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真险!72岁老人心脏发生“电风暴”

2017-08-21 04:46:27   中国青年网

患者给市一医院心内一区医护人员送锦旗

南宁市72岁的易老先生突发心梗,频繁发生室颤,遭遇了一场可怕的“心脏电风暴”,生命随时受到威胁。危急时刻,南宁市第一人民医院(简称市一医院)心内一区医护人员经过50余次紧张的电除颤,终于从死神手里夺回了老人的生命。

突发心梗 及时抢救手术顺利

7月28日23时许,72岁的易老先生在家上厕所时突然出现胸闷痛不适,伴有头晕、出冷汗,有濒死感,继而晕倒在厕所。家属马上将其送往市一医院急诊科。经过紧急实施电除颤、气管插管及心肺复苏等抢救处理后,易先生恢复了自主心律和呼吸,但心电监护仍提示反复出现室颤,生命危在旦夕。凌晨1时30分,易先生通过绿色通道被直接送入介入室抢救。

凌晨2时10分,医护人员到位,并开始为易老先生行冠脉介入手术治疗。术中,易老先生频繁出现的室颤,给手术增加了难度。在许春平主任的指导下,医护人员沉着应对,奋力抢救。凌晨4时20分顺利完成手术。

奋战24小时 抗心脏电风暴

术后患者胸闷痛的症状有所改善,但病情依然危重,随时可能再次发作室颤导致死亡。7月29日至7月30日是易老先生与死神搏斗的关键24小时,也是心内一区所有医护人员为生命护航而奋战的关键时刻!在这期间,易老先生出现了罕见的交感电风暴,发生了五六十次的室颤,这意味着医护人员需要给他进行五六十次的电除颤,这在心内科是极为罕见的情况。在这期间,参与抢救的医护人员时刻关注着易老先生的心电监护情况,发生室颤及时除颤,成功遏制了他的病情恶化。30日零时,经过电除颤后,易老先生未再出现室颤发作,抢救初获成功,所有医护人员都长舒了一口气。

31日,易老先生再无室颤出现,之后复查心电图时显示,其各项生命体征指标均恢复正常水平,并于8月10日顺利植入一枚支架。术后,易老先生及家属握住医护人员的手感激涕零……

急性胸痛 请患者务必重视

据相关资料记载,易老先生出现的这种心肌梗死后又反复发作室性心动过速、室颤的现象在医学上被称为“心脏电风暴”,是引起严重血流动力学障碍而需要立即电复律或电除颤等治疗的急性危重性症候群,由于死亡率高、处理棘手和预后恶劣而备受临床关注。

对此,市一医院心内科医生提醒市民,一旦发现你身边的家人或朋友发生了急性胸痛,请务必重视并及时送到正规医院就诊,切不可拖拉延迟,也许多快那么几分钟,医护人员就能拉回与死神搏斗的生命。

(罗小璐 通讯员 何胜 李春燕 韦静)

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