"At the onset of the disease, I felt pain like a tear in my chest, as if I was about to die." Yesterday morning, a reporter saw an artery rupture in the Cardiology Department of Jiangsu Provincial Hospital of Traditional Chinese Medicine, and the surviving old horse still had lingering palpitations when talking about the scene of the onset a few days ago.
Lao Ma is only 53 years old, usually busy with work and under great pressure. On the day of the onset, I worked overtime at the unit and worked until 12:30 pm. After returning home, I worked at my desk again. When I was about 1:40 am preparing to go to bed, I suddenly felt chest laceration like pain and sweated cold sweat all over. Although the phone was within reach, it was just beyond reach. After reluctantly dialing 120, he was taken to the emergency center of the Provincial Hospital of Traditional Chinese Medicine by an ambulance and was in shock.
According to the clinical manifestations of the patient, Shen Le, the physician on duty in the Department of Cardiology, was highly suspected of having a very dangerous aortic dissection. While actively rescuing, he informed Wang Zhenxing, Shi Haibo, the deputy director of the Department of Cardiology, and relevant department personnel. After CT and other examinations confirmed that the patient had an aortic dissection, doctors such as Wang Zhenxing quickly inserted a covered stent into the patient's aortic dissection to stop bleeding.
According to Wang Zhenxing, deputy director of the Department of Cardiology of the hospital, aortic dissection is an extremely dangerous disease with a very high mortality rate, with a mortality rate of 35% to 71% in the acute phase. Several large hospitals in Nanjing also encounter dozens of cases every year, but few can be rescued successfully. "Aortic dissection refers to a tear in the intima of the aorta, where circulating blood enters the aortic muscle wall through the tear, resulting in stratification of the vascular wall.". Because it is very similar to acute myocardial infarction when detected, it is easy to cause missed diagnosis.
According to Chen Xiaohu, the director of the Department of Cardiology who participated in the rescue, patients usually have high pressure at work and are prone to irritability and emotional fluctuations at work. In addition, there is a history of hyperlipidemia and unstable blood pressure, and several risk factors may induce the occurrence of this disease. The majority of patients with ruptured arteries used to be elderly people. Now, because of the fast pace of life and high work pressure, the incidence rate has increased significantly, and the age of onset has also decreased.