What are the secrets of the first case from southwest to the hospital in the province?

Recently, the TV series "About Dr. Tang" was hit. This is the first domestic drama that focuses on cardiology. It tells the story of the cardiac surgery team that solves 28 highly rare cardiac cases. According to statistics from the National Cardiovascular Center in 2019, there are 550,000 sudden cardiac dead dead in my country each year, and the number of patients with cardiovascular disease reached 330 million.

The National Cardiovascular Medical Quality Control Center mentioned in the "Medical Quality Report of China Cardiovascular Diseases in 2021" that among the 4,510 hospitals for cardiovascular disease diagnosis and therapy in 2020, 95.6% of hospitals have Cardiology. Surgery, 72.7%has no vascular surgery. Because cardiac surgery is the crown of surgery, the operation is difficult and risky, which is also an important reason why many hospitals cannot open cardiovascular surgery.

The above reports pointed out that there are still large differences in the allocation of medical resources between regions. Estate surgery and vascular surgery are particularly prominent, which leads to medical treatment in different provinces.

However, the situation is different at the People's Hospital of Leshan City.

Telled the 20 cm incision to 3 cm in Leshan to get the first case in the southwest

"The surgery was performed for five or six hours, and the tracheal intubation was removed in ten hours after the operation." Wang Liangting was very unexpected. After finishing the two -pointed valve replacement of the heart of the heart, it was only more than a day, and the mother turned from the ICU to the general ward.

Wang Liangting lives in Leshan City. It has been more than six years with rheumatic heart disease, and has not been properly treated for various reasons. In March last year, the mother's condition suddenly worsened. She was anxious to bring her mother to the local county hospital, but the complex condition made the doctors helpless.

"The Zhouyang team of the Heart Center of Leshan People's Hospital · Heart Big Vascular Surgery is very professional. You can try it." At this time Perfect surgery will also be a medical miracle.

"The pericardium is severely thickened and calcified. It may need to perform surgery as soon as possible without excluding external contraction pericarditis." As soon as he came to Leshan People's Hospital, Zhou Yang put forward surgical suggestions based on the inspection results, but at this time Wang Liangting's mother's heartbag The adhesion is very serious. If a hormon is performed by a hiposcopic two -pointed replacement, the risk of the pericardial adhesion is high, which may cause a large amount of bleeding. Even after carrying the risk of surgery, recovery after surgery is a difficult deal.

With years of clinical experience, Zhou Yanghe's team decided to use a deep low temperature tremor with a deep low temperature tremor with a low blood loss of the whole thoracoscopy with a deep low temperature. Over such surgery.

Zhou Yang and the team's decision were not adventurous. In the past few years, they have used every weekend and holidays to all parts of the country to learn the cutting -edge cardiac surgery technology. After several years of concentrated study, he and his team have become a dark horse in the industry, Zhou Yanghe The team members were frequently invited to the major domestic and foreign academic conferences for sharing and exchanges, and even many three hospitals invited them to do surgical assistance.

Wang Liangting's mother was successfully completed, and one day after the operation, she transferred from ICU to the general ward. "My mother is fragrant now. Compared with the previous comparison, it is just two people." Watching her mother is increasingly recovered, Wang Liangting was happy from the bottom of her heart.

In Zhou Yang's eyes, "the first case in the southwest" is not only a name, but also a synonym that every member of the department's constant challenge and courage to climb. Cardiac surgery has become the leader in the province and even the first -class domestic level.

Holding a fishing rod to paint as a good "heart door" guardian

The Zhou Yang team is doing "Guanmai Bridge Surgery"

The golden rescue time for cardiac arrest is 4 minutes.

Leshan is nearly 2 hours from Chengdu. Time back to 2016. It cannot be cured and cannot be collected. It was the true portrayal of the Heart Hospital of Leshan People's Hospital at the time. "Leshan has no location advantage. There are many local cardiovascular patients, but many patients have experienced serious misdiagnosis and delayed treatment. Most of them are patients with age, severe illness, and repeated condition. , Doing surgery is a lifetime of nine deaths. "For a long time, Zhou Yang regretted because he could not provide effective treatment for patients.

"It is necessary to build a team that can fight tough battles! Let cardiovascular patients get good treatment without leaving Leshan!" Zhou Yang and Leshan People's Hospital's leadership team made a vow to the people of Leshan.

After learning, you can do it, and you can do it after thinking. With the continuous learning day after day, the team brought advanced technologies back to Leshan.

Famous domestic cardiac scholars have compared the surgery of the aortoscopic replacement under the whole thoracoscopy as: "painting with fishing rods", and there are few cardiac vascular surgery units in the country that can carry out such general thoracoscopic minimally innovation Aortic valve replacement surgery, but at Leshan People's Hospital, has become a conventional surgery.

In addition, thoracic laparoscopic heart minimally invasive surgery (single valve, multi -valve, cardiac tumor, congenital heart disease, etc.), non -stop crown vein surgery under non -external circulation, pfo guidance of the thoracic thoracic ultrasound (pfo (guidance Evalulet holes are not closed) various types of highly difficult surgery such as sealing) sealing and virified intake duct aortic valve replacement (TAVR), which are also common in their clinical cases. The discipline construction model of Leshan People's Hospital has gone to get rid of the siphon effect of the municipal hospital, explored an innovative path to adapt to local hospitals, and also provides a model for promoting the high -quality development of public hospitals and promoting the implementation of the hierarchical diagnosis and treatment system.

Reporter's note

Create the "Regional Medical Center" in the hearts of ordinary people

In recent years, large hospitals such as West China Hospital and Sichuan Provincial People's Hospital have attracted patients from all over the country to seek medical treatment. The large hospitals are overcrowded, but grass -roots hospitals have met. In Chengdu, the "siphon effect" in medical care is obvious.

In the face of such reality, many prefectures and state hospitals cannot recruit top medical teams, attract local patients to consult, and have been unable to develop in the field of critical illness. In order to break this strange circle, they strive to develop, join the medical consortium, and even make well -known medical group hosting, but it is difficult to get out of a road of independent development in the field of critical illness and leading technology.

Leshan People's Hospital broke this dilemma. The hospital's heart center · Heart's large vascular surgery independently developed into the province's leading department, and the department proposed the goal of "absolute leading and domestic first -class level in the province." In recent years, the hospital has developed rapidly in the field of cardiovascular surgery. At present, various types of cardiac surgery have been performed independently under all -thoracles, and the amount of surgery is at the forefront of the province each year.

Cardiac surgery is a carefully crafted job, and any part of the error may lead to losing life. Similarly, the high risk and difficulty of cardiac surgery determine the knowledge of doctors in cardiac surgery, wider, wider, and longer in cultivation cycle. Where can I find talents? The hospital regards cardiovascular surgery as a strategic development department, introduces leading talents with flexible mechanisms, forms a high -level team, and the team enters the best cardiovascular surgery hospital in the country to study for further studies.

As the soul figure of this team, Zhou Yang has always insisted on introducing and innovating a minimally invasive surgical surgery technology of the heart. Patients who do not accept other hospitals will find their team, and they will go all out to do the treatment of patients.

Zhou Yang often said: "Although this road is difficult, as long as you stick to your original intention, you can come out." The development of Ledshan People's Hospital's Hearts Vascular Surgery has once again proved that the prefecture -city hospitals can also create first -class departments in the country. "Regional Medical Center" in the "Heart" of ordinary people. (Xu Jinlong reporter Wang Dan Feng Ruobing)

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