Medical alliance builds a "green channel for life"! Changsha Fourth Hospital successfully treats stroke patients

Recently, 73-year-old Grandma Yang started leaking food and drooling at the corners of her mouth while having lunch with her family. She then showed symptoms of drowsiness and unstable gait.

At first, her family was not too worried about it, thinking that it might be due to lack of rest or poor appetite, so they helped her to bed. However, when she woke up, her condition did not improve, but worsened, and even her speech became unclear.

This change made the family realize the seriousness of the problem, so at around 2 p.m., they rushed Grandma Yang to the nearby Guansha Community Health Service Center for treatment.

Dr. Kang Jianmei, who is stationed at Guansha Community Health Service Center of Changsha Fourth Hospital, considered that Grandma Yang had an acute stroke, and immediately contacted the emergency department of Changsha Fourth Hospital and activated the stroke green channel, which bought precious time for Grandma Yang's treatment.

At 14:52, an ambulance took Grandma Yang to the emergency department of the Binshui New City Campus of Changsha Fourth Hospital. After a comprehensive examination including blood drawing and CT scan, it was found that the patient met the indications for intravenous thrombolysis.

At 15:12, the doctor quickly performed intravenous thrombolysis with coenzyme A and immediately performed a head CTA examination. The results showed that the patient had severe stenosis and occlusion in the M1 segment of the right middle cerebral artery.

Fortunately, the patient was still within the golden time window for endovascular treatment of acute stroke and was eligible for emergency interventional surgery.

After fully communicating with the patient's family, Zhang Jincan, chief physician of the Department of Neurology, decided to carry out bridging treatment immediately.

At 15:32, the patient was quickly transferred to the interventional catheterization room and underwent "emergency interventional opening of right middle cerebral artery occlusion."

The operation was tense and orderly, successfully opening the patient's blocked blood vessels, significantly improving distal blood flow, and allowing the ischemic brain tissue to regain effective blood perfusion.

After the operation, after comprehensive individualized treatment, Grandma Yang was able to walk out of the hospital only 7 days after admission, without obvious neurological symptoms. When she was discharged from the hospital, Grandma Yang and her family expressed their deep gratitude to the medical staff who participated in the treatment and kept thanking them.

The DNT time (the time from the arrival of acute stroke patients at the hospital to the administration of intravenous thrombolytic drugs) of this stroke patient was only 20 minutes, while the DPT time (the time from the arrival of acute stroke patients at the hospital to the entry into the catheterization room for femoral artery sheath placement) was 45 minutes.

Both of these time indicators are far lower than the 60 minutes and 90 minutes required by the National Brain Protection Committee, fully demonstrating the efficient operation, multidisciplinary collaboration capabilities and excellent treatment level of the Changsha Fourth Hospital Stroke Center team.

The Changsha Fourth Hospital's primary care, upper-lower linkage, efficient and smooth two-way referral green channel of the medical alliance provides time-saving, efficient and seamless referral services, making it more convenient for patients to seek medical treatment. It has enabled many critically ill patients at the grassroots level to receive timely and effective treatment, and has improved people's sense of gain and security in seeking medical treatment.

Hunan Medical Chat Special Author: Kang Jianmei from Changsha Fourth Hospital

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(Edited by YT)