Trauma Breeding Life Hanging Line!Vascular intervention quickly stops bleeding to win the vitality of patients

Bleeding of pelvic fractures, high mortality rate

On July 4, the emergency department of the First Hospital of Changsha City took a serious wounded from 120. The patient was a middle -aged woman with unknown identities. Life is in danger! Hepatobiliary surgery, vascular surgery, orthopedics, intensive medical department, anesthesiology and other experts in the emergency department of the emergency department were urgently assembled. After rapid assessment, the patient was mainly severe trauma bleeding in the pelvic area. The pelvis is severe trauma, and the bleeding amount can reach 3000-5000ml in a short period of time. The rescue is difficult and the mortality rate is extremely high! Bleeding must be controlled as soon as possible, and patients have hope for life.

In 15 minutes, minimally invasive treatment is quickly stopped bleeding

Patients with blood pressure decreased. While the treatment of shock and emergency blood transfusion, the patient was quickly sent to the hospital composite operating room. This operating room also had the conditions for the treatment and open surgery of vascular angiography (DSA). On the operating table, the patient's blood pressure was as low as 75mmHg and the heart rate reached 145/time, which was dangerous at any time.

Under the guidance of ultrasound technology, vascular intervention experts quickly puncture from the patient's bilateral femoral artery, and use the balloon to quickly stop bleeding in the blood vessels. In just 15 minutes, the bleeding gate was closed as soon as possible, and the patient's blood pressure quickly recovered. For patients with severe trauma, major bleeding is controlled, which means that the rescue has been successful.

Immediately after the orthopedic experts performed surgery to stabilize the pelvis, when surgery entered the end, the patient's blood pressure fell again. "There may be activity bleeding!" The vascular intervention experts did not hesitate to continue looking for the blood vessels. Finally, there was still a arterial rupture of the patient in the pelvic cavity on the right side of the patient. Get completely controlled. At the end of the surgery, the patient's blood pressure stabilized, and the various life indicators gradually improved, but the coagulation function of the hyperemia after the hemorrhage collapsed. Treatment.

On July 16, Ms. Zhang's condition was stable and transferred from severe medical department to orthopedic ward. On July 25, Ms. Zhang was successfully transferred from orthopedics to rehabilitation department for further rehabilitation treatment.

Intervention in precision hemostasis vs traditional treatment method

Li Ke, director of vascular surgery, introduced that the urgency, complexity and uncertainty of the bleeding site caused the death rate after treatment. In the past, even if patients with major bleeding could not fully clarify the bleeding point, they were limited by the urgency of the disease, and they might have rushed to conduct a caesarean section to detect surgery; injuries involved multiple parts, and often needed to surgery and frequent transportation patients, which caused the timing of delaying treatment.

At present, for this kind of life -threatening big bleeding, vascular intervention technology such as vascular angiography, balloon blocking, vascular embolism, etc., can quickly clarify the bleeding site accurately at the fastest speed and minimum trauma, or try to control bleeding as follows. Rescue has won opportunities to improve the efficiency and success rate of first aid. Emergency intervention hemostatic technology has been widely used in the treatment of critical condition of trauma in our hospital, greatly reducing the mortality and injury rate, creating greater opportunities for survival for more life!

The power of multi -disciplinary experts in the trauma center

Xiong Lixin, director of the Ins Technology Injury Center, introduced this critical condition to fully demonstrate the advantages of the trauma disposal mechanism and first -aid process of our hospital's trauma center: open the green channel for the rescue of the wounded, and the real -time information sharing and multi -disciplinary sincere cooperation to achieve the rescue process Seamless connection allows trauma patients to be treated quickly and efficiently.

Changsha First Hospital's Injury First -aid Team is a multidisciplinary team with high professional quality, rich rescue experience and tenacious combat spirit. The success of Ms. Zhang, thanks to the completeness of the medical treatment system of the hospital, and also thanks to the maximum of the multi -disciplinary team of the trauma team to maximize the superior first aid skills. (Supply: Li Ke)

- END -