There is a distance of 46 kilometers between the headquarters of Yuexiu Hospital of Sun Yat-sen University Cancer Prevention and Control Center and the Huangpu Campus. In order to treat a cancer patient with cerebral hemorrhage and hematoma in the Huangpu Campus, Director Mu Yongzhao of the Neurosurgery Department of the Hospital rushed to the Huangpu Branch in 40 minutes, and jointly launched the neurosurgical emergency surgery linkage mechanism spanning 46 kilometers with Wang Jin, director of the Orthopedic Department of the Hospital, and successfully rescued the patient. This life-and-death rescue took place on the night of November 23, on the road connecting the two campuses.
Bone tumor patients with intracranial hematoma, extra-experts gallop to the rescue
At about 21:30 on the evening of November 23, in the Bone and Soft Tissue Department on the 10th floor of Building 2 of the Huangpu Campus, Wu Hao, the doctor on duty, found that the patient Uncle Li had an abnormal condition, and after a forceful defecation, he suddenly began to have headaches and vomiting... After emergency examination, Uncle Li's head CT showed an intracranial hematoma. The old man is a liver cancer bone metastasis patient, a week ago, after examination, Director Wang Jin of the Department of Osteopedics, immediately together with liver surgery, radiotherapy department and other departments for MDT consultation, formulated a thorough diagnosis and treatment plan, and successfully completed the lumbar 3 vertebral body anterior and posterior total incision surgery on November 15. After the operation, Uncle Li recovered well. After that, he was constipated for 5 consecutive days, and after an effort to defecate, Uncle Li suddenly appeared vomiting and other symptoms. Dr. Wu Hao immediately contacted the patient supervisor Dr. Song Guohui and the director of the Department of Osteopedic Department Wang Jin, and urgently dialed the emergency consultation of the neurosurgery department of Yuexiu Campus.
Time is life, in order to be able to rescue at the fastest speed, Director Wang Jin of the Department of Orthopedics after examination, Director Wang Jin and Director of Neurosurgery Mou Yongyao jointly launched the Linkage Mechanism of Emergency Surgery in The Yuexiu-Huangpu Campus, multidisciplinary and efficient cooperation to carry out rescue: Orthopedic colleagues under the command of Director Wang Jin, communicated with the patient and his family as soon as possible, signed the surgical consent form, and improved the preoperative examination; the operating room and the anesthesiology department were also prepared for emergency surgery; Dr. Lin Fuhua, who received an emergency consultation call in the Yuexiu Hospital, Hurriedly ran to the operating room and reported to the director of the three values of the day.
Director Mou, who had just completed the third operation, immediately carefully read the patient's emergency CT film and found that the elderly had an acute subdural hematoma at the top of the left frontotemporal apex, with a hematoma volume of 60 ml and a midline displacement of 8 mm, and the situation was critical. Intracranial hematoma removal must be performed urgently.
This was the first craniotomy performed in the Whampoa Campus. Director Mou Yongyu and Dr. Lin Fuhua quickly prepared relevant instruments and consumables, and trotted all the way to the rescue, while Deputy Chief Physician Zhang Xiangheng, who had just completed surgery, took the initiative to stay in the ward; at the same time, at the main entrance of the hospital, Captain LongWen had arranged a traffic car and was ready to rush to Huangpu at any time.
On the way, Director Mou Yong told him to continue the preparations for the operation with the relevant departments.
Seamless link, successfully completed the first craniotomy surgery in the Whampoa Campus!
After 40 minutes of galloping, Director Mou and Dr. Lin finally arrived at the Whampoa Campus before 12:00 a.m. At this time, the operating room of the Whampoa Campus is still brightly lit.
When Director Mou and Dr. Lin rushed to the operating room, Dr. Song Guohui of the Department of Osteopedics and the medical staff of the Department of Surgical Anesthesiology were already busy preparing for the operation. The attending physician of the anesthesiology department of li Yongchun is performing endotracheal intubation and arteriocenterization catheterization, and 3 operating room nurses and 2 doctors in charge are also making preparations, anesthesia, positioning, incision determination, and disinfection of the towel are being carried out in an orderly manner.
Orthopedic surgeons and surgical anesthesiologists are making preoperative preparations
In order to reduce the damage caused by the operation to the patient, Dr. Lin Fuhua, under the guidance of Director Mou, used endoscopy and microscopy to remove the hematoma as quickly as possible. After more than three hours, the operation was successfully completed, the patient quickly regained consciousness, and the state of consciousness also improved significantly.
Under the guidance of Director Mou Yongyao, Dr. Lim Fuhua performed surgery on the patient.
At this time, it was 4:00 a.m., on the way back to the Yuexiu Campus, Director Mou quipped to Dr. Lin: "Fuhua, we have also seen the Huangpu Campus at 4:00 a.m. ”
Plan ahead, make a plan in advance to "come in handy"!
Although the Whampoa Campus has not yet opened a neurosurgery department, it has long been prepared for the emergency department of neurosurgery. On the occasion of the opening of the Huangpu Campus, President Xu and Secretary Wu gave instructions on the possible emergency situation of neurosurgery. Director Mou Yongyao, Branch Secretary Sai Ke, Director Zeng Wei'an of the Anesthesiology Department, Chief Nurse Liu Yanling of the Operating Room, Director Wei Wei of the Medical Department, and Deputy Director Zhou Feng actively coordinated, and in advance, together with Sun Ying, vice president in charge of the Huangpu Campus, and Cao Weiwei, director of the Huangpu Management Office, went to the Huangpu Campus to inspect and implement the surgical instruments, equipment and personnel, and formulated a complete plan.
Director Of Neurosurgery Mou Yongsu and Secretary Saike went to the Whampoa Campus to formulate an emergency surgical plan with the nursing director of the operating room in advance.
It is precisely with this set of precautionary plans that this cross-campus and cross-specialty coordinated operation has been carried out so smoothly. With this successful experience, the neurosurgical emergency consultation mechanism between Huangpu Campus and Yuexiu Branch will become more and more mature.
"November 23 was another busy day. But the difference is that late this night, I received an emergency consultation call from the Huangpu Campus, and together with Professor Mou Yongjiao, I rushed from Yuexiu to the Huangpu Campus, and fought side by side with colleagues from the Department of Orthopaedics and Soft Tissues, the Department of Surgical Anesthesiology, ICU and other departments, and successfully completed the first craniotomy in the Huangpu Campus!
At 4:00 a.m., Director of Neurosurgery Mou Yong told Dr. Lin Fuhua to finish his operation and prepare to leave the Whampoa Campus for return.
'A journey to the mountains, a journey to the water, a journey to the Yuguan, a thousand tent lights in the middle of the night', whenever I encounter the neurosurgery room after 22 o'clock is still brightly lit, Professor Mu Yongzhi will always think of this Naran word, this day, I also deeply into the reality of the scene. ”
——Excerpt from the clinical memoirs of Dr. Lin Fuhua of neurosurgery
Written by: Nandu reporter Wang Daobin
Correspondents Chen Zheng, Song Guohui, Li Yongchun, Zhang Xiaorui