Speed speed of life and death | She fell from high altitude, and the liver was ruptured and necrotic ...

In the early morning, Ms. Wang who worked at the construction site accidentally fell from a 7 -meter high altitude.

It was taken to the hospital and found that her liver was ruptured in large areas, forming a large hematoma, and the condition was extremely critical!

The patient was sent to the Zhuhai Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine in Zhuhai Hospital of Guangdong Province to rescue the patient. The consultation of the second department of the foreign department Zheng Zhipeng decided to stop bleeding for the patient's emergency surgery and remove the rupture of the nruch liver tissue for the patient's emergency surgery.

Liver rupture is not a trivial matter. This is a more common and serious injury in abdominal trauma. The incidence among patients with abdominal trauma is second only to spleen cracks. If the liver rupture occurs, unprepared bleeding or secondary infection, it is likely to cause the patient to die!

When the patient was sent to the hospital, the situation was very critical. During the surgery, the doctor found that the patient's right liver had ruptured and necrotic. After the liver rupture, nearly 1 liter of blood flowed out. What should I do?

In comprehensive patients, the team of Director Zheng Zhipeng chose laparoscopic minimally invasive surgery: using a small incision to enter the acute tissue of the abdominal cavity to the necrotic liver tissue acute debridement and hemostasis, and carefully examined whether there were other lesions in the abdomen. Under the rapid and meticulous operation of the team, the operation was successfully completed. One week after the operation, the patient recovered and discharged.

On the first day after surgery, the patient can get out of bed for the autonomy

How dangerous is the liver rupture?

Do you have to surgery?

Director Zheng Zhipeng pointed out that the liver rupture does not necessarily need surgery, but the patient's liver rupture area is large. With a large amount of bleeding, it is likely to cause shock or even death. Liver necrosis infection and other sequelae, so surgical debride hemostasis is the best choice.

Director Zheng Zhipeng introduced that in the past, traditional liver debridement and hemostatic surgery needed a surgical incision of about 20cm in length. The trauma was large and the patient recovered slowly. However, the main use of laparoscopic minimally invasive surgery today only requires a small incision of about 4-5 1cm. There is almost no trace after healing. The pain after surgery is significantly reduced and recovered faster.

The successful treatment and rapid recovery of this patient reflect the improvement of the multidisciplinary ability of the traditional Chinese medicine hospital and the improvement of the level of surgery of juopymia and general surgery. Health protection.

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The Department of Putter II (liver, gallbladder and gastrointestinal surgery) of Zhuhai Hospital of Guangdong Province (liver, gallbladder, pancreatic gastrointestinal surgery) is a direct department of general surgery (Guangzhou General Hospital) in Guangdong Province. Under the guidance of Professor He Junming, under the guidance of Professor He Junming, under the guidance of Professor He Junming, Director Zheng Zhipeng under the guidance of Professor Tan Zhijian, Director He Junming , Taking general surgery minimally invasive technology as the development orientation. The characteristics of diagnosis and treatment are standardized comprehensive treatment of laparoscopic minimally invasive hepatobiliary pancreatic tumor resection and gastrointestinal tumor resection as the core. The number and quality of surgery are at the forefront of the country.

The scope of treatment includes minimally invasive surgery of various types of peritoscopic, and it is the first to carry out minimally invasive hepatobiliary and pancreatic tumor resection, including laparoscopic hypertoscopic hepatic dehumidation, anatomical liver segment/leaf cutting surgery, liver tail cutting surgery, combined with liver departure Disglement of the sequence of hepatic section (ALPPS), colorectal cancer liver metastasis synchronous resection, and pancreatic duodenal resection, etc. Minimally invasive gastrointestinal tumor resection, including laparoscopic gastric cancer, bowel root treatment of bowel cancer. The application of laparoscopic minimally invasive surgery and the application of rapid rehabilitation in general surgery after general surgery is the specialty characteristics of the specialist, to achieve the best clinical efficacy such as small trauma, mild pain, and fast recovery.

Doctor business card

Deputy Chief Physician of Zheng Zhipengke

Good at: diagnosis and treatment of various types of gastrointestinal hepatotespitic and pancreatic surgery, especially for laparoscopic liver resection, gallbladder surgery, portal hypertension, gastrointestinal tumor, pancreatic tumor and other surgical minimally invasive technologies.

Visit: Every Friday morning

He Yaobin Indications Physician

Good at gastrointestinal tumor, hepatobiliary tumor, cholelite, abdominal wall hernia, thyroid disease, surgery trees, surgery minimally invasive surgery

Democratic: Every Monday morning (tumor clinic), every Wednesday morning (surgery clinic)

Ma Weijie Residents

Good at: diagnosis and treatment of diseases such as laparoscopic minimally invasive hepatobiliary pancreatic, gastrointestinal tumors, gallstone, pancreatitis, appendicitis, intestinal obstruction, hernia, thyroid benign malignant tumors and other diseases.

Diagnosis: All day of Tuesday

Consultation Tel: 0756-3325635

Source: "Zhuhai Hospital, Guangdong Provincial Hospital of Traditional Chinese Medicine" public account

Executive editor: Wu Yuan Tuan

Audit school pair: Zhuang Yingge

Editor in charge: Song Liping

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