Orthopedist: Divided into and rescued two lines

Orthopedist: Divided into and rescued two lines
On May 22, the operating room that China Western medicine institute dept. of orthopedics has opened since taking place in earthquake disaster rises to 20 from 12. FuXing Pei, head of the department of bone, say earthquake take place after the 10 over day, dept. of orthopedics treatment and cure of wounded work and already change over to and treat stage from rescuing, but the rehabilitation next. The earthquake takes place on the same day, Pei FuXing who there are abundant earthquakes to rescue the experience tells the young doctor of this department: The condition of patient of dept. of orthopedics that the earthquake causes has obvious characteristics. First of all, the condition is developed regularly, so should pay special attention to the treatment of the wound to the wounded meeting examining in early days, the open wound formed from 6 hours to 8 hours, will seldom be infected with, gangrene of temperament can be avoided; After the 12 hour, some wound of wounded still can sew up with half opening; 24 hours later, the wound begins to be infected, can not sew up absolutely, but temperament gangrene may happen. Pushed the wounded who push syndrome between 5 hours and 6 hours, its muscle will present ischemic necrosis, even the blood vessel tissue is damaged, and such symptoms as potassium, renal function are depleted that more than 6 hours patient will present the high blood, a serious one even can park suddenly because of heartbeat and organ depleted death. Should reduce the blood to this kind of patient especially amputation patient potassium, blood are dialysed etc. and treated, damage for the function of lightening its kidney and liver, and carry on the amputation as soon as possible. Pei FuXing says, the condition of the wounded of dept. of orthopedics of the earthquake has a prominent characteristic too. First of all, open wound and comminuted fracture patient have seriously polluted wound, easy to initiate infecting. Secondly, there are many fracture wounded, many wounded's fractures are still dampened with crush injury and lung of the amalgamating chest, belly at the same time, and break and bleed the viscera. In view of this, as to wounded, dept. of orthopedics of earthquake, no matter in what place go on, treat, want, pay special attention to the intersection of blood and supplement of capacity, especially the long wounded of stranded time. Meanwhile, when the wound is dealt with, should take different handling based on different time slots. Generally speaking, it is that the gold treats in time slot from 6 hours to 8 hours, mainly carry on clearly and create, sew up, make the open wound turn into a closing wound. Over 12 hours, clear up and resist infection, should pay special attention to the emergence of gangrene of temperament briefly. 48 hours later, gangrene of temperament is very tall in odds. Because judge the development trend of the condition accurately, China Western medicine institute dept. of orthopedics has concentrated the fixed support outside 220 sets within 24 hours after taking place in earthquake at first, got sufficient fracture fixed apparatus and vacuum negative pressure dressing ready again in 30 hours. At the early regular meeting, through canvassing the development of condition in order to control and treats quality every day, and adjust the healing solution in time. The fifth day after calamity, orthopedists are divided into two lines: Rescue the line and treat the line. It accepts the emergency case for medical treatment, rescues the life, saves the wounded's limbs to rescue the line. It is fixed that the therapeutic thread mainly carries on fracture resetting, fracture and the wound surface is repaired. 3 days later, the patient has basically steady condition, most doctors of dept. of orthopedics begin to change over to the therapeutic line, high the intersection of blood and potassium, the intersection of renal function and depleted condition of patient can be relieved. 22, this institute dept. of orthopedics establish operating room newly, so as to ensure non- critical patient to finish surgery in two weeks in best time slot that treat as much as possible, try not over the third week.

|