Jimu News reporter Liao Shiqi
Correspondent Zhou Shan
"No, no, doctors, nurses help!" Last weekend, 62-year-old Jiang Lao suddenly felt chest tightness, went to the Yangtze River Shipping General Hospital for treatment, after the treatment, he thought that there was nothing to prepare to leave, but the doctor insisted that he stay in the observation room, the treatment process of the old man suddenly had a heart attack, fortunately, the emergency department and cardiovascular medical staff joint treatment, 55 minutes to save the life of the elderly. On April 1, Elder Jiang and his family, who were about to be discharged from the hospital, recalled the moment when their lives were hanging on the line, and they still had palpitations.
According to family recollections, in recent years, Elder Jiang has occasionally experienced vague pain and chest tightness in his left chest, and physical examination has found that there is a slight narrowing of the anterior descending branch of the left coronary artery, but thinking that each seizure time is short, he did not take the doctor's advice to take medication to prevent it. Until the last half a month, chest discomfort attacks have become more frequent. Last weekend, the old man who drank a little wine was sweating profusely in pain, and under alertness, his family rushed him to the nearby Yangtze River Shipping General Hospital Wuhan Brain Hospital for investigation.
"Acute myocardial infarction (hyperacute phase)!" Seeing the ecG results, Shi Meijing, a physician in the emergency department, immediately retained Elder Jiang, who wanted to leave, and asked him to stay and undergo further myocardial infarction screening. The dangerous situation came unexpectedly in the process of disposal: at 15:25, the condition of the elderly deteriorated, "the patient's loss of consciousness, urinary incontinence, cardiac arrest, cardiogenic shock!" "Immediate chest compression, tracheal intubation, connection to ventilator, electrical defibrillation...."Under the joint treatment of the emergency department and the cardiovascular medicine medical team for 35 minutes, after taking turns of chest compressions and more than ten times of electrical defibrillation, at 16 o'clock, Elder Jiang successfully recovered sinus rhythm and went directly to the cardiac interventional room through the green channel of emergency chest pain.
Myocardium is life, the hospital's cardiac intervention team expert Wu Xing'an, Yu Wen deputy chief physician has long been ready, through minimally invasive surgery, immediately implanted aortic balloon counterpulsation device for the elderly, effectively reducing the heart load, increasing coronary blood supply, for the follow-up contrast examination to provide a strong guarantee. Under emergency coronary angiography, it was confirmed that the blood vessels of the anterior descending branch of the left coronary artery had been completely occluded, and after repeated aspiration and thrombolysis to restore vascular patency, Wu Xingan led the intervention team to successfully implant the stent in the stenosis section in only 20 minutes. After the operation, Jiang Lao's chest pain and chest tightness immediately disappeared, blood pressure, heart rate and other indicators returned to normal, and consciousness returned to lucidity. "Where am I?" Seeing the old man open his eyes, all the medical staff were relieved.
Wu Xing'an said that acute myocardial infarction is one of the serious acute cardiac events, among which the fatality rate of myocardial infarction of the left coronary artery anterior descending branch is as high as nearly 90%. People with coronary heart disease, hypertension, diabetes, high blood lipids, people who smoke and drink alcohol, as well as people who are in a state of high load for a long time, mental stress, obese patients, long-term staying up late, not exercising or rarely exercising, long-term diet and taste are all potential targets for myocardial infarction. Acute attacks of myocardial infarction are generally traceable, such as more frequent attacks of angina than before, or severe and persistent pain in the substernal or precordial region, swelling and discomfort in the precordial region, and pain radiating to the arms and neck, accompanied by pallor, palpitation, shortness of breath and cold sweat, or sudden severe pain in the upper abdomen, etc., which must be paid enough attention. Wu Xingan reminded that it is best to brake immediately or take fast-acting vasodilator drugs, and dial 120, seize the gold treatment for 120 minutes, and seek medical intervention as soon as possible.