While working, the patient appears severe left chest pain, constant pain then aware of the drowsiness, and was taken to the 103 Military Hospital for emergency treatment by his colleague.
When entering the Department of Internal Resuscitation (A27) - the Center for Emergency Resuscitation against toxicity, the patient is in a state of loss of consciousness, yawning and losing a large circuit.The patient was determined to stop respiratory circulation in front of the hospital.
Movie X-ray of patient's lungs.
Immediately, the duty crew carried out emergency to stop respiratory circulation: squeezing the heart outside the chest, lying the ball and then putting the endotracheal intubation to squeeze the ball through the intubation, taking emergency medicine.On the electrocardiogram of the patient constantly appearing ventricular vibrations, the patient was shocked to switch many times and used Amiodarone anti -arrhythmia.
After more than 1 hour of emergency cardiac arrest, the patient's heart beats again, temporarily maintaining sinus rhythm and hemodynamic stability under the effect of anti -arrhythmia and vasodilic drugs (adrenalin + noradrenalin high doses).
Performing tests shows that the patient's heart enzyme increases, blood gases have severe metabolic acidosis, the center of the map is an image of ST in the D2, D3, AVF.Emergency lung X-rays are images of 2 lungs spreading lungs, due to a combination of congestion due to heart failure and lung damage caused by an emergency patient for prolonged heart.
Doctors diagnose patients with cardiomyopathy due to acute myocardial infarction under Scai-E (with respiratory circulation), multi-organ failure, chronic kidney failure in the 6th year.
The patient continues to be positively resuscitated and immediately consulted with the intervention cardiovascular department.With the close coordination between the Cardiovascular Center and the Emergency Resuscitation Center to poison, the patient has given coronary angiography, showing the complete clogged section 2 of the right coronary artery and has been placed with an emergency stent..
After the intervention, the patient on the Department of Internal Resuscitation continues to be actively treated, mechanical ventilation, air trachea, continuous dialysis, platelet anti -platelets, statin, comprehensive care ... The consciousness of the patientImproving although it has previously had cardiac arrest for more than 1 hour, the function of the organs gradually improves.
After 3 weeks of treatment, the patient was completely awake, the function of the organs returned to normal and was discharged.