The man's calf was rolled "without skin", and 4 surgery combined with high -pressure oxygen therapy successfully protects the limbs
Author:Changjiang Daily Time:2022.09.15
The Yangtze River Daily Da Wuhan Client September 15th (correspondent Li Jizheng Zhulu) has been surgery 4 times, and multiple high -pressure oxygen treatment. After suffering from severe car accidents, Mr. Li with multiple fractures in the whole body. Careful treatment for 47 days, through the difficulties after another, avoiding the suffering of amputation. On September 14, the doctor said that Mr. Li was recovered well and was about to recover.
On July 31, Mr. Li, 46, suffered a serious car accident on the road. A car rolled from his legs, especially the left lower limbs, blurred flesh and blood, his bones were exposed, and he was constantly bleeding. Essence
When Mr. Li was sent to Wuhan Bauhinia Hospital at 120, he was already in a state of traumatic blood loss, and the hospital immediately opened a green channel. After an emergency examination, the patient was diagnosed with a left lower limb disconnection; the right tibial fracture was damaged with the vascular nerve tendon; the left calf and the left foot skin were torn out of defect; the left knee half -moon plate, ligament damage; bilateral external ankle fracture; left and bone torn off Fractive; left cheekbone bow fracture; multiple soft tissues in the whole body are contulatory.
"Multi -fractures are better for us. The difficulty is that the left leg skin is torn and wounds. The patient's left knee to the back of the feet to tear the defect of the skin. Multiple surgery may be performed to ensure that the patient's left leg function is recovered. "Director Chen Dakang, the hand and foot micro -surgery of the hospital, said that they immediately organized the departments to conduct preoperative discussions and formulate a detailed surgical plan.
After sufficient preoperative preparation, at 8 o'clock that night, Director Chen Dakang led Shao Guizhou, Chen Yaoyao, Zhou Jie and other surgical surgery teams. It took more than 4 hours to implement the left lower limb debridement+defect wounds of VSD. The right calf cuts the decompression fracture internal fixation+vascular nerve detection and repair surgery, and the wound is initially treated.
For more than a month, Director Chen Dakang and Dr. Shao and other teams successively conducted three muscle clearance+VSD negative pressure attraction technology for Mr. Li.
"The skin area of defective skin is too large, so we need to surgery multiple surgery to perform skin grafts on the wound." On August 29, after the third skin graft surgery was completed, the doctors finally relieved. It's! "
Patients are undergoing high -pressure oxygen treatment.
On the seventh day after the skin surgery, Dr. Shao discovered that there were some local skin necrosis signs of local skin necrosis, and high -pressure oxygen therapy was in a hurry. After 7 high -pressure oxygen treatment, the patient's calf skin planting area healed well, and various indicators improved significantly.
Large -scale skin tear injuries also need to go through the infection. During the treatment process, high fever, low protein, liver and kidney dysfunction and other dangerous complications may occur. Fortunately, under the careful care of the micro -surgery medical staff in Wuhan Bauhinia Hospital, Li The husband recovered very well.
"Before other hospitals said, I was amputated. Director Chen and Dr. Shao helped me for helping me. Thank you very much!" Mr. Li said gratefully.
It is understood that the micro -scholarship of the Wuhan Bauhinia Hospital's hand and foot micro -surgery has unique features in complex fractures, various wound repair, complicated orthopedic orthopedics of the hand and foot, and neuropathic blood vessels in the limbs, and re -implantation, leather, and skin flaps.
Director Chen Dakang said that high -pressure oxygen treatment can increase tissue oxygen content, accelerate tissue repair, promote neurological recovery, reduce edema, inhibit bacterial growth, and synergistic effects with antibiotics. After the fracture, the blood supply to the local tissue such as poor healing and other diseases will be healing. Clinically, craniocerebral injury, spinal cord injury, broken limb planting, diabetic feet, delayed fracture, burns, frostbite, and after skin graft surgery have significant effects.
[Edit: Yu Lina]
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