The first case of pre-hospital thrombolysis was successfully carried out in Ruoqiang hospital

2022-07-28 0 By

At 10 o ‘clock on April 1st, ruoqiang County People’s Hospital successfully rescued a patient with acute myocardial infarction. Two ambulances opened the two-way “life channel” at the same time, and completed the first pre-hospital thrombolysis in the ambulance. “Life and death speed” emergency treatment, myocardial infarction patient turned the corner.It is reported that at around 7:40 am on the same day, the Ruoqiang County People’s Hospital 120 received an emergency call from the Health center of Yitongbulak town, 300 kilometers away. A middle-aged man was treated for chest pain for 1 hour. According to clinical symptoms and electrocardiogram results, he was diagnosed as anterior wall myocardial infarction, and needed immediate transfer to the hospital for emergency treatment.There is no time to delay saving lives.Hebei xinjiang expert, the county people’s hospital medical business director Wang Shangtao after got a call from the emergency treatment, immediately decided to referral ambulances, according to swallow braque township health centers, at the same time, first aid team headed by him and accepts drugs to midway, shortening the time of myocardial ischemia in patients with maximum, open infarction blood vessels as soon as possible.At 8:15 a.m., Director Wang Shangtao and his delegation set out from Ruoqiang by ambulance 120.After two hours of life-and-death speed, the two ambulances successfully converged at 1017 hours.For acute myocardial infarction patients, time is the heart, time is life.At this time, the patient’s chest pain was worse than before. Director Wang Shangtao immediately checked the patient’s situation and confirmed that the patient was in line with the indications of intravenous thrombolysis and had no obvious contraindications. It was suggested to conduct intravenous thrombolysis on the ambulance immediately.After obtaining the consent of the patient’s family members, Director Wang Shangtao began intravenous infusion of thrombolytic drugs for the patient on the 120 ambulance at 10:20 PM, and the thrombolysis was completed at 10:32 PM.Twenty minutes later, the patient showed significant relief of chest pain and spontaneous ventricular tachycardia on ecg monitoring.30 minutes later, the ecg of the patient indicated that the elevated ST segment fell back >50%. This thrombolysis was successful, which bought time for the patient’s myocardial ischemia and reduced the possibility of myocardial necrosis.Later, Director Wang Shangtao continued to monitor the patient’s heart rate, blood oxygen, blood pressure and other vital signs on the 120 ambulance. He arrived at the hospital safely at 12 am and quickly carried out the next treatment, completing the relay of life.The golden treatment time for acute myocardial infarction patients is within 2 hours after the onset of the disease, if delayed medical treatment, will lead to the expansion of myocardial necrosis.”Time is of the essence for patients, and we have to get through clogged blood vessels in the shortest possible time!”Wang shangtao, director of the hospital, said that through thrombolysis in pre-hospital ambulances, patients can receive effective treatment in the shortest time.At present, after the careful treatment of Director Wang Shangtao and medical staff, the patient’s condition is stable without other obvious complications.The patient said, “My illness is very urgent. I sincerely thank Dr. Wang for his superb medical skills in saving me and giving me another life!Thanks to Dr. Wang and the medical staff for their treatment and care!”Acute myocardial infarction is one of the most severe and common cardiovascular diseases, which is characterized by rapid onset, rapid progress and rapid disease change, and may develop into cardiac respiratory arrest in a few minutes.This treatment is the first pre-hospital ambulance thrombolysis in Ruoqiang County People’s Hospital, which truly realizes the seamless connection between “pre-hospital” and “hospital” first aid work, builds a new pattern of emergency first aid integration, and accumulates valuable experience for further improving the treatment level in the future.Over the years, Ruoqiang County has steadily promoted the medical benefit project, accelerated the joint construction of the county medical community, actively introduced yuanjiang talents, strengthened education and training, improve professional skills, and strive to create a technical medical team, providing a full range of full-cycle health services for the regional people, and improving the medical level.(Lili Guo)