Men's femoral artery breaks and hemorrhage life is dying, and the hospital's multidisciplinary discipline links to protect the limbs and protects the limbs
Author:Wuhan Evening News Time:2022.07.27
Wuhan Evening News, July 27th. Recently, the orthopedics, vascular surgery, anesthesiology, blood transfusion department and intensive medical department of Huangpi District People's Hospital jointly rescued by the Department of Orthopedics, Vascular Surgery, Anesthesiology, Blood Transfer Department and Critical Medicine. Pull back and successfully protect their limbs.
The patient Mr. Zhong was 39 years old and was accidentally injured when he was working at the construction site. The workers sent him to Huangpi District People's Hospital as soon as possible. When he was taken to the hospital for rescue, Mr. Zhong's left thigh was bleeding, his skin was pale, his response was slow, and people were becoming more and less sober.
Dr. Zhangxuan in the orthopedic hose area rushed to the emergency department for examination and found that although the patient had a small mouth, the internal femoral interruption was broken, the left thighs were completely broken, and the symptoms of great bleeding shock with blurred consciousness and indifferent mental indifferent. Based on years of clinical rescue experience, Zhang Xuan quickly made a judgment -treatment of macrovascular activity bleeding is the key to rescue life and keeping limbs. He immediately notified the departments of vascular surgery, intensive medical department and other departments to prepare joint surgery. Due to the serious injury of the patient, after the relevant examination was performed through the green channel through the emergency department, the whole process was tightly suppressed by the patient's wounds, followed the patient into the operating room with the patient, and quickly carried out surgical treatment.
Multi -disciplinary linkage is an emergency surgery of patients with femoral fracture.
During the operation, the patient's femoral arteries were completely broken with defects. The remote bleeding of the femoral vein was fierce, and a large amount of blood was accumulated in the wound. The heart rate reached 130 times/minute. The hemoglobin content in the blood was less than 20 % of the normal adult standards. Zhang Xuan immediately contacted Dr. Zhang Feng, a vascular surgeon to participate in the surgery rescue. At the same time, doctors in the inspection department, blood transfusion, and anesthesiology department are also intensely cooperating with the rescue work.
Zhang Xuan and Zhang Feng's two master doctors took into account the patient's age. In order to keep their limbs, they performed vascular transplantation for the patient, that is, the femoral intravenous sync. Surgery is smooth and successful.
Dr. Zhang Xuan said that the limelight of the femoral artery is rare in clinical practice. Due to rapid blood loss, the mortality rate is extremely high. Thanks to the close cooperation of the departments, the rescue was successful and the rescue was timely. After surgery, the patient transferred to the Department of Severe Medicine to continue senior life support treatment. At present, the patient's life signs are stable and are recovering further. (Correspondent Liu Zhihua Yao Yi reporter Liu Yue intern Xu Hongzhou)
[Edit: Yu Lina]
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