#石门县中医医院 ##常德头条#
Recently, the Chest Pain Center of Shimen County Hospital of Traditional Chinese Medicine successfully carried out emergency interventional surgery for Grandpa Wang, a 91-year-old patient with acute myocardial infarction, so that the elderly could turn their lives around.
At 6:46 a.m. recently, the emergency department of Shimen County Traditional Chinese Medicine Hospital received a 91-year-old grandfather Wang.
Grandpa Wang began to feel paroxysmal pain and discomfort in the left back since 1 week ago without obvious triggers, aggravated after activity, slightly relieved after rest, no chest tightness, shortness of breath, dyspnea, has not paid attention to treatment, at about 2 o'clock in the morning of the same day, the back pain aggravated again, difficult to tolerate, in order to clear the treatment of Shimen County Hospital of Traditional Chinese Medicine emergency treatment.
Immediately after the emergency physician presents, the bedside ECG shows acute ST-elevation myocardial infarction (extensive anterior wall).
Emergency physicians attach great importance to it, immediately start the first aid process, and immediately draw blood to improve the myocardial infarction-related testing items; At the same time, after thoracic CT was completed to rule out aortic dissection, oral bispecific antiplatelet aggregation drug loading doses were given: aspirin enteric-coated tablets 300mg chewed, clopidogrel 300mg chewed; Heparin 3000u intravenously pushed for anticoagulation.
The patient's condition was so serious that it could be life-threatening at any time, and surgery had to be performed immediately, which was more like an "adventure" for the 91-year-old patient. Whether the surgery can be tolerated, whether the stent can be successfully implanted, and whether the complications can be avoided are all "more difficult".
After full communication with the family, the policy of diagnosis and treatment before payment was implemented, and the green channel of chest pain was directly pushed to the catheterization laboratory of Shimen County Hospital of Traditional Chinese Medicine for emergency interventional surgery, and the coronary angiography showed that the proximal segment of the anterior descending coronary artery was completely occluded, and a stent was immediately inserted to open the occluded blood vessel.
(▲Before and after interventional surgery)
After the operation, Grandpa Wang's back pain symptoms basically disappeared. The entire emergency treatment process was completed in an hour and a half.
After returning to the cardiology care unit after the operation, Director Lv Changsheng led the medical team of the department to discuss and analyze the condition together, and after careful treatment by the cardiology team, Grandpa Wang quickly recovered and was discharged.
Doctor reminds: The elderly have a heart attack and do not necessarily have chest pain
Huang Zhenghua, deputy director of the cardiovascular department of Shimen County Hospital of Traditional Chinese Medicine, said that chest pain is an important feature of acute myocardial infarction in young and middle-aged people, but elderly patients are not sensitive to pain, and this symptom may not be prominent, and the incidence of no chest pain increases with age. Some elderly people with acute myocardial infarction do not have chest pain, but may have pain in other parts (abdominal pain, toothache, shoulder pain, etc.) or other manifestations (chest tightness, breathlessness, nausea, vomiting, shock, etc.).
Therefore, it is necessary to be vigilant, and once the above symptoms appear, you should be sent to the doctor for treatment as soon as possible, keeping in mind that time is the heart muscle and time is life.
Hunan Medical Chat Special Author: Huang Zhenghua, Shimen County Hospital of Traditional Chinese Medicine
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(Editor ZS)