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71岁老太祛眼袋 手术时心脏两度骤停--亲稳网络舆情监测室
2012-11-12
家住沙坪坝的宋国芬(化名)今年71岁,但她不服老,执意要去掉难看的眼袋。但整形科医生拒绝手术,因为她不但患高血压,还有心脏病史,而眼袋手术过程中最容易发生眼心反射,导致心脏骤停。但爱美的宋婆婆异常坚定,不听劝阻。不久前,市急救中心整形科就遇到了这件棘手的事。
Live in the ShaPingBa SongGuoFen(alias)This year 71 - year - old,But she is not old,Determined to get rid of unsightly bags.But ZhengXingKe doctor refused to surgery,Because she is not only suffer from high blood pressure,And history of heart disease,In the process of operation and pouch the most vulnerable to oculocardiac reflex,Lead to cardiac arrest.But love beautiful song mother-in-law abnormal firm,Don't listen to dissuade.Not long ago,The city emergency center ZhengXingKe met this a can of worms.
不顾心病坚持要整形 Regardless of the heart insisted on plastic
市急救中心整形专家张平称,对年轻人来说,祛眼袋手术是非常小的手术,但对年过七旬的宋婆婆来说,却是一场大手术。因为老人身患心脏病和高血压,而眼部有异常敏锐的迷走神经,一旦在手术中受到牵拉刺激,就会引起血管收缩痉挛,血压升高,引起导致心脏骤停的眼心反射。还可能因紧张、疼痛刺激等,引起心脏功能减弱、血压不稳定等反应,可能危及生命。
The city emergency center surgeon zhang ping said,For young people,Dispel pouch operation is very small operation,But for years in her s who had song for her mother-in-law,It is a major operation.Because the old man suffering from heart disease and high blood pressure,And eye ministry have unusually astute vagus nerve,Once during an operation is guyed stimulus,Will cause vasoconstriction spasm,Raised blood pressure,Cause lead to cardiac arrest of oculocardiac reflex.Also may be nervous/Pain stimulation, etc,Cause heart function abate/The blood pressure is not stable reaction,May endanger the life.
医生及老人的女儿反复劝说,甚至找来介绍眼心反射后果的教科书让她看,可老人就是不听,声称一个小手术,自己能承受,如果急救中心不给她做手术,她会到其它医院实现心愿。
The doctor and the old man's daughter to repeatedly,Even find to introduce oculocardiac reflex consequences textbook let her watch,But the old man wouldn't listen,Say a small operation,You can bear,If the first aid center does not give her to do the operation,She would to other hospital realize desire.
心内科专家坐镇手术 Heart experts will surgery
市急救中心整形科主任吴一教授称,该科决定为老人实施手术前,经过反复讨论,制定出周密手术方案。8日上午,一切准备就绪,宋婆婆被推进了手术室。这台看似简单的手术,医护人员却异常紧张。根据预定方案,不但为老人上了心电监护仪、吸氧机,准备了改善心脑血管疾病的药物,还特别请来心内科主任岳瑞华教授现场坐镇。
The city emergency center ZhengXingKe director wu a professor says,The old man decided to before surgery,After repeated discussions,Set a careful operation scheme.8 in the morning,Everything ready,Song mother-in-law pushed to the operating room.This one looks be like simple operation,Medical personnel are nervous.According to the scheduled plan,Not only for the old man on the ecg monitor/Oxygen machine,To improve the disease of heart head blood-vessel drugs,Also specially invited professor, director of the heart YueRuiHua return scene.
手术持续了一个多小时。“手术过程中,还是出现了两次险情。”吴一称,手术进行到20分钟和半个小时左右时,医生正拉扯其眼袋时,通过心电监护仪及听觉感应,宋婆婆心脏出现骤停,随即停止动作,两三秒后,心脏恢复正常。
The operation, which lasted for more than an hour."Operation process,There are two danger."Wu said a,The operation to 20 minutes and when half an hour or so,The doctor is pulling its pouch when,Through the ecg monitor and auditory induction,Song mother-in-law heart appear sudden stop,Immediately stop action,Two or three seconds after,Heart back to normal.
