#永州头条 ##江永县人民医院#
Recently, the multidisciplinary linkage of the Jiangyong County Close-knit County Medical Community General Hospital successfully rescued a critically ill patient with upper gastrointestinal hemorrhage, creating a miracle of life again and winning the praise of patients and their families.
The patient's condition was severe, deteriorating rapidly, the rescue risk was high and the difficulty was great, and his successful treatment fully reflected the multidisciplinary technical level and comprehensive strength of life support of the interventional medicine center, gastroenterology, blood transfusion, intensive care medicine and other specialty teams of Jiangyong County Medical Community General Hospital.
The patient, a 72-year-old male patient, was previously diagnosed with gastric ulcer and bleeding by gastroscopy, and was treated with endoscopic hemostasis.
Sudden vomiting of bright red blood and shock symptoms within a short period of time. The Department of Gastroenterology contacted the Interventional Medicine Center for consultation in a timely manner, and after full communication with the patient's family, they were ready to perform interventional surgery to stop the bleeding.
After obtaining the consent of the patient's family, Director Liao Xujun led the interventional surgery team to immediately prepare for emergency surgery. The patient was urgently pushed into the interventional operating room, at this time the patient was in a comatose state, the heart rate was 155 beats per minute, the blood pressure was 50/38mmHg, and the blood oxygen saturation was about 55%, the patient's condition was very dangerous, and he could die at any time!!
Liao Heping, director of the Department of Intensive Care Medicine (ICU), urgently helped the patient to perform tracheal intubation and central venous catheterization, and the interventional surgery team performed celiac angiography at the fastest speed, showing that there were obvious signs of contrast agent overflow in the left and right gastric artery branches, and the contrast agent quickly filled the gastric cavity, indicating that the patient's bleeding speed was very rapid.
Director Liao Xujun used exquisite interventional techniques to quickly embolize the artery responsible for bleeding, and the hemostatic effect was "immediate", and the patient's blood pressure quickly rose to about 100/60mmHg and stabilized, and other vital signs improved. Successfully rescued the patient who was standing at the door of the ghost gate!
(▲Before the operation, the spillage of contrast medium can be seen at the arrow, indicating bleeding points)
(▲After hemorrhagic artery embolization, contrast agent spillage disappears)
After the operation, the patient was transferred to the intensive care department for further treatment, and on the first day after surgery, the patient was awake, his vital signs were stable, and the gastrointestinal bleeding had stopped. On the 5th postoperative day, the patient's condition was stable and he was transferred to a general ward. At present, the patient has recovered and been discharged from the hospital.
Under the leadership of Director Liao Xujun, the Center for Interventional Medicine has successfully performed hemorrhagic vascular embolization for many patients with gastrointestinal hemorrhage since its opening, and has achieved good clinical results, which have been recognized by peers in various brother departments and highly praised by patients and their families.
Hunan Medical Chat Special Author: Mo Zhilin, Jiangyong County People's Hospital
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(Editor YT)