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Off injured hand X-rays
Yesterday, a point [to Dr. Tian Heng Chan] information, the rapid spread of the micro-channel in Changchun circle of friends and microblogging, a broken hand splicing operation has aroused great concern. In addition to the hand-off workers of sympathy, people have done 17 hours of surgery on a trip to the toilet only Dr. Tian Heng particularly intense curiosity --- this complex and time-consuming operation very long,hogan, in the end have taken place what
Rope pumped right wrist to fly out
He recalls that painful moment, workers Zhu Yaqin (a pseudonym) is very calm.
"We all feel the hand certainly retain his job,louboutin pigalle prix boutique, and now connected, and is my greatest blessing, thanks Changchun doctors, so that I can have a pair of complete hands again. Even if it is to survive, at least my hands are full,cinture hermes, I also satisfied. "she said, smiling.
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Zhu Yaqin 30-year-old home in Qingzhen City, Guizhou Province, in recent years, and her husband go out to work. When her husband more than a decade of railway workers,sito ufficiale adidas, spring of this year, they along with the railway sector, to the mountains in the province Songjianghe area, cut railway tunnel.
Zhu Yaqin post operating mixer, mixing concrete. April 15, 18 am, she is operating the machine suddenly hopper meal, rope connecting the hopper collapse up, pumped her right wrist! "This is what particularly painful, I just shout out, you see my hand was out with a rope, thrown into the hopper!" Zhu Yaqin said.
Seeing his right arm from the moment she felt a little unreal,hogan uomo outlet, after a long time to believe this scene's happened. Heard shouting, workers flew over, with both hands over her arm wound bleeding and shouting others. Several workers ran, turn off the mixer, a worker with a rope tied around his waist, he leaned into the hopper, find the concrete has been wrapped up in a broken hand.
Workers with a rope wound at her arm and broken hand strapping good, Fusong rushed to the hospital immediately. But the hospital conditions are limited, can not continue to do the hand-off, only sent her to Changchun. Hospital for a broken hand bag fitted with saline soaked by her husband Grab ambulance flew heading Changchun.
The wound is large and serious damage is extremely difficult surgery
15, 21 am, Second Hospital Hand and Foot Surgery Orthopedics Hospital of Jilin University received a call for help, someone to help 朱雅琴 contact here, please hospital ready.
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Arduous task fell to 35-year-old physician who Owada. "This case is too rare, broken hand suffered such devastation, surgery will be low probability of success. But no matter what, we have to give it a try!" Tian Hengli That organization medical team.
Zero o'clock on the 16th, the patient was sent to the hospital. Although there are some mental preparation, but seeing broken hand, Owada was surprised. "We often see broken limbs covered with dirt, grease, but it is concrete to stirring,abercrombie milano orari, or too rare. Broken hand has been seriously eroded by pollution, skin, tendons ligaments, blood vessels and other tissues serious defect, wrist comminuted fractures. In principle, do not need to do follow surgery, amputation process can be done. "Owada said.
But Zhu Yaqin tears, let Owada be touched. She was so young, lost or main hand, the future life of the affected too. Zhu Yaqin said he hoped the doctor to help her handle connected, even then do not live, but also to have a complete arm.
"Then I'll try to fight it then live it!" Owada said the patient has a strong sense of quality and good mental, emotional calm, postoperative recovery which is a great help. He decided to challenge this extremely difficult surgery.
The main difficulty lies in surgery: the wound is large and serious injuries, broken hand across the skin, tendons, ligaments, blood vessels and other tissues serious defect, wrist fracture, thumb the skin, muscle and other tissues severely damaged,hogan outlet online, leaving only a skeleton; wound contamination serious, it is prone to infection; surgery time will be quite long, at least use more than 15 hours, the doctor of physical energy is a severe test.
17 hours! Take off the whole process of hand
This surgery took 17 hours, from at 1:00 on the 16th until 18:00, almost a record with the longest record of hand, foot surgery. Surgery, Dr. Tian Heng total of 14 vascular suture, medical group to injured more than two thousand milliliters of blood transfusion.
1:00 - 3:00
The first step: debridement
1 pm, broken hand continue operation begins. Anesthesia general anesthesia for the wounded, Tianheng Qing Li broken hand wound. Off hand is completely concrete package,louboutin femme escarpin, has not been thoroughly cleaned, although the road was saline soaked, but limited cleaning action.
"Usually clean up the wound and a broken hand full hand, need two or three minutes, but the hand is completely concrete package, and attached very tight, so spent a total of two hours." Owada said. His first use of hydrogen peroxide and saline to rinse off hands thoroughly, wash the attachment of foreign matter. In this case, the hand-off is no longer a gray and black, showing yellow and white. Followed by the instrument to clean the wound, the necrotic tissue removed. Finally,adidas, under the microscope probe breakage of blood vessels and nerves, further clean the wound.
3:00 - 5:00
Step two: bone and joint fixation, tendon ligament repair surgery
Do first bone and joint fixation. Wrist and forearm fracture two connections to be fixed.
The tendon re-repair the fracture,moncler soldes, forearm tendon avulsion defects due more to other forearm tendon remnants of the severed hand tendons are connected. "In the absence of more cases of tendon, often using artificial tendons instead. But in this case, amputation serious pollution, easy postoperative infection, artificial tendon poor resistance to infection, does not apply. So tendon taken from the patient's body . "Tian Heng explained.
