Once there are less than 1%of the survivors, how can we survive when facing face?

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Physician News (Reporter Huang Jing) On June 14th, Dr. Sun Jian, the chief scientist and dean of the Institute of Vision, Dr. Sun Jian was invalid due to sudden disease rescue. According to the data: 45 years old, usually love sports, died in the early morning of the 14th, and it was okay during the night on the 13th.

This is a middle -aged man with a very healthy consciousness, but it is such a middle -aged man who loves sports, but suddenly he can never stand up after falling to the ground.

This is not the first sudden death of this year, and many ordinary people also face the risk of sudden death. According to statistics from the American Cardiac Society, the number of sudden deaths outside the United States in 2017 was as high as 350,000, and only about 10%could survive. This is still the most developed country in the United States. In China, the numbers are even more shocking. In 2006, a survey of sudden heart death epidemiological surveys carried out by Professor Huawei Hospital of the Chinese Academy of Medical Sciences, etc. show that China's sudden death incidence of sudden death exceeds 540,000 people each year. According to the Beijing 120 system survey, less than 1%of the ultimate rescue among patients with sudden death.

In China, more than 1,500 people died of sudden heart daily death every day. Behind the life of life, there are broken families, the passage of social talents, the pain of loved ones, and society. What can we do so that 1%improves and then increases 1500? Strive more time and opportunities for sudden cardiac dead?

01

Less than 1% of the survivors of sudden heart death

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Among patients with sudden death, more than 60%are accompanied by cardiovascular disease, including hypertension, coronary heart disease, heart failure, wind heart disease, etc. Among them, 60%to 70%of Asian countries are caused by coronary heart disease, and coronary heart disease is the primary cause of sudden cardiac death. Mild moderate heart failure is another main cause of sudden death. Hypertrophic myocardial disease is the first cause of sudden death of young people.

"Company executives, doctors, police, etc. are high -incidence of sudden heart death." Professor Yang Jingang, Fuwai Hospital of the Chinese Academy of Medical Sciences, pointed out that their common feature is that they are under great work pressure, staying up late, and irregular life. They are high -incidence people of heart disease. Under the health of the surface, the heart has been overloaded for many years, the heart is quiet, and a fatal blow is given when it is unbearable.

Different from cerebral infarction, sudden cardiac death is caused by heart causes. Most of them die within one hour of symptoms, that is, once it occurs, there is not much time for reaction to us. What happened to the hearts of sudden heart dying patients who suddenly fell to the ground?

Is it a cardiovascular embolism? Is the heart ischemia? No, the most fatal is ventricular fibrillation.

The so -called ventricular fibrillation, that is, the muscles of the ventricular contraction quickly and weakly, and the uncoordinated tremor, the heart no longer shrinks normally, and cannot discharge the blood in time, resulting in a disconnected blood supply to the whole body.

Therefore, the timing of rescue is very important. The survival rate of rescue is very high within a few minutes, but if the time is too long, even if the rescue is successful, many patients may also die because of their brain or the failure of rescue.

02

Make cardiopulmonary resuscitation skills a "essential technique" of the public

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Dongdan intersection is called the safest place in history. In 2019, in the gymnasium at the Dongdan intersection, a fitness person suddenly fell to the ground and had suddenly died. Just like 6 doctors in Beijing Union Hospital played in the gymnasium, quickly carried out cardiopulmonary resuscitation, and used the AED in the museum. Lucky surviving. Since then, it was also at that intersection. Someone died suddenly on the side of the road. It happened that the two nurses of the Xiehe Hospital passed by, rescued in time, and snatched their lives.

Sudden death may happen at any time. Can you only pray that there are medical care around you when you are on the disease? In recent years, many experts have called on different occasions to establish a sound "social rescue system" to allow more people to master the skills of cardiopulmonary resuscitation, and always prepare AED in public places in the subway.

