High -falling injuries and life -threatening life Two surgery turns dangerous to peace

Uncle Wang, 5 -year -old, accidentally fell from 4 meters high when dismantling the steel pipe at the construction site on June 9. After the injury, Uncle Wang was taken to the local hospital in Beixun District for rescue. Betal explosion fracture, multiple rib fractures on the right chest, multiple horizontal fractures of the thoracic spine, and the right side of the right side of the waist. Due to the aortic clams, the arteries may break at any time and the situation is urgent. However, the conditions of local hospitals are limited and the aortic clams cannot be dealt with. Uncle Wang recommends that Sanbo Changan Hospital can solve such problems, and then transferred to Chongqing Sanbo Changan Hospital.

The results of the examination results of the local hospital of Beibei District

6月9日晚，患者汪大叔被120接回我院，送入ICU病房，查体意识清楚，心率89次/分、BP190/107mmHg，结合外院检查结果提示，主动脉夹层（DeBakeyIII型）、 Chest 5 spine burst fractures, rib fractures (3-12 ribs of the right chest), right lung contusion, right liquid pneumothorax, chest (6-12) vertebral spiny fracture, chest 10-12 right horizontal process fracture, waist waist, waist, waist, waist, waist, waist, waist 1-2 on the right horizontal projection fracture, ISS score 21 points, diagnosed with multiple injuries (weight), high blood pressure disease, high risk.

Uncle Wang was seriously injured. Director Zhang Yaorong of the Severe Medicine Section led the medical team to immediately suck oxygen, sedative and analgesic, strictly controlled the heart rate, and actively controlled the emergency treatment of blood pressure. Deputy Director Liu Lehong and Director Qiu Yujiang of the Trauma Center for consultation. Due to its very dangerous condition, many trauma parts, severe injuries, and thoracic and abdomen aorta clay layers, blood vessel rupture may be life -threatening at any time. After discussion, Director Zhang Zhenhai of the nervous intervention center formulated a comprehensive treatment plan for fracture surgery after the implantation of the aortic firing stent in the abolition of arterial rupture.

DSA diagram 1

DSA Figure 2

On June 10th, the second day of admission and 9:30 in the morning, after in -depth communication with Uncle Wang and his family members, after full preparation, Director Zhang Zhenhai, the nervous intervention therapy center, traveled to Uncle Wang. Cover the stent in the operation. It lasted for nearly 3 hours, the surgery ended smoothly, and the aortic clay layer of the chest and abdomen disappeared.

Surgery

Postoperative DSA picture

After the surgery, although Uncle Wang's aortic semiration problem was resolved, due to the fall of high places, multiple injuries still need to be observed at the ICU, and other surgery treatment is required. During the period, Director Zhang Zhenhai went to the ICU ward for several times to care about Uncle Wang's condition and postoperative recovery.

Director Zhang went to the ICU ward inspection room

After a week of symptomatic treatment of severe medical treatment, Uncle Wang's right pneumothorax was basically absorbed from the previous one. The lung tissue was basically re -entered compared with the previous, and the condition continued to improve and stabilize.

The timing of the second surgical treatment of multiple injuries has matured. On June 17, Liu Lehong, deputy director of the spine and spinal cord center, conducted a fracture and reset of the thoracic spine fracture, and the nail stick was fixed. After 2 hours, the operation ended smoothly.

Postoperative photo

After the operation, Uncle Wang returned to the intensive medical ward to continue treatment. Reviewing the thoracic lumbar spine MR and chest CT prompts, the compressed fracture of the thoracic 5 vertebrae was recovered by the vertebral body height after fixing, and the recovery condition was good.

Director Zhang

On June 20, Uncle Wang was transferred from the ICU ward to a neurosurgery general ward for continued treatment. After more than a week of symptomatic treatment, Uncle Wang's physical condition was further recovered, and he stopped the control of the electrical electricity. The lung surgery improved before, and the limbs could move independently.

Take photo of the ward

Talking about this thrilling experience, Uncle Wang and his family thanked the doctors and nurses of Chongqing Sanbo Chang'an Hospital for giving him a second life. With the meticulous care of the medical care, there will be no such danger to rehabilitate peace and smooth recovery. Thank you so much. "

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