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女工人从建筑工地高空坠落 被钢筋插入颈部和腹部

2017-05-10 09:26:04   中安在线

中安在线讯 据安徽商报消息5月7日下午4时许,安徽省第二人民医院急诊科外,一辆救护车呼啸而至,车上女伤员引来一阵惊呼:一根钢筋从她腹部贯穿而过,在消防部门截断裸露在腹部以外的钢筋后送至医院。由于腹部脏器密集,情况十分危急,安徽省第二人民医院立即开展普外科、泌尿外科、骨科、ICU等多科室联合会诊,近十余名专家立即实施手术抢救。经过5个小时的抢救,手术顺利完成,病人现处在进一步恢复中。

据了解,发生意外的是一名四十多岁的女工人,在合肥淮海大道附近一建筑工地,从高空不慎坠下,而坠落地点下方是纵横交错的“钢筋林”,女子被两根钢筋插伤。一根钢筋自左颈旁擦入颈部5厘米,已于现场取出。另一根30厘米长的钢筋自左侧腹部插入体内,并造成体内近15厘米的腹部损伤,对患者生命威胁最为严重。

急诊科立即予以止血、包扎、抗休克等对症处理,多名专家会诊,开始与死神赛跑。剖腹探查后见钢筋穿过腹壁进入腹腔,并穿过肠系膜、后腹膜直抵腰椎,最令人担心的是钢筋在穿过肠系膜时刺破肠系膜下血管,而钢筋本身又将破损的血管壁牢牢地抵住,轻轻移动腹壁的钢筋,血液就会大量涌出,情况十分危急,稍有不慎患者便可因大出血而危及生命。

救治小组在最短的时间内分析了伤情,制定手术计划。以血管器械临时钳夹止血,再缓缓地撤出异物,并对撤出钢筋的隧道仔细检查及止血,待异物取出后妥善处理肠系膜血管。患者同时还合并输尿管挫伤、腰椎骨折、颈椎骨折、颈部皮肤挫裂伤、颅底骨折等损伤。

经过5个小时的抢救,手术顺利完成。因患者失血较多,全身多发伤,病情危重,术后直接转ICU监护治疗。目前,患者已脱离呼吸机,神志恢复清楚,待进一步恢复与治疗。

据参与急救手术的普外科副主任医师宋德鲁介绍,在遇到突发的外伤,特别是开放性损伤,保护现场及避免二次伤害非常重要。钢筋穿透伤,任何直接拔除的方法均属盲目操作,危险性极大。

责任编辑:都基强 CN065
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