凌晨五台急诊PCI后 他们累躺在更衣室

2018-02-21 白璇 北京友谊医院

【我的值班故事】从凌晨2:10到早上8:40,北京友谊医院两位医生结束了5台急诊PCI,疲惫地躺在更衣室的沙发上睡着了。

2月19日大年初四,大多数人们还沉浸在假期的休闲娱乐、探亲访友中。这天早晨,北京友谊医院心血管中心医生丁晓松和刘锐锋结束了凌晨开始的5台急诊PCI(冠状动脉造影及支架置入手术),疲惫地躺在更衣室的沙发上睡着了。



从凌晨2:10到早上8:40,心血管中心急诊绿通团队的医生梁思文、丁晓松、马国栋、刘锐锋、化冰和技师赵捷、护士朱婕,连续6个半小时不间断地完成了5台急诊PCI手术。其中最年轻的55岁,年龄最大的86岁,包括急性下壁后壁心肌梗死、急性广泛前壁心肌梗死等。

这五位患者中,病情最重的是一位76岁高龄的老太太,心梗合并三度房室传导阻滞伴间歇左束支传导阻滞,伴低血压休克,频繁发作胸痛,症状持续不缓解。接诊医生立即启动了心导管绿色通道行急诊PCI。冠脉造影检查显示老人三支血管严重狭窄,在应用临时起搏器保驾及IABP(主动脉球囊反搏)辅助支持下,同时干预三支血管,并在三支血管中各放一枚支架。手术持续了近1个多小时。术后患者顺利转至监护病房继续治疗,症状已经好转,病情平稳。


5台手术结束的时候,天已经大亮了。几位医生有的与家属交代病情,有的与值班医生进行交接,有的在书写手术报告,有的在病房进行指导。因为整整一夜没有合眼了,结束工作后,他们已疲惫不堪,筋疲力尽,躺在更衣室的沙发上就睡着了,甚至靠着座椅就打起盹来。

而此刻,心内科导管团队的微信群也在活跃着。“我正在赶路,现在回来帮大家干活。”“这两天再有急诊叫我吧,过节不上次台还真不习惯……” “我也可以随时候命,随叫随到!”

从大年三十到正月初五,心血管中心绿通团队共完成9台急诊PCI手术,挽救了9位患者,团圆了9个家庭。

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    2018-11-28 slcumt
  2. [GetPortalCommentsPageByObjectIdResponse(id=1748492, encodeId=b6391e48492e0, content=<a href='/topic/show?id=962552538d4' target=_blank style='color:#2F92EE;'>#急诊PCI#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=52538, encryptionId=962552538d4, topicName=急诊PCI)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=1ec436148053, createdName=slcumt, createdTime=Wed Nov 28 13:41:00 CST 2018, time=2018-11-28, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=306224, encodeId=967630622410, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eq08fBE4ne4yAYXulsHUXiafWXWEQ1kDkMHtT9loagc1nibPCrwjpESVuPO4De8QTeajAic31lDPfjuA/132, createdBy=92ce1931739, createdName=荒郊野树, createdTime=Mon Apr 16 06:44:57 CST 2018, time=2018-04-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=303752, encodeId=e688303e52c7, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=65, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eq08fBE4ne4yAYXulsHUXiafWXWEQ1kDkMHtT9loagc1nibPCrwjpESVuPO4De8QTeajAic31lDPfjuA/132, createdBy=92ce1931739, createdName=荒郊野树, createdTime=Sun Apr 08 06:41:50 CST 2018, time=2018-04-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=289876, encodeId=69142898e6e5, content=学习了很有用不错, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3IzoRn621JdKCFUI4XvNELcibocrAVU6aUzEVDSaf3rYH08PUYUiagGqxAEhj8g9WqqNvD1CupIpCrmnR2OrqHZh/0, createdBy=7f181365728, createdName=飛歌, createdTime=Thu Feb 22 08:14:57 CST 2018, time=2018-02-22, status=1, ipAttribution=)]
    2018-04-16 荒郊野树

    学习

    0

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    2018-04-08 荒郊野树

    学习了

    0

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    2018-02-22 飛歌

    学习了很有用不错

    0

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