Arterial vascular hole, the guy lost 3500 ml of blood instantly

Author:Changjiang Daily Time:2022.09.22

The Yangtze River Daily Da Wuhan client September 22. The man suddenly had severe abdominal pain and was sent to the hospital for an emergency examination. He found that a stomach was blood, and the blood loss was as high as 3500 ml. It turned out that the patient caused major bleeding due to long -term hyperlipidemia, causing a arteries in the abdominal cavity.

At 11:00 on September 2nd, Mr. Zhou, 33, suddenly had abdominal pain when he went to work. He also had symptoms such as panic and asthma. Colleagues quickly sent him to Wuhan Fourth Hospital. In the emergency department of the hospital, the doctor found that Mr. Zhou's complexion was gray, the abdomen was swollen, and the blood pressure was only 80/60 mm Hg, but the heart rate was close to 140, and the symptoms of shock occurred. CT examination shows that there is a large amount of liquid in the abdominal cavity of Mr. Zhou, which is highly suspected of a large amount of bleeding in the abdominal cavity.

"Such a large amount of bleeding may be the rupture of liver, spleen or blood vessels." Director of liver and gallbladder and pancreas surgery in the hospital said that liver rupture and spleen rupture are more common in trauma, but Mr. Zhou had not had trauma before. Over time, patients with blood loss will be more and more, and their lives are in danger. Director of the hepatobiliary and pancreatic surgery and Dr. Xiao Ding decided to undergo an emergency surgery for Mr. Zhou under the cooperation of the anesthesiologist to find the bleeding point to stop bleeding.

The patient's blood loss reached 3500 ml, exceeding most of the blood volume of the human body. Correspondent Li Peng Chen Mengyuan Photo

After investigation, Mr. Zhou's liver and spleen were intact, but the abdominal cavity still had a steady stream of blood flowing out. The amount of blood loss had reached 3500 ml, which exceeded most of the blood volume of the human body. The doctor looked closely and found that there was a break on the patient's gastrointestinal artery, and a large amount of blood was pouring out of the crack. The surgeon quickly sutured the bleeding point and stopped the blood transfusion after stopping the bleeding. On September 21, the patient was discharged from the hospital.

Doctors are performing emergency surgery for Mr. Zhou. Correspondent Li Peng Chen Mengyuan Photo

According to Director You Jian, although Mr. Zhou is very young, he is fatter and has hyperlipidemia, which is prone to vascular lesions such as atherosclerosis. "This is like an aging water pipe, and it is easy to break, and it is easy to break," Director You Jian reminded that young people's vascular lesions are becoming more and more common in clinic. Diet, reduce blood lipids to avoid "aging" of blood vessels in advance. (Yangjiang Daily reporter Wu Ye correspondent Li Peng Chen Mengyuan)

[Edit: Yu Lina]

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