Xi'an Daxing Hospital: Men's 4 -meter high -altitude falls to multiple fractures.

Author:New Observation of Shaanxi Time:2022.07.25

On July 2nd, when the 65 -year -old Lao Zhang was working, he accidentally fell from a 4 -meter -high scaffold, hit his head on the wall, fell to the ground, and Lao Zhang fainted instantly.

Lao Zhang was sent to Daxing Hospital of Xi'an at 120. ICU, emergency department, neurosurgery, orthopedic, thoracic surgery, otolaryngomyine and mandibular head and neck surgery and other disciplines were quickly established.

A multi -disciplinary collaboration rescue, immediately unfold!

4 meters high, fractures throughout the body

Lao Zhang fell heights, with blood flowing on his face and ears, serious injuries, and his family dial 120 urgently.

After the consultation of Daxing 120, he reported to the 5G Command Center to quickly open the green channel of the trauma center. Doctors in various departments rushed to the emergency department to wait.

At 3 pm that day, Lao Zhang was sent to the emergency rescue room 120. Obvious wounds on the forehead and eyelids, the right eye swells and cannot open the eyes. There is a wound of about 10cm in the inside of the right leg.

The doctor quickly checked the physical examination, and the examination was diagnosed as: closed craniocerebral brain injury medium, right orbital fracture, left stern fracture; bilateral multiple ribs, collarbone, scapular fractures; bilateral lung damage, almons; left side; left side; Pneumonia; multiple skin width ...

Established a special class, and more than 10 departments to keep driving

Lao Zhang's treatment class was established on the spot, and more than 10 departments were consulting together to escort Lao Zhang Bao.

The comprehensive assessment of neurosurgery decided to transfer Lao Zhang to the ICU closely to monitor it. After the condition was stable, the surgery was performed.

Chestarians, orthopedics, and ophthalmology have been given a closed drainage of the thoracic cavity, the thoracic fixed, and the right leg and face skin laceration sominance.

On the morning of July 3, the CT CT was reviewed, which was in line with surgical indications.

At 3 o'clock in the afternoon, Deputy Director Yao Yongfeng of Orthopedic first performed "the right collarbone+left beak degenea fracture internal fixation" for Lao Zhang, which lasted more than an hour and the surgery ended smoothly.

Immediately afterwards, Director Wang Lu of the thoracic surgery performed "Deep -ups of the thoracoscopic thoracoscopy+bilateral rib fracture internal fixation+alveolar resection+thoracic closed drainage".

At 10 pm, the two operations ended smoothly. Lao Zhang returned to ICU to continue monitoring.

3 days after surgery, Lao Zhang turned to the thoracic ward for further treatment.

The rapid recovery of Lao Zhang is indispensable for ICU, involved in vascular department, pharmaceutical department, sensing department, thrombosis prevention, specialty care, drug control, infection prevention ... every step is interlocking.

After half a month's relay treatment, Lao Zhang has recovered.


Written: Li Xiaofan

Review: Bu Liang

Responsible editor: Liu Shuhai

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