Operating table guardians under the epidemic!

In April, the streets of Shanghai faded from the hustle and bustle of the past, leaving only crisp birdsong and groups of "white warriors" rushing to the front line of prevention and control.

Among them, there is a group of people who are silently fighting in the front line of surgery and guarding the lives and health of the people.

Guard the passage of life

41 year old male, chest pain, emergency call 120...

80 year old male, chest pain, emergency call 120...

69 year old male, chest pain, emergency call 120...

On the night of April 21, in just a few hours, the Emergency Chest Pain Center of the Tenth Hospital received three myocardial infarction patients in urgent need of rescue.

Myocardial infarction is an acute and critical disease in cardiovascular disease, once an acute myocardial infarction occurs, it is very likely to endanger life in a short period of time, therefore, the industry has always had "time is the myocardium, myocardium is life" saying. The shorter the treatment time, the better the effect and the more ideal the prognosis of the patient.

Chest pain center duty doctors Wang Fan and Lin Ying immediately improved and judged the ECG, considering that the first two patients are acute ST-segment elevation myocardial infarction, fortunately sent to the hospital is still relatively timely, the onset time is about 2 hours, after communicating with the patient himself and his family, giving dual antiplatelet, thrombolytic and anticoagulant sequential treatment, two hours later, the symptoms of the two patients are significantly alleviated, and the review of the ST section of the ECG is significantly lower than before, so the patient is transferred from the emergency department to the CCU ward (coronary heart disease intensive care unit). The third patient, on ecglycogram, showed acute non-ST-segment elevation myocardial infarction, which could be observed before treatment, and then he was transferred to the CCU.

The life-saving baton reached the hands of the medical staff of the CCU, and after receiving the patient, they immediately communicated fully with the emergency duty doctor, reviewed the ELECTROCardiogram and myocardial markers, and formulated a follow-up treatment plan overnight...

On April 22, under the personal care of Xu Yawei of the Department of Cardiology, the coronary artery intervention surgery of the three patients was carried out in turn. Dressed in a heavy lead coat and covered with protective clothing, Wei Yidong, Zhuang Jianhui, Lu Yunlan and Wang Yiqian cooperated skillfully to quickly open the patient's infarction blood vessels and successfully implant the stent, and the patient's ELECTROCARDI and myocardial markers were significantly improved after surgery.

In fact, this is also something that the Department of Cardiology of the Ten Hospitals experiences every day. The Tenth Hospital introduced to reporters that in just three days, through this relay run with tacit understanding, the Cardiology Team of the Tenth Hospital has successfully completed 8 cases of interventional surgery for acute myocardial infarction, and the patients are currently out of danger of life.

Since the epidemic, the tenth hospital has not closed the emergency channel, and at the same time released the recent outpatient information in a timely manner in the WeChat public account, and through the 24-hour shift of medical staff, the tenth hospital has become a strong "backer" behind the patients.

Still sticking to the operating table

According to reports, with the rejuvenation of the incidence of myocardial infarction, the incidence of myocardial infarction in this group of middle-aged men has increased significantly, and such groups often have an acute onset of illness and obvious symptoms, and timely diagnosis and blood vessel opening are particularly important. In the face of the pressure of the epidemic, the time of transport and treatment has become the key to the prognosis of patients with acute myocardial infarction.

From April 24 to 25, Xu Yawei's team completed coronary angiography and stent implantation in four young patients with myocardial infarction in 24 hours.

After the operation, Director Xu Yawei found in the process of educating these four patients that these four patients attached importance to their own symptoms after the symptoms of chest tightness and chest pain, and basically called 120 at the first time or went to the hospital emergency department for treatment, providing important conditions for doctors to seize time and save the heart muscle.

One of the patients described that it took only 2 minutes from dialing 120 to the ambulance to the scene, which shows that the shanghai emergency forces under the epidemic situation still maintain efficient and high-speed operation.

It is reported that these four young male patients are 41 years old, 34 years old, 40 years old and 49 years old, without exception, all of them are obese patients with high blood pressure, sitting at home for a long time during the epidemic period, lack of exercise.

After the 4 people were admitted to the hospital, the on-duty medical staff quickly carried out coronary angiography after full communication with the patient and his family to understand the patient's condition. Under the personal command of Director Xu Yawei, Chen Wei, Ming Qiang, Cang Yan, Lu Yunlan and Wang Yiqian worked together to complete the operation, and the criminal's blood vessels were quickly opened and stents implanted. After the operation, the blood flow of the four patients with myocardial infarction recovered well and the symptoms were significantly improved.

At the same time, Xu Yawei also called on the general public, especially middle-aged men, that although the new crown epidemic is severe, myocardial infarction is even more terrible! Once symptoms such as chest pain and cold sweat appear during home isolation or closed-loop period, it is necessary to seek medical treatment in time and do not delay your physical health because of the epidemic.

As the epitome of one of the hospitals under the epidemic in Shanghai, the Tenth Hospital silently provides strong support for cardiovascular patients behind the scenes.

In addition to the Ten Hospitals, Zhongshan Hospital affiliated to Fudan University also guards the survival of patients as much as possible during surgery. At about 10:00 p.m. on April 27, after more than 5 hours of liver transplantation, Ms. Yao returned to the liver surgery intensive care unit of Zhongshan Hospital affiliated to Fudan University. This is the eighth liver transplant completed by Zhongshan Hospital since April.

On April 26, Ms. Yao learned the good news of successfully matching the liver source. On the morning of April 27, the matched donor liver was successfully obtained and transported to the liver surgery room of Zhongshan Hospital in time. At about 4 p.m. on the same day, the liver transplant team led by Academician Fan Jia and Professor Zhou Jian was intensively carrying out liver transplant surgery in the operating room.

Academician Fan Jia introduced that during the epidemic period, the medical treatment work such as outpatient emergency and surgery in Zhongshan Hospital has never stopped. In April, the hospital had a maximum single-day operation volume of more than 110 units, a single-day outpatient volume peak of more than 10,000, and ordinary outpatient clinics and general specialist outpatient clinics have been carried out normally.

In addition, it is reported that in order to effectively solve the medical needs of the masses, Zhongshan Hospital plans to fully resume all types of outpatient services after May Day, and inpatient diagnosis and treatment services will also be fully restored next week.

Reporter: Hu Xinyu Intern: Wei Zhenghong

Editor: Wang Liying

Editor-in-Charge: BiDandan

Cover source: Infographic