Dazhong Net·Poster News reporter Chen Zihao reported by Dongying
It is well known that surgery is generally not recommended for the elderly, because elderly patients are often accompanied by various underlying diseases or physiological functions Attenuation, treatment must be cautious.
Recently, the Department of Cardiovascular Medicine of Shengli Oilfield Central Hospital admitted a 90-year-old patient with chest pain. The patient was suffering from persistent squeezing pain in the precordial area accompanied by nausea, abdominal pain and other symptoms. His condition was very critical. Faced with this elderly patient with acute myocardial infarction, the Cardiovascular Intensive Care Unit has formulated three treatment options. One is conservative drug treatment, which seems safe, but if the infarction-related blood vessels cannot be opened as soon as possible, the myocardium in the infarcted area will be massively necrotic. Second, drug thrombolysis, the success rate is only about 70%, once combined with bleeding complications, it is very likely to endanger life; third, emergency percutaneous coronary intervention, the first time to open the patient’s infarction-related blood vessels, the fastest way to save Dying myocardium is the most effective method for reperfusion treatment of acute myocardial infarction, and it is undoubtedly the best first choice for this patient.
Then, the medical staff made a decisive decision and explained the condition and the preferred treatment plan to the patient’s family in the most concise and concise language. Indicates cooperative support. The Cardiovascular Care Unit quickly prepares the patient for surgery and sends the patient to the Cardiac Catheterization Laboratory for surgery. A few minutes later, the patient’s angiography showed that the wall of the anterior descending branch was irregular, obvious calcification was seen throughout the whole process, diffuse stenosis in the middle and distal segments, and the most severe stenosis was 80-90%… With the joint efforts of medical staff, about 15 minutes later, this was The infarction-related blood vessels of 2 elderly patients were successfully opened and a stent was placed in the proximal right coronary artery. The patient’s symptoms basically disappeared, the operation was successfully completed, and the patient has recovered and discharged from the hospital.
“The success of the operation of this elderly patient is related to the rapid improvement of our interventional technology in cardiovascular medicine in recent years, and it is also inseparable from the trust and support of patients and their families. We hope that through our unremitting efforts, It can save more heart disease patients,” said Li Qinghui, secretary of the Party branch of the Cardiovascular Hospital.