The man is torn by the traffic accident heart Doctor bare-handed" Pinch the heart " Help

The man is torn by the traffic accident heart Doctor bare-handed" Pinch the heart " Help
The man is torn by the traffic accident heart Doctor bare-handed" Pinch the heart " Help
Critical traffic accident wounded: The heart quilt " Swarm in " (used after a verb to indicate the completion of an action)! The doctor opens the chest bare-handed " Pinch the heart " Protecting a life of his in the first hospital ward of the ambition surgery of Nanjing, 48 -year-old Mr. Li lies and is the bit is hung on the sick bed, a special consideration his wife, son and son-in-law at one's side. "This does not dare to recall "Not saying several sentences yet, Mr. Li's wife will have watched to fall down the tears soon. Before two weeks, Mr. Li is true in " danger spot " Have walking to meet with. In a traffic accident, Mr. Li's heart is " swarmed in " ,On the heart " Draw " Piece 3 centimeter hole. In unusual time, doctor stretch enter Mr. Li, help the intersection of he and the intersection of massage and heart bare-handed in the thorax both hands, having raced against time in order to rescue, Mr. Li " escapes death by a hair's breadth " finally . The traffic accident is struck in a moment, his heart is torn in a hole Row the happy bag, the blood squirted is 50 centimetres high Mr. Li is 48 years old this year, originally from Anhui, worked as a temporary labourer in Nanjing. On the 25th last month, Mr. Li would rather be riding an electronic tricycle in the river, in order to dodge the vehicle galloping at all speed behind, it bump against unbelievably passenger train as one vehicle in together,getting getting more more senseless at that time. Mr. Li is sent to the hospital subsequently. Mr. Li injures it too heavily, skull, lumbar vertebrae, four limbs, rib all have fracture, blood pressure is very low, the lung is dampened, blood pneumothorax, but the most fatal in confused situation one is still Mr. Li's heart. Nanjing the intersection of city and first hospital the intersection of ambition and surgery associate professor of treatment Ming tell reporter slowly, after transferring the patient to ICU, surgery of ambition unites departments such as the department of anesthesia,etc., have opened the chest for Mr. Li together. "Actually there is a layer of membrane outside the human heart, the space between membrane and heart wall is called the pericardium. " After scratches Mr. Li's chest to ascertain, director Xu finds that all blood in Mr. Li's pericardium. "Should strike fiercely in instant of traffic accident, the thorax is violent and out of shape in short time, then the most weak place of heart is torn in a hole, just the same as a balloon is swarmed in. " Director Xu tells reporters, the blood stored up in the pericardium oppresses the heart. At the pressure, it is difficult for the heart to beat, so Mr. Li's blood pressure can not be mentioned all the time - -It is a heart " Reduce pressure " It is the first step. Director Xu lifts the scalpel, row the happy bag. "The blood gushed out is almost 50 centimetres high. " Because the removing of the pressure, Mr. Li's blood pressure has rising in a moment. But a good time never lasts long, it bleeds to be here still, situation still very serious, watch blood pressure of Mr. Li frank to shed down. 3 centimeters of wounds nears the heart back, very difficult to sew up directly Doctor bare-handed" Pinch the heart " Massage is last 30 minutes "It is critical that the heart breaks, but will be better if the ordinary breach is sewn up, but the situation of Mr. Li is different. " Director Xu explains, Mr. Li's wound is on the top of the atrium sinistrum, the root of the aorta, reaches 3 centimeters. Open after the thorax, the position of wound close to the intersection of heart and back actually, should sew up directly, the angle is wrong. In addition, the blood gushing out constantly shelters from the sight, the difficulty sewn up is greater. The situation at that time, wanted " blind seam " In fact reluctant all right, but the heart structure is complicated, muscles sew up the position wrong, it is very apt to influence the function of the heart. "The only method of treatment and cure is to set up extracorporal circulatory system, sew up the wound again. " How long but it needs time to set up extracorporal circulatory system, it can not supported at all that Mr. Li's heart bleeds, the intersection of body and organ, especially brain, ischemic to long, rescue, go back life can cause difficult damage that reverse too too. In unusual time, can't permit and think it over at all. Director Xu sets up horses to judge. Director Xu has stretched both hands into Mr. Li's thorax directly. The middle finger of left hand has stopped up the breach of Mr. Li's heart gently, begins pinching, massage if the right hand catches the heart. "Direct heart massage is the extraordinary means that will be used in some surgeries. " Director Xu explains, the function of heart massage is by stimulating the way to drive the heart to resume beating with hands, guarantee the blood supply of the other organs of body. According to the situation of Mr. Li, heart massage can race against time in order to treat and cure. This one director Xu presses, according to about 30 minutes. "Say tense impossible, bleeding of patient go on still, I sweat there won't be time to wipe all over the face at the head. " In help this period of times in heart massage such as Mr. Li tomorrow slowly, other operation work too in go on meanwhile. Because Mr. Li bleeds too many, the department of anesthesia has erected five bit bottles, instil fast, it is Mr. Li fluid infusion. Yes Xu Ming " Pinch the heart " Under the means, wait until extracorporal circulatory system is all got ready, Mr. Li is still alive. Build extracorporal circulatory system, let the blood be " got around " The heart, the doctor sews up the wound fast The wounded escapes death by a hair's breadth, has not left sequela either "Extracorporal circulatory system, draw the patient's intravenous blood the human body, turns into the arterial blood containing high percentage of oxygen through artificial heart, artificial lung, and then supply it to a patient in the body, in fact give a new lease of life to a circulatory system except heart and lungs of the human body. " Director Xu explains to reporter, after finishing the extracorporal circulatory system, the blood of the human body is actually" getting around " The heart, the heart no longer beats too. In order to reduce the human supersession, lengthen the operation time of extracorporal circulatory system, the doctors brought the body temperature of Mr. Li down to 28 ℃, the cardiac muscle which is short of blood needs protection too, the doctors have poured into a large number of cardiac muscle and protected the liquid for Mr. Li's heart, offer oxygen and nutrient for heart. "The whole heart is a quiet state without blood at this time, we sewed up the wound under this kind of state at the quickest speed. " Director Xu say, rescue, last until twelve o'clock at evening from will it be six o'clock afternoon entirely. Mr. Li bleeds in operation quite big, counts as blood transfusion and flows out one's own blood input back again, almost change with blood in the body for twice. "Because the patient is ischemic time is still quite long, we are still afraid patient's brain may be damaged at the beginning, but the patient is younger after all, woke up the next day after the operation, the nowadays whole thinking was very clear, almost have no sequela. " Xu Ming tells reporters, Mr. Li can " escape death by a hair's breadth " ,It is in fact very lucky. "A lot of patients whose heart broke have already passed away while sending and curing, especially the breach is on the position of the so relative high pressure of left ventricle, it is more difficult to rescue back. " (a sub Cathay poplar swallow)


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