Uncle Sixty suddenly suffered a cerebral infarction coma, and Xiehe Jiangnan Hospital opened a green channel to save his life

Jimu News Reporter Lu Yuan

Correspondent Zhang Chunhong Chen Lin Liu Man

"One second I was still talking normally, and the next second I suddenly fell to the ground." On November 1, Ms. Zhang (pseudonym) talked about her father's sudden cerebral infarction, and she still had palpitations. In less than 24 hours from unconsciousness to turning a crisis into safety, her daughter, Ms. Zhang, was grateful to the stroke expert team of the First People's Hospital (Xiehe Jiangnan Hospital) in Jiangxia District, Wuhan City, who snatched her father back from the god of death.

"The patient, 62 years old, suddenly fainted at home in the morning, limb weakness, moderate coma, urinary incontinence, miosis, no response." At about 9 o'clock on October 29, Zhu Canmin, the leader of the Neurology Department who was leading the medical team to round the room, received an emergency consultation call from the emergency department, and based on years of clinical experience, Zhu Canmin preliminarily judged that Uncle Zhang had a sudden cerebral infarction and belonged to the most critical basilar artery embolism.

"The basal artery is an important blood supply artery of the brainstem, and the brainstem is the human life and respiratory center, once the lesion occurs, it can cause heartbeat and respiratory arrest at any time, which is directly life-threatening, so the earlier the rescue, the more chance of survival." Zhu Canmin immediately started the treatment process of the hospital stroke center, opened a green channel, and arranged for Uncle Zhang to improve the relevant preoperative examinations such as MRI, and simultaneously start the catheter room to buy time for further surgical treatment.

Preoperative imaging and other related examinations confirmed Zhu Canmin's judgment, and based on the patient's clinical symptoms, pathogenesis mode, and preoperative examination results, Zhu Canmin's team formulated the most appropriate surgical plan for Uncle Zhang. At 12:00 a.m. on the same day, the operation was successfully completed and Uncle Zhang's vital signs were stable. The reporter learned that yesterday Uncle Zhang has restored the function of limb mobility and is currently receiving follow-up rehabilitation treatment.

"The mortality rate of brainstem infarction due to basal artery embolism is as high as 90%." Zhu Canmin said that Uncle Zhang can be described as nine deaths in his life. "Usually do not smoke or drink, blood pressure, blood sugar are normal, why does my father have cerebral infarction?" 」 The patient's daughter, Ms. Zhang, was puzzled. Zhu Canmin gave the answer: the biggest cause is that Uncle Zhang suffers from atrial fibrillation, after the atrial fibrillation occurs, the atrial contraction function will be weakened, the blood in the atrium cannot be completely pumped out, and the stasis is stuck in the atrium, gradually forming lumps and forming blood clots. Once the blood clot falls off, it will enter the blood vessels in the brain with the blood flow, which can easily block the blood vessels, block the blood supply to the brain, and lead to stroke.

Zhu Canmin reminded the public that regular physical examination, physical health monitoring is very necessary, people with atrial fibrillation, more attention to climate change, reduce the causes of atrial fibrillation, to avoid thrombosis caused by atrial fibrillation. At the same time, he reminded the public that they should learn to recognize stroke and send it to a hospital with rescue ability one second earlier, so that there will be less "brain cell death", which can greatly reduce the fatality and disability rate of stroke to patients.

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