After drinking, he broke his spleen and bleed 1000 ml, and the man almost lost his life for five hou

Mondo Health Updated on 2024-02-27

"I didn't expect it to fall and almost kill me! ”

On February 27, lying on the hepatobiliary and pancreatic hernia surgery bed in Wuhan Puren Hospital, Master Liu (pseudonym), who was recovering well, still had palpitations when he recalled his previous experience.

On February 16, the seventh day of the Lunar New Year, 54-year-old Master Liu happily drank a few glasses at a dinner with his family, but he accidentally slipped and fell in the bathroom while taking a shower that night, and immediately felt a pain in his waist. At about two o'clock in the morning on the 17th, about five hours after the incident, the family members who felt that the situation was not right hurriedly sent Master Liu to the emergency department of Wuhan Puren Hospital.

When he arrived at the emergency department, he was temporarily unconscious and cold, and the emergency doctor quickly established intravenous access for Mr. Liu, and implemented rapid fluid rehydration and oxygen inhalation**. After an urgent abdominal CT examination, the results showed that Master Liu's spleen had ruptured, and there had been blood and fluid accumulation in the abdominal cavity, and the situation was urgent, and Mr. Liu was quickly transferred to the Department of Hepatobiliary and Pancreatic Hernia Surgery for further **.

After reviewing Master Liu's CT results, Li Bo, the attending physician of the Department of Hepatobiliary and Pancreatic Hernia Surgery, quickly realized the seriousness of the problem. According to the patient's CT image, the grade of spleen laceration is preliminarily judged, accompanied by intrasplenic hematoma and blood peritoneum, and the amount of bleeding is estimated to be 1000ml, this traumatic splenic rupture is an acute injury to solid organs, causing massive bleeding, if the rescue is not timely, it is very likely to lead to shock, and even cause circulatory failure and life-threatening. After blood transfusion, rehydration, anti-shock, etc., Master Liu's vital signs are stable, and there is a possibility of preserving the spleen.

Master Liu's spleen ruptured and hemorrhaged

After learning the "bad news" that it was actually a ruptured spleen, Master Liu's family was very anxious, not only afraid that Master Liu's life would be in danger, but also worried that if he had to have an open surgery, the trauma would be greater and the recovery after surgery would be slow, in case the spleen was removed and would affect his daily life in the future.

In the past, traumatic splenic injury bleeding was performed by open splenectomy, but with the development of interventional medicine, the success rate of spleen preservation after splenic artery embolization is now as high as 90%, which can not only preserve the spleen, but also achieve the purpose of hemostasis and life-saving, and at the same time has the characteristics of minimally invasive, no need for general anesthesia, and fast recovery. Luo Gang, the attending physician of the Department of Hepatobiliary and Pancreatic Hernia Surgery, patiently calmed the anxiety of the patients and their families, explained the surgical methods and possible risks to them in detail, and at the same time put forward the recommendation of minimally invasive surgery.

After full communication with Master Liu and his family, Du Jie, director of the Department of Hepatobiliary and Pancreatic Hernia Surgery of Wuhan Puren Hospital, decided to perform transcatheter splenic artery embolization under local anesthesia for Master Liu in the emergency department. With the full cooperation of the medical team of hepatobiliary and pancreatic hernia surgery and catheterization laboratory, the embolic agent is injected into the bleeding splenic artery through a minimally invasive method, and the splenic artery is embolized to occlude the splenic artery, so as to achieve rapid hemostasis and stable circulation.

After 90 minutes of intense rescue, the operation was successfully completed. After the operation, Master Liu and his family were grateful to the hepatobiliary and pancreatic hernia surgery team.

Du Jie, director of the Department of Hepatobiliary and Pancreatic Hernia Surgery at Wuhan Puren Hospital, said that with the increasing incidence of bleeding from traumatic splenic injury year by year, the injured often face life-threatening hemorrhage after spleen rupture. Therefore, special attention should be paid to the fact that in the unfortunate event of an accident or after hitting the spleen and other vulnerable parts during a fall, you must be vigilant, do not carry it hard, and seek medical attention in time to avoid delaying the best period.

Reporter: Luo Bing Correspondent: Li Linmu, Zhang Yu, Chen Cheng.

Editor: Wang Jian.

Editor-in-charge: Summer.

Editor: Wang Jun.

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