After May Day, I thought the weather was getting warmer and warmer, but I didn't think about it, and the two days suddenly cooled down!
The sound of 120 was endless, and many patients with heart and lung diseases worsened and had to be hospitalized.
No one expected that the 36-year-old Mr. Cheng and the strong guy would have a myocardial infarction. Usually there is no headache and brain fever, and the onset of the disease is a blockage of heart vessels.
The first hospital sent to was not able to perform stent surgery.
This can embarrass Mr. Cheng's family, what can be done?
Hospital transfer is risky, because after all, it is acute myocardial infarction, and it is also an acute anterior myocardial infarction, which is the most dangerous type of myocardial infarction. Don't be hospitalized, and you can't look at it with your eyes.
The doctor explained to the patient's family that there are two ways to open up the blood vessels for acute myocardial infarction, one is the stent that everyone is familiar with. The other is thrombolysis, which means that infusion can also open blood vessels.
Subsequently, the family signed and immediately performed infusion thrombolysis to open the blood vessels.
After 2 hours of thrombolysis, the patient's chest pain symptoms gradually lessened, and the re-examination of the ECG can be clearly seen, the first ECG T-wave of the chest lead is high-pointed, the T wave of the re-examination OF the ECG has fallen back, the ST segment has also fallen back, and the Q wave is formed. Re-examination of myocardial enzymes has been more than 10 times higher, and troponin has been dozens of times higher. These evidences preliminarily determined that the thrombolysis was successful and the blood vessels were opened.
Then the doctor suggested: now you can dial 120 to transfer the hospital and go to the stent.
The family is very confused: aren't all the blood vessels open? Why do you still need to transfer to the hospital for stents?
This is because:
1. Patients with acute myocardial infarction, if they arrive at a hospital that cannot be stented, then they must indeed choose thrombolytic therapy, because opening blood vessels is the first requirement.
2. If you arrive at a hospital that can do stents, it is still recommended to choose a stent to open the blood vessels. Because the stent is more thrombolytic than the stent, the effect is more obvious.
3. Theoretically, within 3 hours after acute myocardial infarction, the proportion of thrombolytic opening blood vessels and stent opening blood vessels is equivalent. However, on the one hand, most patients with myocardial infarction arrive at the hospital for more than 3 hours, and after more than 3 hours, the thrombolytic effect will be greatly reduced.
4. On the other hand, even if the thrombolysis is successful, it is only to dissolve the thrombus and restore the blood flow of the blood vessels, but the plaques and stenosis of the blood vessels still exist, and the patient still has the risk of angina and myocardial infarction.
Therefore, most patients with successful thrombolysis eventually have to be stented.
At that time, it was not recommended to transfer the hospital because the blood vessels were occluded at that time, and if the heart muscle continued to die, there was also a risk of cardiac arrest on the road. Therefore, it was decided to dissolve the thrombolysis first at that time.
Now after comprehensive analysis, the possibility of blood vessel opening is very large, so the relative risk is reduced, the heart muscle no longer continues to necrosis, and thrombolysis can be tested.
So has Mr. Cheng's blood vessels dissolved in the end?
Mr. Cheng was transferred to our hospital, and the angiography found that everyone could see that there was a serious stenosis in the middle of the large blood vessel on the left side of the heart, but the blood flow was smooth. This shows that the thrombolysis is successful, so thank you very much to the hospital for thrombolysis.
If you don't have such a young guy, such a large area of myocardial infarction, if you don't open the blood vessels early, then even if you can save it, you will have heart failure in the future. However, after timely thrombolysis, blood circulation, myocardial not a large number of necrosis, then more dying myocardium was saved, reducing the risk of heart failure.
You can also intuitively see that after the successful thrombolysis of the blood vessels, even if the blood flow is restored, but the fixed stenosis is still very serious, this narrow myocardial ischemia angina risk is very large, and the risk of myocardial infarction is also very large, so or implanted a stent, do the stent everyone to see this blood vessel, the lumen is completely restored, then after good maintenance, there will be no angina, the risk of myocardial infarction will be greatly reduced.
The patient is then taken back to the intensive care unit.
In short, for the rescue of acute myocardial infarction, it is necessary to open the blood vessels as soon as possible. There are two ways to open blood vessels: one is thrombolysis and the other is a stent.
If you can stent first choose stent, if you can not stent as soon as possible thrombolytic.
There is also to add that summer seems to have come, but the weather has suddenly cooled down, even young people, the body is great, you have to pay attention to keep warm!