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北京医疗队赴地震灾区 两天完成十余台手术--亲稳网络舆情监控室
2013-05-09
4名来自北医三院和北京积水潭医院的顶尖专家,在相邻的3个手术室内,同时展开高难度外科手术,在北京也是极少见的。而这一幕,却真实地发生在位于西南一隅的雅安市人民医院。
Four leading experts from founding Beijing jishuitan hospital, and the research,In the adjacent three operating room,At the same time a difficult surgery,In Beijing, is also rare.And this scene,Was truly happened in the southwest corner of ya 'an people's hospital.
今天上午8时40分,雅安市人民医院8层,3个手术室内,无影灯同时亮起,来自北医三院的李危石、张志山和来自北京积水潭医院的田文、行勇刚分别站到手术台前。
This morning at 8:40,Ya 'an people's hospital of 8 layers,Three operating room,Shadowless lamp lights up at the same time,From the founding of the research and Li Wei stone/Zhang Zhishan and Tian Wen from Beijing jishuitan hospital/Yong just stand by before operating.
高全英,天全县太平乡的普通农妇。4月20日的大地震,导致她腰椎压缩骨折。瘦弱的她躺在手术台上,嘴角不时抽搐,脸上的皱纹里似乎都写满了痛苦。听麻醉师说,北京来的大专家做手术,她才投来信任的目光。
High brit,TianQuanXian TaiPingXiang ordinary woman.Earthquake on April 20,Led to her lumbar vertebral compression fractures.Thin she was lying on the operating table,Corners of the mouth twitching from time to time,Wrinkles seem to write full of pain.Listen to the anesthesiologist,Beijing great experts to do surgery,She had to trust.
锋利的手术刀,快速切开伤处。“不好!”虽然看过病历,知道老人骨质疏松,但软组织异常渗血还是让李危石颇感棘手。
The sharp knife,Rapid incision wounds."Is not good!"Although seen medical records,Know that elderly osteoporosis,But soft tissue abnormal bleeding or let Li Wei stone was tricky.
“电刀止血。”李危石助手快速执行。可没过几分钟,鲜血再次渗出,影响手术进行。
"The electrotome hemostatic."Li Wei stone assistant fast execution.But in a few minutes,Blood seeps again,Affect the operation.
“纱布填充。”这次止血后,李危石发现,病人的骨头都在渗血,只能使出最后一招——封骨蜡。
"Gauze packing."After the bleeding,Li Wei stone found,The patient's bones are in ooze blood,Can only use a last resort - bone wax.
“本来50分钟的手术,却用了1个半小时,我们以后还得加快!”埋怨自己没节省下来时间多救治几名病人的李危石没有告诉记者,为了节省时间,他全然不顾辐射危险,在自己没有防护的情况下,就用C臂机为病人进行了术中拍片。
"Original 50 minutes of operation,Took an hour and a half,We have to speed up!"Complained that he hasn't saved time cure more patients Li Wei stone no told reporters,In order to save time,He completely regardless of the radiation risk,In the absence of protection,Had surgery for patients with C arm machine in filmmaking.
与李危石同时,“对门”的田文和行勇刚两名不同领域的外科专家,也在“啃硬骨头”,患者自手掌至前臂,20厘米的开放性骨折,骨骼、肌肉和皮肤都已分离。
Li Wei stone, at the same time,"Across the hall"Line Tian Wenhe yong has just two surgical specialists in different areas,Also in the"Chew to crack",Patients from the palm of your hand and forearm,Open fracture of 20 cm,bone/Muscle and skin were separated.
“血运是难点。”两个小时的时间里,田文从来没有这样小心翼翼。“我必须处理好手臂上的血管,稳稳地复位,稍有不慎就会加重损伤。”田文告诉记者,即使在全国闻名的积水潭医院,这种手术也是高难度的复杂手术。
"Blood supply is difficult."Two hours,Tian Wen never had it so carefully."I have to deal with the arm of the blood vessels,Firmly reset,Will aggravate the damage affected by any carelessness."Tian Wen told reporters,Even in the national famous ji shui tan hospital,This kind of surgery is difficult complex surgery.
