Boom~
tragic
Is happening
Xiao Zhang, 24, is one
Auto mechanic
The day was as usual
Xiao Zhang is working
A car came in the distance
Xiao Zhang was just in the blind spot of the car
One caught off guard
The car ran over him
Heavy blows in the abdomen
Instantaneous severe pain, almost fainting pain
The colleague immediately contacted the ambulance
Send him to
Zhengzhou Central Hospital affiliated to Zhengzhou University
Emergency rescue
ECG monitoring display when coming to the hospital
Heart rate 135 beats/min
Blood pressure 75/48 mmHg
The patient has severe pain in the abdomen
Internal bleeding is suspected
The hospital immediately opened a green channel for patients
Check abdominal CT to suggest
A lot of blood
Liver rupture
Liver rupture
It is a relatively serious disease
It can cause heavy bleeding
Endangers the patient's life
Surgery is performed urgently
suddenly!
Xiao Zhang's heart rate is as fast as 155 beats per minute
Blood pressure drops to 71/37mmHg
The body temperature is extremely low at 33.9 °C
The anesthesiologist gives immediately
High-dose vasopressor drugs
and treatment with a large number of blood transfusions
Arterial catheterization monitors blood pressure in real time
Maintain blood pressure and heart rate are basically stable
soon
The abdominal cavity, which was full of blood, was rapidly opened
A largest fissure is visible on the surface of the liver
There is a large amount of blood and blood clots in the abdominal cavity
Blood is still pouring out
As blood loss increases
The risk of surgery is also increasing
The difficulty of the operation can be imagined
//
Doctor, cast your "magic"!
surgery
Irregular right hemihepatic resection
+
Inferior vena cava occlusion
+
Inferior vena cava repair
+
Right hepatic venous repair
+
cholecystectomy
+
Intra-abdominal irrigation drainage
Under ultrasound guidance
Open multi-channel coarse venous access
for rapid blood transfusions
Emergency medication
Prepare at the same time
itself blood circulation device
The condition is not good after the opening of the abdomen
Sudden decrease in intra-abdominal pressure
The amount of bleeding is enormous
Blood pressure drops rapidly
A total of 11,000 ml of bleeding was performed
Up to normal adults
Twice the total blood volume
Department of Anesthesiology and Perioperative Medicine
Director Chu Qinjun
Deputy Director Li Zhengkai
Yang Li, head nurse of the operation department of the center
All parties actively coordinated
Urgent infusion of autologous and allogeneic blood
Due to excessive bleeding
A set of attractors simply cannot be satisfied
Intraoperative soaking of blood gauze
An autologous blood transfusion device is added
A variety of vasopressor drugs are used
Simultaneously
Blood gas analysis, thromboelastogram monitoring
A variety of drugs that improve blood clotting function
Sodium bicarbonate corrects acidosis
Infusion is heated and insulated with blankets
and heating measures such as heaters
Finally the bleeding was completely stopped
A young life
Basically out of danger
After the operation
Xiao Zhang's body temperature rose to 35.4 ° C
Vital signs are stable
Everyone who was there
Breathed a sigh of relief
Xiao Zhang went to the ICU
Receive further treatment
Patients still have shock and infection
Multi-organ dysfunction, etc
Dangerous situations
The doctor made it for it
Rigorous treatment regimen
After 26 days of treatment
Xiao Zhang was finally discharged from the hospital
He said excitedly —"
"I've got a new lease of life here,
You gave it to me
The chance to see the world again!
A thousand words of thanks
It can only be combined into a word of blessing,
Sincerely wish all medical staff
Good health and happiness for the whole family!
It's one
Racing against time, against death
Treatment of severely traumatized patients
Patients face
A lot of compound injuries
Zhengzhou Central Hospital affiliated to Zhengzhou University
Multidisciplinary collaboration
Emergency rescue in severe trauma
"Golden 1 hour"
Formulate standardization and individualization
Comprehensive diagnosis and treatment plan
and rapid surgery
Zhengzhou Central Hospital affiliated to Zhengzhou University
Trauma Treatment Center
It is the trauma medical center of Henan Province
Advantages of multidisciplinary diagnosis and treatment
Strong-powered alliance mode
Timely treatment of patients
Provide accurate evidence
Greatly reduces the risk
For the safety of patients' lives
Provide strong protection