Lying in the ward of Dongguan Eastern Central Hospital, Mr. Liu, who did not have any external injuries in the car accident, but had a massive bleeding of more than 5,000 milliliters from his internal organs, and the blood in his whole body was almost dry, finally passed the dangerous period.
Remembering the crash in the middle of the night on January 3, he is grateful. "If it hadn't happened to this accident, I wouldn't have found out that I had such a serious problem with my spleen. Mr. Liu said.
At about 11 o'clock that night, Mr. Liu was riding through a traffic light in Changping Town, Dongguan City, when he was hit by another car and hit the left rear door. Mr. Liu sat in the middle of the back row on the right, and the left rear door was struck, causing the door handle to fall off and scratch Mr. Liu's abdomen.
However, Mr. Liu's body did not even have ** bruises. He thought it was nothingBut the pain in the left upper abdomen was uncomfortable for some reason, and then he had abdominal distension and sweating, a friend quickly sent him to the emergency department of Dongguan Eastern Central Hospital.
At about 11:30 p.m., after receiving the consultation, the emergency doctor quickly performed a bedside ultrasound and CT examination for Mr. Liu, and the results showed that "".ruptured spleen with large abdominopelvic effusion; Multiple rib fractures on the left side, bilateral traumatic wet lungs。At this time, Mr. Liu was already in a coma and his condition was very critical.
Under the guidance of Zeng Hu, director of the Department of Hepatobiliary Surgery of Dongguan Eastern Central Hospital, Zeng Bicheng, deputy director of the Department of Hepatobiliary Surgery, led the team to decide to carry out emergency surgery.
At 23:50, the general anesthesia was successful and the operation began. Zeng Hu's team made an incision through the rectus abdominis muscle in Mr. Liu's left abdomen, the incision was about 35 cm long, the incision was incised, the subcutaneous tissue and the anterior sheath of the rectus abdominis muscle were cut layer by layer with an electric knife, the rectus abdominis muscle was bluntly and sharply separated, the posterior sheath of the rectus abdominis muscle and peritoneum were incised, and a large amount of blood and clots were seen in the abdominal cavity and pelvis, and the blood was removed by suction, about 5000 ml.
Probe carefully,Mr. Liu's spleen was pathologically enlarged, occupying most of the left side of his abdomen, brittle in texture, beyond the protection of his ribs, and was hit and ruptured and bleeding in a car accident.
Zeng Hu's team carefully removed the spleen, and then explored the gastrointestinal tract, pancreas, liver, gallbladder, bladder and other organs again without damage, and there was no hematoma in the posterior peritoneum, and there was no bleeding in the wound.
At 2:50 a.m. on January 4, the operation was successfully completed, and the blood was about 6000ml (including blood accumulation).
Zeng Bicheng said that based on Mr. Liu's weightHis whole body blood volume is about 5200 ml, which means that he has changed almost all the blood in his body this time.
Zeng Bicheng reminded that a giant spleen like Mr. Liu is easily affected by impact, rupture and bleedingIf early examination, early diagnosis, and early treatment can be achieved, this thrilling crisis may not occur, and regular medical checkups are very important.
Text: Guangzhou**Reporter Wang Wanli
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