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男子工地坠落被钢筋刺颈 没刺破要害暂无危险

2017-08-06 10:08:43   中国青年网

近日上午,平乐县源头镇某建筑工地发生惊险一幕:一名工人不慎坠落,被一根钢筋刺穿颈部,当场昏迷。随后,受伤男子被紧急送往桂林,进入181医院接受救治。最终,在象山消防的协助下,钢筋从受伤男子体内顺利取出,目前伤者正在进一步观察治疗中。

男子不慎跌落被刺穿颈部

这名受伤男子姓李,今年52岁,是陕西人,在平乐县源头镇某建筑工地工作。

2日早上8时40分左右,李师傅在工地上工作时,不慎从约2米高的高处坠落,下方一根长约1.2米、直径2.5厘米的钢筋瞬间刺穿了他的颈部。工友们连忙拨打120急救电话,并跟随救护车将其送至当地医院。

由于病情危重,当天下午2时许,李师傅被送往桂林,进入181医院进行急救。

伤情危重,必须立即进行手术。手术前,医生需要给李师傅做CT检查。然而,钢筋刺穿李师傅的颈部后,两端露出部分长达90厘米左右,超出了CT机的宽度,无法进入CT机。医生只得拨打119请求消防支援。

医院消防联合4小时抢救

当天下午3时32分,象山消防中队接到医院的求助电话后,立即派出消防队员带着专业设备赶到现场施救。此时,尽管李师傅还昏迷不醒,但生命体征比较稳定。

象山消防中队副中队长唐跃诚负责此次钢筋切割。此外,为了避免切割发热影响伤者伤情,消防队员还不时地对切除位置进行淋水冷却,医护人员则在一旁帮忙扶住钢筋,时刻关注伤者的生命体征等。

经过一个多小时的紧张救援,李师傅体外约60厘米的钢筋终于被切除了,李师傅随即被推入CT室进行检查。

经过CT检查,李师傅颈部存留的钢筋还有68厘米长,钢筋从左侧颏下进入,贯穿颈部后从颈部右侧穿出,颈内还有衣服布料、泥沙等。

“李师傅的颈动脉被钢筋垫高,二者紧紧贴合。”181医院耳鼻咽喉头颈外科主任唐乔说,李师傅的颈内伤口呈Y字形,可能是钢筋进入身体后顶到骨头,再向旁边扭转穿出,刚好避开了颈动脉。“真是命大!如果钢筋刺破了颈动脉,很有可能会导致当场死亡。”

2日晚上,经过4个多小时的手术,医生将李师傅颈内的钢筋取出。目前,李师傅已住进ICU病房,还需进一步观察和治疗。

异物入体切忌自行拔出

记者查询相关新闻发现,钢筋等异物刺入体内的情况在国内各地时有发生,甚至还有人在情急之下自行将其拔出,导致病情加重。在桂林,也曾发生过一些类似的事件。

今年2月,一名年仅2岁的女童独自在桂林某菜市场玩耍时,不慎被一条27厘米长的铁丝刺入口腔,铁丝穿透上颌骨硬腭,经过鼻腔、筛窦后方,一直到左眼球后眶尖区,最后经手术治疗脱离危险。

早在2009年,在北极广场附近某建筑工地,一根长约5米、比大拇指还粗的建筑螺纹钢突然从高处掉下,从45岁的农民工蒋红河右肩颈处插入10多厘米。经医院的全力抢救,钢筋从伤者体内顺利取出。

“异物入体千万不要自行拔出。”唐乔强调,如果碰到钢筋、铁丝、筷子等异物入体的情况,千万不要触动伤口或擅自拔出,以免加重损伤。正确的做法是,及时将伤者送到医院,同时搬运过程要保持平稳、避免颠簸,并注意观察伤者的生命体征。

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