Two severe liver injury elderly patients were rescued!This group of doctors in Luzhou created a miracle

From the evening of June 15th to the early morning of June 16th, in more than 10 hours, the hepatobiliary surgery team of the First People's Hospital of Luzhou City successfully rescued two severe liver rupture patients. At present, the two wounded recovery after surgery and stable condition.

1. Multi -disciplinary collaboration, smooth green life channel

The injured one: 62 -year -old men who accidentally fell to our hospital for 20 hours when they worked at home for more than 3 meters. "Blood blood accumulation" accepted the trauma ICU of the First People's Hospital of Luzhou City.

After receiving the notice, the chief physician Peng Xinran, the hepatobiliary surgery, rushed to the trauma ICU. Based on the limited auxiliary examination results, he decisively judged that there was an emergency surgery indicator, and quickly performed emergency surgery after obtaining the consent of his family members.

The results of the detection during the operation are basically the same as the preoperative judgment: the patient's liver is substantially broken, the root of the middle of the liver, the left vein of the liver, and the lower cavity vein rupture, the second hepatic door is torn off, the right hepatic tube is damaged and the bile is bile. Trauma, extremely high mortality. During the treatment of this patient, the trauma ICU quickly launched an emergency plan for trauma, maintaining vital signs, and creating favorable conditions for further treatment;

The hepatobiliary surgery team of the First People's Hospital of Luzhou City responded rapidly. The chief physician Peng Xinran, the deputy chief physician Hou Lin, and the Dr. Ma Qinyi were in danger. Under the guidance of Dr. Yi, the emergency department was completed. Leaf resection+liver vein, lower cavity vein repair+right anterior bile duct repair, bile tube D drainage drainage, gallbladder sketching, etc., retain the vein of the liver in the whole process, and protect the abnormal level of the right anterior liver of the left liver. Tiger fully reflects the professional level of hepatobiliary surgery.

In addition, the blood transfusion department, anesthesiology department, and operating room are seamlessly connected, and they must fight in seconds. The joint application of various instruments and equipment such as insulation equipment and autologous blood transmission devices during the operation. With the close cooperation of each team, it takes only 2 and a half hours to complete it. It is completed in just 2 and a half hours. All rescue process.

Second, the responsibility and responsibility of life supremacy, doctors

The wounded 2: 74 -year -old man, there are "hypertensive coronary heart disease cerebral infarction", accidentally fell due to the obstacles of the right limb activity after cerebral infarction, due to the age, the complications of the complications, and the long -term oral aspirin anticoagulation therapy, the local hospital Dare to surgical suggestions to transfer to higher -level hospitals. After entering our hospital, the emergency CT prompts the postpartum rupture of the right liver and the extensive hematoma under the entire right hepatitis and extend to the posterior peritoneal, the right adrenal glands, a large amount of abdominal blood accumulation, and the comparison of the accumulation of the abdominal cavity is significantly increased with the local hospital CT. It is very critical and there is no retreat.

In the ICU area to quickly complete the operating room before surgery, the chief physician Yu Yi, the chief physician Peng Xinran, and the deputy chief physician of Zhao Chunbo quickly entered the abdomen, absorbing 1500ml of blood accumulation in the abdominal cavity, controlled the liver door, removed the hematoma, sutured repair, and repaired repair. The liver broke the mouth and the bleeding was controlled, but the patient took the aspirin for a long time. Actively supplement fresh plasma and cold refueling to improve the coagulation function. After more than 3 hours of hard rescue, the surgery was successfully completed, and the patient returned to the ward.

During the rescue process of the wounded, the liver and gallbladder surgery team always put the patient's life first, and did not hesitate due to the high basic diseases and the high risk of surgery; Overcoming various difficulties in spirit and physical strength, successfully complete the rescue of the wounded.

After the two patients returned to the ICU ward, under the careful care of the ICU medical staff, they had safely removed the ventilator and tube. At present, the vital signs are stable.

Third, decisive forward, may bring the dawn of life

The successful rescue of the two wounded people not only reflects the emergency rescue capabilities, multi -disciplinary collaboration level, and level of specialist treatment of severe external liver injury, but also reflect the responsibility of medical staff in the current complex medical environment. And responsibility.

(Edit ZS.)

Hunan Medical Chat Special Author: Chenzhou First People's Hospital Peng Xinran Zhao Chunbo

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