5:00 ~ 11:00
The third step: the back of the skin defect repair, forearm and fingers vascular surgery bridge
Avulsion due to stirring and cement concrete corrosion, broken hand back skin serious defect. To fix, you must take the flaps from other parts of the patient. Tian Heng right instep from the patient to take a 2 × 6 cm flap to repair the defect in the back of the skin.
Patients with ulnar artery forearm, ulnar veins also defects more Owada take 16 cm long vessel from her right foot back, with the defect. Then, replace the vessels and index finger, middle finger arteries and veins at the back of the hand in a "bridge." After the vessel to catch the bridge, except for the thumb four fingers are beginning to blood flow it!
"All blood flow, indicating expected to take live, promising to restore some broken hand function!" Owada very excited.
11:00 - 16:00
Step four: the thumb and the palm skin repair, forearm and palm vein bridging surgery
Severely wounded palm skin defect. Tian Heng from the right thigh before the patient took 15 × 10 cm flap, the palm skin repair, and with a portion of the thumb wrapped flap.
"Worn only bone of the thumb. Surgery, briefly dispose of thumb, if a good recovery after surgery, a broken hand can restore some function, then you can do two operations, re thumb reconstruction." Owada expressed. After his right thigh and from the front side of the patient was a 12 cm long vessel, to replace the radial artery and radial forearm vein defect. With these vessels, complete radial artery, radial vein and artery pinky ring bridging technique, so, forearms and palms also smooth the blood supply.
16:00 - 18:00
Step Five: Take the flap wound repair
The main stage of the surgery has been completed, but must also take the flap wound repair. Tian Heng introduction: "flap is with muscle and other tissues of the skin, helps the skin heal fast serious defect but also because of the flap made relatively thick, so you must take the flap wound repair.." His right from patients Remove thigh relatively thin skin graft to repair the wound flap. Then take the skin graft site, it is relatively easy to self-healing.
■ Recovery
As can be passed the critical stage surgery was successful
"After the surgery there are four stages, the first two stages is a dangerous period." Owada said that within one week after surgery, vascular crisis period, the circulation system may occur clogging; after seven to fifteen days, and is tissue necrosis infection. Carry off two road mark, indicating that the surgery will be successful. Tian Heng said that after three thoughtful 朱雅琴 four weeks, depending on the recovery, would be discharged.
After two months, a bone and joint healing period, the need to convalesce, and the use of drugs and foods promote bone healing.
Bone healing after six months, is a functional recovery, the doctor will guide the patient to recover, ideally, then, can restore some function, will recover almost grasping ability, but whether the action can do more elaborate,coach occhiali da sole, depending on Exercise recovery.
Zhu Yaqin is currently in good condition.
■ Tips
How to save themselves sudden limb
Tian Heng said that after the sudden amputation, limb blood vessels at both ends of serious avulsion, we must immediately stop the bleeding, the first on this side of the body to stop bleeding, you can hand over the wound, looking for a clean clothes as soon as possible, preferably a gauze bandage If more people, it is necessary division of labor, while the limb to stop bleeding. Note,giubbotti peuterey donna, however, on the way to the hospital, and dressing in part to an hour every loose for a moment, otherwise it will cause tissue necrosis.
If the limb is contaminated, it is best cleaned with saline as soon as possible, no conditions can also be used with water. Thereafter, the limb is placed in the hot and humid environment, and the wounded to the hospital for surgery as soon as possible together. Not soak amputation, because the liquid environment will lead to cell dehydration organizations and even disintegration.
With clean clothes, preferably gauze, the limb wrapped after cleaning, put a layer of plastic, then cover a layer of plastic, mounted on the ice between the two, so that we can provide a better dry and cold environment .
If you can do these self-help measures, we will be able to continue to provide good conditions for amputation, increase the chance of survival.
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■ Features
17 hours continuous operation is expected to take just feel alive when I went to the toilet broken hand
In this lengthy surgery, the other members of the medical team is working rotation, while the surgeon Owada full 17 hours of continuous work. Colleagues after GF circle of friends for his point of praise.
"It is my duty, you flatter me. Can help patients access live amputation, I was most happy thing." Tian Heng smiled and said.
This is 17 hours, in fact, can change Owada assistant took upon himself to rest a few times, but he did not. He said the surgery was very complicated, if horses in midstream would delay time, each one more substitutions, one point will increase the risk, so he has been at their posts, only went to the toilet.
"Go to the toilet took about three minutes, I do not remember specifically a few, you know that the third step is completed, the fingers are over the blood, I think there is hope then live a very happy, he gave himself a Small fake, went to the toilet to urinate. "Owada said.
Within 17 hours Shuimi not stick, it is how to do it Tian Heng said that the work so many years,hogan interactive, he had developed a habit to eat or drink before surgery, so as not to go to the toilet, the surgery will not eat and drink, when not a last resort will not go to the toilet.
After surgery, at 19:00 on the 16th, he left the hospital, 20, at home to eat dinner, the meal, from the last, just one day and night,swarovski lunette de soleil, 24 hours.
In the micro-channel, microblogging has a picture, Tian Heng leaned wearily asleep in the chair,cappelli nhl, many netizens sigh: Doctor is really hard! Image is Shashi Hou shot
Tian Heng said: "before this operation, I made two consecutive night of surgery,zanotti sandals, on the 15th day, I'll work overtime to take care of it after two patients back to the office too tired and fell asleep, this. colleagues 'candid' in. "And in this 17 hours after surgery, two days and nights of continuous work, he yesterday 7:00 and again came to the hospital, because he's thinking about recovery 朱雅琴. New Culture Reporter Liu Changyu
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Edit: SN091
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