剑渡红尘酒伴生 发表于 2024-2-1 16:46

【特色技术】多科联动!霍邱一院成功挽救肝癌破裂大出血患者

本帖最后由 豆豆、 于 2024-2-1 16:48 编辑 <br /><br /><div class="wx_rich_media_content" id="jsWxContainer"><p style="outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; visibility: visible;"><br></p><section data-source="bj.96weixin.com" style="outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; color: rgb(0, 0, 0); visibility: visible;"><section deep="7" style="outline: 0px;visibility: visible;"><section data-source="bj.96weixin.com" style="outline: 0px;visibility: visible;"><section deep="7" style="margin-top: 10px;margin-bottom: 10px;outline: 0px;border-width: 3px;border-style: solid;border-color: rgb(198, 198, 199);text-align: right;visibility: visible;"><section style="text-align: left;text-indent: 2em;">近日,霍邱一院普外科、重症医学科、麻醉科、手术室等多学科联动,高效救治,成功为一名肝癌突发破裂出血的急诊患者进行了肝破裂修补术,成功挽救了患者的生命。</section><p style="text-align: center;"><span class="wxart_image" wx-style="display:inline-block;"></span></p><section style="text-align: left;text-indent: 2em;">今年42岁的李女士,从广西远到本地打工,在一次工作中突发腹痛,由120送至我院急诊科就诊,来时血压较低,经初步诊断考虑为“肝癌破裂出血”,肝癌破裂出血病情凶险,死亡率高,情况危急。此时最快、最好的办法便是尽快给予手术,进行最精准的止血处理。如不尽快手术,如此大出血后果将不堪设想。医院立即开辟绿色通道,通知普外科、麻醉科、手术室等科室及时做好急诊手术准备;刚到手术室,患者就已失血性休克,血压测不出,静脉不充盈导致静脉通道无法打开,在手术室护士过硬的技术下开辟了静脉通道,并在麻醉科医师协助下给予放置颈静脉置管,快速补液及升压后血压上升,并立即进行急诊开腹探查术,术中见腹腔出血约3000ml,肝左叶癌肿破裂出血,给予行肝破裂修补术,术中输血3U,手术非常成功,患者逐渐恢复。</section><p style="text-align: center;"><span class="wxart_image" wx-style="display:inline-block;"></span></p><section style="text-align: left;text-indent: 2em;"><span style="text-indent: 2em; letter-spacing: 0.544px;">术后转重症医学科治疗,平稳后转回普外一科进行后续治疗,术后第四天李女士便可下床活动及正常进食,达到出院指征后予以转入介入血管外科行介入手术以预防再次出血,并进行后续治疗。她及家人对手术及治疗表示非常满意,送上锦旗表示感谢,目前已顺利出院。</span><br></section></section></section></section></section><section style="outline: 0px; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; color: rgb(0, 0, 0); font-size: 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