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0級(jí)；回旋支動(dòng)脈硬化改變，近段彌漫性鈣化病變狹窄約80%，遠(yuǎn)段狹窄約70%，血流TIMI3級(jí)，可見(jiàn)向右冠發(fā)出側(cè)支；右冠動(dòng)脈硬化改變，近中段彌漫性鈣化病變100%閉塞，血流TIMI 0級(jí)，可見(jiàn)自身側(cè)支。冠狀動(dòng)脈閉塞同時(shí)合并嚴(yán)重鈣化，常規(guī)介入治療器械難以順利通過(guò)，血管開(kāi)通難度極高。王先生曾到省內(nèi)各大醫(yī)院的心外科會(huì)診，專(zhuān)家給出治療意見(jiàn)：血管條件不適宜進(jìn)行冠脈搭橋手術(shù)，建議口服藥物治療。多年來(lái)，王先生始終在口服藥物，時(shí)常出現(xiàn)胸悶等癥狀，治療效果不佳。王先生的內(nèi)心始終想做冠脈介入治療，既可以緩解疾病帶來(lái)的痛苦，也能減輕家庭的經(jīng)濟(jì)負(fù)擔(dān)。</span></p> <p><span style="font-size:18px;">王先生的親屬得知了北部戰(zhàn)區(qū)總醫(yī)院心血管內(nèi)科荊全民教授團(tuán)隊(duì)近期來(lái)院會(huì)診及手術(shù)指導(dǎo)，立即通知王先生來(lái)院就診，想請(qǐng)專(zhuān)家嘗試進(jìn)行冠脈介入治療。</span></p> <p><span style="font-size:18px;">王先生辦理住院后，心血管內(nèi)科主任莊萬(wàn)善、業(yè)務(wù)主任叢占春立即組織醫(yī)療團(tuán)隊(duì)，對(duì)王先生的病情進(jìn)行全面充分評(píng)估，進(jìn)一步調(diào)整王先生的心臟功能，結(jié)合豐富臨床經(jīng)驗(yàn)，為王先生精準(zhǔn)制定了冠脈旋磨術(shù)治療方案，及介入手術(shù)可能出現(xiàn)的各種醫(yī)療風(fēng)險(xiǎn)及應(yīng)急預(yù)案。</span></p> <section nodeleaf=""><span style="font-size:18px;"><img _width="677px" alt="圖片" data-croporisrc="https://mmecoa.qpic.cn/sz_mmecoa_jpg/CKhVoD3xFrgt7lTCaQCZrW7KpLoAUwScLjiaqCZ9vvZvA4qbJkRUiaVocVKIWibhyfhl8aWJkdxuzszlaAib9QF2Ag/0?wx_fmt=jpeg&from=appmsg" data-cropselx2="538" data-cropsely2="199" data-fail="0" data-imgfileid="100014823" data-index="3" data-original-style="null" data-ratio="0.37037037037037035" data-report-img-idx="3" data-s="300,640" data-src="https://mmecoa.qpic.cn/sz_mmecoa_jpg/CKhVoD3xFrgt7lTCaQCZrW7KpLoAUwSc60oBD52dSbbNqulbKOgEVdbNLXjTd6wqSdjZHAVso15Tom9sia9MDVg/640?wx_fmt=jpeg&from=appmsg&watermark=1#imgIndex=1" data-type="jpeg" data-w="1080" src="/Public/userfiles/images/chenggong.jpg" style="width: 1000px; height: 634px;" /></span></section> <p><span style="font-size:18px;">完善各項(xiàng)術(shù)前準(zhǔn)備后，首先行冠脈造影術(shù)，提示：左主干末端狹窄50%，回旋支近端狹窄80%，前降支鈣化，開(kāi)口100%閉塞；右冠脈近端狹窄90%，中段發(fā)出AM2后100%閉塞，AM2開(kāi)口狹窄80%，自身形成二級(jí)橋側(cè)支。王先生冠狀動(dòng)脈病變鈣化十分嚴(yán)重，導(dǎo)絲很難通過(guò)右冠閉塞病變部位。</span></p> <section data-style-id="67227"> <section> <section> <section data-width="50%"> <section nodeleaf=""><span style="font-size:18px;"><img _width="100%" alt="圖片" data-croporisrc="https://mmecoa.qpic.cn/sz_mmecoa_jpg/CKhVoD3xFrgt7lTCaQCZrW7KpLoAUwScKoBSXGTekRXRHYccsf6LqFKGkxK8E2veib9W6HSjl8K6jMF2S3biaIDw/0?wx_fmt=jpeg&from=appmsg" data-cropselx2="248" data-cropsely2="193" data-fail="0" data-imgfileid="100014822" data-index="4" data-original-style="width:100%;border-radius:initial;background-size:0px !important;vertical-align:bottom;background-color:transparent !important;" data-ratio="0.7784986098239111" data-report-img-idx="1" data-s="300,640" data-src="https://mmecoa.qpic.cn/sz_mmecoa_jpg/CKhVoD3xFrgt7lTCaQCZrW7KpLoAUwScJAwmxWAjMTBoiaS4PN6PcdyialSNiaF1ickpIJcQRnUZS7tGdhbnRn3z1A/640?wx_fmt=jpeg&from=appmsg&watermark=1#imgIndex=2" data-type="jpeg" data-w="1079" src="/Public/userfiles/images/微信圖片_20251209171021_20_228.jpg" style="width: 