White hematic boys encounter "needle -piercing lead" in the pulmonary embolism blood vessels to resolve thrombosis

Author:Hubei Daily Time:2022.09.14

Hubei Daily News (Reporter Yu Jinyi, correspondent Luo Yao) On September 14, under the careful care of all medical staff of respiratory and critical medical staff at the Sixth Hospital (Affiliated Hospital of Jianghan University) in Wuhan City, 5 -year -olds who suffered from leukemia were The boy's daily (pseudonym) finally lifted the alert of pulmonary embolism and entered the next stage of treatment.

Every day in Zaoyang City, in April last year, it was diagnosed with acute lymphocyte leukemia every day. In order to treat the disease every day, his parents took him to the provincial hospital chemotherapy. In order to reduce the pain of repeated puncture and avoid local damage to the exterior of chemotherapy drugs, the conventional intravenous infusion port implantation was accepted every day.

After chemotherapy, every day's condition was quickly controlled. However, due to the side reaction of chemotherapy drugs affecting the coagulation function and the implantation of the pipeline, the infusion port catheter, heart and left lower pulmonary arteries were found during conventional examinations at the beginning of this year. After 4 months of anticoagulanting, the thrombus in the heart of the day disappears, but the thrombosis of the left lower pulmonary artery still exists. In order to eliminate thrombosis as soon as possible, it was transferred to the National respiratory disease clinical medical research center of Wuhan Sixth Hospital of the Sixth Hospital of Wuhan City.

Due to long -term chemotherapy, every day's vascular conditions are not good, infusion and blood drawing have become the first challenge facing the nurses of the ward. Wang Xuechun, the head nurse of the Department of Discern and Critical Medicine, said that in order to make every day less pain, the nurse adopted venous puncture under B -ultrasound to accurately set the position of blood vessels and see blood.

Every day as the smallest patient in the ward, medical staff loved him. Knowing that every day was going to have surgery, the nurse's chief Wang Xuechun specially bought a set of block toys for Tiantian. "I believe that every day is the most brave, and I can defeat the monster!" Every day I was encouraged, I didn't cry, and I completely forgot to be afraid of surgery.

"The diameter of normal children's lung blood vessels is about 6 mm, but the diameter of the blood vessels in the left and lower lungs is only 1 mm." Li Fajiu, director of the Department of Disposal and Critical Medicine, said that it was found that the left lower pulmonary arteries were severe If you do not pass through the blood vessels, you will lose your left lung function, and the risk of hemoptysis and hypertension. After the cardiovascular department, thoracic surgery, radiology department, nuclear medicine department, anesthesiology department and other discipline consultations, after remotely discussed the treatment plan with domestic authority and cardiology experts, they underwent expansion of pulmonary artery stenosis balloon every day.

Li Famu introduced that the pulmonary arteries wall of the child is very thin. If you want to get through the blood vessels, it is like "walking the wire" in the blood vessels. If you lose a little, you may cause major bleeding. In order to ensure that the surgery is all lost, the surgery team also deliberately prepares the minimum surgical equipment. The chief surgeon of the center Li Famu and Zhu Ziyang, two doctors of Zhu Ziyang, "pierced the needle" in the blood vessels with a diameter of less than 2 mm, slid the balloon along the placed guide wire into the blood vessels, reaches the part that needs to be expanded, and then gently release it gently. The balloon pressure expands the lesion of the lesion and supports the narrow blood vessels.

After the operation, the vitality is restored every day, and the cute smile is about to be treated.

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