The guy repeatedly coughing and disagreed, in fact, the bacteria had already eroded the heart!Doctor

Author:Xiamen Daily Time:2022.06.14

● Time: April 29th

● Hospital: Xiang'an Hospital affiliated to Xiamen University

Speed ​​surgical scene

Cough is a trivial matter. How serious is the first reaction of most people? In fact, cough is sometimes a critical signal.

Xiao Huang of Xiamen University thought he was just a simple cough, but in fact, his heart had a big problem. He has infectious endometritis, and his heart has long been overwhelmed. Fortunately, when Xiang'an Hospital (hereinafter referred to as: Xiamen University Xiang'an Hospital) affiliated to Xiamen University, the first doctor found his heart abnormalities, multi -disciplinary relay, and an urgency of heart aortic valve replacement, aortic sinus repair surgery surgery Then get rid of death.

Yesterday, Xiao Huang told reporters that he was able to walk down to the ground for about 200 meters and he could carry out one hour of rehabilitation every day. "After being discharged from the hospital, it is necessary to follow up for a regular review, because he needs to take anticoagulant drugs for a lifetime.

When he was discharged from the hospital, he and his family members and college sent to the Xiangan Hospital of Xiamen University to the Jinqi to express his gratitude. Xiao Huang's mother said, "When I first heard the news of the child's illness, we were far away from Wuhan, who was thousands of miles away, and our hearts were like a knife twisted and the six gods had no masters." Knowing the complexity of the operation, on the day of the child's surgery, they were nervous at the door of the operating room. Sitting in the corridor was restless. When he was discharged from the hospital, the whole family was excited and thanked: "Thank you for the selfless love, noble medical ethics and superb medical skills of Xiamen medical staff, and saved my child's life."

[Precise] Multi -disciplinary relay caught the "real murderer" for chronic cough

Xiao Huang is a graduate student in Xiamen University. He has been coughing repeatedly in early April this year. He has been for many hospitals for treatment. He thought it was just a cough, not a big problem, so he didn't go to his heart. On April 29th, when he went to Xiamen University Xiang'an Hospital to see the doctor again, he transferred from the Department of breathing and critical condition and sleep medicine to the Department of Cardiovascular on the same day, and then transferred to the cardiac vascular surgery. The hospital's multi -disciplinary relay finally found the real murderer of Xiaohuang for a long time: infectious endometritis. At this time, Xiao Huang's condition was very critical.

Xiao Huang went to Xiamen University Xiang'an Hospital to breathe in the department of breathing and critical condition and sleep medical treatment. When the deputy chief physician of Zheng Yali and Dr. Wu Fangfang were listened to him, he found that Xiaohuang's heart rate was very fast, and it had reached about 130 times per minute. Immediately suggested that he transferred to the Department of Cardiovascular Medicine. Chen Zhihao, deputy chief physician of the Department of Cardiovascular Medicine, carefully listened and realized that Xiaohuang's heart had noise. He quickly contacted the Deputy Chief Physician of the ultrasound Du Xin to arrange a cardiac ultrasound examination for Xiaohuang. There may be abscess permeal perimeter, and the aorta-left ventricular tunnel has been formed, and there is a medium-volume reflux. The situation was very critical, and Deputy Chief Physician Chen Zhihao decisively contacted the chief physician of Liu Zonghong, a large heart of the heart of the heart, requested the consultation.

After watching the results of the color Doppler ultrasound examination and fully understanding the medical history, the chief physician Liu Zonghong immediately arranged for Xiaohuang to be hospitalized. After improving the auxiliary examination of the relevant surgery, Xiaohuang was diagnosed with severe endometritis and peripheral abscesses caused by bacterial infections. The disease rate was as high as 40%, and the team of Chief Physicians of Liu Zonghong quickly contacted Xiao Huang's teachers and parents. After full communication, Xiao Huang and his relatives decided to undergo surgery after understanding the condition.

[High -risk] Bacteria eroded patients with hearts in the heart are in danger

Xiaohuang was a large heart vascular surgery at Xiang'an Hospital affiliated to Xiamen University. He underwent the aortic aortic valve replacement and aortic sinus repair surgery under the operation.

