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8年“超长待机”住院总医师 造就一个“全能医生”
2017-08-23 09:52:42 中国青年网
射频消融术毁损“错路”
让“迷路”的电信号回归“正道”
5岁的武汉男孩团团出生时早产,出生后不久查出患有先天性心脏病。2岁时,父母带他去家附近的医院做手术,不料术中孩子突然出现心律失常,险些丢了命。
每次一发作,团团就面色苍白、大汗淋漓,数次晕倒在地。夫妻俩带着孩子四处求医,医院都表示只能服药保守治疗。医生告诉他们,继续发展下去,团团最终将面临心衰,必须换心才能活命。
今年7月,绝望中的夫妻俩找到了武汉儿童医院心血管内科。检查后,张勇诊断团团为房室结双径路,说简单点就是控制心跳的房室结,突然分出了“两条完全不同的路”。“本来心脏的电信号只有唯一的一条路可走,团团有两条路,电信号时不时‘抄近路’,在错误的路上不停地绕圈圈,导致正常的心脏电传导‘断了线’。”张勇解释,要彻底解决这个问题,用药不能解决根本问题,要及时拆掉异常的心脏传导线路结构。射频消融技术就像旧房改造,用一块“烙铁”将错路毁损封锁,让“迷路”的电信号回归“正道”,根治率在95%以上。
据了解,这种手术难度大、风险高,对医生的要求极高,目前全国能给孩子做射频消融的医院不到20家。
张勇告诉记者,近年来随着介入技术的不断成熟,已经可以不动刀解决很多心血管疾病。与传统手术相比,它不需要开胸,不留刀痕,住院4-5天即可出院。
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