The heartbeat is stopped for 5 hours, and the multidisciplinary of Guangdong Medical Affiliated Hospitals will join forces

Author:Guangdong Sanitary Online Time:2022.08.10

Guangdong Health Online was informed that on August 4, a special patient was successfully transferred to a structural cardiac specialist from the Affiliated Hospital of Guangdong Medical University (hereinafter referred to as the "Guangdong Medical Affiliated Hospital") ICU ward for rehabilitation treatment.

The patient had a sudden acute myocardial infarction, and the heartbeat breathing stopped for 5 hours. After a joint treatment of multidisciplinary treatment of the hospital, he finally defeated the death god.

Let's review this thrilling rescue.

At 8 am on July 12, a 31 -year -old man had a sudden consciousness and fell to the ground. When he was sent to the emergency medical center of the Guangdong Medical Affiliated Hospital, he was deeply coma, severe shock, and pupils. , Unable to measure blood and pressure pulse, breathing cardiac arrest.

Pang Lingpin, director of the emergency medical center, immediately led the team to carry out cardiopulmonary resuscitation measures such as external pressing, tracheal intubation, ventilator auxiliary respiratory respiratory. At the same time, the Cardiovascular Disease Center, severe medical department, anesthesia surgery centers were invited to rescue.

After Chen Jianying, deputy director of the Cardiovascular Disease Center, considers the possibility of patients with myocardial infarction, and immediately performed the femoral artery venous pipe puncture, opened the life passage, and prepared at any time. Install outer membrane lung recycling support (ECMO).

▲ Patients for patients with femoral femoral artery for patients

More than 10 members of the rescue team took turns to continue to compress the patients and vibrate more than 10 times. After more than an hour of rescue, there is still no sign of life recovery.

Experts emergency discussion believes that the patient's heart stops for nearly 2 hours. In order to meet the pouring of the organizational organs, the ECMO is installed for it, and then the emergency PCI. With the support of ECMO's life, the patient excluded the cerebrovascular accident through CT examination and was immediately sent into the room for emergency coronary angiography+PCI. It has been nearly 4 hours at this time, and the patient's ECG monitoring still prompts continuous ventricular fibrillation.

At 12:24 noon, the patient was sent to the intervention room. The coronary angiography showed that the blunt edge was blocked at the nearby section, and the left coronary blood flow was slow. Chen Jianying's team immediately performed a drug balloon expansion for him, and after the electro -fibrillation, the patient's heartbeat returned to normal!

At this point, after a multi -disciplinary joint rescue, patients who had a cardiac arrest for nearly 5 hours were "starting to die" and created a miracle of life.

▲ Perform PCI for the patient

After surgery, the patient returned to the ICU ward to continue the comprehensive treatment, and evacuated ECMO support on July 16th. On July 30, the tracheal intubation was successfully removed. The current signs of life are stable and conscious.

According to reports, in recent years, Guangdong Medical Affiliated Hospital has taken the opportunity of high -level hospital construction, which closely focuses on the strategic positioning of the diagnosis and treatment center of difficult and critical illness, comprehensively improve the level of medical technology and service, and strengthen the construction of the five major centers and the construction of integrated critical illness systems. Continuously improve the system of urgency and critical illness, and promote the hospital's difficulty in the treatment of severe diagnosis and treatment to a new level.


Reporter | Su Haining

Edit | Editor of Yin Yan | Zhang Xiuli

Correspondent | Wu Jiangrong Liu Ye Wang Ye

Produced by Guangdong Health Online All -Media Team

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