The atmosphere is severe narrow, terrible!The airway bracket "supports" the passage of life, help!

Breathing is the basic guarantee for human survival. But this incident is becoming more and more difficult for the 79 -year -old Song Pan Dunzhu (pseudonym). There are only 3.9mm left in the narrowest part of the atmosphere, which may be suffocated at any time due to air obstruction.

Faced with the old man with a line of life, the team of the Third People's Hospital of Chengdu faced the difficulties of breathing and critical condition, and successfully used the airway bracket to re -support a "life channel" for him.

Sifferential airway hanging a line

Dunzhu's mother -in -law had been treated in her hometown for a period of treatment because of "coughing and permanenting her sexual breathing difficulties", but the problem of difficulty in breathing was still not resolved.

Later, it was transferred to the third People's Hospital of Chengdu Third People's Hospital for further treatment. After the color ultrasound and CT examination, the elderly were "huge thyroid enlargement accompanied by vertical positions, atrium fluttering, and severe narrowing atmosphere." There are only 3.9mm left in the narrowest point of the airway, but only 1/3 of the normal airway!

"The patient's condition is extremely critical, and it may be suffocated at any time due to airway obstruction, and the airway is needed immediately." Dr. Guo Guoping, Director of the Division of the Division of Disposal Medicine of the Third People's Hospital of Chengdu, said that the department immediately united immediately Multi -disciplinary discussions.

The team agreed that the patient's narrowing is very special -the stenosis is located in the middle of the trachea with a length of about 3.5cm. This means that the symptoms cannot be relieved by cutting the trachea, let alone anesthetize the tracheal intubation. After discussion, you can only choose to place brackets in a hard mirror to relieve breathing difficulties, but there are still risk of laryngeal spasm and breathing cardiac arrest.

Interventional treatment turns danger to peace

How can we put the tracheal stent safely into the patient's narrow airway? In response to this problem, experts from multiple sub -professional groups in respiratory and critical medicine have conducted further discussions. "One is in the body outer membrane and lung technology, that is, the support of the downlink hard mirrors of the artificial cardiopulmonary machine ECOM." Director Li Guoping said that this method is relatively safe, but the overall cost is high. For the original economic conditions, the original economic conditions are the original economic conditions. For poor old people, it is a great burden.

Combined with the elderly's condition and family actual situation, the team gave another treatment plan: placing airway brackets directly under the intubation catheter. Although this treatment method has no trauma and low cost, the entire problem has come to the medical team again -need to work closely between medical personnel. While the intake pipe catheter is required, the accurate airway bracket is placed, so as to support the elderly to support the elderly Open a "life channel" that depends on breathing.

Director Li Guoping said that the intervention team of the third People's Hospital of Chengdu Third People's Hospital has opened an exploration of interventional therapy in the region. So far, almost all the projects can be carried out by domestic first -class response intervention teams can be carried out. He is at the forefront of Sichuan. "Difficulties and risk points exist, but we believe that through full preparation and rich experience, we can escort patients' lives."

At the critical moment, he stepped forward, not afraid of the problem to meet the difficulties. Although the challenges faced, the Communist Party member Li Guoping gave full play to the role of the pioneer of party members and took the lead in participating in the treatment, led the airway intervention group, vascular group, intensive group, and nursing team to collectively face the collective on September 4.

While slowly advancing the pneumatic bracket promoter, the tracheal intubation catheter is slowly pulled out synchronously, accompanied by the "settlement" of the tracheal bracket "settled" in the best position, the airway of the elderly is instantly unblocked, the breathing difficulties are completely lifted, the blood oxygen saturation has increased, and the saturation of blood oxygen has increased. To normal.

With the re -opening up of this channel, the elderly separated from the risk of fatal, and also won the opportunity for the next step of surgery to treat thyroid monosyon and vertical positions.

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