**:People**.
Recently, Jinhua, Zhejiang.
A man ruptured aorta.
Just got on the operating table, I suddenly went into cardiac arrest.
The surgeon took only 90 seconds.
Plug the aortic blood vessel opening.
Pull the patient back from the brink of deathThe patient has a ruptured aorta
The team of doctors performed the surgery urgently
December 23rd.
The Fourth Affiliated Hospital of Zhejiang University School of Medicine.
57-year-old patient Mr. Huang.
Severe cough and back pain.
The emergency physician suspects aortic dissection.
A serious cardiovascular emergency with an extremely high mortality rate).
Conduct an inspection immediately.
Mr. Wong's aorta was found to have ruptured
Concurrent with a large pleural effusionThe situation is urgent.
Cardiothoracic Surgeon and Vascular Surgeon.
Discuss and decide on the surgical plan at the first time.
It is considered that interventional surgery is carried out to implant stents.
The fastest and most effective.
"Emergency surgery, send it to the intervention room immediately!”
Life and death 90 seconds
The doctor is "blind" and places a stent for the patient
Mr. Huang was rushed to the intervention room.
Vascular surgeon Lou Yanbo.
At the moment when the puncture is completed to establish the pathway.
It was found that the patient's femoral artery blood vessels suddenly stopped pulsating
A shrill siren sounded in my ears.
ECG monitor.
Blood pressure is stretched in a straight line.
The patient's blood pressure disappears and cardiac arrest occurs"If you put in the stand as quickly as possiblePlus CPR
Is there still a glimmer of life?”
A thought crossed Dr. Lou's mind.
Outside the glass window. **Call Now**.
The whole hospital sounded the radio "Interventional Radiology Operating Room 999".
The emergency rescue process of the hospital was initiated.
on the operating table. Dr. Lou will give a small amount of contrast agent.
Manually push into the patient's body.
After a hazy development appears on the display.
He relies on experience.
Quickly feed the bracket into the desired position.
Release the stent to seal the intersection.
Originally, it would have taken at least 10 minutes to have a stent intervention
Dr. Lou "blinded" to perform
It only took 90 seconds
"Life and death here are measured by the second
There was simply no time to go as planned
Step by step, an angiogram is done to mark the location of blood vessels
I immediately changed the surgical protocol".
In hindsight.
Dr. Lou said. The pressure during surgery is very high.
Luckily, the bracket was released in the end.
There's a sense of finality.
It creates the possibility of subsequent rescue".
Other medical staff on the other side of the operating table.
Chest compressions are performed on a rotational basis.
Just a few minutes.
Hearing the announcement, I rushed to the emergency department、
Intensive care medicine and other medical staff.
All into first aid.
Relay CPR rescue
Assess vital signs and focus on respiratory conditions
Family members talk, prescribe medical orders, take medications, transfuse blood
The patient is out of danger
Doctor: 90 seconds is the limit
"The heartbeat is back!”
After first aid. The arterial blood pressure waveform on the ECG monitor recovered.
Blood pressure also returned to normal.
Then, the paramedics touched and found.
Mr. Wong's carotid artery regained its pulse.
The heart beats rhythmically.
"Really saved!”
Everyone breathed a sigh of relief.
The day after transfer to the intensive care unit.
Mr. Huang came to his senses.
Vital signs are stable.
Able to follow the doctor's instructions to complete various movements.
At present, Mr. Huang is basically out of danger
All vital signs were stable
Dr. Lou reported cardiac arrest in aortic dissection.
It is extremely difficult to rescue back.
This kind of "resurrection" is very rare.
"I looked it up after the surgery
90 secondsIt can be said that it is a true limit operation".
Dr. Lou Yanbo.
Doctor reminds. Since the beginning of winter, there has been a high incidence of aortic dissection.
The typical symptoms are:
Sudden, severe chest painorUpper back pain
Often described as tear-like pain.
It can spread to the abdomen or the whole body.
Be vigilant if you have any of the above symptoms
Go to the hospital for examination in time
Topic |Liu Fan.
Edit |Liu Fan.
Editor-in-charge |Wang Zihan.