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中国“蓝盔天使”情洒非洲红土地

2017-11-06 15:20:59   新华网

新华网南苏丹瓦乌11月6日电(赵吉辉)在世界上最年轻的国家南苏丹,有一支63人的维和医疗分队。他们不远万里奔赴这片红土地执行联合国维和医疗卫勤保障任务,用忠诚信仰和责任担当在异国他乡谱写着新时代中国维和军人的赞歌。

天气炎热、局势不稳、条件艰苦、补给困难、疾病流行……尽管面临重重困难,他们仍然出色完成了联合国驻南苏丹特派团(简称“联南苏团”)西战区近2000名维和军人、文职人员以及近千名联合国雇员的医疗卫勤保障任务,同时还为30000多名难民提供了专业的人道主义医疗救助义务。

作为联南苏团西战区的二级医院,其主要担负整个战区联合国工作人员的保健、疾病和传染病以及实施生命和肢体保全手术的任务,并根据任务区需要,实施接种和其他疾病预防措施。

2017年10月6日,孟加拉步兵营士官长默罕默德·加西姆·乌丁自述曾得过24次疟疾,连续发烧4天,在科瓦乔克一级医院被诊断为不明原因发热,进行了抗感染治疗,然而病情不断加重,被转送至中国维和二级医院就诊。经中国军医全面查体及抽血等检验,发现血常规指标明显异常,提示体内存在严重感染,但病灶无法明确。为慎重起见,迅即进行腹部B超检查,发现有“拳头”般大的肝脓肿,存在随时破溃,危及患者生命。中国军医立即调整治疗方案,积极治疗,患者得以治愈。来医院探访的孟加拉步兵营营长默罕默德·瑞祖·拉赫曼上校握着住院部主任徐冬的手说:“中国军医的医术非常精湛,及时纠正了错误诊断,挽救了孟加拉兄弟的生命。”

非洲蚊虫疾病肆虐,任务区缺医少药,救死扶伤责任大,犹如一道道难关,时刻考验着63名中国维和二级医院官兵的意志。

当地时间10月9日下午,孟加拉步兵营哈桑·弗兰克全腹疼痛难忍,被紧急送至中国维和二级医院救治。有着多年普外临床经验的军医蒋辉,敏锐的判断这是阑尾炎引发的全腹性疼痛。经查,该患者被确诊为突发急性化脓性阑尾炎,并引起腹膜炎,若不及时处理,将导致感染性休克,危急生命。

鉴于患者此前多次发作,导致腹腔内多处脓性渗出,阑尾与大网膜及肠管发生粘连,如果进行常规切除极易损坏肠管及临近器官。为慎重起见,蒋辉经过两个多小时的精准细致剥离,终于成功切除发生脓肿的阑尾,将患者从死亡线上拉了回来。

当地时间10月15日晚,战区RRP(救济重建安置部)向中国维和二级医院发出救援请求,难民营有两名男子突发不明原因的剧烈腹痛而晕厥。中国维和二级医院官兵立即携带相关药品、设备前往难民营救治。中国军医详细了解患者此前治疟情况和生活饮食等信息后,迅速检测患者体温、血压、心跳等生命体征,准确诊断出一名患者是因疟疾导致胃肠道反应,胃肠痉挛引发剧烈腹痛,且患者两日未进食,身体状况较差,从而导致晕厥。在对两名患者进行了解痉、补液等一系列救治措施之后,患者意识逐渐清醒好转。同时,根据患者病情,分别留下相关药品,认真交代注意事项,并嘱咐患者进一步进行抗疟治疗。离开时,难民们夹道相送,挥舞双手,高喊“China,Good(中国,好样的!)”

中国军医给任务区官兵所提供的精湛、专业、周到的医疗保障,赢得了联南苏团西战区的高度评价,被UN城官兵誉为 “西战区全科类、作用独特而不可或缺的医疗力量”。

南苏丹地处东非内陆,旱季太阳毒辣,雨季闷热漫长,加之多年的内战,国家的卫生状况处于崩溃边缘。中国维和二级医院驻扎在瓦乌UN城的左侧,紧邻着一号难民营,那里蚊蝇扑面,垃圾遍地,臭气熏天。

医院需要干净整洁和良好的医疗生活环境。刚到任务区的全体官兵不等不靠,立即彻底清理了整治垃圾场,对食堂、排水沟和厕所等营区蚊蝇孳生地进行了环境整治和杀灭消毒,对医疗区和生活区的房间进行烟熏驱蚊,彻底断绝疾病传染源。

中国维和二级医院具备每天接诊40名流动病人,同时实施3至4台麻醉状况下的外科手术,并且可以安排接诊20名病人住院7天的病情监护治疗以及20例诊疗化验等能力。

同时,医院还承担着繁重的战区所有单位医疗或污染物的处理任务。每到周五上午,UN城中的孟加拉步兵营、加纳防暴队和印度通信连等维和友军按时将所产生的医疗废弃物以及污染物送至医疗污染物处理站,由中国防疫官付强进行专业的无公害处理,确保了医疗垃圾不外泄和环境卫生的安全。

联合国维和任务区对出兵国的垃圾分类处理要求十分严格。为此,中国维和二级医院利用废弃的工兵筐和板材,用自己的双手在营区整建了面积达50平方米、功能齐全的垃圾分类处理站,使分队生活设施形成布局合理、适应配套、综合利用的格局。为此,战区环境官莉亚女士专门组织UN城所有维和友军单位来分队参观见学,并要求向中国维和官兵学习。

中国军医在瓦乌任务区尊重当地风俗习惯与救死扶伤给南苏丹人民留下了深刻印象,展示着新时代中国维和军人的过硬素质和良好形象,被当地群众称为中国蓝盔天使。

当地妇女生孩子多,加之个人清洁卫生差、多次分娩等原因,妇科疾病很普遍。瓦乌当地时间9月30日凌晨1时30分,来自UN城内难民营名叫奈鲍丝﹒瑞丝的产妇,羊水已破达6个小时,子宫里羊水过少,宫缩无力,宫口未开,被紧急送到了中国维和二级医院。考虑到当地蚊虫肆虐,疫情蔓延,卫生条件极差,剖腹产对产妇的恢复极为不利,医疗队决定在分娩时间无法预计,胎儿一旦缺氧需紧急剖腹产的风险下,使用催产药物,留观待产,医疗队主治医师段瑶和助产士陈玲严密守候,通过各种方式对其进行保胎安胎近20个小时,直至胎儿顺利降生。但产妇因产道裂伤大出血,医护人员不顾疲惫,迅速找到出血点进行缝合手术,终于化险为夷,母女平安。负责难民营医疗的史蒂芬医生说:“你们是中国派来的女神医,是我们瓦乌人民健康的保护者”!

由于饮食和生活习惯等原因,加之当地居民缺医少药现象严重,艾滋病、疟疾、伤寒、霍乱等疾病高发。为当地难民营的病人提供人道主义救助,成为中国维和军医的责任义务,受到了当地民众的热烈欢迎。

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