难的还不只是伤情的严重。由于医院设备缺乏,只能配给田文、行勇刚“大外科”使用的手术器械,眼科剪刀、眼科镊子等手外科常用器械根本找不到踪影。
Difficult is not just of serious injury.Due to the lack of hospital equipment,Only rationing Tian Wen/Line yong just"Major surgery"Use of surgical instruments,Eye of scissors/Ophthalmic forceps etc. Commonly used instruments could not find any trace.
“粗针大线也得绣花!”看着患者痛苦的表情,田文没有退缩,硬是靠着仅能找到的15号刀片完成了这台极其复杂的手术。
"Large coarse needle thread embroidery!"Looked at the patients' pain,Tian Wen didn't flinch,Just by 15 blade finished just can find this very complicated surgery.
“还有更难的呢。”推出这名病人,田文和行勇刚还顾不上擦把汗,下一名病人就推上了手术台。这次,患者是双手尺桡骨粉碎性骨折伴舟骨骨折。
"There are more difficult."Launch of the patient,Line Tian Wenhe yong was also unable to wipe the sweat,Under a patient on the operating table.This time,,Patients are hands feet radius comminuted fracture with scaphoid fracture.
粉碎性骨折,就像是摔碎了的瓷器一样,很难完整复原,是最考验骨科医生技术和经验的手术。
Comminuted fracture,Like a broken porcelain,It is difficult to complete recovery,Test is the most orthopaedic surgeon surgical technique and experience.
端详CT片子半天,田文做出了一个重要决定:做无创操作。“用一个小切口加特殊固定动作,使粉碎的骨头自行对接复位。”田文说,如果按照一般操作,将组织切开完全暴露,粉碎的骨头就会凌乱地洒出来,完全不知道哪块对哪块,就真成“人骨拼图”迷局了。
Studying CT film for half a day,Tian Wen made an important decision:Do the noninvasive operation."With a small incision plus special action,To crush the bones of the butt reset on its own."Tian said,If, in accordance with the general operation,Will organize cut completely exposed,Crush the bones of the spill would be messy,Completely do not know to which any of the pieces,Is really a"Bones puzzle"The puzzle.
“3个月就好得差不多了。”患者眼中,这名瘦瘦的医生很和蔼,只是接连两台近5个小时的手术,让他稍显疲惫。
"3 months is almost good."Patients' eyes,The thin the doctor is very kind,Just have two nearly five hours of surgery,He let a little tired.
田文所在手术室的隔壁,张志山也在紧张忙碌着。对于他来说,今天更重要的是在手术中安抚好患者。前一天手术时,发生了5级的余震,全部精力集中在手术刀上的张志山没有感觉到,可患者却吓哭了。本就是在地震中受伤的患者二次应激反应很强烈,麻醉师许久才安抚好她的情绪。
Tian Wen is located next door to the operating room,Zhang Zhishan in nervous, too busy.For he,Today, more important is to appease well in the surgical patients.The day before the surgery,The magnitude 5 aftershocks,All focus on the scalpel Zhang Zhishan didn't feel it,Can patients but cry.This is injured in the earthquake of secondary stress reaction in patients with very strong,The anesthesiologist for a long time to appease her mood.
手术台上的患者,仿佛没什么感觉就轻松地做完了手术。可张志山说,他做手术,从来没说过这么多话。
The operating table,As if nothing was easily finished surgery.But Zhang Zhishan said,He do surgery,Never said so many words.
又讯 记者了解到,本市多家医院在灾后组织专业医疗队伍赶赴灾区。其中,北医三院抗震救灾应急医疗队在赶到灾区后的两天中,已经为12名地震伤员完成手术。积水潭医院专家和北京中医医疗队也完成了多台手术。记者 王东亮 王维维
Reporter learned that, again,The city's hospitals in post-disaster group is professional medical teams rushed to the disaster area.Among them,After founding of disaster relief emergency medical team arrived at the disaster area in the research of two days,For 12 earthquake victims to complete operation.Beijing jishuitan hospital experts and Chinese medicine medical team also finished more than one operation.The reporter Wang Dongliang Wang Weiwei
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