Spring Festival “Frozen” rhythm, Aortic dissection “Menacing”, Multi-disciplinary “Quick Rescue”


The Spring Festival, this should be a happy family life, but to guangdong workers, a 34-year-old shaanxi liu (not his real name), is also the mother of two children, why sudden, severe chest pain at this time the local hospital primary diagnosis main artery dissection, hence in emergency on the morning into the second people’s hospital of guangdong province (hereinafter referred to as the “province 2 d”), check in cardiovascular surgery.The imaging department and ultrasound department of the second medical Department of The province immediately opened the green channel, and gave priority to CTA and color ultrasound examinations of the whole aorta for Ms. Liu, and finally confirmed the diagnosis of “acute type A aortic dissection”, which involved the coronary sinus, brachiocebrachial trunk and the whole aorta. The condition was very dangerous, requiring emergency surgical treatment.Preoperative preparation was carried out in a steady and orderly manner. Anesthesiologists, surgical nurses, itinerant nurses and related instruments and equipment were quickly equipped in the operating room of the Anesthesiology Department upon receiving the notice of emergency operation. The Blood transfusion Department actively contacted the central blood bank to prepare blood for Ms. Liu.On the first day of the lunar New Year, Ms. Liu received emergency aortic sinus plasty and total aortic arch artificial vessel replacement, and the operation went smoothly.Zhong Zhimin, director of the cardiovascular surgery department and chief physician of the second provincial hospital, introduced that aortic dissection is caused by a variety of pathological factors, such as hypertension, arteriosclerosis, congenital vascular dysplasia and so on, leading to the tearing of the intima of the arterial wall.Blood flows through the rupture of the intima into the artery wall, forming a new protruding vascular cavity called the “false cavity”, while the original vessel is called the “true cavity”.The “false cavity” is blocked only by a thin layer of the outer membrane of the artery. If the outer membrane cannot withstand the internal blood pressure, it ruptures, causing massive bleeding and most likely death.During the “frozen” Spring Festival holiday in Guangdong this year, the temperature difference between morning and evening is large, which may cause sudden constriction of blood vessels, and patients with hypertension are prone to blood pressure fluctuations.Once the blood pressure fluctuation is too large, the blood vessel wall is easily damaged, causing aortic dissection, and the high-risk group should take warm measures.Declaration: The copyright of this article belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com

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