400px; height: 311px;" /><img alt="" src="/Public/userfiles/images/微信圖片_20251209171022_21_228.jpg" style="width: 400px; height: 350px;" /></span></section> </section> </section> </section> </section> <p><span style="font-size:18px;">面對(duì)如此復(fù)雜和嚴(yán)重病變鈣化情況，在北部戰(zhàn)區(qū)總醫(yī)院心血管內(nèi)科荊全民教授的指導(dǎo)下，叢占春主任和北部戰(zhàn)區(qū)總醫(yī)院的心血管內(nèi)科介入專(zhuān)家默契配合，精準(zhǔn)操作，精細(xì)調(diào)整，導(dǎo)絲成功通過(guò)右冠病變，球囊擴(kuò)張后行血管內(nèi)超聲提示：右冠中段彌漫鈣化，最重處360度鈣化。借助高速旋轉(zhuǎn)的旋磨頭從右冠近中段鈣化斑塊處進(jìn)行旋磨，有效打磨鈣化病變，隨后順利于右冠近段及中段、右冠至后側(cè)支近段分別植入支架，手術(shù)全程安全平穩(wěn)。</span></p> <section nodeleaf=""><img _width="677px" alt="圖片" data-croporisrc="https://mmecoa.qpic.cn/sz_mmecoa_jpg/CKhVoD3xFrgt7lTCaQCZrW7KpLoAUwScLjiaqCZ9vvZvA4qbJkRUiaVocVKIWibhyfhl8aWJkdxuzszlaAib9QF2Ag/0?wx_fmt=jpeg&from=appmsg" data-cropselx2="538" data-cropsely2="199" data-fail="0" data-imgfileid="100014823" data-index="3" data-original-style="null" data-ratio="0.37037037037037035" data-report-img-idx="3" data-s="300,640" data-src="https://mmecoa.qpic.cn/sz_mmecoa_jpg/CKhVoD3xFrgt7lTCaQCZrW7KpLoAUwSc60oBD52dSbbNqulbKOgEVdbNLXjTd6wqSdjZHAVso15Tom9sia9MDVg/640?wx_fmt=jpeg&from=appmsg&watermark=1#imgIndex=1" data-type="jpeg" data-w="1080" src="/Public/userfiles/images/右冠.jpg" style="font-size: 18px; width: 1000px; height: 371px;" /></section> <p><span style="font-size:18px;">術(shù)后，王先生胸悶癥狀顯著緩解，術(shù)后8小時(shí)，王先生下地活動(dòng)，正常進(jìn)食；術(shù)后第2天，王先生身體恢復(fù)良好，辦理了出院手續(xù)，當(dāng)他看到手中的結(jié)賬清單，僅自費(fèi)萬(wàn)余元，瞬間化解了之前擔(dān)心自費(fèi)過(guò)多影響家庭生活問(wèn)題。出院次日，王先生家屬給科室和叢主任送來(lái)錦旗，感謝心血管內(nèi)科全體醫(yī)務(wù)人員對(duì)她父親的治療和照護(hù)。</span></p> <section nodeleaf=""><span style="font-size:18px;"><img _width="677px" alt="圖片" data-fail="0" data-imgfileid="100014808" data-index="7" data-original-style="null" data-ratio="0.75" data-report-img-idx="5" data-s="300,640" data-src="https://mmecoa.qpic.cn/sz_mmecoa_jpg/CKhVoD3xFrgt7lTCaQCZrW7KpLoAUwScYS2yRiamQVOj51dE5CNrv9SI7Zahia1vIOYm4qIOe6e1UdX4fAXtLO1Q/640?wx_fmt=jpeg&from=appmsg&watermark=1#imgIndex=5" data-type="jpeg" data-w="1080" src="/Public/userfiles/images/微信圖片_20251209152612_585_195.jpg" style="width: 1000px; height: 750px;" type="block" /></span></section> <p><span style="font-size:18px;">冠脈旋磨術(shù)，是針對(duì)冠脈嚴(yán)重鈣化病變的核心微創(chuàng)介入技術(shù)，通過(guò)物理磨蝕清除鈣化斑塊，可高效解決常規(guī)介入治療難以突破的血管狹窄難題，具有創(chuàng)傷小、恢復(fù)快，尤其適用于重度鈣化、彌漫性狹窄等復(fù)雜冠脈病變。此次首例冠狀動(dòng)脈旋磨術(shù)的成功開(kāi)展，不僅展現(xiàn)了新城醫(yī)院心血管內(nèi)科專(zhuān)家團(tuán)隊(duì)的精湛醫(yī)術(shù)和診療實(shí)力，也為更多遼陽(yáng)百姓的復(fù)雜冠脈病變提供了更精準(zhǔn)、高效的救治方案。</span></p> <br> <br> <div style="border-top:1px dashed #cccccc;height: 1px;overflow:hidden; margin-top:30px"></div> <br><div style=" text-align:center"> <a href="/news_detail/id/811.html">【<strong>上一個(gè)： </strong>遼陽(yáng)市中心醫(yī)院新城醫(yī)院12月8日至12月14日門(mén)診出診信息</a> 】【<a href="/news_detail/id/809.html"> 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