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11分钟,这个代号“000”的男子逃离死神

2017-08-21 17:10:32   央广网

央广网长沙8月21日消息(记者傅蕾 通讯员周瑾容 梁辉)岳阳男子高铁上突发胸痛,正好遇上去长沙参加学术会议的岳阳市一人民医院心内科徐细平主任一行。徐主任立即与湖南省人民医院胸痛中心取得联系,病人一下高铁便被救护车直接送往省人民医院介入复合手术部。从进入手术室到手术开通闭塞的血管,只花了11分钟。长沙、岳阳两地医务人员紧密协作,通过省内首个胸痛中心以及无缝连接的绿色救治通道,用“高铁速度”创造了生命的奇迹。

55岁的老陈是岳阳华容县人,与家人在长沙雨花区经营早餐店。8月18日11时08分,老陈从岳阳乘坐G6131次列车前往长沙。“刚上车一两分钟,就说胸口痛”,眼看父亲的情况越来越严重,老陈的儿子只得向列车长求助,乘务员马上通过列车广播寻找医务人员。巧合的是,岳阳市一人民医院心内科主任徐细平带领科里两名医生乘坐这趟列车前往长沙参加学术会议。

“8号车厢有病人需要急救,请医务人员马上前去抢救”,听到广播后,出于职业本能,徐主任与同事李正在、陈智3位医生立刻赶到8号车厢。只见老陈面容痛苦地斜靠在座位上,不停地揉着胸口喊痛,浑身大汗淋漓。他们立即为患者测量血压、脉搏,通过询问家属得知患者有高血压病史,初步判断为急性心梗,必须尽快手术。徐细平主任还拿出随身携带的拜阿司匹林给患者口服。

与此同时,徐细平通过电话联系上湖南省人民医院胸痛中心潘宏伟教授,告知患者情况。潘宏伟立即通知科里医生带着心电图机到医院门口等候救护车,并指示相关人员做好手术准备。这边,李正在、陈智医生一直守在老陈身边,随时监测病情变化。12时22分,救护车抵达省人民医院。

刚出夜班没顾得上休息的王鹏医生立即为老陈做了心电图,然后直接将他送入介入复合手术部。当老陈的妻子从自家早餐店赶到医院时,丈夫已经进了手术室。从12时33分进手术室大门到施行急诊冠脉介入治疗,12时44分开通闭塞的血管,仅仅用了11分钟。直到手术做完,病人成功获救,他的入院手续和缴费都还没有办理,电脑里面记录的患者姓名和住院号只能用“AAA”和“000”代替。

“这个病人是广泛前壁心梗,这是心梗中最凶险、死亡率最高的一种”,手术医生潘宏伟介绍,老陈是冠脉前降支主支缺血,如果不及时开通血管,患者将面临死亡;即便侥幸存活,由于大面积心肌坏死,患者的心脏功能也将受到严重影响。潘宏伟用“亡羊补牢”的故事作比喻,打通闭塞的血管就像修补羊圈,“如果时间太晚,羊都跑光了,羊圈补好也没有太大意义了。好在院前急救的专家为病人及时诊断、正确处理,加上我们无缝连接的绿色救治通道,在病人没有办理任何缴费手续的情况下先手术救人。”

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