On February 26, 2024, a touching scene was staged in the first ward of the Interventional Vascular Surgery Department of Hunan Provincial People's Hospital, where Ms. Yi, who was about to be discharged from the hospital that day, warmly hugged the medical staff and took the initiative to ask for a group photo, and also gave them a thumbs up and ...... thumbs up
After the operation, the patient recovered smoothly.
It turned out that Ms. Yi, 65, was a deaf and mute person from Yueyang, Hunan. After dinner on February 12, she suddenly vomited blood, "vomiting enough blood to have a mineral water bottle", and her condition was very critical. The family immediately called the emergency services** and took her to a local hospital. Due to the complexity of her condition and the difficulty of the operation, the local hospital recommended that Ms. Yi be transferred to Changsha for further treatment after emergency treatment.
At around 10 p.m. that night, Ms. Yi was taken to the Hunan Provincial People's Hospital by 120 ambulance. After receiving the consultation, the team of Deputy Chief Physician Sun Lin, Attending Physician Zhou Chuang, and Physician Liu Yuzhou of the Department of Interventional Vascular Surgery found that the patient was unable to communicate normally due to deafness and muteness. After careful physical examination, expedited completion of relevant examinations and family inquiry, the initial diagnosis of upper gastrointestinal bleeding caused by liver cirrhosis was preliminarily diagnosed; In addition, she had a history of multiple bleeding and poor liver function, and bleed again after hemostasis under gastroscopy. After communicating with the family, the team decided to use interventional shunt surgery to save his life.
Introduce the patient to the interventional operating room environment through drawing.
Emphasize puncture precautions.
In order to smoothly communicate with Ms. Yi about the operation, during the preoperative conversation, Deputy Chief Physician Sun Lin drew 3 anatomical diagrams and patiently explained the necessity of the operation. Li Yuhui, the head of the first ward of interventional vascular surgery, drew two cartoons to introduce her to the situation of the interventional operating room and the key points of surgical cooperation. With the concerted efforts of the medical staff, Ms. Yi successfully completed the preoperative preparations, and received her understanding and cooperation.
Schematic diagram of normal hepatic blood vessels.
Abnormal portal blood flow direction in patients with cirrhosis.
Schematic diagram of transjugular intrahepatic portosystemic shunt (TIPS).
After everything was ready, the team of Deputy Chief Physician Sun Lin successfully performed transjugular intrahepatic portosystemic shunt (TIPS) for Ms. Yi, achieving the purpose of reducing portal vein pressure, embolizing bleeding vessels and controlling bleeding.
After the operation, Li Yuhui led the nursing team to carry out personalized care for Ms. Yi, and drew 2 cartoons again to explain to her the postoperative complications and dietary management.
Guidance on postoperative complications.
Postoperative diet education.
Under the meticulous care and care of the medical team in the first ward of interventional vascular surgery of Hunan Provincial People's Hospital, Ms. Yi recovered well and was successfully discharged.
Hunan Medical Chat Special Author: Hunan Provincial People's Hospital Wu Bo Li Yulian Drawing Li Yuhui Sun Lin Follow @Hunan Medical Chat to get more health science information!
Edit yh) How much do you know about health