Recently, the medical staff of our emergency department successfully treated a patient with hemorrhagic shock, severe anemia, and gastrointestinal bleeding with excellent first aid ability and superb medical technology, performing a heart wrenching "life and death speed".
"She vomited a lot of blood, her mind has been in a daze, and there is no way to deal with it!" Around 18:00 in the afternoon, patient Ms. Liu was taken to the emergency room by her family.
Originally, Ms. Liu, 53 years old, had black stools a week ago and later vomited blood. After an external examination, she was diagnosed with hemorrhagic shock and gastrointestinal bleeding. However, due to limited medical conditions, effective treatment was not possible. In a hurry, her family quickly sent her to Xi'an International Medical Center Hospital for treatment.
"Blood pressure 86/56mmHg, heart rate 123 beats/minute! Rescue immediately!" After receiving the diagnosis, Yan Jiang, the medical team leader on duty in the emergency room, quickly organized the medical team to provide rescue measures such as hemostasis, anti shock, blood transfusion, and opening the central venous access. The emergency check showed that the hemoglobin level was only 43g/L, indicating severe hemorrhagic anemia. Yan Jiang also reported to the resident chief physician. After evaluating the patient, resident chief physician Xi Haobo found that Ms. Wang's condition was critical and needed emergency intervention treatment to stop bleeding. The situation was quickly reported to Director Yu Houyou of the emergency department.
"Generally speaking, the symptoms of severe bleeding often come aggressively and the condition is complex. In cases with active bleeding, conservative treatment is not ideal, and patients have already developed hemorrhagic shock with unstable hemodynamics. It is crucial to make quick and effective decisions."
At 7 pm, under the leadership of Director Yu Houyou, the intervention sub specialty group of the emergency department was led by Deputy Director Gong Xiaoliang, Deputy Chief Physician Liu Xiaoman, and Resident Chief Physician Xi Haoboli to perform abdominal artery superior mesenteric artery inferior mesenteric artery angiography embolization for the patient. During the operation, DSA imaging showed abnormal thickening of local blood vessels in the abdominal artery left gastric artery branch of the patient After more than an hour of effort, the emergency surgery was successfully completed.
After the surgery, the patient was admitted to the emergency ward. During hospitalization, her vital signs remained stable and various indicators steadily increased. Under the guidance of Deputy Director Gong Xiaoliang, the attending physician Ma Wenyu confirmed through further examination and treatment that Ms. Liu suffered from massive bleeding caused by gastric ulcers. After a period of treatment and careful care by the emergency ward medical team, the patient successfully recovered and was discharged from the hospital.
"For patients with severe bleeding and high mortality rates, time is life. We must quickly improve the relevant preoperative examinations for patients, send them to the operating room as soon as possible, and strive to allow patients to receive intervention treatment in the shortest possible time, ensuring that patients receive rapid treatment from outpatient, surgical to hospitalization. The role and effect of emergency intervention treatment in dealing with clinical hemorrhagic critical diseases have been widely recognized." Director Yu Houyou said.
According to the inpatient general manager Haobo, hemorrhagic diseases are a common emergency in clinical practice. If patients cannot receive timely and effective treatment, it may lead to uncontrollable hemorrhagic shock and endanger their lives. Interventional surgical treatment for hemorrhagic diseases involves inserting a catheter under radiation guidance into the bleeding related artery for angiography. During the operation, the location and extent of bleeding can be clearly seen through angiography, resulting in contrast agent overflow. After identifying the bleeding site, embolization and hemostasis treatment are given. Many critically ill patients can receive timely treatment through minimally invasive and rapid intervention diagnosis and treatment.
At present, emergency intervention diagnosis and treatment has gradually become one of the preferred treatment methods for many critical emergency diseases. After the release of the "Healthy China 2030" plan outline, various regions have put forward clear requirements for the diagnosis and treatment of difficult and critical clinical conditions, especially in the treatment process of critically ill patients such as hemorrhagic diseases, emergency intervention technology is one of the core technologies of first aid. Our emergency department is a modern, professional, and standardized independent comprehensive treatment unit with a complete organizational structure, a talent pool, and advanced facilities and equipment. The emergency rescue room is equipped with a hybrid operating room, which routinely carries out one-stop emergency diagnosis and intervention for various hemorrhagic and thrombotic diseases, including traumatic massive bleeding, massive hemoptysis, gastrointestinal bleeding, obstetric and gynecological bleeding, urinary system bleeding, and postoperative bleeding Tumor related bleeding. Simultaneously carry out interventional embolization and chemotherapy embolization for tumor patients, placement of vena cava filters, and implantation of venous chest wall infusion ports.