 12th, the chest and back had severe pain on the chest and back. When I went to the local hospital for treatment, considering the aorta clamping, after some discounts, I found in Jinan City. The central hospital can perform this operation, and it is already 10 o'clock in the evening to refer to Jinan Central Hospital. "

"The patient is 45 years old, and Jinan Central Hospital's emergency chest and abdomen aorta CTA examination, suggesting acute aortic fiery (Stanford type A). In the eyes of cardiac scholars, type A aortic fidelid layer is very dangerous." The aorta is called Type A, also known as proximal lesions. Type B mezzanin is that the lesion only affects the main arteries, also known as the remote lesions. Specifically, the patient's condition is exactly the most serious type of A3C type. Nearly half of the patients will die within 48 hours of the aorta clay layer A. After more than 48 hours, the mortality rate increases by 1%after an increase of one hour.

It is understood that the patient's surgical name is: Bentall+Plusal Bow Artificial Bow Artificial Vascular Replacement+Scholar Elephant Nasal Laboratory+room septal defect repair+temporary pacemaker implantation. In this regard, Zhang Fengquan further explained: "Bentall surgery, including three parts, namely aortic valve replacement, ascending aortic replacement, coronary artery transplantation, also known as" with aortic valve artificial blood vessels ascending aortic replacement '. This one. Patient's diagnosis during the surgery is acute aortic lowering (Stanford type A), hypertension (level 1, extremely high risk), cardiac valve disease (aortic valve return flow in the middle-severe), and room septal defects. , Very complicated, also testing the overall strength of the surgical team. "

Dare to bear risk,

Pull back from the life and death line back to the patient again and again

At 8:40 pm on September 9, Mr. Wang, a 57 -year -old citizen, was referred to Jinan Central Hospital. According to his family, more than 7 o'clock in the morning, he suddenly appeared in his home and feet at home, accompanied by nausea, vomiting, accompanied by back pain, dizziness, and headache. , Diagnostic as "STANFORD A), it is recommended to refer to large hospitals in Jinan for surgery.

"Jinan Central Hospital is our second hospital after we came to Jinan. Because of taking the" Double Anti -Anti -"drug, bleeding is a big problem. It is estimated that general hospitals can easily perform this operation." Director Zhang is no longer willing to bear this risk, and the consequences will not dare to think about it. "It is understood that" dual anti "refers to the two drugs of anti -platelets, which are combined with two antiplatelets. Gray, Garrilo, chloropapopide, Axie Ming, and tubalbane. Patients with coronary heart disease, cerebral infarction or coronary arterial stent, coronary bridge surgery generally need to be treated with dual anti -drug.

Why does Jinan Central Hospital dare to bear such risks? Zhang Fengquan introduced that patients who took "double resistance" drugs for a long time were at least one week before the operation, but the patient's condition was obviously impossible to wait. Earlier, they also often encountered patients with a long -term use of "dual -resistant" drugs, and suddenly the disease patients who needed surgery had to undergo surgical treatment. They accumulated systematic experience in properly solving bleeding problems during the surgery. Therefore, dare to bear huge risks for patients, not to take risks, but to summarize the systematic prevention of experience in a timely manner.

In 16 years, the military doctor's career casts the iron will of steel,

Always be "saving people" with heart

It is understood that Zhang Fengquan was a military doctor before, and the personality of the soldiers made him deeply understand that the doctor was a duty. As a former military doctor, he never abandoned or give up. As long as there is a possibility I must do everything to save the life of the patient.

"Type A aortic semiration surgery has always been regarded by cardiac surgeons as a large -scale surgery second only to heart transplantation. The cardiac surgery team of Jinan Central Hospital has completed 60 to 80 aortic seminalar surgery per year, and the mortality rate has dropped to 2.2%. "Zhang Fengquan introduced that as of now in 2022, the cardiac surgery team has performed more than 40 cases of type A on the Actobilization of the A, with a success rate of 100%.

In addition, in order to reduce trauma and pain to patients, Zhang Fengquan led the team to create a minimally invasive small incision coronary bridge. It can complete the heart bridge surgery without opening the chest. Nearly a hundred patients have benefited from it.

Zhang Fengquan has been engaged in major heart blood vessels in the heart for more than 20 years. He is good at coronary heart disease, cardiovascular disease, heart valve disease, common and complex congenital heart disease, hypertrophic cardiomyopathy, cardiac tumor, atrial fibrillation surgery, heart transplantation, cardiopulmonary combination, cardiopulmonary combination Various cardiac diseases such as transplantation and end -stage heart failure, more than 6,000 cases of cardiac surgery were completed. A minimally invasive therapy for coronary heart disease, heart valve disease, congenital heart disease, and cardiac tumor disease. Among them, minimally invasive small incision coronary bridge surgery is the leading level in the province. It is the world's leading level in the treatment of Miluo Four -Disorders.

In January 2022, Zhang Fengquan led the team to independently complete the first ventricular auxiliary device (artificial heart) implantation surgery in Shandong Province, filling the gap in the field of heart failure surgery in the final and last period of Shandong Province. A few days ago, the team of Director Zhang Fengquan completed the second artificial heart implantation surgery in Shandong Province, which greatly promoted the development of cardiac surgery in Shandong Province. (Love Jinan Reporter: Li Shaoqing Correspondent: Zhao Mei Guan Tianxing)

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