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class="mainContent2">  <div id="hta2j2b" class="layout-location"> <h3>正文內(nèi)容</h3> <div id="g2lhnjy" class="item"> <h4 class="yahei"><span>當(dāng)前位置：</span><a href="http://www.chuanghou.com.cn">河源市人民醫(yī)院網(wǎng)站</a> >> ><a href="list.aspx?id=3">醫(yī)療護(hù)理</a>><a href="list.aspx?id=23">醫(yī)療護(hù)理</a> <span>正文</span></h4> </div> </div>  <div id="hpymqwr" class="layout"> <div id="6r5jp1m" class="show-content"> <h1>心血管內(nèi)科成功救治一名91歲高齡心?；颊?/h1> <p class="info">來源：發(fā)布時(shí)間：2017/11/11 作者：彭沖閱讀數(shù)：5539</p> <div id="nhheag2" class="content"> <p style="LINE-HEIGHT: 150%; TEXT-INDENT: 28px"><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">日前，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px">91歲的心肌梗死患者</span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">通過綠色通道轉(zhuǎn)診到</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">我</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">院，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">心血管內(nèi)科急診行冠狀動(dòng)脈介入治療</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">植入</span>1枚支架后成功脫險(xiǎn)。已康復(fù)出院的老人及其家人對</span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">醫(yī)聯(lián)體</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">的</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">雙向轉(zhuǎn)診</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">制度</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">連連稱贊。</span></span></p><p style="LINE-HEIGHT: 150%"><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"> </span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">患者</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">陳</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">某，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px">91歲高齡，有多年的高血壓病史。中秋前后，她時(shí)不時(shí)出現(xiàn)胸痛。10月21日，</span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">患者</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">疼得實(shí)在受不了</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">便</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">去到源城區(qū)第二人民醫(yī)院住院治療，診斷為冠心病、慢性胃炎。對癥治療后，疼痛有所緩解。第二天，再次突發(fā)劇烈胸痛，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">該院</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">醫(yī)生懷疑是</span></span><span style="FONT-FAMILY: Calibri; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">心梗發(fā)作，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">當(dāng)即建議轉(zhuǎn)院。到</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">我</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">院后，急診醫(yī)生</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">進(jìn)行了心電圖、心肌酶、心梗四項(xiàng)檢查，對癥治療后入住該院心血管內(nèi)科，進(jìn)一步確診老人患有急性前壁心肌梗死、單支血管病變、高血壓、肺炎、慢性胃炎等疾病。</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"> <a href="/upload/image/2017-11-14/6364624748700112194307279.jpg" target="_blank"><img src="/upload/image/2017-11-14/6364624748700112194307279.jpg" width="650"></a></span></p><p style="LINE-HEIGHT: 150%; TEXT-INDENT: 28px"><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">心血管內(nèi)科</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">科</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">主任</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">、學(xué)科帶頭人</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">蔣愛忠組織介入小組對</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">老人</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">的病情進(jìn)行了會(huì)診。接診的副主任醫(yī)師樂建華表示，倘若采取保守的藥物治療，病情難以控制，老人隨時(shí)有血管閉塞的可能。而</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">冠狀動(dòng)脈介入手術(shù)，是目前國際公認(rèn)的治療心肌梗死最安全、最有效的方法</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">，但</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">手術(shù)的難度和風(fēng)險(xiǎn)會(huì)隨著年齡的增加而加大。一方面，患者年齡</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">越</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">大，血管的彎曲度和脆度也會(huì)增大，這導(dǎo)致手術(shù)過程中導(dǎo)絲進(jìn)入血管難度很大</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">；</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">另一方面，</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">老人的身體器官功能不好，手術(shù)中</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">隨時(shí)有可能出現(xiàn)心率減慢、血壓下降等危及生命的情況</span></span><span style="LINE-HEIGHT: 150%; FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">。</span></span></p><p style="LINE-HEIGHT: 1.5em; TEXT-INDENT: 28px"><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">經(jīng)過多次和老人的家屬溝通，他們愿意</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">手術(shù)</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">。</span>10月26日，樂建華主刀為老人實(shí)施了冠狀動(dòng)脈支架置入術(shù)，植入1枚支架，</span><span style="FONT-STYLE: normal; FONT-FAMILY: 宋體; BACKGROUND: rgb(255,255,255); LETTER-SPACING: 0px; COLOR: rgb(62,62,62); FONT-SIZE: 14px; FONT-WEIGHT: normal"><span style="FONT-FAMILY: 宋體">解決了血管嚴(yán)重狹窄、改善血流和心肌供血的問題，操作時(shí)間不到半個(gè)小時(shí)，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">手術(shù)便順利完成。</span>“此次介入手術(shù)的成功是醫(yī)患互信、共擔(dān)風(fēng)險(xiǎn)的成果，更是醫(yī)聯(lián)體成立以來的明顯成效，實(shí)現(xiàn)了多方共贏。”樂建華說，如今，</span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">高齡已不是介入治療的絕對禁忌，經(jīng)過醫(yī)護(hù)人員的精心護(hù)理，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">老人手術(shù)后</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">恢復(fù)良好，胸痛癥狀已消除，</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">并</span></span><span style="FONT-FAMILY: 宋體; FONT-SIZE: 14px"><span style="FONT-FAMILY: 宋體">康復(fù)出院。</span></span></p><p> </p> </div> <div class="ufekoff" id="pages" class="text-c"></div> <div id="x5kguzi" class="share"> <div id="gkj7c7a" class="bdsharebuttonbox" ><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到騰訊微博"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空間"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人網(wǎng)"></a><a href="#" class="bds_print" data-cmd="print" title="分享到打印"></a></div> </div> <div id="sc2viyx" class="related mt10"> <h5 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