"On the way back, we noticed a man on the side of the road who was riding a bicycle crookedly and fell on the side of the road, so we immediately took him back to the hospital. 120 Wang Guotao said.
Days
Uncle Xie (pseudonym) was injured in a fall on his bicycle
Causes the kidneys to rupture and bleed
He was rushed to the emergency department of Xi'an Third Hospital
At the time of admission, the patient was unconscious, had a rapid heart rate, shortness of breath, and was at risk of death from hemorrhagic shock at any time. Due to the lack of family accompaniment, it was reported to the medical department and the green channel was quickly opened for active rescue.
Preliminary diagnosis: 1. Severe laceration of the left kidney with hemorrhage, 2. Cerebral contusion, 3. Basilar skull fracture, 4. Multiple soft tissue contusions and lacerations throughout the body.
The emergency department immediately organized a hospital-wide trauma team consultation to discuss the best treatment plan. Severe laceration of the patient's left kidney with bleeding is the primary life-threatening risk at present, and there is an indication for emergency surgical resection, but considering that the patient is a middle-aged male, it was finally decided to perform left renal arteriography + embolization hemostasis by the interventional vascular department, so as to save the patient's life while doing their best to save the kidney.
How dangerous is it after a traumatic kidney rupture? Patients may lose their lives due to massive bleeding in a short period of time. In this way, the rescue of patients is a great test of the doctor's accurate judgment and technical level.
Communicate with the family and obtain consent, and start the operation after completing the preoperative preparations. Intraoperative imaging revealed that the patient's left kidney was severely lacerated and still had active bleeding, which could be life-threatening if the bleeding was not stopped in time. Director He Chuangye immediately performed precise embolization on the bleeding artery, and after embolization, re-imaging confirmed that the bleeding had stopped. The whole operation went smoothly, the patient's consciousness gradually recovered after the operation, his vital signs tended to be stable, and the color of his urine changed from bloody to clear to the naked eye.
Minimally invasive interventional hemostasis is a very mature and classic diagnosis and treatment technology of interventional medicine, which has the characteristics of minimally invasive, accurate and efficient. In some critical moments, such as liver, spleen and kidney rupture caused by various traumas, pelvic fracture and hemorrhage, etc., the process of minimally invasive interventional hemostasis treatment is less painful, and the postoperative condition recovers quickly, and the most important thing is to save the patient's original organs and greatly improve the quality of life in the future.
With the support of hospital leaders at all levels, the trauma team of Xi'an Third Hospital is a comprehensive team integrating emergency medicine, anesthesiology, general surgery, blood transfusion, imaging, interventional vascular and other departments, aiming to improve the success rate of critical trauma patients in the hospital.
Expert presentation
He Chuangye, Director of the Department of Interventional Vascular Medicine of the Affiliated Hospital of Northwest University and the Third Hospital of Xi'an, has worked in the Digestive Interventional Center of Xijing Hospital for more than 20 years, is the tutor of the TIPS Training Institute of the National Clinical Medical Research Center, and participated in the writing of expert consensus and guidelines in the field of interventional vascular, and has served in many national and provincial academic organizations. Participated in the completion of the first prize of the military scientific and technological progress award "Establishment and Application of TIPS Treatment Strategy for Complex Portal Hypertension". As the first person in charge, he completed the key R&D project of Shaanxi Province "R&D and Clinical Application of a New Flow-Restricted Stent for Refractory Hepatic Encephalopathy after TIPS for Liver Cirrhosis". He has rich clinical experience in the diagnosis and comprehensive interventional treatment of trauma intervention, peripheral vascular intervention, liver disease and tumor intervention.
Chinese business all-media reporter Chen Mengyang
According to the Third Hospital of Xi'an