Looking at life in the emergency room,
Walk into someone else's story,
Think about your own life.
The calm and quiet daily life often makes people ignore the potential dangers hidden around them, and when they are paralyzed, they accidentally find the door. The two cases in the emergency room today are due to a momentary negligence that led to an accident.
The car door forgot to observe the situation behind the woman riding a bicycle
At five o'clock in the afternoon, the emergency room triage desk pushed a traumatic patient, the injured person named Zhao Yi (pseudonym), who had just suffered a car accident and was still a little frightened.
Friend of the injured: "When I hit the car door, the bones were knocked out, and the bones before and after were knocked out." ”
According to Zhao Yi's (pseudonym) friend' recollection, when the two were returning home from work and riding an electric car through a road with mixed motorized and non-motorized vehicles, the right door of a car parked on the side of the road suddenly opened.
Injured Zhao Yi (pseudonym): "(The other party) opened the car door and I crashed into it, because I walked from this side, (the other party) drove the car door definitely to see the person on the right, he did not look at me, the door opened too fast, I directly hit." My car is very normal driving, and generally normal drivers will look at the back and see that there is no car to open the door. ”
After falling to the ground, the electric car directly pressed on Zhao Yi's (pseudonym) leg, which looked very seriously injured. After the nurse at the triage desk had a preliminary understanding of the situation, she immediately approached the surgeon in the emergency room. After the doctor's preliminary examination, Zhao Yi (pseudonym) could not move his right leg, and the possibility of deformity and misalignment of the bones could not be ruled out. And Zhao Yi (pseudonym) friends said that seeing bones, in fact, is probably because the right leg epidermis is seriously damaged, see muscle or leg fat.
Bi Hangchuan, an emergency surgeon at the First Affiliated Hospital of Kunyi University, said: "Mainly the right foot is injured, the left foot is fine, the left side is rubbed to a point, and the dorsal artery is a little weak." ”
In addition to the trauma in the right leg, when the doctor touched Zhao Yi's (pseudonym)'s right foot, the touch was cold, and the blood vessel pulsation was obviously weaker than that on the left side. Doctors suspect that there may be a risk of open fractures and vascular damage, and further imaging is needed to confirm.
Bi Hangchuan, emergency surgeon at the First Affiliated Hospital of Kun medical university: "At present, the wound is bandaged to stop bleeding, there is no wetting, the injured person may have a fracture, give her external fixation brake, just gave her an angiography of the blood vessels of the emergency lower limbs, waiting for the results to see." ”
The results of the imaging examination made everyone breathe a sigh of relief.
Bi Hangchuan, an emergency surgeon at the First Affiliated Hospital of Kunming Medical University, said: "The CT results came out to see that there were no open fractures, and the main several large arteries in the blood vessels were not damaged, that is a good situation, she was a tear of the epidermis, we debride her and sutured her, and did a simple emergency surgery." ”
Fortunately, in the end, the injury of Zhao Yi (pseudonym) in this accident was not a major problem, and the wound could be sutured and he could go home. And also because of the accident, Lu Wei (pseudonym), who fell, was not so lucky.
The man who fell to the ground accidentally fell to the ground picking fruit from a tree and injured his neck
At 8:00 p.m., Lü Wei (pseudonym) was transferred from the local hospital in Jinning to the emergency department of the First Affiliated Hospital of Kunming Medical University, where his head had been bandaged and his neck was fixed with a neck support.
Families of the injured: "Fell from a tree." ”
Reporter: "What was you doing?" ”
Families of the injured: "Picking the fruit." ”
According to family members, Lü Wei (pseudonym) would pick figs from the tree every year, and on the same day, when picking figs near his home, he accidentally fell from the tree. Although the height is only about two meters, the head and neck are injured because the head hits the ground.
Families of the injured: "None of our families were around at the time. ”
Reporter: "Who found that?" How long did it take to discover? ”
Families of the injured: "The neighbor found it." ”
With the help of neighbors, Lu Wei (pseudonym) was taken to the local hospital, and then the family arrived, and because they suspected that the injured person had the possibility of a cervical vertebrae fracture, the family decided to transfer to the hospital for treatment.
Liu Yi, emergency surgeon at the First Affiliated Hospital of Kunming Medical University: "The local image film shows that there is no obvious bleeding in the head, so it is necessary to further see if there is a fracture of the cervical vertebrae, which is also fatal." ”
Cervical vertebral fractures, often seen in severe violent injuries to the neck, may lead to a large area of neurological dysfunction and high paraplegia in the injured person. In addition, if there is bleeding inside the cervical cord, it can even cause respiratory arrest in the injured person.
Liu Yi, emergency surgeon at the First Affiliated Hospital of Kunming Medical University: "When we come here, we will review the images, and ask the relevant departments to consult to see if surgery is needed." ”
After image review, Lü Wei (pseudonym) fractured the atlantoaxial vertebrae and pivotal vertebrae of the cervical vertebrae, and although the fracture location is close to the carotid artery, there are no indications for surgery at present.
Liu Yi, emergency surgeon at the First Affiliated Hospital of Kunming Medical University: "The atlantoaxial and pivotal vertebrae are the first and second cervical vertebrae, and this fracture needs to be hospitalized for further observation. ”
After the accidental fall, Lu Wei (pseudonym) could only lie on the hospital bed, and his injuries could be said to be hidden in stability. However, under the symptomatic treatment of professional doctors, after a long recovery process, Lu Wei (pseudonym) is still expected to get back on his feet.
Reporter: Wang Chiyuan Gao Mintao
Source: YNTV2 Urban Barcode