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钢筋斜穿身体男子在上海成功获救 即将出院--亲民维稳网络舆情监测室
2012-12-03
中新网上海12月3日电 (记者 陈静)上海中山医院3日披露,该院成功抢救了一名被钢筋刺穿整个身体的男子,经过一个月的精心治疗和护理,这名湖北小伙小何已经痊愈,即将出院。
Beijing on December 3, Shanghai (Reporter reiter)Shanghai zhongshan hospital 3rd disclosure,Its successful rescue a was reinforced piercing the whole body of the man,After a month of careful treatment and nursing,A guy XiaoHe hubei have been recovered,Will discharge.
10月25日上午九点半左右,中山医院急诊部来了一名特殊的危重病人。他叫小何(化名),今年27岁,是一家建筑工程队的泥瓦匠。当天上午,小何爬上脚手架,进行粉刷工作,脚下木板突然断裂,从三楼跌下的小何被地上一根突兀耸立的钢筋刺穿整个身体。所幸被工友及时发现,将铸在地上的钢筋用电剧切断后,救护车急救人员成功地把病人抬上担架。
On October 25, about half past nine in the morning,Zhongshan hospital emergency department to a special critically ill patients.His name is XiaoHe(alias),This year 27 years old,Is a building construction team of mason.In the morning,XiaoHe climbed up the scaffold,For painting work,Foot board suddenly fracture,From the third floor of the XiaoHe fell by a single abrupt tall steel Pierce the whole body.But be workers found in time,Will be cast on the ground of the reinforced power play after cut off,The ambulance first aider successfully the patient onto the stretcher.
中山医院立即启动抢救绿色通道,迅速成立抢救小组,开展抢救准备。医生们从来没有遇见过这种伤情,钢筋从左侧的腋下穿入,从右侧的臀部穿出。急诊科主任童朝阳亲自赶到现场指挥抢救,普外科医生何梦江和急诊科医生王传军首先接诊。
Zhongshan hospital immediately start rescue the green channel,Rapid rescue team was established,To carry out rescue.The doctors have never met this kind of injury,Reinforcement from the left armpit penetration,From the right hip wear out.Emergency department director in person TongChaoYang arrived on the scene to direct the rescue,General surgery doctor HeMengJiang and emergency department doctor WangChuanJun first accepts.
院方透露,当日,普外科、急诊科、放射科、胸外科、骨科、血管外科、心外科、泌尿外科、麻醉科、重症监护等多个科室专家和经验丰富的护理人员悉数到场,组建起了一支高水平、多军种的“作战部队”。因为刺穿小何身体的钢筋还有一部分在体外,如有外物碰擦可能会引发意想不到的后果,因此接送组人员分外小心谨慎。
Revealed the,On that day,General surgery/Emergency department/Radiology department/Thoracic surgery/orthopaedic/Vascular surgery/Cardiac surgery/urology/Anesthesiology department/Intensive care, and other department experts and experienced in nursing staff attendance,Set up a high level/Much of the military"Combat troops".Because of the body piercing XiaoHe reinforced and part of the in vitro,If you have foreign object touch wipe may lead to unintended consequences,So the shuttle team especially careful.
上午10点30分,小何被送到手术室。此时他生命体征尚稳定,由于钢筋贯穿身体,小何只能以30度倾斜的角度固定在床上。。
At 10 PM,XiaoHe was sent to the operating room.Now his vital signs are stable,Due to the reinforced throughout the body,XiaoHe only to 30 degrees tilt Angle fixed on the bed..
这台手术将面对重重难关,医生们达成初步共识,开始“战斗”!通过探查,医生们明确了钢筋在体内的走向,它从后方紧贴心包边缘穿过膈肌进入腹腔,穿透胃的前后壁,进入后腹膜,钢筋恰巧从两根大血管之间穿过。经泌尿外科、血管外科和胸外科医生确认,没有伤及肾脏、输尿管、主动脉和下腔静脉。
This machine operation will face many difficulties,The doctors reached a preliminary agreement,Began to"combat"!Through the probe,The doctors made clear the bar in the body to,It from the rear to pericardial edge through the diaphragm into the abdominal cavity,Through the stomach wall before and after,Enter retroperitoneum,Steel happen to from two large blood vessels between the.The urology/Vascular surgery and thoracic surgery doctor confirm,No injury and kidney/ureteral/The aorta and inferior vena cava.
如何取出钢筋是个难题。钢筋在腋窝的一端有个倒钩,在臀部的一端有部分弯曲,体内钢筋还保持笔直,骨科医生杨轶和胸外科医生乔玉磊商量后决定,先切断钢筋在腋窝端的体外部分,再由臀部端拔出。随着锯口一点点深入,病人突然出现了手术中最危险的情况——血压下降,原先干净的腹腔不断有血流出。
How to remove bar is a problem.Reinforcing steel bar in the armpit at one end and a barbed,At one end of the hip part of bending,The body bar also keep straight,Bone doctor YangYi and thoracic surgery doctor QiaoYuLei to discuss the decision,First cut off the bar in the armpit of in vitro,Again by hip end pull out.With a little saw bite deeply,The patient suddenly appeared in the operation of the most dangerous situation - blood pressure drop,The original clean celiac continued blood flow out.
医生当机立断,连续缝合修补左肾静脉,止住了主要的出血,还对几处破损的地方暂时压迫止血。这一突发状况引起了医生们的警觉,他们决定全程暴露腹主动脉和下腔静脉,保证拖出钢筋时不对它们造成损伤。为了准备在不得已的情况下进胸控制主动脉,还请了心外科邵孟平医生上台。
The doctor make a prompt decision,Continuous suture repair left renal vein,Stopped major bleeding,The several damaged place temporary oppression hemostasis.The sudden situation caused the doctors' vigilance,They decided to expose the abdominal aorta and inferior vena cava,Ensure pull-off reinforced when wrong they cause damage.In order to prepare in extreme circumstances into thoracic aorta control,Please the cardiac surgery ShaoMengPing doctors on the stage.
经过整整2个小时的细心分离,骨科医生孟德华在台下缓慢而用力地拉动钢筋,当把钢筋全部拉出来的一瞬间,手术台下一片欢呼,手术中最危险、最困难的一关度过了!
After the whole two hours of careful separation,MengDeHua orthopaedic surgeon in the slow and forcibly pull bar,When the bar all pull out of the moment,The operation of a piece of cheer,The most dangerous operation/The most difficult one pass through the!
手术从上午10点多一直进行到下午5点,整整7个小时。
From the operation has been more than ten o 'clock in the morning to 5 PM,For seven hours.
经过一个月的精心治疗和护理,看到眼前这个面色红润、笑容爽朗的小伙,很难想象他就是那个躺在抢救床上与“鬼门关”只有半步之遥的垂危伤者。为了感谢医生、护士们,小何特意赶制了一面锦旗赠送给中山医院的全体医护人员!
After a month of careful treatment and nursing,Saw this rosy/Smile chipper boy,It's hard to imagine that he is lying in bed and rescue"The jaws of death"Only half step away the dying.In order to thank the doctor/The nurses,XiaoHe have rushed a silk banner presented to zhongshan hospital all the medical staff!
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