Yangtze Evening News (Reporter Lu Yanlin) Recently, doctors from the Department of General Surgery of Georgetown Public Hospital in Guyana successfully treated an 18-year-old patient with liver stab wounds. The patient suffered a stab wound to the liver, which led to hemorrhagic shock and was taken to Georgetown Hospital in critical condition. The hospital's General Surgery Team 1 team responded quickly and raced against time to carry out an urgent and difficult operation in order to save the patient's life.
dr. zhao, we need your help！(Dr. Zhao, we need your help!) "At 7 o'clock in the morning on November 20, Zhao Changyong, the leader of the 19th medical team to aid Guyana and a general surgeon, suddenly received a junior doctorUrgent call from Singh**. Georgetown Hospital was admitted to the emergency department of a patient in shock who had suffered massive blood loss from a stab wound to the liver and needed emergency surgery, but they lacked experience in performing liver surgery on their own. dr.Singh immediately thought of Dr. Zhao Changyong, the leader of the Chinese medical team in the same group, and immediately called ** for help. After receiving the **, Zhao Changyong explained the precautions for emergency preoperative preparation and encouraged the doctors in the same group to enter the abdomen in time for exploration, and drove straight to the hospital.
When I arrived at the operating room, DrSingh and the members of General Surgery Team 1 are already racing against time to perform abdominal exploration. When he saw Dr. Zhao Changyong, his original anxious expression was swept away, and he immediately briefed Dr. Zhao Changyong on the basic situation of the patient. At this time, the patient was already in a state of shock, with only more than 5 grams of hemoglobin and a blood pressure of 50 to 25 mmHg. The patient had a dagger inserted in the middle lobe of the liver, and a small amount of blood was flowing along the wound, and there was no obvious damage to other organs in the abdominal cavity. Seeing this situation, Zhao Changyong immediately notified Zhang Bin, an anesthesiologist from the Chinese medical team, to assist the local anesthesiologist in stabilizing vital signs and instructing DrSingh first fully dissociates the right perihepatic ligament, and the hepatic pedicle is pre-positioned with a hilar blocking band. After the preparation was completed, the patient's vital signs began to stabilize and the blood pressure did not continue to drop. Zhao Changyong, who was dressed in a surgical gown, stood at DrBeside Singh, whispering encouragement to ease his nerves, he tried to pull out the dagger. When DrSingh carefully pulled out the dagger, only to find that the dagger had barbs, and a large amount of dark red blood began to gush out of the liver wound at this time, and the patient's vital signs fluctuated significantly. dr.Singh tried to look for the bleeding point, but he was never able to find it because the wound was narrow and deep. Zhao Changyong quickly took over the operation, the liver portal was blocked, the right liver was supported, and the patient's liver wound bleeding was immediately relieved. Due to the failure of the only ultrasound knife in the hospital, Zhao Changyong could only use the clamping technique with one hand, and the liver was dissected with the close cooperation of local doctors. When the surface is fully opened, it is found that the liver damage is much more severe than what appears on the surface. The patient's middle hepatic vein was completely cut into two by a dagger stab from its origin to near the root, and could not be repaired. dr.Singh shook his head and said, "The liver damage is too severe, and there is no possibility of repairing the blood vessels." Zhao Changyong explained: "We have no other choice but to close the middle hepatic vein with sutures, and the hepatic venous blood of the V and Viii segments of the liver will flow back from the collateral branches, and the residual liver can be completely compensated." "After being treated according to this protocol, the patient's bleeding was quickly and effectively controlled, the vital signs stabilized, and the patient was saved!
Although it has been less than a month since the Chinese medical team arrived in the local hospital, the ability of the Chinese and Guyana medical staff to work closely together was fully tested in this emergency operation. This successful treatment will enrich the experience of local doctors in Guyana in dealing with such diseases. The Chinese medical team will continue to work hard to "pass, help, and lead", selflessly share work experience, and fulfill the promise of "leaving a medical team for the local area that cannot be taken away".
Proofread by Li Haihui.