Sanitation workers were dragged down for 5 meters by the garbage truck!They do this ...

It was knocked down by the car and dragged for 5 meters,

Causes blood loss shock,

Huge tear wounds,

Right -legged on the right leg ...

On June 28, the sanitation worker cultural aunt who had been treated for nearly a month at the Emergency Insignant Department of the Nanfang Hospital in Shanghai and had undergone multiple operations finally discharged from the hospital.

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Derivative

Sanitation workers everywhere

"Let me, there are patients", with the sound of ambulance whistle, three 120 emergency personnel rushed into the emergency rescue room of the South Hospital of Oriental Hospital with a stretcher.

The middle -aged woman on the stretcher is pale. What is most unwilling to ignore is her right calf flesh. It seems that there is no complete skin. The muscles and tendons are exposed. You can see the white bone. Mowing

The doctor and nurse immediately rushed to the patient. After quickly understanding and evaluating the condition, I learned that the patient's aunt was a sanitation worker. The calf was wounded in large area, so he was rushed to the South Hospital of Oriental Hospital by 120.

The so -called dehydration injury is the exfoliation between subcutaneous tissue and deep fascia of the muscles due to strong external force.

And the situation of Aunt Wen, as if the lady took off her thick leggings in winter, the whole calf skin was peeled off, and the area was almost 10%of the whole body.

Due to large -scale trauma, skin defects, and a large amount of blood loss, the condition of removal injury is often aggressive and critical. Aunt Wen's blood pressure once was only 76/42mmHg, her heart rate rose, her body was cold, and she showed a blood loss shock. Dr. Liu Lin, an emergency trauma surgery, quickly convened a team of doctors, anesthesiologists, general surgeons, operating room nurses, emergency nurses and other teams.

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Time is not waiting

The trauma team is on the battlefield

The hospital quickly opened the green channel for Aunt Wen. While conducting a new coronal virus test for Aunt Wen, the blood index and radiology examination were performed as quickly as possible. At the same time, measures such as positive replenishment were given to quickly correct the shock.

Dr. Liu Lin's team of emergency trauma surgery also analyzed the condition in combination with the results of the examination and the actual situation of the patient, and formulated relevant treatment plans to complete the preparation of emergency surgery. After fully communicating with their families, it was only one hour in the hospital, and Ms. Wen's surgery began.

The first step of surgery is also the most critical step. It is to completely clean up the wound and completely remove the necrotic and the organization that has been inactivated. "The embankment of thousands of miles is destroyed in the ant hole", and it must not be "soft -hearted" in a complete debridement, but it is necessary to retain the skin and tissue structure that patients can survive as much as possible.

Dr. Liu Lin's team has performed a number of successful limbs surgery. For them, such surgery does not have much technical difficulty, but to complete the surgery as soon as possible and carefully to ensure that patients in the later period of the patient can maximize the maximum skin implantation of the patients. The extent survived, the three doctors went into battle together, meticulous, and performed wound treatment in seconds. The first step of surgery was completed in the past four hours.

After that, the team also needs to restore the damaged muscles and tendon structures as much as possible; and cover the skin defects as much as possible, and use the wound negative pressure attraction (VSD) technology to ensure the freshness of the postoperative wounds to be the next debridement and leather surgery surgery prepare. Fortunately, with the tacit cooperation of the team medical care, the operation was successfully implemented.

After the operation, the team implemented a series of measures such as active anti -shock and anti -infective treatment. After stabilizing various indicators, Liu Lin conducted a comprehensive evaluation of Aunt Wen's wounds again. Wound coverage plan. After the freshness of the wound meets the skin implantation requirements, Aunt Wen subsequently experienced multiple operations such as the right lower limb cut, the negative pressure attraction of the wound surface, and the fascia transplantation repair. The surgical effect was very good. The skin completely covered the wound and successfully preserved the affected limb. Based on the patient's psychological changes after the patient's severe trauma, the nursing team formulated a thorough care and rehabilitation plan to make it overcome psychological obstacles and gradually restore self -confidence.

On June 28, Aunt Wen ushered in the date of discharge. Although there were deep surgical traces on her legs, the appearance of the right leg was normal and could walk normally. I am also pleased.

Increased patients

Nanyuan trauma guards life

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Recently, with the rapid progress of the resumption of work in all walks of life after the epidemic, the construction of high -risk work and the increase in pedestrians on the road, the trauma patients of the South Hospital of the Oriental Hospital have risen sharply, and the cause involves various accidents such as car accidents, work injuries, and high falls. The emergency trauma of the Nanyuan also "grasped both hands", and fully guarded the health of the patient.

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On the one hand, through the wounding group model of "before the hospital, emergency, intensive joint duty, multi -disciplinary first consultation, emergency trauma surgery clinical decision -making", the efficiency and success rate of critical trauma rescue are guaranteed.

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On the other hand, give full play to the technical advantages, carry out minimally invasive surgery of elderly hips, endogenous mirror surgery for trauma of limb trauma, etc., especially the limbs and repair surgery of open fractures and soft tissue injuries.

According to Wang Tao, director of the Emergency Trauma Surgery of the Nanfang Hospital, the South Hospital of Oriental Hospital has been centered on the treatment of critical condition trauma in recent years, with injury control surgery as the key, and the rapid recovery of trauma. Trauma discipline.

As of June 30, the department completed 273 operations in June, a record high, with a record high of 98.1%of the critical rescue rescue.

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team introduction

There are 60 beds in the emergency trauma surgery of the South Hospital of Oriental Hospital; 19 doctors, including 7 doctors, 10 masters, 2 chief physicians, 7 deputy chief physicians, 4 attending physicians, and 6 inpatients; 17 nurse nurses;EssenceThe departments have one winner of the national innovation contest, 1 leader in Shanghai, and 1 country doctor.

The department takes the life of patients with severe trauma and trauma as the core, and the key to control control technology is the key to build a modern three -dimensional discipline that runs through the hospital, emergency and severe, and formed a number of special technologies and academic brands, including: the internal trauma of the limb traumaMirror minimally invasive surgery, minimally invasive treatment of elderly hip fractures, complex limb soft tissue injury repair technology, complex trauma computer -aided therapy.

The Oriental Dream of Oriental Hospital's Emergency Trauma Surgery adhering to the "most trustworthy hospital, the creator of contemporary medicine" as the subject goal, with the spirit of "life pain, you are good" as the spirit of the department, realizing the construction of high -quality trauma centersVision.

Edit: Chen Zhou Kejia

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