Opened the "Emergency Fast Track" The First People's Hospital of Xiangtan City rescued patients with heavy bleeding

First aid scene.

Red Net Moment, February 11 (correspondent Duan Bin) "That day I sent my father to the hospital, and as soon as the car arrived at the hospital gate, I saw my father's face was pale, his eyes were slightly closed, and he had difficulty breathing. I threw the car on the side of the road opposite the hospital, picked up my dad and ran to the hospital, and before I could get back, the doctor picked my dad up. In this situation, my mind was blank, I didn't know anything at the time, only to see that many doctors were rescuing him. After about an hour or so, the doctor told me that your father was suffering from acute upper gastrointestinal bleeding, his blood pressure had dropped to 65/40, he could no longer maintain a systemic blood supply, he had a shock, and his life was in danger. We immediately launched the 'Acute Upper Gastrointestinal Bleeding Emergency Program' for treatment, and now that the bleeding has stopped, the vital signs are basically stable, and we can go to the gastroenterology department for treatment tomorrow." Only then did I come back to God. ”

Recently, when Mr. Hu, 67, was discharged from the Department of Gastroenterology of the First People's Hospital of Xiangtan City, his son said the above words to Zhong Ying, the director of the department. Mr. Hu squeezed Director Zhong's hand and said, "I only learned today that the emergency department is life-saving and the gastroenterology department is curing the disease, I am so grateful, it is you who saved my life and cured my disease." ”

Mr. Hu vomited blood suddenly for 1 hour at the end of last month, and soon developed pale skin, confusion, and physical paralysis, and was in a state of severe shock when he arrived at the hospital. After receiving the diagnosis, Su Youliang, the first doctor of the emergency department, immediately judged that it was "acute upper gastrointestinal bleeding", quickly started the "acute upper gastrointestinal bleeding emergency fast track", immediately gave tracheal intubation, and the chief physician of the Gastroenterology Department Zhong Ying rushed to the bedside for gastroscopy, indicating that the lower esophagus varices ruptured and bleeding, and endoscopic ligation must be performed immediately. Due to the fierce bleeding and unclear vision, the treatment is extremely difficult, and after the tacit cooperation between the emergency department and the gastroenterology department, the endoscopic hemostasis treatment was successfully completed. After the operation, the blood pressure began to rise, the patient gradually became conscious, the transtracheal intubation was removed, the whole process took 90 minutes, Mr. Hu turned the crisis into safety, after active recovery from the emergency intensive care department, the next day transferred to the gastroenterology department for treatment.

Hu Yanjuan, director of the emergency department of the First People's Hospital of Xiangtan City, said that statistics show that patients with heavy bleeding in the upper gastrointestinal tract account for about 15.5% of digestive system diseases, and because the disease is urgent, it is difficult to get timely and effective treatment, and the mortality rate is as high as 4-7%. Therefore, it is particularly important to open a green channel for emergency treatment and buy time for rescuing patients. The hospital integrates resources such as emergency department, gastroenterology, interventional medicine, intensive care medicine, endoscopic room, anesthesia department, laboratory department, imaging department, surgery, and blood transfusion department, and vigorously promotes the construction of "acute upper gastrointestinal bleeding emergency fast track" unit. Through this multidisciplinary joint diagnosis and treatment, the overall level of treatment of acute upper gastrointestinal bleeding has been improved, and medical staff have been seamlessly connected. In recent years, the average number of patients with gastrointestinal bleeding has reached 20 per month, and although nearly 35% of the patients are at risk of upper gastrointestinal bleeding, there has not been a single case of accident. This places greater demands on the ability to treat bleeding in the emergency and gastrointestinal tracts, and also brings new challenges to multidisciplinary collaboration, medical resource integration and treatment processes.

In June 2020, in order to provide protection for patients with dangerous upper gastrointestinal bleeding, the First People's Hospital of Xiangtan City specially applied for the request to build a "acute upper gastrointestinal bleeding treatment fast track" unit, and through increasing investment and the joint efforts of medical care of more than ten related departments, in June 2021, it successfully passed the review and acceptance of the "Acute Upper Gastrointestinal Bleeding Treatment Fast Track Construction Unit" organized by the "China Emergency Specialist Medical Association" and the "Beijing Emergency Medical Association", and experts unanimously agreed that the hospital's "infrastructure, Qualification strength, skills training, continuing education and other indicators have all reached the standard, and have been awarded the plaque of "Acute Upper Gastrointestinal Bleeding Treatment Fast Track Construction Unit", officially entering the national "Acute Upper Gastrointestinal Bleeding Treatment Fast Track" industry, which is still the only hospital in Xiangtan City.