A middle-aged man who accidentally falls while cycling to work causes subarachnoid hemorrhage

Red Net Moment December 15 (Correspondent Yang Yandong) On December 14, 45-year-old Uncle Jiang (pseudonym) accidentally "overturned" on the road on a motorcycle. Muddy roads and slippery tires caused the motorcycle to tip over, and as Uncle Jiang landed on his head, the violent impact made him temporarily lose consciousness. Fortunately, the pedestrians on the road found it in time and immediately dialed 120 to send Uncle Jiang to the emergency department of the Second Hospital of Zhuzhou City.

Uncle Jiang was sent to the emergency department when the consciousness was a blur, the hospital immediately carried out emergency head CT examination, after the cause was determined, Uncle Jiang was urgently sent to the neurosurgery, neurosurgery director Xiao Yu immediately conducted a series of specialist examinations for the patient, and then combined with CT imaging for Uncle Jiang to develop a complete set of surgical treatment plans. Left craniotomy exploration + parietal occipital subdural hematoma removal is proposed.

After everything was ready before the operation, the patient's family suddenly hesitated, the reason was to send Uncle Jiang to a hospital close to home for treatment to facilitate follow-up care, and when the family was still struggling with "where to go", Uncle Jiang suddenly changed his condition, his consciousness changed, and the pupil, which was originally about 3mm in diameter, also expanded to about 5mm.

For patients with cerebral hemorrhage, the change of consciousness and pupil condition is likely to mean that the amount of bleeding in the patient's brain is increasing, and complications such as cerebral hernia have occurred, and if the operation is not timely, it will endanger the patient's life at any time.

At a critical moment, Xiao Yu explained the seriousness of Uncle Jiang's condition to the patient's family as quickly as possible, and stressed that time is life for patients with this kind of cerebral hemorrhage. After continuous persuasion, the patient's family finally understood that Uncle Jiang successfully entered the operating room less than an hour after entering the department.

A small luminous card, a short "in the operation" three words, carrying the happiness and expectations of countless families. After more than four hours of hard-fought surgery, Uncle Jiang's pupil reduction was restored to 3mm after the operation, and the vital signs also stabilized.

After a few days, Uncle Jiang has regained consciousness and can independently cooperate with the doctor's examination, as long as he undergoes some treatment in the later stage, he will soon be able to recover and be discharged.

Principles of first aid management of traumatic brain injury

1, in the rescue scene to first rescue the comatose patient, because the condition of such patients is more serious, need to be sent to the hospital with conditions immediately, in the transfer process to let the patient lie flat, and need to remove the secretions in the patient's respiratory tract in time to ensure that their respiratory tract is unobstructed, which is the primary premise for the treatment of cranial injury.

2, pay attention to check whether other parts of the patient's body are also damaged, if there are other injuries should also be properly handled.

3, due to the abundance of blood vessels in the scalp, once the head injury occurs, the head bleeding will be very fierce, then it should be taken on the spot, quickly bandaged, stop the bleeding of the wound, to prevent the patient from hemorrhagic shock due to excessive blood loss.

4, if the patient has a simple scalp hematoma, do not rub the injured part, mistakenly use blood-activating drugs, but should first apply cold compresses to the hematoma site.