Medical staff are rescuing Miao Ting. Courtesy of Chengdu First People's Hospital
Author: Yang Hai, reporter of China Youth Daily and China Youth Network
Edited by Qin Zhenzi
It was a silent storm.
On the rescue bed, Miao Ting's eyes were half open and there was no light. His clothes were cut open and he was covered with electrodes. The ECG monitor emits a rapid alarm sound, indicating that the patient is experiencing a fatal arrhythmia, and a sharply oscillating curve on the screen continues to roll forward.
Ventricular fibrillation came.
In the emergency department rescue room of Chengdu First People's Hospital (hereinafter referred to as "First Hospital"), patients with ventricular fibrillation are not uncommon, but every time they will let the medical staff enter the most nervous state. It often appears before death, is caused by circulatory exhaustion, and is almost as dangerous as "a straight line".
Next, every minute of rescue was split into 60 seconds to calculate. Doctors and nurses act like pressing the fast-forward button, relaying chest compressions, establishing venous channels, getting on a simple ventilator, preparing a defibrillator... They don't bother to look up, and while operating, they report various physiological indexes and issue instructions.
Miao Ting couldn't hear this, his heartbeat and breathing stopped, his consciousness was completely lost, he looked exceptionally calm, and he didn't respond to the rescue. But beneath his skin and bones, his heart was going through a storm of terrifying waves.
In medicine, the phenomenon of no less than 2 ventricular fibrillations within 24 hours is called "electric storm". When treating patients with acute myocardial infarction (hereinafter referred to as acute myocardial infarction), this is one of the last symptoms doctors want to see. Miao Ting had 4 ventricular tremors in 20 minutes.
If an acute myocardial infarction is seen as a person hanging on a branch on the edge of a cliff, then when the "electric storm" comes, the branch will crack. One of the world's most authoritative cardiology medical organizations, the European Society of Cardiology (ESC) defines "electrical storm" as "the most critical malignant arrhythmia caused by extreme instability of electrical activity in the ventricles.".
The storm also stirred up the emergency department of a hospital. After the rescue began, 11 doctors and nurses were surrounded in a 15-square-meter rescue room. Some people kept hearing the news and rushed to watch, and could only stand on the open ground and watch.
The patients in front of them are both their "old director" and their "instructors". Miao Ting served as the director of the emergency department of a hospital for 10 years, and then transferred to the Chengdu Emergency Command Center (hereinafter referred to as the emergency center) to supervise first aid training. At this moment, almost every medical staff in the emergency department who is involved in rescue or just standing on the sidelines and waiting anxiously has been trained in his first-aid skills.
Now, it's exam time.
1
February 27 was a Sunday, and after several days of continuous rain, the temperature in Chengdu dropped to 12 degrees Celsius. Aside from this sudden "spring chill", there was nothing special about that day.
Near noon, Miao Ting changed into a tweed coat and prepared to go out. Every weekend, he and his wife would visit their mother in the old town. My wife remembers that he was in good spirits that day, and the half-hour drive was easy.
Miao Ting is always energetic, and his friends like to summarize his personality with "boldness". He is 65 years old and has just retired two years from the training section of the emergency center. He was a member of the Standing Committee of the First Aid and Resuscitation Branch of the Chinese Society of Cardiothoracic and Anesthesiology, a member of the Standing Committee of the Sichuan Provincial Emergency Medicine Committee, and an expert in the field of first aid, especially in the field of emergency treatment for sudden cardiac death.
Miao Ting, who retired after 3 years of delay, still can't stay idle. Police, railways, airports, and the medical system he was most familiar with often invited him to give lectures. He is always happy to go to appointments to teach basic or advanced life support skills. In the first 57 days of 2021, he did at least 18 first aid training sessions.
The day before the accident, he was also giving the Medical Security Team at the World University Games an AHA (American Heart Association) certified ACLS (Advanced Cardiac Life Support) training course. On the same day, he uploaded 9 photos of the class in the circle of friends, with the text "Continue training".
