Block the unusual electric wave in the heart

Block the unusual electric wave in the heart
Block the unusual electric wave in the heart
Lu Xiao's sister-in-law Ning Man of the red reporter of staff reporter's king The atrium quivers and is abbreviated as the room quiverly, regarded as the most common arrhythmia disease, it was once considered as incurable disease, endangering countless people's health; The radio frequency melted and radically treated quiver new developing therapeutic method of the room as one, was introduced to our country in 1998. However, it is complicated because of operating, professional personnel are scarce, difficult to meet clinical patient's demands. How norm existing technological method and simplify, optimize complicated operation procedure and how about train more professional personnel, become the thorny problem before numerous insiders' eyes of pendulum. As melt operator of skill by domestic first the intersection of room and quiver conduit, Capital University of Medical Sciences Beijing fit loyal head of the department of internal medicine of hospital heart the intersection of horse and long life, lead group, have made the contribution out of the ordinary in the introduction, popularization, innovation of this technology, and won the second prize of progress prize in scientific and collective technology of the country of 2010. There are 10 million quiver patients of room in our country Until day not leaving hospital, auntie Zhang can't believe, perplex to breathe hard, not uncomfortable in chest to even faint once in a while 6 year such as oneself, having disappeared after the operations of 2 hours completely, this is known as quiver disease of the room saying good-bye to her life from then on. One week ago, she fainted and fainted, had palpitation, had difficulty in breathing suddenly just now, have been advanced Beijing to fit the ward of the loyal hospital cardiovascular dept.(internal medicine) with the wheelchair by family, experience a narrow escape from death again. "The typical quiver patient of room is so, no reason is knowing to jump and accelerate, the proruption has palpitation, bes uncomfortable in chest even has difficulty in breathing, feel close to the death. " Ma ChangSheng tells reporters, it is not a kind of disease of causing the fatal character that the room is quiver, but it is the arch-criminal which cause a lot of diseases. Because the atrium loses and shrinks the function when the room is quiver, the blood is easy to silt up to form the thrombus in the atrium, will initiate diseases such as apoplexy, limb artery thromboembolism,etc. if the thrombus is lossed. The statistics show, it is the healthy people's 5 time 7 time that the risk of the apoplexy of brain takes place to the quiver patient of the room, mortality is increased by 1.5 time 2 time as compared to healthy people. What is that the room is quiver on earth? Ma ChangSheng tells reporters, it is amazing that the motive force of heart relaxation and shrink comes from one's own a certain electricity generated in position of heart, the only picture " The miniature motor " ,Mobilizing each time will produce the a small gangs of electric current, the electric current will activate every one heart muscle according to set conducting the circuit, enable the intersection of they and scale, then the intersection of pump and blood, life of keeping. And act as " miniature motor " Discharge in the other places of the heart, or the electric current does not have while conducting according to the set circuit, will initiate the arrhythmia; Act as " miniature motor " Lie pulmonary vein and at the junction of heart, will produce room to be quiver. According to materials, the quiver ill rate of the room of the crowd of our country has already been close to 1% at present, according to this, the quiver patient of room of our country reaches 10 million. The reporter knows, before quiver conduit melts in the room the method is introduced, the medicine treats the quiver only means of the room, but the therapeutic effect is very limited. Among them, against arrhythmia medicine can't radically treat room to be quiver, though anticoagulatory the intersection of medicine and forest, law of China, can reduce the intersection of room and quiver the intersection of patient and the intersection of brain and the intersection of apoplexy and risk, but may present serious complications such as the intracranial hemorrhage,etc., need frequently drawing blood and testing, cause very great burden to patient and the society. So, in 1998, after the method that Ma ChangSheng introduced the room quiver radio frequency to melt in success for the first time of Chinese-Japan Friendship Hospital of Ministry of Public Health, get the concern of the industry. Form the healing solution with Chinese characteristics and send the conduit of thickness of a T-ball jotter into patient's body from the big lap, under the guidance of X-ray, intravenous through burst to enter the atrium dextrum, then in the advanced three-dimension marks and examines the system, confirm angle and position, pierce through the interval between Left deviation, atrium dextrum, enter the atrium sinistrum slowly. Subsequently, made a reservation accurately, electric current and heat of radio frequency released in the twinkling of an eye through the peak of the conduit, it causes the quiver unusual cardiac muscle that breaks out of room to organize in the heart to melt completely, block the unusual electric current