Jimu news reporter Liu Xun
Correspondent Zhang Wei Xiong Wanting
Photography Correspondent Liu Kunwei
Blowing candles, cutting cakes, singing birthday songs... On the morning of March 18, in the geriatric ward of Wuhan Union Medical College Hospital, medical staff accompanied the elderly Li Guising to celebrate his 100th birthday. Just 2 months ago, the elderly Li Guising suddenly had an acute myocardial infarction, his life was in danger, and the medical staff of Xiehe urgently opened the blood vessels and saved a life. Li Guising's 77-year-old daughter said gratefully, "The doctor saved my father's life, which is my father's best birthday gift." ”
Centenarian suddenly suffered a heart attack
Born on March 18, 1922, the elderly Li Guishe usually has intermittent chest pain, palpitation and other symptoms, but recently the symptoms have occurred frequently and have been aggravating. On the eve of the Spring Festival, he suddenly felt severe chest pain, suffocation, accompanied by sweating, vomiting and other symptoms, after taking the quick-acting heart-saving pills, the symptoms still did not improve, and the family immediately sent him to Union Hospital for treatment. The emergency department's ambulance team quickly established advanced life support for the elderly, and cardiologists rushed to the scene to diagnose the elderly as acute coronary syndrome and acute non-ST-segment elevation myocardial infarction. After intensive drug treatment, the elderly still have chest pain attacks, and after comprehensive evaluation by the geriatric department, the elderly are subsequently transferred to the cardiology intensive care unit.
Super old age, weak body, poor vascular condition, the treatment of the elderly is very tricky. The hospital attaches great importance to and quickly organizes multidisciplinary consultations, including Professor Cheng Xiang of cardiology, Professor Wang Zhaohui of geriatrics, Professor Liu Chengyun, Professor Sun Hui of Endocrinology and other multidisciplinary experts to discuss difficult cases and jointly formulate diagnosis and treatment plans. After a comprehensive study, the experts decided to perform coronary intervention to unclog the blocked blood vessels.
Experts join forces to open up blood vessels
"For nearly 100-year-old patients, surgery of course has a huge risk, there may be acute heart failure, malignant arrhythmias and other conditions at any time during surgery, and even sudden death is life-threatening, but if you don't do it, the patient is in danger." Fortunately, we have done many cases of interventional surgery for centenarians, and we have rich experience and mature programs. Director Cheng Xiang said.
The procedure was followed by a cardiology catheterization chamber, and coronary angiography clearly showed the criticality of the condition in the elderly– nearly 95% of the main blood vessels of the heart were blocked (90% to 95% of the proximal segment of the left anterior descending branch was stenosis). This is the "culprit" that caused the heart attack.
After clarifying the goal, using advanced endovascular imaging technology such as intravascular ultrasound, Director Cheng Xiang successfully implanted two stents in less than 30 minutes, opening a "life channel" for the elderly. After the operation, Li Lao's symptoms were significantly alleviated, and the crisis turned into safety. Back in the ward, the nurse happily joked with Elder Li: "Elder Li, the Year of the Tiger, your body can fight the tiger again." ”
Adhere to cardiac rehabilitation training
Opening the blood vessels is only the first step in the "long march", and postoperative medical treatment and care are also particularly important. On February 7, the elderly Li Guishe was transferred to the Geriatrics Department and began to carry out early cardiac rehabilitation training under the guidance of medical staff.
Professor Liu Chengyun, director of the Department of Geriatrics, explained: "Within the scope of the patient's physical adaptation and in the case of ensuring that the important indicators of the body are relatively stable, cardiac rehabilitation training can allow patients to recover from myocardial infarction, cardiac surgery or other heart disease treatment as soon as possible and improve the quality of life. At the same time, it can also delay the development process of coronary atherosclerosis and greatly reduce the harm of heart disease. Among them, exercise is the most important part of cardiac rehabilitation, after the patient has been assessed for exercise risk and exercise ability, formulate exercise prescriptions, including aerobic exercise, resistance exercise, balance and flexibility exercise, and complete exercise rehabilitation under medical supervision under the guidance of professionals. ”
The ward celebrates its 100th birthday
At present, the elderly are recovering well and can complete active aerobic exercise in bed for 10-20 minutes 3 times a day. The next step is to step forward to bedside treadmill exercise, in order to promote the formation of collateral circulation, raise the ischemic threshold, improve symptoms, and return to the family as soon as possible through exercise.
Li Guisheng is an elderly patient admitted to the Geriatrics Department, and when he learned that the old man was celebrating his 100th birthday, doctors and nurses prepared for the birthday party early. At 10:00 a.m. on March 18, medical staff specially sent him flowers and cakes to send birthday wishes to the elderly.
"Thank you very much to the medical staff of Union Hospital, without your efforts, there would be no my father's centenary birthday, which is the best birthday gift you have given him," said the eldest daughter of the elderly Li Guising excitedly.
Create a hospital friendly for the elderly
At present, in order to meet the growing demand for health services for the elderly, Union Hospital has taken the lead in proposing to create a four-in-one diagnosis and treatment system for elderly patients that integrates "wisdom to help the elderly, service to benefit the elderly, safe care for the elderly, and culture to respect the elderly", comprehensively optimize the medical treatment process for elderly patients, and improve the medical experience of elderly patients. In view of the complexity and chronicity of geriatric diseases, Union Hospital has established a "Geriatric Multidisciplinary Diagnosis and Treatment Team (MDT)", which can provide professional and convenient diagnosis and treatment services for elderly patients by forming an authoritative expert group and formulating a standardized disease assessment process. Elderly patients can register in outpatient clinics or Internet hospitals.
In addition, the hospital also set up a one-stop admission center, providing services such as admission processing, inpatient appointment and medical insurance consultation to help elderly patients and their families "run less and do it easily", and the Geriatrics Department of Union Hospital is a comprehensive clinical discipline integrating geriatric medical treatment, health care and rehabilitation, providing professional and standardized diagnosis and treatment services for the majority of elderly patients.