"As a doctor, I am very aware of the dangers of this disease, and I am lucky to survive after nine deaths." Lying in the ward of Wuhan Asian Heart Hospital, Wang Dan was still fighting in the frontline of the fight against the epidemic in Huangchuan County two weeks ago, when she suddenly fainted on the ground with aortic dissection while collecting nucleic acid for residents, and after more than 6 hours of emergency surgery, she turned around. Wang Dan's deeds have aroused widespread concern after being reported by local media, and netizens have expressed their heartache and wished her an early recovery.
Director Song Laichun examined Wang Dan's body
Suddenly fainted on the ground at work and his life hangs in the balance
Wang Dan, 31, is a key doctor in the Cardiology Department of Huangchuan County People's Hospital. On April 5, huangchuan county carried out nucleic acid testing for all employees in the urban area according to the deployment of epidemic prevention and control, and she signed up without hesitation. On the same day, Wang Dan got up early and rushed to the community neighborhood committee, prepared the items needed for nucleic acid sampling with his colleagues, checked the same, packed one by one, changed protective clothing, and prepared to start the day's work in the square. At 7:30 a.m., she felt a tearing pain in her neck while taking nucleic acid samples, and then fainted on the ground. The colleagues next to her quickly put Wang Dan flat, quickly took off her protective clothing, face shield, and mask, and sent her to the hospital for treatment.
Wang Dan fainted at the nucleic acid sampling point
"At first it was a neck pain, but then the pain spread to the chest and stomach, and it felt like it had been cut by a knife." Wang Dan described. Combined with the symptoms of the disease and related examination results, aortic dissection is suspected. After Wang Dan fell ill, Huangchuan County People's Hospital sent him to the hospital for treatment at the first time and locked the disease in time. The hospital leaders attached great importance to it, instructed them to go all out to treat Wang Dan, and immediately contacted Wuhan Asian Heart Hospital, started the emergency transfer procedure, and appointed cardiologists and nurses to escort them all the way with 120 ambulances. At 14:35 p.m., Wang Dan arrived at the hospital and was diagnosed with aortic dissection type A after an emergency CTA examination.
Song Laichun, director of the Department of Cardiac Surgery of Wuhan Asian Heart Hospital, introduced that Wang Dan's condition was serious and urgent, and the dissection involved a wide range, from the root of the aorta to the iliac blood vessel, and more dangerously, the three head blood supply blood vessels were also affected. In addition, the aortic intima is torn large, and blood gushes out from the torn opening to form a "false cavity", which is likely to cause the rupture of blood vessels with a sneeze, causing heavy bleeding and life-threatening.
More than six hours of hard work to save the situation
Once the aortic dissection occurs, it is equivalent to one foot stepping into the ghost gate, and surgery must be performed as soon as possible to have a chance to save a glimmer of life.
To this end, Wuhan Asian Heart Hospital opened a green channel for Wang Dan for the first time, further improved the examination, communicated with the family, formulated an emergency surgery plan, and all the preparations went hand in hand, and the medical staff in the operating room were also waiting for it. From wang dan's admission to the hospital to the start of the operation, the rescue was not delayed for a moment.
At 17:50 p.m., under the escort of multidisciplinary teams such as cardiac surgery, anesthesia, cardiopulmonary bypass, and operating room, Wang Dan's surgery officially began. Director Song Laichun has successively performed Bentall surgery, all-aortic arch artificial vascular replacement, stent weevil surgery, and during surgery cardiac pacemaker surgery. The operation replaces the blood vessels from the heart to the aortic arch and supplies the brain with artificial blood vessels, while completing the reconstruction of the coronary artery opening and restoring the normal blood supply and direction of blood flow. After more than 6 hours of hard work, the operation was successfully completed at 00:40 the next day, and Wang Dan, who had turned into a dangerous situation, was sent to the intensive care unit.
"Thank you to the hospital leaders for their concern for me, and thank you for the treatment of me by yaxin colleagues, who have allowed me to continue my life." Wang Dan said with tears in his eyes. Under the careful care of the medical staff, Wang Dan recovered quickly, successfully escaped from the ventilator the next day after the operation, and transferred from the intensive care unit to the general ward for continued treatment on the third day after the operation, and is currently actively recovering.
Director Song Laichun visited Wang Dan in the ward
Aortic dissection in young people These are the triggers
It is reported that aortic dissection tends to occur in the middle-aged and elderly population aged 45 to 70, and there has been a trend of rejuvenation in recent years. The cause of Wang Dan's illness this time may be related to an irregular lifestyle. Due to the particularity of the doctor's profession, Wang Dan has been in a state of high pressure for a long time, and overtime and staying up late are commonplace, and in the long run, the body began to light up red lights.
Wang Dan's work at the hospital
Director Song Laichun reminded that hypertension, smoking, alcoholism, etc. are also causes that cannot be ignored by aortic dissection, and patients with Marfan syndrome and aortic arteritis are also prone to disease. Therefore, in daily life, we should pay attention to a balanced diet, regular work and rest; adjust the mentality, take the initiative to reduce stress; take medicine regularly, regular physical examination, and effectively control hypertension. Once there is severe chest pain, back pain, abdominal pain and other uncomfortable symptoms, be vigilant of the possibility of aortic dissection, go to the hospital for examination in time, and do not delay for a long time.