Miao Ting was in a first aid training. Courtesy of respondents
On the 7th, he rarely rested. At 1 p.m., the old mother prepared her son's favorite handmade buns, pork cabbage filling. Miao Ting ate 3 as usual. In the meantime, the family pulled some homely things, and there was no topic worth getting emotional.
After the conversation, the mother and wife cleaned up the dishes, and Miao Ting lay on the couch watching TV, and soon began to snore— a habit he had developed in the hospital emergency department, always working the night shift, and napping became a necessity.
My wife also slept after the busy, I don't know how long it took, in the confusion, she felt some noise around her. When she opened her eyes, she saw Miao Ting frowning, her face pale, one hand covering her chest, moving back and forth on the three-person sofa, looking restless.
She became alert. At home, Miao Ting requires all family members to master first aid skills, "even my 10-year-old grandson understands the principles of CPR." For decades, whenever Miao Ting successfully rescued a patient, she had to be an audience member to watch him repeat the whole process with his hands and feet, and she knew the characteristics of those patients.
Miao Ting likes to socialize, and most of her friends are peers in medical circles. She had counted how many cases she had heard them communicate, and "chest pain," "change of face," and "sweating" were some of the most common words.
She reached out and touched her wife's forehead, "tidey" and not sweating profusely as often seen in acute myocardial infarction.
"What's wrong with you?" She was a little worried.
"I have chest pain and I wake up in pain." Miao Ting replied, and the hand covering his chest did not let go.
This is an extremely dangerous signal. The wife recalled that after hearing her husband's answer, the familiar and frightening disease flashed through her mind: acute myocardial infarction.
In the eyes of many people, Miao Ting can be called a healthy person. I have not had any serious illness, but I can maintain a strong energy. Minor illnesses rarely find him, and sometimes they don't catch a cold once a year.
But his wife knows that he has been "walking on thin ice" all these years. He has high blood pressure, high blood lipids, and often smokes and drinks, and has gradually gained weight in recent years, which has become an obese body type - these are all high-risk factors for acute myocardial infarction.
3 days ago, Miao Ting had a brief experience of chest pain, accompanied by a momentary toothache. After tens of seconds, the pain disappears. That night, he also attended a friend's party on time and drank half a pound of liquor.
"Hit 120, huh?" The wife asked Miao Ting, as if "asking for a doctor's opinion."
"No, look again." Miao Ting waved his hand.
After about a minute or two, Miao Ting's symptoms still did not ease, and he still kept moving back and forth between the two ends of the sofa. The wife could not sit still, and the common sense learned from her husband told her that at this time, hesitation was "killing".
"I can't listen to him, he can't make normal decisions at that time." The wife recalls the situation.
She wants to act immediately and dial 120, rather than being swayed by a patient's opinion.
2
The wife dialed the emergency phone with Miao Ting's mobile phone and handed the mobile phone to her husband.
"I have chest pain and need an ambulance." At this time, Miao Ting can still express normally.
The dispatchers of the emergency center are familiar with this voice and number, and on weekdays, Miao Ting often presides over first aid drills and sometimes conducts spot checks. He would "raid" the emergency center with his phone to check the quality of ambulance visits.
Putting down the phone, the wife let the other family members present look at Miao Ting, hurried downstairs, rushed to the intersection in advance, and guided the ambulance to the downstairs of the unit to save time as much as possible.
Shortly after leaving the house, she received a call back from 120. It wasn't Miao Ting who heard the phone, and the other party wondered: "Isn't it a drill or spot check?" What about Teacher Miao? ”
"He's really sick, hurry up."
In the field of emergency treatment, patient disposal is divided into two links: "pre-hospital" and "in-hospital". According to the "China Cardiovascular Disease Report 2018" released by the National Center for Cardiovascular Diseases, 544,000 cases of sudden cardiac death occur in China every year. In another data, more than 70% of these sudden deaths occurred in the "pre-hospital" stage.
In this case, someone, like Miao Ting, felt that the chest pain could be endured and kept delaying the call to 120. Some people believe they can drive to the hospital faster than an ambulance, only to get stuck in traffic or get sick on the way.
Although she knows this better than most people, as a patient, Miao Ting is still making the same dangerous mistakes as they are.
