Changjiang Daily Wuhan Client March 2 (Correspondent Jian Jie) The elderly in their 70s often suffer from asthma, chest tightness, and difficulty breathing recently. And the pulmonary artery was blocked by thrombus. If the operation is not performed in time, it will be life-threatening at any time. Fortunately, many doctors cooperated to perform the operation and successfully opened the heart and blood vessels.
70-year-old Grandma Lei has high blood pressure and suffered a cerebral infarction a few years ago. Later, her family often played mahjong with her in order to prevent her from Alzheimer’s. Playing her cards became addictive, and it became a must-have item every day. Just like “going to work”, it often took a long time to sit.
In the past two months, Grandma Lei has occasionally coughed and wheezing, and she and her family have not paid much attention to it. In mid-February, she developed chest tightness, heartburn, wheezing, and increased breathing. She could not sleep on her back at night. Her family members took her to the health service center for examination. It was initially found that she had bronchitis and interstitial pneumonia. She was transferred to the Houhu District of Wuhan Central Hospital for treatment.
Deputy Chief Physician Ye Shenglan of the Department of Respiratory and Critical Care Medicine of the hospital found that the condition of the old man was not simple, and he invited multiple departments for consultation while performing the treatment of asthma and confirmed that his heart and lungs had the same symptoms. thrombus. “It’s like a bunch of ‘bombs’ buried in the core area of the human body, and life is in danger at any time.” Li Bing, chief physician of the Cardiac and Great Vascular Surgery, said that the top priority is to quickly remove the thrombus and open the heart and lungs of the elderly as quickly as possible. channel.
Subsequently, experts from the Department of Respiratory and Critical Care Medicine, Cardiovascular Surgery, Vascular Surgery, Department of Anesthesiology, and Department of Critical Care Medicine discussed, combined with the elderly’s medical history and long-term sedentary living habits, worried that the thrombosis may be the cause of the disease. For patients with deep vein thrombosis of the lower extremities, a surgical plan was formulated to place a filter in the deep veins of the lower extremities, and then perform pulmonary artery thrombectomy and atrial thrombectomy to prevent the risk of deep venous thrombosis of the lower extremities entering the pulmonary artery and atrium during the operation.
A specialist in cardiac and vascular surgery operates on a patient.
According to the plan, a team of experts from Cardiac and Great Vascular Surgery, Vascular Surgery, and Anesthesiology successfully removed the thrombus in the lungs and atrium of the elderly after 5 hours of hard work. After the operation, everyone breathed a sigh of relief. It turned out that the three thrombi were more than 6 centimeters in size, and the total length of the removal was close to 20 centimeters. At present, Granny Lei is recovering well and was discharged from the hospital at the end of February.
Shang Yuqiang, director of the Cardiac and Great Vascular Surgery Department of the hospital, introduced that high blood pressure is one of the high-risk factors for thrombosis, and the blood vessels of the whole body are like a network of pathways extending in all directions. Vascular access “runs” everywhere, and when blocked at certain locations, it will cause diseases of the corresponding system or even other systems, such as right atrial thrombosis combined with pulmonary embolism, which is life-threatening. “Multidisciplinary cooperation can combine the expertise of experts in various fields and complement each other to achieve a comprehensive, accurate, timely and effective analysis and diagnosis of the disease, and formulate the safest and most efficient treatment plan.”
【 Editor: Yu Lina]