Reporter Wang Jie and correspondent Li Fei.
Recently, Mr. Li went to the Health Management Center of Zhumadian Central Hospital for a physical examination, and during ultrasound examination, he found that abdominal aortic aneurysm combined with aortic dissection.
Wu Di, the attending physician of the hospital's health management center, found some abnormalities during the examination of Mr. Li, and asked Mr. Li to learn that he did not notice any discomfort. Out of professional sensitivity, Wu Di examined Mr. Li's abdominal aorta, only to alert her. In order to ensure the accuracy of the diagnosis, Wu Di invited the sonographer Jia Beibei to come for consultation, and after a detailed examination, both of them judged that Mr. Li had an abdominal aortic aneurysm with aortic dissection.
Abdominal aortic aneurysm refers to the weakness of the abdominal aortic wall due to atherosclerosis, inflammation, infection, genetics and other factors, and the diameter expands under the action of high-pressure arterial blood flow, forming abdominal aortic aneurysm-like dilation, which inflats like a balloon. When the diameter is further enlarged to a certain extent, an "abdominal aortic aneurysm" is formed. In layman's terms, an abdominal aortic aneurysm is an oval-shaped, dilated bag of blood vessels in the stomach.
Wu Di quickly reported the situation to Liu Xianjian, deputy director of the health management center, and Liu Xianjin immediately made a judgment after understanding the patient's situation on the spot.
Liu Xianjian: "It is recommended that you immediately go to the vascular surgery department for treatment, be hospitalized for **, and we will arrange**Zhang Fangfang to contact your family." ”
Mr. Li: "I didn't feel uncomfortable, but my stomach was a little uncomfortable, and it wasn't a serious illness, so I wasn't hospitalized!."”
Liu Xianjian: "Your stomach discomfort is caused by an abdominal aortic aneurysm, and the dilated abdominal aortic aneurysm will continue to grow, and after reaching a certain diameter, there is a risk of rupture at any time. ”
Mr. Li: "Abdominal aortic aneurysm is not a tumor, let alone cancer, there is no need to be hospitalized**, right?."”
Liu Xianjian: "Tumor is a metaphor for appearance, which means that it is morphologically like an oval tumor. However, an abdominal aortic aneurysm is no less dangerous to life than a tumor. ”
Liu Xianjin told patients that the mortality rate of sudden rupture of abdominal aortic aneurysm can reach 60%, and once it occurs, it can be life-threatening in a few seconds.
Mr. Li was very resistant to hospitalization, Zhang Fangfang actively communicated with him, emphasizing the importance of timeliness, and after some exchanges, Mr. Li finally said the family's **
What are the dangers of abdominal aortic aneurysms to the human body?
Abdominal aortic aneurysm ruptures, leading to hemorrhagic shock. Once the abdominal aortic aneurysm ruptures, the body will bleed heavily, hemorrhagic shock, and the risk of death is extremely high.
Compresses the gastrointestinal tract, causing abdominal pain. Enlarged abdominal aortic aneurysms squeeze the space of the gastrointestinal tract, causing vague abdominal pain or causing constipation. Enlarged tumors protrude significantly backwards and may also cause symptoms of low back pain.
Arterial embolization of the lower extremities. Thrombosis is often on the inner wall of the abdominal aortic aneurysm, and the adjoining thrombus in the aneurysm falls off, blocking the arteries of the lower limbs along the bloodstream, causing symptoms of ischemia of the lower limbs.
Zhang Fangfang quickly dialed the patient's son's **, under the professional explanation, the other party realized his father's critical condition and promised to go to the hospital immediately.
Mr. Li's son: "Doctor, how should my dad be treated for this disease?"Is it serious?”
Liu Xianjian: "The patient needs further examination before the ** regimen can be confirmed. Abdominal aortic aneurysms are different according to the size and risk of the aneurysm, and different methods should be chosen. If the tumor is 4 cm in diameter, ultrasound can be followed up temporarilyIf the tumor grows rapidly or is 5 cm in diameter, surgery should be performed as soon as possible**. If the aneurysm shows signs of rupturing, surgery should be performed immediately, regardless of the size of the aneurysm**;If a ruptured abdominal aortic aneurysm is clearly diagnosed, emergency surgery is required to save lives. ”
The next morning, Kong Lingzhen, director of the health management center, paid a return visit to the patient, and the patient said that he had been hospitalized and expressed his sincere gratitude to the staff of the health management center for their conscientiousness and responsibility.
Doctors remind that abdominal aortic aneurysm symptoms are sometimes insidious, and in the early stages, many people may have no symptoms and are discovered incidentally during a physical examination. For people who smoke all year round, have high blood pressure, have atherosclerosis, or middle-aged and elderly people over 40 years old, it is recommended to increase the ultrasound examination of the abdominal aorta to achieve early detection and early detection.