It took only 7 minutes for the ambulance to reach the entrance of the community. After the doctor and nurse went upstairs, they first gave Miao Ting an oxygen bag, and then tested the electrocardiogram on the spot, and the preliminary judgment was that it was an acute myocardial infarction.
"Not typical enough." Miao Ting shook his head, "Look again." ”
The doctors and nurses are his "juniors", and some of them are helpless, so they can only gently persuade him, "Uncle Miao, go to the hospital, you are very dangerous." He lay on the couch without moving, just kept waving his hands.
"Go to the hospital now!" The wife was resolute.
Throughout the process, she acted decisively and calmly enough. She said she had to do it, no one knew, her palms were sweating, her heart was beating noticeably faster, and "I could feel it."
Miao Ting seemed to be calmed by his wife and did not resist any longer. Just like the usual exercise, several first responders carried a stretcher and transported him to the ambulance in the fastest and smoothest way.
Before getting on the bus, the doctor took out a "pack of chest pain medicines" (aspirin, ticagrelor, clopidogrel, all anticoagulant and platelet aggregation inhibition drugs) and asked him to chew it up and take it to ensure that it was absorbed as soon as possible. In addition, patients with acute myocardial infarction are often accompanied by vomiting symptoms, and after chewing, the patient can try to avoid the patient from spitting out the whole tablet.
In the panic, a pill fell to the ground, and the wife did not care so much, picked up the pill, and stuffed it into Miao Ting's mouth with dirt.
Ambulances honk their sirens, vehicles on the road give way, and red lights are unstoppable.
Inside the ambulance, Miao Ting became more irritable and "flipped over" on the stretcher. The nasal oxygen tube was repeatedly thrown off and fitted. The nurse pressed his shoulder and the wife pressed his leg, trying to control his body.
The sweat on his forehead was noticeably more, falling down one by one. After a while, he touched his throat and said", "Like a fire", all the way to the stomach.
"West China Hospital! Tianfu Avenue! South Railway Station..." Along the way, the nurses were synchronizing the ambulance position with him, reassuring him that "it will soon arrive."
After 15 minutes, the ambulance arrived at the emergency door of a hospital. The pre-hospital rescue is over, the process is almost perfect, but the patient's dangerous condition is not alleviated, the coronary arteries are blocking little by little, and every second, the heart may be damaged by ischemia.
In the treatment of acute myocardial infarction, there is a classic "Door to Balloon" time (gateball time), which refers to the time from the time the patient enters the hospital gate to the time when the blocked blood vessel is expanded with the balloon. The golden time for DtoB is set at 90 minutes, beyond which the patient's benefit will decline exponentially until death.
In this rescue, the next stage begins to time.
3
When he received a call from the ambulance, Li Jiawen, an emergency department doctor at a hospital, had just settled a patient with a vertigo and was communicating with the patient's family.
"If a patient with an acute myocardial infarction is admitted to the hospital after 10 minutes, please be prepared." Confession on the other end of the phone. Then he added, "The patient is Miao Ting's teacher." ”
Li Jiawen was already nervous, but after hearing that it was Miao Ting's teacher, he was "relieved." Like the people in the emergency center, she also felt that "Teacher Miao has come to do the exercise again."
She has been an emergency doctor for 8 years, and Miao Ting has been transferred from the position of emergency department director when she joined, but she is no stranger to Miao Ting. Every year, the hospital conducts rescue training and will invite Miao Ting to give a lecture. Sometimes the city holds first aid competitions, and Miao Ting often participates in the scoring as a judge.
"Mr. Miao's training is very fun, and it will be combined with the cases he has encountered before, and it will be particularly passionate and useful." In Li Jiawen's impression, Miao Ting was very involved in first aid training and "the requirements were quite strict." Many of the operating norms he mastered and the handling methods of some emergency cases were learned from him.
She and several colleagues pushed the rescue bed, ready to meet the "patient". The ambulance quickly drove into the rescue passage, the door opened, and Li Jiawen saw Miao Ting lying on a stretcher, one hand on his chest, sweating profusely. There are also family members around, and their expressions are tense. This is clearly not a show.
