Chapter 287 Cardiac S10t Surgery
Chapter 287 Cardiac S10t Surgery
The anterior descending blood vessel is responsible for most of the systolic function of the left ventricle. If this blood vessel is blocked, syncope, malignant arrhythmia, sudden cardiac arrest and sudden death may occur at any time.
Simple explanation.
Without blood oxygen supply, the heart suffocates.
There is only one consequence of suffocation...
Get ready to sit!
To survive, a heart stent must be installed.
Cardiac stents are the most commonly used medical devices in surgery, and the main materials are stainless steel, cobalt alloys, etc.
The stent is placed in the heart to stretch the narrowed or blocked blood vessels, keeping the blood vessels open and ensuring the blood supply to the cardiomyocytes.
Is the treatment of myocardial infarction, one of the most effective means.
Xia Xia gave a brief overview of the patient's condition and the patient's wife. The wife was completely stupid, and her face was full of panic.
"But...but I heard that after a heart stent, you need to take medicine for a lifetime?"
"And, it will slow down lifespan."
"My husband is only 32 years old..."
Xia Xia explained: "Heart stents are just an interventional treatment to open blood vessels, but myocardial infarction has become a reality, and myocardial infarction requires long-term medication, so even if cardiac stents are not suitable, patients need to take long-term medication."
"His anterior descending artery was almost completely blocked."
"You can understand that the left and right chambers of the atrium complement each other, and now his left ventricle can't bleed, which will have very serious consequences."
"Can you understand that?"
The wife was already in tears.
A good-looking person, who is very healthy on weekdays, suddenly can't...
This kind of blow is unbearable for ordinary people.
The wife is very confused.
She hesitated and said to Xia Xia, "Do I have to operate now? I just informed my in-laws that they are on their way, and I want to wait for them to discuss it."
"Can."
Summer nods.
"Just inform me of the result before 5 pm. Your husband's condition has stabilized now, and you can discuss it slowly."
For doctors, a small heart stent operation can be done in less than an hour.
As the technology becomes more and more mature.
A heart stent is no longer a major operation.
But for patients and their families...
This is a walk through the gates of hell.
It is necessary to give them some time to accept.
come back to the office.
Several people are discussing this patient who died suddenly.
Wang Xiaobei exclaimed: "Oh my god, I've seen him fight before. He's very good at boxing. He seems to be a photographer by his job. When he's not taking pictures, he punches."
"People like this are heartbroken."
"It's hard to live..."
Summer poured a glass of warm water, leaned on the table, and joined the group chat.
"Exercise doesn't equal health."
"What's more, he is a part-time boxer."
"There is no fixed daily training, a period of rest, and a period of boxing. This is the most prone to myocardial infarction."
in reality.
More and more young people die suddenly.
Even, the risk of sudden death in young people is higher than that in old people.
Because young people stay up late, stress, fatigue, high-intensity exercise, and other reasons can lead to sudden death.
Especially high-intensity exercise.
Exercise in moderation.
Athletes also build up bit by bit, allowing the heart to get used to the same intensity.
However, today's young people.
After lying flat for a few weeks, my heart is used to lying flat. Suddenly, one day I have to exercise on a whim. I want to exercise at a high intensity in the gym. At this time, my heart has an opinion.
Heart: Lao Tzu is resting, what are you running!
Heart: Don't suffer Lao Tzu!
Heart: Damn, it's beating too fast, I can't hold it anymore, rest for a while...
after an hour.
The patient's wife came in, and she said to Xia Tian with red eyes.
"Doctor, can conservative treatment be done?"
keep?
It's all blocked like this, still thinking about being conservative?
Seeing Xia Xia's doubts, the woman's face was ugly and authentic.
"It's my father-in-law who doesn't agree to make a brace."
"He checked, and if a heart stent is done, the person will be useless."
"My husband is still young, so..."
After cardiac stenting, there will be some sequelae.
First: drug side effects. When a cardiac stent is implanted in the body, there will be a certain chance of vascular blockage again. In order to fight the blockage, drug assistance must be used. Therefore, patients with stents need to take medication for life.
Second: the bracket falls off or is damaged.
Generally, the corrosion resistance of medical materials is very high, but there will also be some processes of rust, collapse, and even adhesion.
It also poses a certain risk to the patient.
Third: Due to the existence of stents, it will cause thrombosis in blood vessels. Therefore, patients with stents must list diet, control high blood lipids, high blood pressure, weight, etc.
There are many sequelae.
There are also some folklore sayings that after installing a heart stent, you will not live for ten years.
but……
If you don't install it, you may not survive tomorrow.
Summer understands the concerns of patients.
He explicitly analyzed the pros and cons with the patient's wife.
"You decide for yourself."
"According to the heart stent, the operation is performed immediately, and the patient's condition cannot wait."
"If you refuse the operation, sign a disclaimer. Once you leave the hospital, if anything happens, it has nothing to do with the hospital."
His wife's expression changed instantly.
It was obvious that she was very confused.
At this time.
Han Meiji said, "You should discuss it with your husband."
The wife immediately raised her head: "Can I see my husband?"
Summer nodded: "Yes."
"I'll take you there."
Since the patient was in the emergency room just now, the situation has been unstable, so he was not sent to the general ward, and no one except the medical staff could enter the emergency room.
As soon as he entered the emergency room, the wife immediately rushed towards her husband crying.
After crying for a few seconds, the wife wiped her tears and repeated what Xia Xia said.
She said faintly: "I agree to the operation, but Dad and Mom don't agree..."
Husband's pale face let out a long sigh.
"It's okay, I'll sign the surgery myself."
"When you go out, tell them that it's what I insist on doing, and it has nothing to do with you."
"Don't cry wife."
"In the future, I won't go to boxing or running anymore. Let's go for a walk together, or go to square dance together, don't worry."
The man consoled his wife for a while.
Nod to Summer.
"Doctor Xia, arrange an operation for me."
"The sooner the better."
The patient is conscious and can sign the operation on his own.
After signing.
In the summer, the patient is arranged for a preoperative examination.
six o'clock.
Surgery begins.
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