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The 96-year-old fainted several times a day Doctors challenged ultra-advanced heart surgery

author:Bright Net

Guangzhou Daily News (All-media reporter Ren Shanshan, correspondents Zhang Yang, Huang Rui, and Mai Jianting) "If it were not for the doctors' accurate diagnosis and timely surgery, Grandpa may not be there by now." On December 2, the granddaughter of the 96-year-old patient Grandpa Zhu sent a letter of thanks to Sun Yat-sen Memorial Hospital of Sun Yat-sen University to thank Professor Wang Jingfeng, the chairman-designate of the Electrophysiology and Pacing Branch of the Chinese Medical Association and director of the Department of Cardiovascular Medicine of Sun Yat-sen Memorial Hospital of Sun Yat-sen University, for saving Grandpa Zhu's life.

It turned out that on November 13, Grandpa Zhu fainted many times at home, and was diagnosed with "sick sinus syndrome" after being sent to the hospital, and due to multiple cardiac arrests, the elderly would repeatedly faint. Faced with the risk of "ultra-advanced age" surgery, the cardiovascular medicine team of the hospital jointly administered the treatment and implanted a double-cavity pacemaker for Grandpa Zhu. After the operation, the elderly recovered well and were successfully discharged from the hospital.

narrow pass! The cardiac arrest lasted more than 6 seconds

According to grandpa Zhu's family, Grandpa Zhu fainted many times and almost fell, because the old man was nearly 100 years old and in critical condition, he was immediately admitted to the cardiac intensive care unit by the hospital. Who knows, after being admitted to the hospital, he had a transient loss of consciousness, and as the alarm sounded, there was a whole screen of cardiac arrest on the ECG monitor, which lasted for more than 6 seconds. Obviously, this is the "culprit" of Grandpa Zhu's repeated fainting.

Patients with severe bradycardia and prolonged cardiac arrest require a pacemaker implanted. However, for the operation of the elderly, medical staff have to overcome many difficulties: in addition to the risks of advanced age, the elderly weigh only 40 kilograms, combined with emphysema and renal insufficiency, which make the operation high risk. Do you do or don't have surgery? Grandpa Zhu's family is caught in a dilemma.

difficult! Multidisciplinary escort for advanced age surgery

While communicating with the family carefully and patiently, Professor Wang Jingfeng organized a multidisciplinary team to discuss Grandpa Zhu's treatment plan, from preoperative preparation, anesthesia, vascular puncture, pacemaker pouch production, electrode insertion, postoperative management and other details, all prepared a perfect plan to ensure that the operation is foolproof.

On the morning of November 18, after making full preoperative preparations, Professor Zhou Shuxian, deputy director of the Department of Cardiology of the hospital, and Associate Professor Mai Yiting, implanted a double-chamber pacemaker for the elderly according to the preoperative plan, and the operation process was quite smooth.

Under careful care, Grandpa Zhu began to eat on the day after the operation, and the wound did not bleed and swell, and the guardian was removed on the third day after the operation, and he slowly got out of bed. On the 6th day after the operation, the elderly were successfully discharged from the hospital, and expressed their gratitude to the doctor before discharge.

Source: Guangzhou Daily

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