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长沙女子遇车祸头皮撕脱,31人献13000多毫升血

2017-08-18 17:22:54   中国青年网

8月15日,湖南22岁的女子小曹因车祸导致头皮大面积撕脱流血不止,生命危在旦夕,术后还遭遇用血告急困境。8月17日,在危急关头,长沙市中心医院7名医护人员和患者亲友集体捐献13700ML血液,完成了爱与生命的特殊接力。

8月18日11时许,长沙市中心医院宣传科工作人员告诉澎湃新闻(www.thepaper.cn),患者整体情况较之前稍微好转,但头皮缝合伤口周围渗血仍严重,目前仍未脱离生命危险,后续仍需严密观察。

长达9小时的头皮再植手术

小曹,22岁,湖南安乡人,今年6月从湖南财经大学毕业,在长沙某公司实习。8月15日上午8时许,小曹骑共享单车上班,在长沙万家丽路与劳动路交汇处,不慎与66路公交车发生刮擦,直接倒在了血泊中。

上述工作人员介绍,患者入院时处于昏迷状态,头皮大面积撕脱导致流血不止,右耳、右眼睑裂伤,予以清创、缝合、输血、补液等对症处理后,完善了相关检查,显示为肋骨骨折、右侧上颌窦前壁骨折、多处皮肤挫裂伤,病情十分危重。患者头皮从眉毛以上到后颈根部都全部脱离,伤情罕见,手术难度特别大。

长沙市中心医院急诊科邀请神经外科、输血科、创伤、手外科等相关科室会诊,综合商讨后开通绿色通道,将伤者小曹送入手术室进行头皮再植术。

长沙市中心医院创伤、手外科副主任、副主任医师曾驰介绍,小曹头皮属于撕脱伤,血管损伤很严重,需要高质量的血管吻合,才能保证血液循环流畅通顺、皮肤软组织存活。曾驰主任和他的团队在显微镜下进行颞浅动静脉及头部浅筋膜无名静脉血管的吻合术,在多科室的配合下,手术9个多小时才完成,术后小曹被转入重症监护室接受严密观察和治疗。

小曹的家人、同学、同事及长沙市中心医院的医护人员等都加入了“献血大军”。 星辰在线 图31人献血帮助渡难关

小曹大面积头皮撕脱伤,受伤部位多处血管断裂导致大量失血,期间血红蛋白曾低至29g/L(正常值为110-150g/L);血小板低至24×10^9/L(正常值为125-350×10^9/L);凝血功能明显异常……术中、术后都需要大量用血,可暑期正是血荒之际,血液中心血库告急,输血科的B型库存基本为零。

长沙市中心医院重症监护室主任邓湘辉介绍,为了保证患者抢救用血,医院输血科主任许靖、许忆新及血库莫小滔组长积极与长沙市血液中心联系,紧急调运血液制品,同时动员女孩家人及亲属积极献血,为小曹在术中及术后的用血“保驾护航”。

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