At 16:10 on the afternoon of December 1, the emergency surgery department of our hospital received a patient with a serious joint chest and abdomen injury. When the patient unloaded the goods half an hour ago, he was hit by more than 200 pounds of heavy objects on the right side of his chest and abdomen, and the pain was unbearable, and the workers immediately sent him to the emergency department of our hospital. By the time he arrived at the hospital, he was in a state of severe shock, with a pale face, wet and cold limbs. Anti-shock therapy was given immediately, and at the same time, bedside ultrasound, blood pressure rose slightly after CT was done, and the patient was diagnosed with thoracic and abdominal joint injury, hemorrhagic shock, traumatic liver rupture, multiple rib fractures on the right side, and traumatic wet lung. After aggressive anti-shock treatment and improved preoperative preparation, the patient was admitted to the operating room half an hour later. After surgical exploration, it was found that the diaphragm of the right liver of the patient could be crushed and ruptured, part of the liver tissue had been completely fragmented and detached, and the amount of abdominal bleeding was as high as 2600ml. After about 2 hours of surgery, the bleeding of the liver rupture has stopped, and the patient's blood pressure has been basically controlled within the normal range after blood transfusion, rehydration and other treatments. Postoperative patients are transferred to the ICU for intensive care. Returning to our ward on December 8, I saw that the patient had gotten out of bed and was in good mental condition during today's rounds.
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