Luwang, April 19 - Recently, the Department of Emergency Medicine, the Department of Nephrology, the Electrocardiogram Room and the Dialysis Room of the First People's Hospital of Ningyang County, Tai'an City, collaborated to successfully treat a patient with chronic kidney disease and acute myocardial infarction. The successful completion of this operation marks a new step in the interventional treatment of complex and critically ill patients by the cardiac intervention team of the First People's Hospital of Ningyang County, and also demonstrates the strength of the hospital's multidisciplinary cooperation and comprehensive treatment.
Mr. Cao, 65, an "old acquaintance" of the First People's Hospital of Ningyang County, has been regularly undergoing dialysis treatment at the First People's Hospital of Ningyang County since he was diagnosed with chronic renal failure and heart failure in 2020.
Not long ago, Mr. Cao, who was suffering from an illness, suddenly felt discomfort in his upper abdomen, accompanied by nausea, vomiting, and bouts of pain in his back, which could not be relieved after resting for a while. Seeing that Mr. Cao's face was ugly and his pain symptoms were not relieved, the family quickly took him to the First People's Hospital of Ningyang County for treatment.
Liu Shaoqing, honorary director and deputy chief physician of the Department of Nephrology, gave an emergency electrocardiogram according to Mr. Cao's description. ECG showed acute ST-elevation myocardial infarction. After learning the results of the examination, the staff of the electrocardiogram room immediately reported the critical value to the emergency medicine department, the outpatient department, and the nephrology department in accordance with the hospital's regulations on the management of chest pain patients.
Acute myocardial infarction has a sudden onset, rapid progression, many complications, and a high risk of death. Xu Weiwei, director of the Department of Nephrology and deputy chief physician, was well aware of the seriousness of acute myocardial infarction, and after learning of the patient's condition, he immediately contacted the emergency medicine department to start the chest pain treatment process and respond quickly.
The medical staff of the emergency medicine department quickly transferred Mr. Cao to the emergency room, where he was given symptomatic treatment such as electrocardiogram monitoring, oxygen inhalation, and establishment of intravenous access, and at the same time improved relevant examinations.
After learning about Mr. Cao's condition, Du Liming, director of the emergency medicine department and deputy chief physician, learned that his kidney function was weak, and if he rushed to undergo a cardiogram, it would cause a certain burden on his kidneys. If he does not do this, Mr. Cao's occluded heart blood supply blood vessels will not be opened in time, and his life will be in danger at any time.
Based on the results of the examination and after a comprehensive evaluation, Du Liming believed that Mr. Cao could tolerate interventional treatment, and the early opening of the occluded blood vessels played a decisive role in his prognosis, so he explained in detail to the patient's family the necessity of emergency interventional surgery, and the patient's family agreed and actively cooperated with the treatment.
It is not easy to perform emergency interventional surgery for long-term dialysis patients! Mr. Cao has a variety of diseases, his vital signs are still unstable, and his coronary arteries are very fragile due to long-term hemodialysis.
In order to ensure the safety of the patient's life, the cardiac intervention team and the nephrology medical team carefully studied and formulated a detailed treatment plan, with cardiac intervention first, followed by bedside hemodialysis treatment.
After perfecting the relevant examinations, with the cooperation of the medical staff in the interventional room, Du Liming led the cardiac intervention team to withstand the pressure, and with superb technology and rich experience, successfully completed the "coronary angiography + percutaneous coronary intervention" while reducing the amount of contrast agent, and successfully implanted 1 stent at Mr. Cao's vascular lesion, the blood flow returned to normal, and the chest pain symptoms were relieved.
After the operation, Mr. Cao was directly transferred to the intensive care unit of the Emergency Medicine Department, where Xu Weiwei, director of the Department of Nephrology and deputy chief physician, arranged bedside blood purification treatment for him, which protected his kidney function to the greatest extent. After 4 hours of dialysis, Mr. Cao's condition stabilized and he was successfully released.
The rapid response and high effectiveness of teamwork fully reflect the emergency treatment ability and level of the First People's Hospital of Ningyang County in the treatment of critically ill patients, and also reflect the comprehensive treatment ability and advantages of multidisciplinary collaborative treatment.
Advantageous diagnosis and treatment specialty - emergency medicine
Founded in 1985, the Department of Emergency Medicine of the First People's Hospital of Ningyang County is the emergency and critical medical treatment center of Ningyang County, which undertakes the county's medical emergency and the treatment of public health emergencies and disasters.
The Intensive Care Unit (EICU) of the Department of Emergency Medicine was established on January 5, 2023, with sophisticated medical equipment, including photoelectric multi-function ECG monitor and defibrillator pacemaker, p840 ventilator, infusion pump and syringe pump, medical heating instrument, flexible bronchoscope, hypothermia treatment instrument, hemoperfusion machine and other advanced medical equipment. In addition to providing accurate vital signs monitoring, it can also implement invasive bedside hemodynamic monitoring and respiratory circulation support technology, bedside blood purification technology, bedside bronchoscope treatment technology and other specialized technologies, which can provide timely and effective rescue and treatment for various acute and critical patients.
EICU mainly admits patients with various acute and critical diseases of cardiovascular and cerebrovascular diseases, cardiopulmonary and cerebral resuscitation, respiratory failure, severe trauma and multiple injuries, various poisoning, various shocks, severe infections, and multiple organ dysfunction.
EICU is a young and energetic team, a team that is constantly pioneering and enterprising, and is an important part of the green channel of the emergency medicine department. All medical staff in the EICU provide 24-hour seamless continuous monitoring, treatment, and care for patients.
Advanced medical equipment, skilled diagnosis and treatment operation technology, rich clinical experience and rigorous and realistic professionalism, high-quality medical care services, so that every patient can receive meticulous treatment and care.
Advantageous diagnosis and treatment specialty - nephrology
The Department of Nephrology of the First People's Hospital of Ningyang County mainly carries out the diagnosis and treatment of acute and chronic renal failure, blood purification treatment of various drug poisoning, family peritoneal dialysis guidance, post-kidney transplantation guidance, common acute and chronic kidney diseases in internal medicine (glomerulonephritis, nephrotic syndrome, diabetic nephropathy, hypertensive nephropathy, lupus nephropathy, purpura nephropathy, vasculitic nephropathy, urinary tract infection, etc.) and rheumatism-related nephropathy.
The department actively develops new projects, performs intravascular fistula surgery for long-term hemodialysis patients, and at the same time, carries out hemodiafiltration, bedside hemofiltration, peritoneal dialysis home management technology, and combines traditional Chinese and Western medicine to treat chronic kidney disease, chronic anemia, rheumatic connective tissue diseases, etc., and has achieved remarkable clinical results.
The hemodialysis room is equipped with a professional team with complete hardware facilities, and has carried out a number of blood purification technologies such as hemodialysis, hemodiafiltration, and bedside hemofiltration, and rescued and treated thousands of patients with acute and chronic renal failure and drug poisoning. (Correspondent Yang Kangning)