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On the way to work, pan Chenliang, a cardiologist at lan university hospital, immediately performed cardiopulmonary resuscitation first aid, fortunately sought timely medical treatment, and with the efforts of the emergency department and heart center team of lan university first hospital, completed the operation within 35 minutes and successfully saved a life.
Time back to January 29 at 1 p.m.
On the way home from work that day, Pan Chenliang saw two family members struggling to help an old man get out of the car when he passed the hospital parking lot, at this time the old man was breathing strangely and began to be confused after being helped to the flatbed truck.
"I feel very bad in my heart," out of the doctor's instinct, Pan Chenliang touched the old man's bilateral carotid arteries, found that there was no beating, patted the old man's shoulder and leaned close to the ear and shouted, "There was no response, the red alarm in my heart immediately sounded: chest pain, loss of consciousness, sighing breathing, no beating of the aorta, the possibility of cardiac arrest is very large!" Therefore, Pan Chenliang immediately jumped on the flatbed and began chest compressions, and the family pushed the flatbed truck all the way to the emergency department rescue room.
Pan Chenliang is an ECMO (extracorporeal membrane oxygenation) of Lan University First Hospital. Extracorporeal membrane oxygenation is mainly used to provide continuous extracorporeal breathing and circulation in patients with severe cardiopulmonary failure to maintain the patient's life. A member of the team, through a quick judgment of a patient's symptoms, realized that the likelihood that the patient would need ECMO support was very high.
In the emergency room, the medical staff performed cardiopulmonary resuscitation and multiple electrical defibrillation and other rescues for the elderly, and the elderly's consciousness, blood pressure and heart rhythm showed no signs of recovery, and the emergency ECMO process was immediately started.
After rapid evaluation, the patient's consciousness has not recovered, the pupil has begun to enlarge, the light reflex has disappeared, the urinary and urine incontinence, and the rapid ultrasound evaluation of the patient has no heart rupture. Considering that the patient is a witnessed cardiac arrest, the cardiac arrest time is short and the whole process is timely CPR rescue, although the current patient's condition is extremely critical, vital signs have not been restored, according to the traditional cardiopulmonary resuscitation (CPR) rescue, the case fatality rate of such patients is close to 100%, but ECMO can improve the survival rate of patients, and the survival rate of patients rescued by ECMO and CPR (ECPR) at home and abroad is between 20% and 30%.
Sterilization, puncture, catheterization, connection of ECMO... After 30 minutes, ECMO began to turn around, and soon the patient's blood pressure and heart rhythm were more stable than before, and the ECG showed acute inferior myocardial infarction with third-degree AV block, but the patient was not out of danger. This was followed by coronary stent insertion, temporary pacemaker insertion and intraaortic counterpulsation pump insertion, and the entire procedure took less than 35 minutes.
After the operation, the patient's physical recovery is in good condition and he is now able to move and eat normally.
Wen | Benliu news reporter Ouyang Haijie
The picture and video | provided by Lan University First Hospital