In addition to "critical" at the "micro", high -precision pelvic fracture surgery won "life race"
Author:Xinhua Daily Health Time:2022.06.21
"Fortunately in unfortunately! When I met the medical team of the Municipal Hospital of Traditional Chinese Medicine, I tried to keep my life!" On June 11th, Ms. Yang, who lived in Kaidong City, was discharged smoothly. At noon on May 16th, a sudden car accident caused Ms. Yang to fracture throughout the body, from rib fractures, lumbar fractures to pelvic fractures, fractures of the upper and lower branches of the right pubic bone, fracture of the left pubic bone fracture, fracture of the sacral fracture, sacral fracture ... Ms. Yang, who is in a shock state, is unstable due to her life indication. After the emergency department and related departments, the green rescue channel is urgently opened. ICU rescue. After 7 days and 7 nights of ICU medical staff, the patient's life signs gradually stabilized and returned to the orthopedics for the next step.
"When I turned to our Bone 1 Department at the time, although Ms. Yang's life signs were stable, they were extremely weak." The anatomical structure is complicated, and there are important blood vessels, nerves, and internal organs around the surroundings, which increases the complexity and difficulty of surgery. On the basis of ensuring the safety of life, letting patients restore the best state is a major challenge for our doctors. "
Later, Lu Yonggang, then deputy dean of the hospital and chief physician of the orthopedic department, and Du Xueping, Zhang Haifeng, Dong Dadong and other bone 1 departments immediately formed a treatment team to improve the relevant preoperative inspections and the evaluation of various departments. It is agreed that if a traditional method is used in a pelvic fracture internal fixed surgery, it is not only long and highly risky, but also prone to complications such as traumatic blood loss, neuropathic injury, and wound infection. Considering the characteristics of patients with weakness and long -term surgery at this time, giving minimally invasive surgery is the best solution. In the end, the group decided to challenge the difficulty and give the patients to perform "sacroiliac joint screw+pelvic anterior circular fixation in the pelvic anterior ring."
The surgery is performed in a full numbness, and the anesthesiology and operating room members are closely cooperated. Coupled with the support of 3D model printing technical support, through a comprehensive and high -precision three -dimensional three -dimensional pelvic reference reference, after 3 hours of hard work, it successfully completed successfully and successfully. The first minimally invasive surgery of the complicated pelvic fracture of the hospital. "The fixed bracket technical incision in INFIX is small, short time, and less bleeding. It does not destroy the ligament and soft tissue around the pelvis. It can completely bury the nail system into the skin to facilitate postoperative care, effectively avoid complications of nail infections and screw loose complications. . "Du Xueping said," The review of see -through filming shows that the pelvic fracture position has no significant shift, and the position of hollow nails, vertebral bow root screws and connecting rods is satisfactory. "
The pelvic fracture can be called the "king of trauma." The success of this operation marks the higher level of the pelvic fracture treatment technology of the hospital, and it has also taken a more solid step for the hospital's trauma center construction. Before discharged from the hospital, Ms. Yang's family was unable to suppress her gratitude, and insisted on giving a brocade flag for medical staff in the orthopedic team and the intensive care unit.
(Wang Haiyan)
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