Qilu Evening News Qilu One Point reporter Tai Xuechao
A few days ago, Weifang 14-year-old Tong Xixi (pseudonym) accidentally fell from the 4th floor while playing at home, and was diagnosed with multiple cerebral contusions with cerebral lacerations Bleeding, Xixi’s condition continued to worsen during the treatment process, and she gradually fell into a coma. The local hospital urgently transferred her to the Children’s Trauma Center of Qingdao Women’s and Children’s Hospital for surgery. Four days after the operation, Xixi was transferred from the pediatric intensive care unit to the general ward. At present, she is recovering smoothly. discharge.
It is reported that when she arrived at Qingdao Women’s and Children’s Hospital, Xixi was still in a coma, with rapid breathing and heart rate, and her child’s trauma score was 5. She was in a very critical condition. The child was diagnosed with brain herniation and multiple cerebral contusions and lacerations. The receiving doctor and emergency nurse immediately activated the green channel for severe traumatic brain injury. In the emergency room, the rescue team quickly completed tracheal intubation to assist breathing, improved rapid nucleic acid detection and preoperative laboratory tests, prepared blood, quickly established venous access, administered drugs to lower intracranial pressure… and prepared for emergency surgery. After the pediatric anesthesiology department quickly completed the catheterization of the deep vein and radial artery, the neurosurgery and other surgical teams performed an emergency craniotomy to quickly release the intracranial pressure. The chief surgeon carefully explored through a microscope and found that Xixi had severe cerebral contusion, cerebral hemorrhage, and severe cerebral edema. The situation was critical. The surgical team worked closely to remove most of the hematoma and necrotic brain tissue, removed the bone flap to reduce intracranial pressure and implanted it. Intracranial pressure monitoring device… After nearly five hours of fighting with death, the operation was successful, and Xixi returned to the children’s intensive care unit.
On the 2nd day after the operation, Xixi gradually woke up and was successfully removed from the tracheal intubation and released from the ventilator. On the 4th day after the operation, she was transferred from the Pediatric Intensive Care Unit to the general ward. At present, Xixi has successfully recovered and was discharged from the hospital.
It is reported that the Children’s Trauma Center of Qingdao Women’s and Children’s Hospital has established a grid transport system with the surrounding districts and cities of the peninsula, and has smoothed the “green channel of life” for traumatized children with a number of municipal tertiary hospitals. Efficient transport mechanisms and seamless articulation in critically ill trauma patients.