Before they could be surprised, the doctors in the ambulance pushed the stretcher out of the car and beckoned them to transfer the patient to the rescue bed.
On the way to the rescue room, Li Jiawen even felt a little trance. An expert who teaches people how to rescue a heart attack every day is now being rescued because of a heart attack, "which is too unreal." She picked up Miao Ting's electrocardiogram, and the doubts disappeared, and the curve on it suggested that the patient had developed typical myocardial infarction characteristics.
In daily life, there are many factors that induce acute myocardial infarction, such as heavy alcohol consumption, excessive fatigue, strenuous exercise, emotional agitation, and sudden temperature drop. No one can accurately say the reason for Miao Ting's sudden acute heart attack, perhaps the wine game 3 days ago, or the sudden spring cold, the exhaustion of the day, or perhaps related to these factors. But there is no doubt that his lifestyle habits are more likely to make the heart attack come to the door than others.
"I should not have had a heart attack, I may have aortic dissection (another serious cardiovascular disease)." Miao Ting was lying on the bed, visibly short of breath when speaking, but still trying to give advice, even in Li Jiawen's view, this judgment was a little strange - in Miao Ting's class, students liked to listen to him most of how to look at the electrocardiogram. At the city's annual first aid competition, he is the propositional person in the ECG part.
There are constantly doctors who hear the news and rush to the hospital, Liu Tong of the Cardiology Department just happened to be on the second-line shift in the inpatient department, and he and Miao Ting have been friends for many years and "ran to the rescue room".
After seeing Miao Ting, he found that the other party's reaction and dialogue were "more than half a beat slower than when they were conscious", and the whole person also seemed very irritable. When the nurse wanted to draw his blood, he threw up his hands and had to be pressed. Miao Ting told Liu Tong that he could not be a heart attack and "could not put a shelf (coronary stent)".
At this time, Miao Ting's second electrocardiogram came out, and it was more clear that the patient had a problem with the coronary artery on the right side. "If he is awake and can still misjudge this picture, he can basically change careers." The doctor also measured his blood pressure, and if it was aortic dissection, the blood pressure in the arms would generally have a pressure difference of at least 20 mm Hg, but he did not.
"He was the kind of 'troublesome patient' who didn't listen to doctors' and had his own opinions about the condition, interfering with normal medical procedures." Liu Tong said with a smile that he could understand Miao Ting's reaction, "He is more sensitive to the stimulation of the medical environment, like a person's self-protection mechanism in dangerous situations." ”
Liu Tong judged that Miao Ting should have been cerebral ischemia at that time, resulting in confusion and decreased judgment. By the time this symptom occurs, the patient's heart function is already significantly weakened — the contraction and relaxation of the heart depend on the heart muscle. Coronary arteries are blood vessels that supply blood to the heart muscle, and after blockage, the myocardial blood supply is insufficient, and the ability of the heart to shrink is affected, and it is unable to send enough blood to the brain.
On the rescue bed, Miao Ting was still stubborn. The doctor, "for the sake of the 1% chance", promised him to take a CT on the way to the catheter room to "see the situation of the aorta".
"When he was a patient, his questioning of doctors and resistance to treatment were no different from those of ordinary people." Liu Tong said that he had experienced this feeling. As a cardiologist, he has been undergoing interventional surgery for many years, exposed to radiation radiation, and his body has severe symptoms. The hematologist told him that he might have eosinophilia, "I first suspected it, and then I felt that the sky was falling, and that kind of despair was so great that even a doctor could hardly sustain himself." ”
But when confronting the patient as a doctor, professional reason reignited him.
"He (Miao Ting) wants to talk to me about the conditions, no problem, I want to maintain a soft way of communication, but my principle is to trust my professional judgment and not be swayed by a cerebral hypoxia patient."
The doctors and patients finally reached a consensus, and Miao Ting was still irritable and continued to repeat his views. The nurse opened the door to the rescue room and prepared to push him toward the CT room.
"My diagnosis should be..." Suddenly, Miao Ting's eyes rolled up and fainted.
4
The rescue immediately entered another stage.
