Entering the deep winter, the temperature is getting lower and lower, and many people's blood pressure has begun to play a "roller coaster", coupled with the approaching Spring Festival, with the fluctuations of mental emotions and other aspects, "life killers" such as heart attack and aortic dissection are always threatening people's health. Wang Xiao, director of the Department of Cardiac Surgery at Nanjing BenQ Hospital, reminded that the clinical symptoms of aortic dissection and myocardial infarction are very similar, it is easy to be misdiagnosed, once chest pain occurs, you must seek medical treatment in time, do not take chances.
Director Wang Xiao and his team are performing emergency surgery for patients with macrovascular disease
Recently, a 46-year-old man from Suzhou, Anhui Province, was rushed by 120 to the emergency department of Nanjing BenQ Hospital, and he fell unconscious after 3 hours of chest tearing pain, and the local suspicion was a major artery dissection. When they learned that the team of cardiac surgery experts from the nationally renowned Wuhan Asian Heart Hospital was stationed here and could immediately open a green channel for surgery, the family members urgently called 120 and drove more than 300 kilometers to Nanjing BenQ Hospital.
After arriving at the hospital, the medical staff of the emergency department immediately launched rescue and called Wang Xiao, director of cardiac surgery, to rush to the scene. Soon, the test results came out, "The diagnosis is A-type aortic dissection, can not be delayed, to hurry up the operation!" At this time, the patient was delirious, his blood pressure was unstable, and his family members were panicked. At the moment of life and death, Director Wang Xiao quickly made a decision and asked the surgical team to immediately start the green channel. Anesthesia, extracorporeal circulation, ultrasound, intensive care unit medical care immediately assembled - preoperative preparation, blood preparation, talk, anesthesia, the patient arrived in the hospital for more than 2 hours, and the operation began!
After opening the chest for the patient, Director Wang Xiao's team found that the patient had a large amount of blood in the pericardium, and the rising aorta to the thoracic aorta, the common bicarotid artery, and the left subclavian artery had been torn, and if the operation was a little later, the patient might have no vitality. The operation took 7 hours to pull the patient back from the ghost gate and transferred to the intensive care unit for follow-up treatment, and his condition is currently stable.
Ultrasound and CT diagnosis
"If it were not for the concerted efforts of the team and the timely treatment, the patient would have died of heavy bleeding!" Time is of the essence, and we must outperform Death! Director Wang Xiao sighed.
"A aortic dissection surgery, usually, from preoperative diagnosis to surgical peeling, takes at least 20-30 hours, but for many patients, time is life, and because of this, many patients are rescued under the blessing of the green channel." Director Wang Xiao introduced that in the clinic, once met a patient, as soon as he opened the pericardium, the blood spurted out on the spot, if it was 10 minutes late, it must be weak.
It is precisely because of this that Wuhan Asian Heart Hospital took the lead in integrating resources to open a preoperative green channel for patients with aortic dissection, shortening the patient's entry into the emergency department to surgical incision to within three hours, which is the speed of benchmarking internationally. Since March 2020, nearly 400 people have saved lives through the green channel last year alone, with a surgical success rate of more than 95%, and Director Wang Xiao alone has completed nearly 100 aortic dissection surgeries.
With the establishment of BenQ Hospital-Wuhan Yaxin Joint Cardiac Surgery Center, Director Wang Xiao moved the entire team to Nanjing, and the people in Nanjing and its surrounding areas and even Anhui can get more treatment opportunities through this green channel. "The surgical team is on standby 24 hours a day, and the fastest patient from emergency diagnosis to surgical skin cutting takes only 1 hour and 45 minutes." Wang Xiao said frankly that a aortic dissection surgery, involving at least 12 medical staff, took an average of seven to eight hours, and the opening of the green channel was a huge test for the team of medical staff. At present, the success rate of aortic dissection patients in Nanjing BenQ Hospital and Cardiac Surgery Center is as high as 97%.
remind:
Do not blindly save yourself if you have chest pain
Director Wang Xiao reminded that 70% of patients with aortic dissection are related to hypertension, winter is the high incidence of aortic dissection season, affected by cold weather, emotional irritability, etc., hypertensive patients have sudden and severe chest and back tear-like pain, must be timely medical treatment, do not blindly save themselves. In daily life, patients with hypertension need to adhere to medication, control blood pressure, stabilize emotions, avoid some relatively stimulating and intense activities, and maintain a regular life schedule, which is very important for the prevention of acute aortic dissection.
Correspondent Li Na Jiang Jiajia
Yangzi Evening News/Purple Cow News reporter Yang Yan
Proofread by Faye Wong
Source: Purple Cow News