Shanghai implements China's first AIDS human cardiac surgery
In the year of flowering, AIDS, complicated cardiac aortic valve, and severe mitral regurgitation, successfully achieved heart valve replacement, and have passed the infection and anticoagulation. This is also the first case of AIDS in China to perform cardiac surgery.
The Shanghai Public Health Clinical Center reported today that through multi-disciplinary cooperation, a patient with AIDS, complicated cardiac aortic valve, and severe mitral regurgitation successfully achieved heart valve replacement. At present, the patient has weathered the infection, anticoagulation and other barriers, the condition is stable, and will not be discharged. It is reported that this is also the first case of AIDS in China for cardiac surgery.
In the second half of last year, 58-year-old Mr. Zhou (pseudonym) suddenly developed chest pain with no obvious cause and showed intermittent dull pain. This symptom is more obvious at night, often accompanied by chest tightness, shortness of breath, and symptoms after aggravation. He subsequently developed hemoptysis and was seen at a local hospital, but the effect was not obvious. Further diagnosis of chest CT: The patient has aortic valve calcification with severe regurgitation. Surgery is the only way to cure the disease. "The house leaks over the night rain." In the process of diagnosing the disease, the patient detected the HIV virus infection. Because of the special patient, he turned to seek medical treatment without a door.
At the end of last year, Mr. Zhou came to the Shanghai Public Health Clinical Center to seek the well-known infection expert Professor Lu Hongzhou. The Liberation Daily and Shangguan journalists learned that the Municipal Public Health Clinical Center was a specialized medical institution that mainly diagnosed and treated infectious diseases. In recent years, the center has created a development trend of “colleges and small comprehensive†and provided full-disciplinary and comprehensive medical protection for infected patients. Lu Hongzhou explained that the risk of AIDS patients undergoing surgery is quite large. This risk is mainly reflected in two aspects. First, heart valve replacement requires extracorporeal circulation, the patient's blood contains virus, and medical personnel are exposed to occupational exposure. Second, AIDS is immune. Poor force, the disease itself plus surgical trauma, is likely to cause serious complications. Based on this, overcoming the infection is the most important issue.
After admission, Mr. Zhou had aggravated symptoms of chest pain, infection in the lungs, and effusion in the chest. Experts said that this has a certain relationship with the incidence of AIDS in patients. In order to create the best conditions for the operation, the medical team of the city public health clinical center monitored the patient's condition around the clock, and finally solved the infection problem such as pleural effusion; the center also invited Professor Sun Xiaoning from the Department of Cardiovascular Surgery of Zhongshan Hospital to give positive treatment immediately. One month before the operation, Mr. Zhou’s physical condition met the requirements of the surgical conditions.
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