Text, photo/ Yangcheng Evening News all-media reporter Fu Chang
Correspondent Dong Sui Kwong Tsung-ho
"There is a cerebral infarction patient in the control area who urgently needs to be sent to your hospital for surgery."
"Received, start the green channel immediately!"
At 3:35 a.m. on April 16, an application for transfer of critically ill patients from the Baiyun District Maternal and Child Health Hospital broke the silence of the night.
At the first time of receiving the call, Huang Yongmei, vice president of Baiyun Branch of Nanfang Hospital, personally commanded and urgently contacted many experts in the emergency department, interventional operating room, ICU, infection control department, etc., and organized and coordinated imaging centers, laboratory departments and other departments to wait for the arrival of patients at any time.
It is understood that The 67-year-old Mother-in-law Lin, who lives in the control area, was diagnosed with acute cerebral infarction due to unclear speech and inability to move her left limb for 4 hours. After 2 hours of intravenous thrombolytic therapy, there was no improvement in symptoms, and there was a decrease in the state of consciousness, the condition was very critical, and the expert group of the First People's Hospital of Baiyun District studied the condition and urgently needed to be referred to a hospital with the ability to intervene in acute cerebral infarction.
At 4:00 a.m., the patient arrived at the emergency department of Baiyun Branch of Nanfang Hospital, and the hospital immediately launched closed-loop treatment in accordance with the "Emergency Plan for the Treatment of High-risk And Critical Patients During the Epidemic Prevention and Control Period". The negative pressure stretcher quickly sent the patient to the emergency isolation rescue area, reducing the risk of exposure and quickly opening the stroke green channel.
At 4:05 a.m., Tan Haideng, deputy chief physician of the stroke team of Baiyun Branch of Southern Hospital, and Kwong Zonghe, attending physician, preliminarily determined the condition, considering that the onset time was more than 6 hours, and multimode MRI imaging was required for evaluation.
At 4:15 a.m., nucleic acid samples and blood samples were collected for patients, and then delivered to the imaging center for MRI examination. Imaging examination confirmed acute cerebral infarction of the right middle cerebral artery occlusion, and there was a "clinical and DWI" mismatch, and there was a treatable brain tissue window. After the family member obtains informed consent, he is transferred to the interventional operating room for surgery.
In the interventional operating room, the chief surgeon Ji Zhong, assistant Kwong Zonghe, and doctors and nurse Chen Xiaomin, wearing heavy lead coats and protective clothing, perform emergency cerebrovascular interventional thrombosis according to the surgical plan according to the requirements of "three-level protection". Intraoperative confirmation of occlusion of the right middle cerebral artery, after the removal of 3 * 2 mm thrombus, the patient's blood flow briefly recovered and then occluded, considering the stenosis of the blood vessels in situ, further foot balloon dilation, stenting. After 90 minutes of hard work, the patient's right middle cerebral artery was successfully opened.
After the operation, the patient was sent to the intensive care unit of the ICU negative pressure ward for treatment, and is now out of danger of life.
"You've worked hard, thank you!" Looking at the medical staff who have been busy, the patient's family excitedly expressed their gratitude to the medical staff involved in the treatment.
Ji Zhong, the chief surgeon, said: "When life meets epidemic prevention, we must do our best to treat patients, which is our duty. ”
Vice President Huang Yongmei also said: "During the epidemic period, we will not prevaricate or refuse to treat any patient, and 'people-oriented, life first' treatment of patients will always be the first." (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | High enthalpy