“老人也有追求美丽的权利,后人没法评论,好在医院竭尽全力保证了安全。”昨日,宋婆婆的女儿通过电话向医护人员表示感谢。
"The old man has the right to pursue beauty,Later generations can't comment on,Fortunately the hospital do our utmost to ensure the safety."yesterday,Song mother-in-law's daughter through the telephone to medical researchers say thank.
老人热衷五大整形术 The old man keen five anaplasty
昨日,重庆晚报记者从市急救中心、重医附二院、新桥医院等多家医院了解到,越来越多的老年人加入整容军团。
yesterday,Chongqing evening news reporter from city emergency center/Heavy medical FuEr court/Xinqiao hospital, a number of other hospitals to understand,More and more old people join cosmetic legion.
市急救中心整形科统计,2006年前,该科60岁以上老年人整形比例很小,约占百分之五六,以祛斑等小手术为主,最近五六年,来整形的老人比例超过10%,而且手术项目越来越多,常见的是割双眼皮、祛眼袋、面颈部拉皮、腹壁成形、祛斑等五大项目。
The city emergency center ZhengXingKe statistics,2006 years ago,The 60 years of age or older is plastic ratio is small,Accounts for about of five or six,To dispel the spot and small operation is given priority to,In recent five or six years,The old man to plastic ratio of more than 10%,And the operation project more and more,Common is cut double-fold eyelid/Dispel pouch/Face and neck lift/Abdominal wall forming/To dispel the spot on the five projects.
吴一主任称,对于生理机能退化,且多患有高血压、糖尿病、气管炎、心脑血管等疾病的老年人来说,手术时某个环节疏忽,比如凝血功能异常、伤口感染等,都可能出现不良后果。
A director wu said,For physiological function degradation,And many people with high blood pressure/diabetes/tracheitis/Cerebrovascular diseases such as for the elderly,The operation a link negligence,Such as coagulant function abnormality/Wound infection, etc,All possible adverse consequences.
此外,60岁和70岁老年人整形风险差异很大,70岁后是老年人整形的一道坎。如果身体条件不合适,强行整形,很容易引起并发症,比如易导致出血、部分组织坏死等。
In addition,60 and 70 years old plastic risk difference is very big,After the 70 - year - old old people are shaping a line.If the body conditions are not right,Forced plastic,Very easy to cause complications,Such as easily lead to bleeding/Part of the tissue necrosis.
60岁后就别轻易拉皮 After 60 years old don't easily pull skin
70岁后慎选创伤手术 After the 70 - year - old use trauma surgery
针对不同年龄段的中老年人,市急救中心整形科主任吴一教授建议: According to different ages in old people,The city emergency center director professor wu ZhengXingKe a suggestion:
1、50岁以后 1/After age 50
不要轻易抽脂。这类手术创伤面较大,麻醉量相对较大,若脂肪栓塞血管,可能出现生命危险。即使手术成功,伤口大,愈合也较难,容易受感染。
Don't easily liposuction.This kind of surgical trauma surface larger,Relatively large amount of anesthesia,If fat embolism blood vessels,Possible risk of life.Even if the operation is a success,Wound big,Healing also more difficult to,Vulnerable to infection.
如果身体条件好,可割双眼皮、祛眼袋、面部拉皮、腹壁成形等。
If the body conditions are good,Can cut double-fold eyelid/Dispel pouch/Face lift/Abdominal wall forming, etc.
2、60岁以后 2/After age 60
慎重选择拉皮。拉皮术创伤较大,这个年龄段老年人身体各项器官功能明显退化,尤其是患糖尿病、高血压的老人,很容易出现感染等。
Discreet choice leather.Face lifts large trauma,This age the old people body organ function significant degradation,Especially diabetes/Hypertension old man,Very prone to infection.
3、70岁以后 3/After the age of 70
不考虑隆胸、隆鼻等。此年龄段老人大多有高血压、糖尿病等疾病,身体机能严重下降,但凡有创伤、缝合的整形手术,都应该谨慎。
Don't consider breast augmentation/Hump nose, etc.This age old man mostly have high blood pressure/Diseases such as diabetes,Body function serious decline,In every case have trauma/Suture of plastic surgery,Should be cautious.
祛斑手术风险相对较小。(记者 黎奎)
To dispel the spot operation risk is relatively small.(Reporter LiKui)
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