Danger 丨 Ningxia man fell from 5 meters high, and five reinforced bars were connected to the body!Life hangs a line!

June 21st

When a man in Ningxia is working on the construction site

Fall accidentally from 5 meters high

Person in the whole body by 5 steel bars

Destiny

At 11:36 am on June 21, a ambulance rushed to the emergency center of Ningxia Medical University General Hospital from Shizuishan City. Area.

5 reinforced steel bars, the patient Xiao Li is in the evening!

The worker told the doctor that when Xiao Li worked at the construction site, he accidentally fell from a 5 -meter altitude and fell on a pile of reinforced bars ... 5 reinforced bars have been led by small Lee's left neck, right chest cavity, both lower limbs, buttocks, etc. The location penetrates through, and after the local hospital takes the consultation, considering the complexity and danger of condition. After emergency treatment, transfer to Yinchuan for rescue.

After the emergency department of the Ningyi University General Hospital, it immediately launched a trauma emergency plan, emergency department, thoracic surgery, cardiac surgery, trauma orthopedics, spine orthopedics, otolaryngology and neck surgery, vascular surgery, anesthesia, intensive medical department, radiology department, etc. Disciplinary experts urgently joint consultation and formulate treatment plans ---

Open the green rescue channel for critical patients in the hospital, quickly blood transfusion and blood supplement blood, maintain the internal environmental stability. At the same time, the anesthesiology department and the operating room quickly improve the pre -surgery preparation to conduct open chest detection and foreign body (reinforcement) for patients.

Soon, the patient was transferred to the operating room.

CT and other examination results show that one steel bars pass through the back side of the patient's cervical spine, and the other steel bars pass by the patient's esophagus and trachea. Therefore, the patient's neck activity is limited and anesthesia is difficult.

Under the coordination of Director Ni Xinli and Director Lang Shuhui of the Department of Anesthesiology, anesthesia doctors such as Sun Jianyang, Shi Yongqiang, and Qin Xiaoou successfully completed the anesthesia surgery of the left radial artery piercing tube, the intra -intubation of the trachea, and the intravenous vein pipe of the right neck.

In addition, the patient's chest, chest walls, lower limbs, and hips all have reinforced penetration, and the tissue is deeper, and the part is long in the body.

There are three risks during the operation:

First of all, when taking out the reinforced bars, it is easy to cause damage to important organs such as blood vessels, nerves, trachea, esophagus, and lungs;

Secondly, the reinforcement on the construction site is relatively dirty, causing severe pollution after piercing into the human body, and the risk of infection is high;

Finally, the risk of bleeding.

In order to reduce various risks to the greatest extent, take out the steel bars safely, trauma orthopedics, otolaryngology, throat and neck surgery, thoracic surgery, operating room and other teams to cooperate, carefully remove from the exposed parts of the reinforcement, and the throughout tunnels are fully washed and disinfected. , Destroy, part of the necrotic tissue and lung tissue that removes severe damage, thoroughly clean and rinse and suture hemostasis.

After more than 4 hours, the operation ended smoothly.

During the operation, 5 foreign body reinforcement with a diameter of about 1.5cm was taken out. The patient was sent to the ICU for further treatment after surgery. The vital signs were stable and the physiological indicators were normal.

"Fortunately in unfortunately, the five reinforced bars avoided the key, and the important organs and large blood vessels were not damaged. One of the steel bars pierced the right lung, but did not hurt the pulmonary artery. Others are okay. "Said Sun Jianyang, the attending physician of the anesthesiology department participating in the treatment.

The fast, efficient, and orderly cooperation of the hospitals of the hospital is the key to this successful rescue, marking the ability of Ningxia Medical University General Hospital to treat severe and critical patients with severe trauma and the level of multidisciplinary combination diagnosis and treatment.

Ningxia Medical University General Hospital reminded that when it is accidentally inserted into the body by hard foreign bodies such as reinforced bars and forglafs, do not remove it by itself. If you pull out with external forces without authorization, it is easy to hurt the important blood vessels, which may hurt the arteries and cause life to danger.

In the case of similar situations, the wounded should be sent to the hospital in time, the professionals are treated for treatment, or professionals will be presented.

Reporter: Shen Yating

Review: Ma Lingyan Liu Peihao

Edit: Ma Yan

- END -