A patient with nasopharyngeal cancer in the sealed area suffers from massive nosebleeds, ENT hospital: save!

On April 1, the whistle of “120” sounded in the Eye and ENT Hospital of Fudan University. This is a patient from a community in Fengxian District. Three years ago, he had a recurrence of nasopharyngeal cancer after radiotherapy and chemotherapy. He underwent surgery at the Eye and Ear Nose and Throat Hospital. Both nosebleeds occurred on April 1, and the bleeding was rapid. , the situation is critical! After receiving the news, Dr. Huang Yibo from the Department of Otolaryngology rushed to the scene as soon as possible to participate in the first aid!

Huang Yibopreliminarily considered that the patient may rupture the internal carotid artery, such a dangerous hemorrhage could lead to death at any time, immediately decided to give the patient nasal packing and compression Stop bleeding. Due to the urgency of time, it was too late to conduct nucleic acid testing on patients according to routine epidemic prevention requirements. The hospital opened the prevention and control enhanced clinic in time, and doctors wore a full set of protective equipment for first aid, and successfully completed nasal packing for patients.

However, nasal packing can only stop bleeding temporarily. To completely eliminate the hidden danger of internal carotid artery bleeding, angiography and treatment must be done, so as to save the patient’s life.

Under the coordination of the medical department, the emergency room and the ENT department quickly completed the flow adjustment, blood drawing, nucleic acid sampling according to the emergency plan, and admitted the patients to the prevention and control department. Control and strengthen the ward, and prepare emergency blood for it.

Dr. Zhang Duo, the chief inpatient of the ENT department, accompanied the patients throughout the process and paid attention to their vital signs. The radiology department recalled the MRI technician who was preparing for the shift at home, and immediately performed an enhanced MRI examination. On the same day, Deputy Chief Physician Sun Xicai of the Department of Otolaryngology immediately organized an online consultation in the Department of Rhinology. Vice President Wang Dehui, Vice President Yu Hongmeng, and Director Li Houyong gave online guidance, and cooperated with the Department of Anesthesiology, ICU, Radiology, and Neurosurgery. After urgent consultation, the experts prepared to perform emergency tracheotomy + interventional angiography, and actively prepared for endoscopic hemostasis exploration.

Dr. Liu Qiang from the Radiology Department, Dr. Gu Ye from the Neurosurgery Department, and Dr. Xue Kai from the Rhinology Department rushed to the hospital one after another. Among them, Dr. Xue Kai, who lives in Wujiaochang, came here on a shared bicycle for more than an hour, but he didn’t care. He breathed a sigh of relief and immediately joined the rescue team.

The DSA Hybrid Operating Room is ready and ready.

After the emergency tracheotomy under local anesthesia, anesthesiologists Li Weixing and Wu Jinhong successfully induced general anesthesia, and they were closely monitored to maintain stable vital signs.

Interventional angiography showed that the bleeding point was located in the right internal carotid artery, and the medical team immediately performed internal carotid artery embolization to stop the bleeding. Nasal endoscopic surgical exploration found an obvious blood clot in the right internal carotid artery of the patient. After carefully cleaning up the blood clot, the doctor filled the bleeding site and finally successfully stopped the massive bleeding!

The next day after operation, the patient had no bleeding and his vital signs were stable.

Under the hospital’s launch of the emergency diagnosis and treatment mechanism for epidemic prevention and control, the medical and nursing forces are united as one, and the ENT, radiology, neurosurgery, anesthesiology, ICU, and nursing teams have collaborated in multiple disciplines, interlocking and succeeding. Saved the life of this nasopharyngeal cancer bleeding patient.