Reporter Tai Xuechao
At 00:29 a.m. on April 24, a 56-year-old man unfortunately fell from a height and suffered a ruptured internal organs and hemorrhagic shock. . The hospital underwent emergency surgery. Two hours later, the man survived the “life and death” and is currently waiting for the second fracture surgery.
At 00:29 a.m. on April 24, an ambulance took a man who fell from a height and was seriously injured to Qingdao Third People’s Hospital , the hospital immediately opened a green channel to send the patient to the trauma center. Through imaging examination, it was considered that the patient had traumatic spleen rupture, multiple rib fractures, multiple skull fractures, left scapula fracture, traumatic wet lung, pneumothorax… The injuries were very serious, and the emergency department immediately notified the relevant doctors to arrive at the scene quickly, On-duty staff from orthopedic surgery, neurosurgery, thoracic and cardiac surgery, and cardiology departments also arrived one after another, and an emergency MDT (multidisciplinary consultation) involving 7 departments was launched.
During the consultation, the patient suddenly experienced increased heart rate, decreased blood pressure, and hemorrhagic shock. After the infusion of plasma, rapid fluid replacement, and application of vasopressor drugs, the suspended hearts of the doctors and nurses relaxed a little. But soon, doctors were very nervous again when the urgent blood test results were reported: the patient’s coagulation abnormality, hypothermia, and acidosis were the most deadly complications of multiple injuries – the “death triangle” of trauma.
The treatment plan was given after discussion by experts from various departments: the patient considered spleen rupture and bleeding, the amount of bleeding was large and acute, and hemorrhagic shock was the primary treatment, and emergency laparotomy was necessary. The patient’s rib fractures and scapula fractures were surgically treated by relevant departments within a limited time. The Department of Critical Care Medicine is responsible for postoperative monitoring and treatment of patients, advanced life support, etc.
At 1:5 a.m., the patient entered the operating room through the emergency green channel, with a blood pressure of 53/32 mmHg, confusion, clammy limbs, cyanotic skin, and a critical condition. Transplantation, immobilization, central venipuncture, and anesthesia were all done in one go. The chief surgeon, Zhu Wuhui, director of hepatobiliary surgery, performed laparotomy. Soon he accurately found the bleeding point, hemostasis with instruments, splenectomy, and gastric repair… After two hours of fighting, in the early morning At 3 o’clock, the operation is over. During the operation, 2300 ml of hemoperitoneum was found in the patient. After the operation, the patient was transferred to the ICU to continue advanced life support and monitoring treatment.
After a night of “life and death”, the patient regained consciousness, regained consciousness, stopped abdominal bleeding, and stabilized his vital signs. He is currently awaiting surgery for the second fracture.
It is reported that this is the first complex surgical case treated by the three medical doctors in Qingdao since they were fully opened to the public on April 22 after the completion of the centralized treatment of patients with new coronary pneumonia.