山东青岛跨国救治外籍船员 多学科协作破解保肢难题|激情五月综合色婷婷一区二区
中新网青岛10月13日电(王禹)记者13日从青岛市卫健委获悉,近日,一名外籍船员在太平洋海域作业时遭遇爆炸致手臂严重炸伤,经多方辗转紧急转运至山东青岛。当地医院多学科团队联动,克服语言不通、亲属缺位等困难,为患者成功实施保肢手术。
据悉,该外籍船员手臂重度毁损伤,伴随大段皮肉撕裂、骨骼缺损,受伤后又经长时间海上转运,已错过肢体救治的最佳窗口期。抵达医院时,患者手臂末梢无血运,肢体濒临截肢,情况危急,需紧急干预。
接收该名患者的山东大学齐鲁医院(青岛)急诊科随即启动“急诊绿色通道”,快速完成生命体征监测、创面初步处理、术前检查及备血等工作,同时第一时间联系手足与显微重建外科会诊,为患者争取宝贵救治时间。
会诊后,该院手足与显微重建外科团队判定需尽快手术,但术前准备遭遇语言沟通障碍和亲属决策缺位这两大阻碍。医院医务部牵头组织多部门协调,通过视频连线患者母亲,向其告知病情、手术方案及医院断肢再植经验,最终完成亲属授权。同时,该院组建4人专项手术组,经多轮病例讨论确定保肢方案。
最终,患者在入院后快速被转运至手术室。面对手臂高能量损伤、血管吻合难度大的情况,手术团队精准完成近20厘米受损血管的桥接修复,同时处理缺损的皮肉与骨骼。历经6小时奋战,成功为患者保住手臂。
术后,山东大学齐鲁医院(青岛)医护团队为该患者制定个性化康复方案,密切监测手臂血运与创面愈合情况,指导康复训练。患者母亲从海外赶来后,看到儿子手臂恢复良好,多次向医护团队表达感谢。目前,患者已顺利康复并回国。(完)
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