Since COVID-19
Many people have had a difficult two years
Waves of epidemics
Let the tourism, hotel and catering industry enter a “cold winter” at every turn
According to internet research
In 2021, a total of 1 million catering-related stores nationwide will be cancelled
Among them, nearly 100,000 hot pot restaurants have been cancelled
The cancellation of nearly 350,000 milk tea shops
Late last year
Haidilao that even queues for hours to eat
All closed 300 stores
48-year-old Zhang (pseudonym)
Opens a small restaurant in Yuhang
The new year has finally started, and business has improved a little
Who knows a piece of news from the radio
Let him be “excited” while cooking in the kitchen
Almost complete tear of the entire aorta
Over 60cm long
What’s going on here?
48-year-old restaurant owner has sudden chest pain
It turned out to be aortic dissection
Old Zhang, 48 years old this year, runs a small restaurant in Yuhang. Due to the epidemic, the business of the small restaurant has been bleak for the past two years. A few days ago, when Lao Zhang was cooking takeaway dishes in the back kitchen, a news about the epidemic in Yuhang on the radio made him frown, and then Lao Zhang felt pain as if his abdomen had been torn apart. A few minutes later, the left calf also had obvious pain. This pain was unbearable for him. He put down the spatula and called back his lover who was delivering food. After an hour of rest, Zhang’s pain did not ease. , So the couple went to the emergency department of the nearest hospital together.
“The aortic dissection was torn from the origin of the innominate artery to the iliac artery.” Lao Zhang had a CTA of the aorta at a hospital near his home, which showed that his The chest pain was caused by aortic dissection. Since the hospital could not deal with such complex aortic dissection, Lao Zhang was given pain relief treatment first, and he was sent to the Emergency Department of the First Affiliated Hospital of Zhejiang University School of Medicine with a 120 ambulance. Immediate referral to vascular surgery for emergency surgery.
Whole aortic tear
Minimally invasive surgery saves lives in time
CT shows that Lao Zhang’s aorta has been torn from the chest to the root of the thigh. Except for the ascending aorta, almost the entire aorta has been completely torn, and the resulting false lumen is completely The true lumen supplying blood to the left leg artery was compressed, resulting in ischemia of the left lower extremity, so Lao Zhang had lost consciousness in his left calf when he arrived at the emergency room.
(Old Zhang’s inspection report)
Deputy Director of Vascular Surgery, Chief Physician Wu Ziheng said, Aortic dissection is known as the “cyclone killer”, and its fatality rate is very high.48 hours More than 50% of patients will face death, and acute aortic dissection leading to lower extremity ischemia needs to be operated as soon as possible, otherwise the lower extremity ischemia time is too long, and the limbs will be necrotic.
Surgery now! Chief Physician Zhang Hongkun and Chief Physician Wu Ziheng, director of the Department of Vascular Surgery, immediately assembled the backbone of the department and immediately covered the repair with covered stents. The support function can “support” the torn film back, and at the same time, the part with the film can seal the ruptured gap closest to the heart, preventing the rupture of aortic dissection. The difficulty of this operation is that the stent-graft is used to cover the dissection of the aortic arch while preserving the blood supply to the cerebrum and cerebellum on the aortic arch. The minimally invasive surgery was very successful. After the operation, the blood flow in Lao Zhang’s body flowed to the true lumen through the stent, so that the intravascular pressure and blood supply returned to normal. At present, Lao Zhang has recovered and was discharged home, and only needs regular follow-up follow-up.
People with large faces and thick necks are at high risk
Watch out for this momentary sharp pain
“Many people with aortic dissection have big faces and thick necks and heavy weights, like Lao Zhang who is also fat.” Director Zhang Hongkun said that recently In recent years, aortic dissection tends to be younger, which is related to people’s daily bad habits. Long-term smoking and drinking affect vascular health, and hypertension is the main risk factor for dissection , About 70% -90% of patients with dissection have varying degrees of hypertension.
Lao Zhang is a typical example, more than 20 years of tobacco and alcohol history, and high blood pressure, but he has never paid attention to his high blood pressure disease, has never been Medication regularly. Recently, people’s blood vessels are constricted, blood pressure will be higher than usual, and people with poor blood vessels are prone to vascular diseases, especially dissection.
Nowadays, people’s lives are under a lot of pressure. For example, Lao Zhang’s restaurant business has not been good in the past two years due to the epidemic. , so his blood vessels are like sponges that absorb his pressure, and they “explode” if the capacity is insufficient.
Aortic dissection is extremely dangerous, and not everyone is as lucky as Mr. Chang. Experts remind that the general population should do a good job of monitoring their own health. People with smoking, obesity, high blood pressure, etc. should abandon bad habits, control their weight, and control their blood pressure. Sudden severe back pain, chest pain, and abdominal pain must be investigated promptly.
Expert Outpatient Form of the First Hospital of Zhejiang University
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