Chao News client reporter Wu Chaoxiang correspondent Song Lisheng.
I remember that your clinic was Tuesday morning, and I made an appointment with your specialist number on my mobile phone two days ago. Yesterday, Lao Ma (pseudonym) from Anhui Province said to Professor Jiang Jinsong, vice president of Zhejiang Provincial People's Hospital and leader of vascular surgery. "Your memory is so good now, I was really surprised ......"The memories that Professor Jiang and Lao Ma talked about have to start with the thrilling incident that happened a month ago.
Eating before surgery, surgery had to be postponed
The old horse was scheduled for the first operation. Before the operation, the doctor and ** repeatedly explained that tomorrow is general anesthesia, and you will not be able to eat after 10 o'clock in the evening. Chen Legao, deputy chief physician of the hospital's assistant director of vascular surgery, recalled.
As a result, when the doctor made rounds in the morning, he found that Lao Ma was eating steamed buns with relish, which made the doctors cry and laugh, and the fasting time had to be recalculated, and the operation could only be postponed.
When a person is under anesthesia, the coughing reflex and swallowing reflex will be suppressed, and the tension in the lower esophagus will be relaxed, and if the contents of the stomach are not emptied, it will easily reflux. The anesthesiologist explained that food that refluxes into the pharynx may enter the trachea and lungs, and the cough reflex is suppressed, and the gastric contents entering the airways cannot be removed through the cough reflex, which can cause severe aspiration pneumonia, leading to respiratory failure, and the mortality rate is as high as 40%-60%. Even if there is no death, the doctor has to spend a lot of energy on the patient's treatment, which also has an impact on the subsequent ** and recovery.
From now on, you must not eat again, and if you are hungry, we can first give salt water to replenish water and energy. At noon, he went to the old horse's bed to inspect, and suddenly became nervous, it turned out that the old horse took advantage of his daughter's bathroom to buy lunch, and was opening the box to eat, but fortunately it was stopped after finding it in time.
At 3 o'clock in the afternoon of the same day, Professor Jiang Jinsong and Deputy Chief Physician Chen Lego performed carotid endarterectomy on Lao Ma. During the operation, it was found that the carotid artery plaque of the old horse was very large, and 90% of the lumen of the blood vessels had been blocked. During the operation, a plaque about the size of a little finger was completely removed. One week after the operation, the old horse was successfully discharged from the hospital. At that time, Professor Jiang made a special agreement with him: my outpatient time is Tuesday morning, and I will remember to come back in time after a month.
Photo courtesy of the interviewee.
People who used to be shrewd have become ignorant of the way home.
Lao Ma is 73 years old this year, usually shrewd and knowledgeable, but his repeated violations of the doctor's orders are actually because of illness.
When she stepped into Professor Jiang Jinsong's expert clinic for the first time, Lao Ma's daughter recounted that in the past year, her father suddenly became easy to forget things: he forgot what he had just explained, and asked him to get something, often losing everything, and even more exaggerated, once he almost lost himself and couldn't return home, "Fortunately, he was seen by a neighbor and called a special car to send him back." ”
The local hospital found severe stenosis of the carotid artery, and the doctor said that carotid artery stenosis will cause insufficient blood supply to the brain of the elderly, and some people will show obvious memory loss. In severe cases, it can cause cerebral ischemia and stroke. His daughter learned on the Internet that Jiang Jinsong was an expert in this area, and immediately came to Hangzhou to ask for surgery**. In the ward, the old horse forgot the "characteristic" performance, which impressed the doctor.
This time, Lao Ma's daughter happily told Professor Jiang Jinsong that Lao Ma's thinking was much clearer than before, and he was basically not as embarrassed as before, and he could know his relatives over the years and accurately call people's names.
It is narrow here and may trigger dementia in the elderly
The main cause of carotid artery stenosis is atherosclerotic occlusive disease, which is more common in middle-aged and elderly people, and is often accompanied by a variety of cardiovascular risk factors such as hypertension, hyperlipidemia, coronary heart disease, etc. Professor Jiang Jinsong introduced that mild carotid artery stenosis can cause cerebral ischemia symptoms, such as tinnitus, blackness, headache, dizziness, insomnia, memory loss, slow response, etc. In severe cases, it can cause ischemic stroke, such as hemiplegia, aphasia, cranial nerve damage, etc.
Professor Jiang Jinsong said that some studies have shown that carotid artery stenosis is an independent risk factor for vasogenic dementia. The risk of dementia in older people with carotid artery stenosis is 3 to 4 times higher than that in people without carotid artery stenosis. The study also found that due to carotid artery stenosis, patients with long-term cerebral blood flow insufficiency will develop white matter lesions in brain tissue, and some patients will develop cerebral leukoporadis, which will inevitably lead to cognitive impairment, such as memory loss and poor speech fluency. For severe carotid artery stenosis, carotid endarterectomy can completely remove plaque, quickly relieve the stenosis, and restore normal blood supply to the brain.
Carotid plaque is fundamentally a product of arteriosclerosis and is a process of natural aging of the body's blood vessels. Some bad eating habits and lifestyles in life will accelerate the process of arteriosclerosis. Therefore, in addition to drugs and surgery**, it is also necessary to cultivate a healthy lifestyle: the daily diet should follow the principle of a balanced diet, so that the food is diverse, the staple food is quantitative, the vegetables and fruits are rich, the milk beans are rich, less oil, less salt, less sugar, reduce the intake of fatty meat, and eat less smoked, baked, cured and other processed meat products. Professor Jiang Jinsong reminded.
*Please indicate the source".