After 20 hours of chainsaw cutting the elbow large blood vessels and nerves, the orthopedic doctor's microscope surgery was successfully repaired

Cover reporter Zhou Jiayi

"Doctor, can my function still be kept?" On June 9th, a 35 -year -old injured in the Fourth People's Hospital of Sichuan Province, Sichuan University, Sichuan University, asked almost desperately. After the orthopedics of Huoxi Chunxi Hospital of Sichuan University, it lasted for 6 hours. It reset and fixed elbow joints, anastomotic tendon, and nerves. After the injured forearm cut an autologous venous blood vessels with a length of about 6 cm, the injured limb blood was reconstructed. At present, the wounded has a good right hand in his right hand and a stable condition.

Can't keep your arm be guaranteed wow?

Doctor: You can do it

At 4 am on June 10th, the orthopedic department of Huaxi Chunxi Hospital of Sichuan University cured a injured person with painful and despair. He held the injured left arm and saw Dr. Ye Xi, who came to the orthopedic duty who came to the consultation, The first sentence is "Doctor, do I still have a hope surgery?" Dr. Ye immediately called the deputy director of the orthopedic deputy director Yan Qulun. Director Yan instructed to answer "You can do", and Dr. Ye was surely told the patient.

At that time, the wounded wrist was simply treated and fixed on the splint, and blood stains on the gauze that wrapped the bleeding. "My first reaction was to touch the fingers that he was exposed outside the gauze first. It was cold." Dr. Ye said that this shows that the wounded finger had no blood. Let the patient move his fingers, and he couldn't move. Dr. Ye judged that the blood vessel nerve was damaged by the upper arm, and the injury should be more serious.

Sure enough, after opening the splint and gauze, the doctor found that the injured person's left elbow joint cutting injury with nerve injury (radial nerve was completely separated from injury, and the middle nerve part was damaged), the left elbow joint cutting injury with blood vessel injury (ulnal artery, radial artery ionization ionization Broken), left elbow cutting injury to the elbow muscle and tendon injury. To put it simply, it is a powerful rotation force. Hardness pulls the wounded's left elbow joint. The important nerves, blood vessels, and tendons of the upper limbs are separated. The injury is very serious. If it is not treated in time, it can easily lead to amputation.

Multi -party

Drive to the hospital for 12 hours

According to Mr. Deng, the wounded, he is a migrant worker in Changdu. At about 3 pm on June 8th, he was holding 2.4 meters of wood to see the disc. The chainsaw was injured and caused severe injuries. The workers immediately sent it to the local hospital for treatment, but the injuries were too severe, the hospital was simply cleaned, and the hospital was recommended to be transferred to the hospital for treatment. Mr. Deng is 35 years old. As the only strong labor in the family, it is the pillar of the family. This hand means the hope of the whole family.

Family members have learned that the orthopedics of Huaxi Chunxi Hospital of Sichuan University is very powerful in nerve, vascular repair transplantation, broken limbs and broken fingers, and has rich clinical experience. Director Yan has cured many broken fingers, broken limbs, and limb nerve damage. Patients. So I was going to drive, but there was only one trip from Xichang to Chengdu. At that time, the take -off time was over, and the patient's condition was not allowed to wait. Huaxi Chunxi Hospital of Sichuan University.

Due to serious injuries and urgent situations, it was 4 am on June 10th to the hospital. At this time, more than 20 hours have passed since the injury time of the patient. , Will increase the chance of necrosis of the left arm, which seriously affects the recovery effect after surgery. Doctors in the emergency outdoor surgery checked the admission procedures for the first time. Dr. Ye Ye of the Orthopedic Division Class improved the relevant pre -surgery and notified the operating room to open a green emergency channel for the wounded to prepare for emergency surgery.

Subsequently, the team of orthopedic Yan Yan quickly formulated the surgical plan: the left upper limb debridement+left elbow blood vessels, nerves, tendon detection and repair surgery+autologous vascular transplantation+fascia tissue formation, and immediately arranged for implementation.

The surgery lasted 6.5 hours

Microscope lower bridge is connected to the blood vessels, and the left arm gradually has temperature after surgery

On June 10, the patient was sent to the operating room. Preparatory equipment preparation, anesthesia, disinfection, towel paving, hemostasis and hemostasis ... All preparations were ready at the shortest time. A battleless battle began. Director Yan's emergency vascular nerve restoration surgery began, and the on -site medical staff were keeping their left arm.

"If the section is neat and clean, you only need to connect the blood vessels, nerves, and tendons in turn. Enough, surgery is also convenient. However, the blood vessels damaged by the wounded are not enough, and the autologous venous blood vessels in other parts need to be cut for bridge reconstruction. As a result, Director Yan took the vein of the front arm of the same side and the vein of about 6 cm of blood vessels for use for vascular transplantation. The disconnection of the debride ruler and radial arterioscopic blood vessels is sutured to suture the blood vessels by seaming without damaged blood vessels under the microscope to restore the continuous blood vessels to allow the blood transportation smoothly. The surgery time was about 6.5 hours, the surgery was smooth, and the left arm blood vessels were successfully bridged. After surgery, Mr. Deng was safely returned to the ward to give symptomatic treatment such as postoperative infection, prevention of thrombosis, and analgesic.

It is reported that Mr. Deng's arm was cold before surgery, and he gradually warmed up after surgery."Now the blood supply is very good, and each finger can do some flexion and extension, indicating that the tendon recovery is also good." Director Yan introduced that the patient moved from Changdu to our hospital for about 1140 kilometers.It has been more than 20 hours of injuries and needs to be taken from the venous blood vessels for bridge. The surgery time is long, the treatment is difficult, and the event is very successful.The nerves that are damaged from 6 to 8 months can be fully recovered."If the subsequent recovery continues to be good, it is estimated that the functions of the wrist and fingers can be recovered by most of them. You should have no problem with your self -care and recovery work before injury." Director Yan said.

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