from lung artery. This is that the clinical and commonly used quiver conduit of room of our country melts and operates the procedure at present. Ma ChangSheng tells reporters, the quiver conduit of the room melts the skill involves a lot of complicated, tedious operating sequences. On the basis of guaranteeing validity, security, improve the concrete operation detail of this technology, make the intersection of adaptation and the intersection of China and medical terms it, in other words, meet the intersection of Chinese and surgery operation practice of doctor, it is the biggest academic contribution of this project team. Puncture as the example with the insula. In the foreign doctor's skill in order to find and break through alternate angle and position between atrium sinistrum and atrium dextrum accurately, often in one atrium dextrum is put at the same time " The miniature lens " Carry on the ultrasonic inspection in of heart, observe the dissection position of the insula directly. However, the tedious operation step will lengthen the time of operation, cause the atrium to conduct the function to damage, and increase the operation expenses. To the above-mentioned problem, through practising for a long time, Ma ChangSheng summarizes one set and perspects and instructs the insula under to puncture the skill, namely in front of right under oblique the intersection of location and 45 perspect, with backbone, the intersection of coronary vein and the intersection of sinus and as dissected and consulted electrode, can find the insula and puncture some accurately when puncturing the far section of radians of needle and disappearing, this technology establishes the foundation that the quiver conduit of the room melted technology in China popularized. It is introduced, nearly 90% of the medical organizations making the quiver conduit of the room and melting adopt this technology at home at present. It is up to 99.8% to adopt the success rate that this method punctures, the complication incidence is 0.32%, equal to foreign data. Make great efforts to relieve the imbalance between supply and demand when the reporter asks about the challenge which technology still faces that quiver conduit melt in the room at present, Ma ChangSheng says frankly, our country is engaged in the room quiver radio frequency and melt there are 150 specialists treating at present, but the quiver patient of room who is 10 million whom they faced. One of the most complicated technology of operation while treating that disease gets involved as the cardiovascular vessel at present, the quiver conduit of the room melts and faces personnel's lacking, the medical organization at the basic level is unable to launch a great deal of practical problems such as application. "In 1993, technology was sex tachycardia on the therapeutic room that our country introduced the radio frequency of the conduit and melted at first, the mechanism is clear because of having illness coming on, light one with operation target, so, the whole operation course is very simple. The physiological circle of clinical electricity that year likens the melting of the speed on the room into a hill slope, melt, regard the intersection of room and quiver radio frequency as, get involved ' Mount Qomolangma ' to treat field. " Ma ChangSheng states outright, engaged in the quiver conduit of the room and melt the qualified doctor treating as one, except should possess surgeon's clever and deft speciality, know the operating technology of getting involved skillfully, also until heart dissect and the intersection of heart and electric physiology and the intersection of pathology and physiological have deep foundations. In order to train more professional doctors, for over 10 years, Ma ChangSheng has been regarded as the chief leading cadre, cardiovascular disease hospital, Dalian medical university attach to the first hospital, Shanghai Communications University subsidiary chest hospital,etc. to unite outside the mound of Beijing, organization Hold atrium quiver international forum, national room quiver to patrol several hundred atriums of saying etc. quiver the conduit melt in thematic meeting and training class? ? Domestic overth the intersection of heart and the intersection of electricity and the intersection of the whole country and first room quiver radio frequency that physiological expert participate in melt, it demonstrates to be can so far from 1999, they train professional personnel 4000 over person totally already, cover the intersection of room and quiver conduit above the 70% the whole country melt training doctor, have improved the treatment that the quiver conduit of room of our country melts and studied the level greatly. In addition, they guide and assist 30 provinces (the district, city) in the whole country More than 200 hospital last conduit last operation,room conduit method of meltings quiver that be improved and innovated project team over 150 hospitals last application at the whole country. "Our goal is from this year, it is accepted that the room quiver radio frequency melts the patient who treats can increase at the speed of 20%~30% for every year, by 2020, increase by 10 times on the foundations of 10,000 in 2010, reach and treat 100,000 patients every year; Meanwhile, trains, make engaged in the room quiver radio frequency and melt independently the specialist treating increase to 1500 through the nationwide norm. " Ma ChangSheng says.


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