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【生活类】 抢救生命

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潘仁龙 发表于 2007-2-4 23:10 | 显示全部楼层 |阅读模式
抢救生命

[ Last edited by 胡雨 on 2007-2-16 at 22:51 ]
 楼主| 潘仁龙 发表于 2007-2-4 23:13 | 显示全部楼层

抢救生命

抢救生命
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 楼主| 潘仁龙 发表于 2007-2-4 23:16 | 显示全部楼层

抢救生命

抢救生命
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胡雨 发表于 2007-2-5 09:04 | 显示全部楼层
楼主虽然没做文字说明,但是从连续发布的几个“抢救生命”为主题的帖子,可以猜测出,图片背后应该是有一个很精彩、感人、真实故事在发生。
我们很想洗耳恭听........


另外,lz可能没太注意,这个版块是摄影比赛专用板块。
而且有些图片太小了,看不清。建议上传图片大小在600×400左右为宜!

[ Last edited by 胡雨 on 2007-2-5 at 09:08 ]
胡雨 发表于 2007-2-5 09:12 | 显示全部楼层
虽然有些画面很让人害怕,但仍然很想听这个故事.......

[ Last edited by 胡雨 on 2007-2-5 at 09:19 ]
独舞 发表于 2007-2-5 11:46 | 显示全部楼层
这个贴子是不是放在这里不太适合??
并且个人以为有些照片过于血腥,还是删除为好。
skyhood 发表于 2007-2-5 13:38 | 显示全部楼层
Originally posted by 独舞 at 2007-2-5 11:46:
这个贴子是不是放在这里不太适合??
并且个人以为有些照片过于血腥,还是删除为好。


部分已马赛克处理。
丹丹 发表于 2007-2-5 15:18 | 显示全部楼层
偶喜欢喜庆点的~~~
空子 发表于 2007-2-5 20:36 | 显示全部楼层
显然这是由我们的同乡潘医生主持的一次抢救生命的手术,如果能配上详细的文字说明,相信会是一个动人的故事,高度赞扬中……
同时谢谢潘医生,在同乡网潜水这么久,一出手就是许多照片,说明我们潘医生已经开始加入我们同乡网的活动。

另外,请广大同乡仔细参阅K总版的关于参赛照片的数据参数要求,不符合要求的尽量自己处理后再上传。
金从众 发表于 2007-2-5 22:27 | 显示全部楼层
我也喜欢欢庆的!
这个。。。
LZ怎么拍到的?
空子 发表于 2007-2-6 12:49 | 显示全部楼层
Originally posted by 金从众 at 2007-2-5 22:27:
我也喜欢欢庆的!
这个。。。
LZ怎么拍到的?

LZ就是照片里的其中一位医生啊!
胡雨 发表于 2007-2-7 22:16 | 显示全部楼层
LZ怎么还不上来?等着听你的故事呢
 楼主| 潘仁龙 发表于 2007-2-16 22:56 | 显示全部楼层

着就是一个真实的故事

Case Report

The patient was 24 years old man. When he was working on bend down position at the construction site, a reinforcing steel bar fall down from 12 meters high and the bar penetrated his safe helmet and penetrated from occipital to left frontal head and 1.5 meters long outside his head. The steel bar was 6 meters in length and 12 millimeters in diameter. After the outside part of the bar was cut off, the man was transported to our emergency room in 15 minutes. The blood pressure was 13/9kpa, the heart rate was 90 p/min and the breath rate was 20 t/min. The patient was in an obscure state. The pupils of both sides were dilated in the same size. The light response existed. Weakness of right limb was found in grade III. There were no abnormal signs in the heart and the lung. The deep and superficial reflexes of right limb disappeared and those of the left were kept. The bar went in his head 3cm above the occipital tubercle and 1cm left to the midline. It came out 1cm left to the midline and 2cm above the eyebrow. The wound holes were bleeding. The X-ray of skull indicated that the bar was in the left frontal, parietal and occipital lobe.

The diagnose was severe brain trauma and cranial penetration injury.

An emergency operation was given. After general anesthesia, the expressive parts of the reinforcing bar outside the skull were cut shorter as possible. An incision of S-shaped was made between the two wound holes. The craniotomy was done 1cm left the midline with the bony window of 4cm in width and 20cm in length. After dehydrate agent was given, the dura mater was incised. Three incisions on the non-function cortical areas were made 1.5 cm to the sagittal sinus and deep to the bar from anterior to posterior. The debris of the hair and the skull and the dead brain tissues and blood clot were taken out from the wound channel, well hemostatics were wade. The wound channel was repeatedly washed with nature saline with gentamycin. The brain pulsation was well recovered. The drainage veins were not damaged. Scalp membrane was taken to repair the dura mater for releasing tension. Blood transfusion of 400ml was given during the operation. The man had aphasia and spastic hemiplegia in the right limb postoperatively. Large amounts of dehydrate agent, hormone and antibiotics were applied. Cerebral spinal fluid examination showed 3/mm in white blood cell and 250/mm in red blood cell 4 days after operation. No bacterium was found in CSF culture, the brain CT scanning showed the edema in the operated area. After well rehabilitation, the patient was discharged 30 day later. The man could walk in balance steps and speak some simple words. three months follow-up showed he could talk as usual. six years follow-up showed the strength and tension of his right limb recovered.

The cranial penetration caused by the reinforcing steel bar had not ever been reported. From this case we suppose the important thoroughly wound cleaning and well hemostatics . Watertight closure of dura mater may decrease the possibility of infection. During the operation well protection of the function cortex and avoidance of drainage veins damage were also essential for better outcome.
白松 发表于 2007-2-17 10:32 | 显示全部楼层
楼上的可要找个翻译了,对了peggy这两天回家怎么没露面了呀,让她来翻译最合适不过了!:
胡雨 发表于 2007-2-17 11:28 | 显示全部楼层
赛,楼主要不不出手,一出手就来洋的呀。祝贺医生春节快乐!

[ Last edited by 胡雨 on 2007-2-17 at 11:30 ]
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