Huashan Hospital emergency transport channel. The pictures in this article are provided by Huashan Hospital
On April 18, in huashan hospital affiliated to Fudan University, where the National Center for Neuropathic Disease Medicine is located, three neurosurgery operations were carried out almost simultaneously in the outpatient negative pressure operating room and the hospital surgery center. With the cooperation of anesthesiologists and operating room nurses, the three groups of experts in cerebrovascular, brain tumor and severe trauma are "fully armed", and emergency surgery is carried out for the 24-year-old boy, the 72-year-old elderly who live alone and the 35-year-old employees of the courier company who are transported from the sealing and control area. As of 10 p.m., the operation was successfully completed and the three patients returned to the ward safely.
Among them, Xiao Wei, a 24-year-old young man, was admitted to huashan neurosurgery emergency center on April 16 due to rupture and bleeding of left temporal vascular malformation. In the day since, Xiaowei's condition has gradually worsened, and CT suggests a risk of brain hernia, and surgery is needed at any time.
The 24-year-old is undergoing surgery.
Professor Zhu Wei, executive director of the General Hospital of Neurosurgery of Huashan Hospital, said that this is a kind of cranial hypertension crisis, and the situation is critical due to the increase in intracranial pressure and the compression of peripheral nerves, blood vessels and brainstem tissue. He immediately coordinated the phone call, and finally Xiao Wei completed the operation.
On the same day, there was a 72-year-old elderly male patient who went from the sealing area to the emergency department of the outer hospital and was transferred to the emergency department of Huashan Hospital through 120. The old man is missing his right arm, and he is an elderly man living alone, three meals a day are taken care of by street residents, during the sealing period, the staff of the neighborhood committee noticed that the old man's legs and feet were inconvenient, there was a continuous phenomenon of urinary incontinence, contacted his sisters living in Pudong, and finally sent to Huashan Hospital through 120. At the time of admission, the compression of the hematoma has caused neurological dysfunction, affected the function of urination, and led to hemiplegia on one side, difficulty walking, and at this moment, the bilateral pupils become enlarged, facing the risk of cerebral hernia.
Then, at 4:30 a.m. on April 18, the emergency department of Huashan Hospital received another patient who needed emergency neurosurgery, which was Master Liu, an employee of a courier company in Pudong. Master Liu is 35 years old, has been headache and dizziness for half a month, and now he is more nauseous, vomiting, walking unsteadily, transferred to huashan emergency department by a companion called 120 ambulance, CT prompts: the patient's right cerebellum 4-5 cm huge placeholder, accompanied by hydrocephalus.
Professor Zhu Wei, Executive Director of the General Hospital of Neurosurgery of Huashan Hospital, determined the location of the surgical incision for the 72-year-old.
On the same day, Professor Wu Jinsong, deputy director of the Neurosurgery Glioma Center of Huashan Hospital, and Dr. Zhu Fengping, chief of the Neurosurgery Department, found during the emergency round that the 35-year-old patient's intracranial mass had caused the spinal fluid circulation pathway to be blocked, and a large amount of hydrocephalus had obviously caused intracranial hypertension, and it was also necessary to carry out outdoor drainage as soon as possible to stabilize the condition.
Three surgeries, each of which must be performed. How to be safe for patients, for care, for hospitals?
In this regard, Professor Yang Fan, director of the Department of Epidemiology of Huashan Hospital, Dr. Yang Minjie, assistant director of the emergency department, and the neurosurgery expert group held a fierce discussion in the working group, and finally determined the specific plan.
Since the three patients are from the sealing and control area, and all of them are emergency admissions, the risk cannot be completely eliminated, and the transfer, medical care, and elimination teams all need to be "white", and the logistics support department will disinfect the inspection, transfer and surgical sites in real time.
From 1 p.m. on April 18, three surgeries were carried out. Before the operation, the expert team also conducted preoperative conversations with 5 family members of the 72-year-old elderly patient, and the operation was carried out only after the family agreed to the operation plan. All three surgeries were performed smoothly.
At more than 11 o'clock that night, as the last patient was transferred to the observation ward, the hospital leaders and the heads of the hospital's anti-crown secretariat, hospital sense, logistics, security and other departments involved in the overall planning, guidance and scheduling finally let go of the hanging heart.
Professor Wu Jinsong, Deputy Director of the Neurosurgery Glioma Center of Huashan Hospital, formulated a surgical plan for patients.
Li Gendi, chief nurse of the operating room department of huashan hospital, introduced that during the sealing period, the hospital operating room often staged such a "life and death rescue". On April 18, in addition to the three neurosurgical emergency room surgeries, another neurosurgery level surgery and nephrology surgery were carried out at the same time.
Professor Mao Ying, president of Huashan Hospital and executive deputy director of neurosurgery, said that since the sealing and control, general surgery, hand surgery, orthopedics, urology, pancreatic surgery and other disciplines have often been busy in the operating room to carry out emergency and ordinary surgery. Under the unified coordination of the hospital, the operating center deliberately set aside the operating room on the sixth floor to receive emergency surgery from patients at risk of new crown infection, and the workers, security, and logistics personnel are on standby at any time, rescue, elimination, and killing, one is not bad, to ensure the safety of the operating room.
"Neurosurgery has a lot of emergency surgery, as long as it is a patient must be prescribed, even if the conditions are difficult, we must prescribe, sometimes some patients have concerns, we will try our best to persuade them after professional judgment of risks, the first time to protect the safety of patients, for our medical staff is the most important." Professor Zhu Wei, executive director of the General Hospital of Neurosurgery of Huashan Hospital, said.