China News Service, Beijing, January 23 (Cao Hong) Sudden cardiac arrest often means death.
According to news from the Aerospace Center Hospital, the hospital’s medical team has recently successfully rescued a patient with cardiac arrest through multi-disciplinary coordination and pulled this patient with acute myocardial infarction and cardiogenic shock from the "Ghost Gate" back to the world.
According to literature search, the successful treatment of this patient with acute myocardial infarction and cardiogenic cardiac arrest is not only the first case in the Aerospace Center Hospital, but also the first case in China.
The medical staff rescued the patient.
Photo courtesy of Space Center Hospital
According to the Aerospace Center Hospital, on January 9, the emergency department of the hospital received 120 emergency transfers of a 50-year-old patient who started to suffer from severe chest pain in the morning and was indifferent when he arrived in the rescue room. The electrocardiogram showed acute coronary artery embolism. Caused by a large area of myocardial infarction combined with cardiogenic shock, the hospital immediately organized rescue, oxygen inhalation, monitoring, blood specimen collection, establishment of venous access, drug boosting, analgesia, emergency cardiology consultation, bedside cardiac ultrasound and chest X-ray examination ...A series of emergency treatments were launched quickly and orderly.
Aiming at the cause of the patient's myocardial infarction and cardiogenic shock, the Aerospace Center Hospital will consult and evaluate the condition and fully communicate with the family members to recommend intravenous thrombolysis.
After 10 minutes of resuscitation, the patient developed spontaneous heart rhythm, but could not maintain spontaneous circulation. The hospital promptly started ECPR (extracorporeal cardiopulmonary resuscitation) rescue, and ECMO (extracorporeal membrane oxygenation) rescue team medical staff quickly arrived.
With the successful operation of ECMO, the patient's blood pressure gradually increased, cerebral oxygen was significantly improved, and the spontaneous circulation was initially stabilized.
The etiology and treatment of patients with cardiogenic cardiac arrest is still urgent. After scientific and standardized condition analysis and risk assessment, the Aerospace Center Hospital has decided to treat the whole hospital in a multidisciplinary joint treatment, including emergency department, neurosurgery, cardiac surgery, respiratory department, The Department of Anesthesiology, Interventional Operating Room and Cardiac Catheterization Laboratory, etc. coordinated operations to implement emergency PCI (percutaneous coronary intervention) with the assistance of ECMO and IABP (aortic balloon pump).
The Aerospace Center Hospital stated that the patient’s heart function gradually improved and hemodynamics stabilized after the multidisciplinary medical staff’s concerted efforts, full treatment and 24-hour dedicated care, and finally reached the ECMO weaning standard and successfully weaned on January 13 Two days later, on January 15, the patient who had been to the "Ghost Gate" was sober, comprehensively assessed without brain tissue damage, and successfully taken off the tube. The Space Center Hospital also created a life miracle.
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