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医护、家属当“演员” 防救心梗演“大片”

2017-09-08 06:56:44   中国青年网

长春晚报记者 于慧

6日,吉林大学第一医院(简称:吉大一院)心血管疾病诊治中心在门诊一楼的多功能厅内播放了两部“急救大片”,分别是《心中的船》和《心健康.中国心》。这两部“急救大片”的导演、来自该院心血管中心的副主任孙健教授告诉记者,“急救大片”的演员都是医生、护士和家属,讲述的是患者突发急性心肌梗死后第一时间通过该院“胸痛中心绿色通道”得到及时救治恢复健康的故事。

医生、护士和家属当演员上演“急救大片”

当日下午,随着吉大一院心血管疾病诊治中心播放的“急救大片”中,也再一次提到时间就是“心肌”,早发现早治疗的提示。为了让更多人认识到急性心肌梗死,这里的医生、护士和医护人员的家属也化身为“演员”。

只见大片中,两位许久不见的老友在饭店会面后,好酒、好菜大吃的同时,手中的香烟也不停。酒足饭饱回到家后,半夜时分,其中一名老友突然感觉心痛难忍。家人发现后马上拨打120将他送到医院,通过“胸痛中心绿色通道”及时检查做了手术。另外一个镜头中,一名科研男忙于工作,连续加班多日,就在自己躺下休息后,一阵胸疼来袭,找来药吃下缓解,看着病情不见好转,通过拨打120马上被送到医院。就在“患者”在120车上紧急赶往医院的途中,120医护人员也已经第一时间电话跟吉大一院胸痛中心的医护人员取得联系,通过车载心电图等检查,院前的检查数据也第一时间通过手机传到医院急救平台,当确诊后,启动导管室,当患者到达医院后,第一时间通过绿色通道进行紧急救治。

发病后90分钟接受紧急治疗是关键

记者了解到,对于急性心肌梗死患者而言,发病后的12小时内是和时间赛跑的关键阶段。这12小时,诠释了“时间就是生命”。而从接诊到开始冠脉介入性诊断和治疗的90分钟,是急性心肌梗死实施救治的黄金时间,如果能够把握这宝贵的90分钟,为更多的心肌梗死患者提供及时、有效的急诊经皮冠状动脉介入(心脏支架)治疗,将会大幅降低急性心肌梗死的致死率和致残率。如今,在急性心肌梗死进行介入治疗中,已经把90分钟定为“金标准”。

记者在吉大一院看到,该院门诊大厅醒目的“胸痛中心绿色通道”,如果发病,门诊三楼心血管急诊室将第一时间给患者提供“绿色通道”。

不要把抽烟、酗酒、熬夜不当回事

吉大一院心血管中心主任郑杨教授表示,有一部分病人在心梗前,会出现心绞痛症状,即在活动中出现胸骨后疼痛,休息后缓解,这可能是心梗的前兆。如果出现表明血管已经存在70%以上狭窄,需要及时就医。但也有一些患者,平素无明显表现,若出现胸痛也可能为心梗。心梗的病理基础是动脉粥样硬化,发生的诱因包括吸烟、活动少等不良生活习惯及高血压、高脂血症或糖尿病(也就是“三高”)等台协障碍,在此,郑杨教授也提醒大家,改变不良生活习惯,戒烟、戒酒,控制体重等,否则长期下去会严重威胁健康甚至生命。

当发现家人突发急性心肌梗塞,首先不要惊慌,保持镇静,让病人立即就地休息,尽可能减少活动,可舌下含硝酸甘油,拨打120急救电话。没有救护车应用平板车或担架送病人,切忌让病人自己上救护车或步行及坐公共汽车去医院,防止使心肌梗塞面积扩大或发生心脏骤停。如果心脏发生骤停,要立即进行胸外按压的心肺复苏术。

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