How big is bacteria to the heart of Xiaohuang? Dr. Liu Jianlei, the team of Chief Physicians of Liu Zonghong, introduced that they found that Xiaohuang's aortic valve had two -faced deformities. Normal people are three -leaf petals, and small yellow only has two -leaf petal, which makes his aortic valve more easily eroded by bacteria. In this infection, Xiahuang's aortic valve has been eroded by bacteria 10 × 8 mm, and a 15 × 20 mm infection stove can be seen above the left coronal sinus of the aorta. The aorta was originally three layers, which are divided into endometrium, middle and outer membranes. His aortic endometrial and middle layer have been eroded by bacteria to form sinus trails. Popularly speaking, the aortic sinus wall and the left ventricle indoor wall have been damaged by bacteria, which leads to thinning the aortic wall. It is unbearable. Once the blood is impacted, it is easy to cause aortic rupture and danger at any time.

To make matters worse, there is also a 3 mm lobe perforation at the root of the left crown petal of Xiaohuang. This perforation is exactly the sinus trail caused by bacterial erosion, causing the symptoms of insufficiency of the aortic valve. The left ventricular contraction effectively shoots effectively Insufficient blood is also the cause of his fast heart rate, and even insufficient blood irrigation of the whole body will cause other series of complications of other series of complications.

[Warning] The condition has long been a sign, but unfortunately delay many times

Fortunately, the operation was successful. On the first day after the operation, Xiaohuang had been able to walk down from the bed. Since then, Xiaohuang has been treated with 4 weeks of antibiotic treatment at a large cardiac vascular surgery, and at the same time, it has strengthened the treatment of nutrient myocardial muscle and postoperative functional exercise. The results of the review after 4 weeks show that Xiao Huang has no major abnormalities and recovers smoothly. Last week, Xiao Huang was discharged smoothly with her mother and college teacher.

Guo Ailin, the attending doctor of the team of Chief Physicians of Liu Zonghong, said that Xiahuang's condition only needed to take antibiotics to solve it. When tracing the cause in detail, the doctor learned that in the first week after the Spring Festival this year, Xiao Huang appeared for the first time in his hometown in Hubei. He thought it was a normal cold and did not go to the doctor. The second time on February 14th, there was a fever. When the consultation, I only conducted a fever for outpatient clinics, and did not do other further in -depth examinations. After returning to school, before the repeated cough appeared in April, he had pain in joint pain, especially the pain of swelling on the right knee and urinary tract infection. He was diagnosed with orthopedics and nephrologists for different issues. Afterwards, these are the symptoms of infection. Xiao Huang also lamented, "It's really not enough to know the disease."

● Liu Zonghong Xiamen University Affiliated to Xiang'an Hospital of Xiang'an Hospital Heart Big Vascular Surgery Chief Physicians

Cold (flu), as an extremely common disease, will slowly retreat at about a week, even after a cold -catching treatment, it will heal for a period of time after the drug or infusion is treated.

If related symptoms such as fever and cough are not alleviated for a long time, or intermittently alleviating the symptoms repeatedly appear, it will cause high attention, because it may have a lot to do with other diseases. The more common is infectious endocarditis, heart failure, and bacteria. These diseases will not only threaten health, but not timely treatment, it will even threaten life safety.

Infectious heart endometritis is a cardiovascular system disease with higher mortality. Such diseases can easily cause heart failure and even endanger life. It is often manifested as long or repeated unknown reasons fever and cough. As early as possible, delaying diagnosis and treatment can lead to higher incidence of complications and poor clinical results. Therefore, the clear diagnosis of suspected patients is an important part of the disease and treatment.

In daily life, you should pay attention to personal hygiene and protection to reduce the chance of bacterial invasion. If symptoms such as long -term or repeated fever, cough, etc., you need to go to a regular hospital for treatment. Early treatment and early treatment. Do not ignore any signal sent by your body. Do not develop "minor illnesses".

(Text/Xiamen Daily Reporter Liu Rong correspondent Liu Jianlei Zhang Yejin Huang Hao Tu/Xiang'an Hospital affiliated to Xiamen University)

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