Syncope in patients with acute myocardial infarction is a very urgent condition, which is clinically called "Adams-Stokes syndrome", that is, cardiogenic cerebral ischemia syndrome. At the time of the attack, the heart function has been severely insufficient, and the body's circulatory system has almost stagnated.
The alarm sound of the ECG monitor sounds almost at the same time, and the number of heart rate turns a flashing red, representing the "first-level alarm".
"Ventricular fibrillation!" There were doctors shouting.
The nurse pulled the curtain between the rescue beds with a "bang", and the family left, and the scene was routinely cleared. Everyone is like a programmed machine, suddenly starting up and following the steps quickly.
Someone pinched the needle and looked for blood vessels on Miao Ting's hand. Someone applied a conductive paste to his chest, ready to perform electrical defibrillation. The patient did not breathe spontaneously, there was no time for intubation, someone put a simple respirator over his mouth, and one hand kept pinching the balloon of the respirator.
Someone else tapped him on the shoulder, "Old Miao, Old Miao," confirming his consciousness, but he didn't respond in the slightest.
"Defibrillator ready!"
Everyone took two steps back, and a doctor stepped forward and pressed the electrode plate against Miao's chest. Discharged, 200 joules of energy instantly penetrated his skin and muscles, reaching the heart. His body bounced off the bed and fell.
When ventricular fibrillation occurs, the patient's ventricular muscles are ischemic, the electrical activity of cells is disturbed, and the ventricles will flutter as quickly and weakly as spasms, so that the heart cannot pump blood. Under the action of strong direct current impulses, the electrical activity of cardiomyocytes is completely eliminated, waiting to return to normal, just like the restart after a computer crash.
For the next few seconds, the rescue scene suddenly became unusually quiet, and almost everyone held their breath and stared at the changes on the monitor screen.
The violent fluctuations of ventricular fibrillation disappeared, but the ecG on the monitor became a straight line, and the otherwise urgent alarm became an annoying, non-stop buzz.
The heart, the body's most diligent organ, generally begins working from the sixth week of embryonic development. For nearly 40 years, Miao Ting has been committed to ensuring that patients' hearts do not stop. Now, his heart was beating.
It was at this moment that the blood in his veins stopped flowing, and every organ began to be ischemic and hypoxic, including the brain. Every instant, there are tissue cells withering and then dying.
There is almost no need for reaction time, and some doctors have rushed up to give Miao Ting chest compressions. Each time the thoracic cage is pressed down 5 cm and then fully rebounded. Just like squeezing a balloon, the heart is squeezed by the outside world, although it is not an autonomous action, but it can also complete part of the function of contraction and relaxation.
"It is the soothing function brought about by this part of the external force, under the allocation of the human body's advanced nerves, it will give priority to the supply of blood to important organs such as the brain, heart, kidneys, etc., to avoid damage to these organs to the greatest extent." Liu Tong said that if a person suddenly has a cardiac arrest, to do CPR for him at the first time, "the golden rescue time for cardiac arrest is only 4 minutes, more than 4 minutes, brain cells will have irreversible damage, more than 10 minutes, people basically can not come back." ”
He once received a patient who, like Miao Ting, had an acute myocardial infarction. After being sent to the hospital, the blood vessel opening surgery was smooth, and the heart also resumed its spontaneous beating, but because the CPR was not done in time in the early stage, the respiratory center in the brain was damaged, and the patient lost his spontaneous breathing and was "choked to death".
Fortunately, Miao Ting is now lying on the rescue bed. Doctors relay compressions, high-quality CPR with little to no interruption. At the bedside, the machine instead of human labor has been debugged, the CPR similar to the "piling machine" can be used at any time, and the non-invasive ventilator has also set the parameters, waiting for intubation and opening the airway.
First-time defibrillation during ventricular fibrillation, use drugs to reduce the patient's sympathetic hyperexcitation, timely cardiopulmonary resuscitation during cardiac arrest, ventilator, and pay attention to patient acidosis after opening the blood vessels...
Miao Ting, who was in shock, could not know that these processes and actions were like a reproduction of his course. For Li Jiawen, a doctor who is buried in the rescue, all the movements are derived from the "muscle memory" formed by repeated training.