Cardiopulmonary resuscitation skills are an essential skill for him. "I am for everyone and everyone." We have mastered the skills of cardiopulmonary resuscitation. They do not use it when sudden death, but can be rescued in time when others have sudden death. When this consciousness is accepted by more people, when we are unfortunately fainted on the streets, there will be ten and hundreds of people who know cardiopulmonary resuscitation for us to save our lives for us.

A few years ago, Tsinghua University, a student of sudden heart death in the dormitory, was precisely because the school conducted regular cardiopulmonary resuscitation training on students. At the critical moment, the roommate rescued the young and lively life with professional technology. He is lucky, and this luck is not lucky. It is based on the popularity of the school for emergency treatment and awe of life.

If you can popularize the training of cardiopulmonary resuscitation in colleges, high schools, and even junior high schools, this technology is included in the required project, then 10 years and 20 years later, there will be more people who standardize cardiopulmonary resuscitation technology. Get timely treatment.

03

Let public places prepare AED

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The standard cardiopulmonary resuscitation can undoubtedly strive for patients, but to quickly recover the arrhythmia of the patient, the automatic vitro tremor (AED) is essential. When the heart is suddenly hit, including myocardial infarction, the heart tremor can be relieved by electric shock to restore the heart rhythm to normal. In particular, when the out -of -hospital cardiac arrest occurs, most patients are initially manifested as ventricular fibrillation. The first time can be recovered by the patient through electric shock to minimize nerve damage. "At present, the Beijing Metro Station has achieved full coverage of AED devices, and the newly opened line station has also completed the AED configuration simultaneously." On April 25 this year, there were media reports that the Beijing Metro basically achieved 50%of the station officials with AED use qualifications, and subway stations discovered discovery Or when a passenger fainted, the station staff will bring the AED device to the scene to help the site as soon as possible, and use the station broadcast to find medical staff to provide professional rescue, and simultaneously call 120 and 999 to seek professional treatment. The effect is immediate. This kind of public first aid "artifact" for rescue of patients with cardiac arrest has successfully rescued passengers' lives at the Beijing Metro site 4 times.

Equipped with AED at large public places such as airports and supermarkets, and training for staff with cardiopulmonary resuscitation and AED will be more conducive to first aid of patients with sudden cardiac death.

04

High -risk people can use high -tech self -rescue

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"For high -risk groups of sudden cardiac death, buried cardiac compound ribbon (ICD) can be implanted." Professor Sun Zhijun of the Heart Center of Beijing Friendship Hospital affiliated to the Capital Medical University introduced that ICD is often used for patients who are prone to sudden heart death, and are "life -saving artifacts" when sudden heart death occurred. Sudden causes of sudden heart death are rapid malignant arrhythmia, such as ventricular heart tachycardia or ventricular fibrillation, causing patients with unexpected sudden death. When patients with malignant arrhythmia, ICD can quickly identify and give effective electric shock treatment, so that the patient's heart rate can quickly return to normal in a short time, thereby turning danger to safety, avoiding accidents and sudden death.

The high -risk group of sudden heart death needs to be implanted in ICD:

First, patients who have survived after sudden heart death. After the sudden death of the heart, such patients should implant ICD as soon as possible to avoid sudden death again.

Second, people who have never had sudden heart death, but in the future, there will be a crowd of sudden heart -based death in high risks. The specifics are as follows:

1. Patients with severe blood loss in severe ejection scores, that is, patients with ejection scores in the left room ≤35%are all sudden dying people;

2. Patients with coronary heart disease and old myocardial infarction, when the ejaculation scores of such patients are <40%, at the same time, whether it is an electrocardiogram or a 24 -hour dynamic ECG, it captures non -persistent or persistent ventricular heart intact speed;

3. Patients with genetic myocardial diseases, such as dilated cardiomyopathy, hypertrophic obstructive myocardiasis. There are also patients with genetic ion channel diseases, including BRUGADA syndrome, long Q-T syndrome, short Q-T syndrome, etc., as well as patients with arrhythmia, right ventricular cardiomyopathy.

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