The man"s arm was involved in a 150 degree hot press machine because of this option amputation free!
PMC
"Hurry up! Arrange for the patient to stay! " In October, at the peace international hospital at midnight, several medical staff rushed to the ambulance with their beds pushed, opened the door, the patient was pale and listless, the whole right upper limb was tightly wrapped in gauze. The doctor arranged the patient to move to the orthopaedic ward on the 12th floor quickly, the nurse on duty pacified the patients and their families, monitored the patients' vital signs, and started the treatment of debridement and dressing change
【Hot pressing at 150 ℃ for 5 minutes 】
"It hurt deeply, but later I didn't feel it. I thought this arm was going to be useless, but now it can be saved..." in the orthopaedic ward of the hospital, patients from Taizhou are clearing the wound.
It is reported that the patient was working in a factory in Taizhou. At the time of the accident, he was debugging a machine up to 150 ℃. During the operation, one didn't pay attention. His right arm was involved in a few tons of machines. Fortunately, the worker stopped the machine in time, dismantled the equipment, and took out the arm five minutes later. After the patient was hospitalized in the local top three hospital, many operations were carried out successively, but there were still problems such as the whole upper limb skin and soft tissue could not be covered and the blood was not circulating, so the possibility of amputation was told by the doctor.
【Multiple operations, multiple debridements and dressing changes】
It is understood that the factory also suffered burn cases ten years ago, when it was successfully treated in Wenzhou Heping plastic surgery hospital. During the rumor, the manufacturer contacted the newly opened Wenzhou Heping International Hospital and learned that the hospital was the first Taiwan funded joint venture hospital in Zhejiang Province, and both hospitals belonged to Heping medical group.
So the factory informed the family members of the patients and asked for a video remote consultation with the expert group of Heping International. When they learned that they had the chance to keep their upper limbs, they all came to the international hospital one day in advance for field visit and chose to transfer overnight. Zhou Jian, vice president and rehabilitation doctor of Heping International Hospital, said: when he came to the hospital, the patient's right arm was seriously injured, the pain disappeared, the bleeding was serious, and the wound pollution was serious. This situation is really rare, and it's lucky to keep his arm. Before the first operation, the blood circulation of the patient's upper extremity was poor and the artery was not obvious. After thorough debridement, vascular exploration and transplantation, the blood circulation of the patient was smooth and the artery channel was stable; A few days later, the second operation received infection control, clearance of necrotic cells and control of inflammation; Subsequently, the third operation, skin wound coverage operation was completed, and made progress in stages.Now, the patient has passed several important checkpoints such as blood circulation and infection, and the arm has been basically kept. During the recovery period, as long as the burn special medicine is taken reasonably, cell regeneration is promoted, and the rehabilitation training is carried out for a period of time after discharge, the arm function can recover the ability of self-care.
【Multi disciplinary functional multi linkage expert 】
"I really appreciate Peace International. I didn't expect to be cured so well." The patients who have gone through the crisis appreciate that their families have shown a happy smile. Their spirit of not giving up is moving. With the support and protection of the factory, the treatment situation has gradually improved.
The success of this treatment plan is the result of the cooperation of multi-disciplinary and multi linkage expert groups. From microsurgery, plastic surgery to imaging, experts not only discuss and formulate the operation plan for patients quickly, but also communicate with patients' families patiently for many times, which saves the normal function and integrity of patients' upper limbs.
Wenzhou Heping International Hospital
Written by Tang Jing
Typesetting: Dai Shenbo
Review of manuscript: ye Congqiu
Official microblog: Wenzhou Heping International Hospital