But the difficulties are still more than expected. Li Jiawen is responsible for endotracheal intubation, because chest compressions will squeeze the airway at the same time, and intubation must be as fast as possible.
"5, 10, 15..." Li Jiawen just started intubating, and there was a doctor timer next to him.
She found that the Miao Ting trachea was a "difficult airway" and that the catheter was difficult to enter without equipment assistance.
"Stop! stop! The on-site commander shouted. Li Jiawen withdrew, and CPR continued immediately. After her blood pressure stabilized, she tried again, but without success.
At this time, the alarm sound of the ECG monitor suddenly sounded. Ventricular fibrillation came again.
5
After defibrillation again, Miao Ting's ECG had a new change.
Liu Tong recognized the waveform in front of him, the ST segment (a band of the electrocardiogram) was abruptly raised, shaped like a tombstone, and the medical community called this waveform a "tombstone-like" electrocardiogram.
In patients with acute myocardial infarction with such ECG waveforms, the myocardium is usually already severely damaged.
Without waiting for everyone to react, the symptoms of ischemia and hypoxia began to spread to Miao Ting's whole body. His blood oxygen content dropped to about 80%, which was seriously lower than the normal value of more than 95%, and the skin on his fingers and face began to turn purple.
"Can Teacher Miao still come back?" A nurse whispered.
No one answered. By this time, doctors from the emergency department, cardiology, critical care medicine and anesthesiology department were already present, and the rescue team even prepared ECMO (extracorporeal membrane oxygenation) to cope with the worst-case scenario that could occur - the patient's cardiopulmonary failure and the establishment of cardiopulmonary circulation.
They continue to experiment with conventional means. A shot of epinephrine is injected into Miao Ting's body, using the maximum dose. This "cardiac injection" worked, and the monitor showed that Miao Ting resumed his spontaneous heartbeat.
Just a dozen jumps, the third ventricular tremor came again.
This time, it was an "electric storm." After defibrillation, Miao Ting's heart stopped beating again. This made Liu Tong feel desperate, 3 times defibrillation, the patient almost did not give any response. What's more, in his clinical experience, "even if everything is done perfectly, 15%-20% of patients who have an 'electric storm' cannot get out of the rescue room."
On the same day, Qin Fang, deputy director of the Department of Cardiology, was also at the rescue scene, and she was Miao Ting's old partner for many years. She took a picture of Miao Ting with her mobile phone and sent it to the family group, "Old Miao may not be able to do it." She saw another colleague standing next to her, staring at the rescue bed, his hands clenched and trembling.
A doctor came up to him with a flashlight and looked into his eyes to see if his pupils were constricted—the rescue had been going on for more than ten minutes, and they were confirming whether to give up.
The patient's pupils constrict. This is one of the most advanced neural reflexes in the human body, and the rescue continues.
Li Jiawen was ready to intubate again, she bent down, glimpsed the anesthesiologist present, and suddenly stopped.
"Teacher, here you come." She looked at her colleagues, or teammates.
The anesthesiologist stepped forward, assisted by an electronic laryngoscope, as skillfully as he did every day, and successfully intubated in one go.
Miao Ting's blood oxygen saturation gradually improved. From the onset of A-Si syndrome, the rescue has been carried out for nearly 20 minutes, which is a relatively long time in cardiac arrest rescue. In the future, even if the rescue is returned, the prognosis of the patient may not be optimistic.
At this moment, Miao Ting had a fourth ventricular fibrillation. After the emergency defibrillation, Liu Tong saw that Miao Ting's heartbeat had recovered, although it was weak, but it was beating autonomously.
Immediately after, a doctor saw Miao Ting's eyelids beating slightly. Then everyone saw it, and his hands and feet moved. Suddenly, he began to vomit with a "whoosh" sound, and the doctor hurriedly lifted his head to the side to prevent accidental suctioning.
It's a not-so-"neat" ending, but no one cares about it anymore.
"Yay!" Li Jiawen and his colleagues looked at each other and couldn't help but shout.
