On the one hand, "late" Jinqi thanks for 50 minutes of life and death rescue
Author:Changjiang Daily Time:2022.07.15
The Yangtze River Daily Da Wuhan client July 15th "This brocade flag 'is late"! "On July 12, the patient Hao Fuqing (a pseudonym) came to the West Hospital of Wuhan Union Hospital to give the medical staff with both hands and choked a few times. Essence What he wants to thank is the "ischemic stroke MDT team", which has been rescued for 50 minutes for himself.
Men's work suddenly strokes, no consciousness
Time goes back more than three months ago. 53 -year -old Hao Fuqing's tobacco and alcohol, working abroad all year round. On the afternoon of March 26, he suddenly fainted at work, lost consciousness, was not in response, and was accompanied by snoring. He was urgently sent to Wuhan Xiehe Hospital West Hospital West Hospital in the Emergency Department.
Professor Sun Peng and Dr. Xie Xu took a quick consultation and examination, and highly suspected that it was acute cerebrovascular disease. The hospital's mate MDT team quickly involved and opened a emergency green channel. Professor Wang Mengxuan and Liu Dehan accompanied the patient to check the patients, and contacted their family members to inform the harm of strokes. Professor Yang Lian, the Department of Radiology, accurately calculated the ischemia/necrosis volume of brain tissue in about 10 minutes, and successfully found the blood vessels of the problem. Unexpectedly, there was a problem with the two blood vessels from the patient to the center of life. One acute occlusion caused the basal arterial syndrome and the other was inherently incomplete. The expert team judged that the patient's brain and stem arechemia. This is the worst type in the stroke. If the blood vessels are not repaired in time, the brain tissue will continue to be necrotic, and the heartbeat and breathing arrest will be stopped at any time.
Hao Fuqing took the banner with his family and took a photo with the medical team.
Intravenous thrombolytic+intervention to take the embolism, open the "one road of Huashan"
Run against God. Patients with both pupils have been completely scattered at this time, and they have incontinence. "It must be immediately implemented with venous thrombolysis and bridge to intervene." Professor Li Gang, Department of Neurology. Experts from the ischemic stroke MDT team in accordance with the latest standard treatment guide, about 15 minutes after admission, starting venous thrombolysis, and the involvement of the science operating room team and Professor Professor of the Department of Anesthesiology. "One Road to Huashan" must be opened with only this life channel blood vessels. The patient's thrombosis was large, the occlusal blood vessels were nearly 20 cm, the brain stem waschemia, the breathing and cycle during the operation were extremely unstable, and the MDT team was still under tremendous pressure. After nearly 30 minutes of emergency rescue, the patient's occlusion blood vessels were completely opened.
At this point, the whole process of rescue is about 50 minutes.
On the second day after the operation, Hao Fuqing woke up, his hands and feet resumed exercise, and his speech communication was normal. After a week, he was discharged smoothly. After three months after surgery, Hao Fuqing's various nerve functions were significantly recovered, close to ordinary people.
The left vertebral artery acute occlusion, the basal arteries (arrows).
The right vertebral artery dysplasia is not fully remitted into the base arteries.
According to reports, Wuhan Union Hospital's West Hospital and Union Hospital headquarters implemented integrated management, with the same quality medical care, and has a mature and experienced acute stroke treatment team. The ischemic stroke MDT team from the front of the hospital to the hospital to rescue seamless connection, effectively reducing the disability and mortality of patients with stroke.
Professor Zheng Chuansheng of Interaction: Interventional Ambolidation is a new minimally invasive surgery in the world in recent years. It is recognized as an important technique for acute cerebral infarction super early treatment. Its technological content is high, the operation is difficult, it has the advantages of small trauma, short surgery time, and fast recovery, which can effectively reduce the disability and mortality of patients.
Fully renovated and closed blood vessels for 50 minutes.
On the second day after surgery, wake up, and the hands and feet are restored.
Time is the brain, don't miss the "golden 6 hours"
Stroke has the characteristics of high incidence, high mortality, high residual rate, high recurrence rate, and high economic burden. "Time is the brain", the faster the patient who treats the stroke, the better, do not miss the "golden 6 hours", otherwise it may cause half -body dysfunction, general paralysis, or even death.
Experts from the Western Hospital of Xiehe Hospital reminded the experts of the "ischemic stroke MDT team": If the mouth is crooked, the hands and feet are numb, the words are vague, or dizziness and coma may be a stroke. The 120 emergency call should be called immediately. The sooner you are sent to a hospital with the ability to treat, the less cost, the faster the recovery. Don't wait for the family members to take the hospital after getting home from get off work, let alone drive to the hospital by themselves, so as not to miss the best treatment time. (Changjiang Daily reporter Luo Lan correspondent Wu Lizhi Jin Yan Zhang Wei Yang Yuxin)
[Edit: Yu Lina]
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