Miao Ting and his wife. Courtesy of respondents
6
Outside the rescue room, Miao Ting's wife stood in the same place, "her brain was blank." In the meantime, nurses kept coming out and holding a bunch of papers for her to sign, and she hardly hesitated and agreed to them all.
"I believe in the doctor, as long as it is in his favor, although it is on the line." Half a month later, when she recalled the storm, her tone was still firm.
After practicing medicine for more than 30 years, Qin Fang has seen too many lives and deaths, and "has seen very openly." But patients who "had the opportunity to pull back, but failed to retain for some non-medical reasons" will make her heart-wrenching every time.
She has met with the families of some acute myocardial infarction patients, and before the operation, all family members have to wait for the presence of all family members to discuss before signing and agreeing, and the patient has been "delayed". There are also family members who ignore the doctor's urgent urging and are told that the patient cannot afford to wait, or they still have to make a round call, find an "authoritative doctor", and agree to the operation after receiving a positive reply, and the result is tragic.
"Miao Ting's case, at the level of the family, may not have been delayed for a minute, and the whole rescue was completely led by the hospital." In her view, the family's trust in the hospital is one of the key factors in the success of the rescue.
After coming out of the rescue room, Miao Ting was pushed to the catheter room, and Liu Tong performed interventional surgery for him, installing a stent in the arterial vessel.
"His entire right coronary artery was blocked in half." Liu Tong sighed.
At 8:30 p.m., the surgery was over. After work, Liu Tong changed into civilian clothes and sent a circle of friends on the way home, "Finally fishing back this disobedient 'old boy'."
After the operation, the doctor gave Miao Ting a sedative, and he "comatose" in the intensive care unit for 3 days. For the first two days, he had a high fever, and the doctor drew a foreign body from his alveoli, which was a cabbage gang and meat filling.
After being discharged from the hospital, Miao Ting's memory of the onset of the disease was blank. Apart from that, his body was hardly in serious trouble. Only the pain in his chest, the bruises on his arms, and the bruises left by the interventional surgery still reminded him that he had experienced a life-and-death test that day.
For the Miao Ting family, the aftermath of this storm has not subsided.
In the past, Miao Ting was the first in the family to get up every morning, and now his wife would always rush to check whether he still had breath before he woke up. On the road, his wife also had to support him, even if his mobility did not decrease. Even when talking, his wife would touch his forehead from time to time to check whether he was sweating.
He sent pennants to the hospital, emergency department, and cardiology department that saved him, and wrote: The grace of life, toothless and unforgettable. He was also most grateful to his wife.
After being discharged from the hospital, Miao Ting sent a pennant to the hospital. Courtesy of Chengdu First People's Hospital
"Her disposition is almost textbook." Miao Ting reviewed, found that the family chest pain decisively dialed 120, choose a hospital with treatment ability. Let the patient lie as flat as possible, do not move at will, and increase the burden on the heart. In the case of other family members looking after the patient, guide the ambulance and try to save time. After arriving at the hospital, I fully trusted the doctor and did not hesitate.
Miao Ting once learned a data at a meeting of Chengdu's medical institutions that only about 17% of the total number of patients in Chengdu who called 120 to the hospital was called, and most of them went to the hospital by themselves.
"This should not be the level of 'medical education' that a large city should have." Miao Ting touched his chest, and his tone was heavy.
In fact, according to the "China Cardiovascular Disease Report 2018" released by the National Cardiovascular Disease Center, 544,000 cases of sudden cardiac death occur in China every year, and the success rate of out-of-hospital rescue is less than 1%, far lower than the 2%-15% of developed countries, or even 30%. Correspondingly, the prevalence rate of CPR skills in China is also 1%, and in developed countries it is 60%.
Miao Ting used to smoke more than one pack of cigarettes a day, but now it has been reduced to less than two, and the wine does not dare to drink again. He wants to continue to promote first aid technology, and the latest example is this personal experience.
"I'm testing my training with my life." He typed this line on the courseware.
This article is independently produced by China Youth Daily, first published in the client of China Youth Daily and "China Youth Ice Point", the copyright belongs to China Youth Daily, unauthorized, may not be reprinted; today's headlines have obtained the right to disseminate information networks.