Throat blooding caused by a sharp instrument! Multi-department treatment to save life against time.

Throat blooding caused by a sharp instrument! Multi-department treatment to save life against time.

On May 26, approaching the end of get off work, a phone call from the Second Department of General Surgery of the Zhongshan People’s Hospital made all the medical staff's hearts rise to their throats.

"A senior farmer was cut on the neck by a sharp instrument, bleeding profusely! The family members who accompanied the doctor were all terrified." Xu Nana, the deputy chief physician of the Second Department of General Surgery, rushed to the emergency department immediately after receiving the call. The situation was urgent, and the emergency department gave the patient a pressurized bandage to stop the bleeding, and then the patients been sent for a CT examination through a green channel. Considering the patient's critical condition, Xu Nana urgently arranged for the patient to be hospitalized, and contacted the surgical anesthesia department to quickly prepare for the operation. They prepared all the anesthesia consumables and anesthetic device in 10 minutes.

This is a "race to life" rescue. The senior farmer was pushed to the operating room, and during the operation, it was discovered that the patient had a penetrating laryngeal injury, and many blood clots were attached to the trachea, and he might suffocate at any time. "During the operation, we found that the patient's internal jugular vein was injured and the sternocleidomastoid muscle was transected." Xu Nana said that if she could not receive timely treatment, the consequences would be disastrous.

During the treatment process, considering the injury of the internal jugular vein, if the blood vessel is ligated, it will inevitably cause stenosis or even occlusion, so the medical staff performed delicate blood vessel repair for the patient with surgical instruments. Xu Nana said that the patient had a penetrating laryngeal injury and was given laryngoplasty, and a tracheotomy tube was given to avoid postoperative suffocation.

In the end, after more than 2 hours of delicate surgery, it finally ended successfully. The patient turned from danger to safety, and his vital signs were stable after the operation. He was transferred to the ICU for continued treatment. "It wasn't until the moment the patient's safety was confirmed after the operation that our doctors and nurses involved in the rescue felt relieved."

Xu Nana said that in the early clinical stage of laryngeal trauma, dyspnea, dysphagia, and bleeding may occur, and in the middle stage, it may be complicated by infection and secondary bleeding, and in the late stage, cicatricial stenosis may form and cause dysfunction. The injury resulted in massive hemorrhage, cerebral blood supply disturbance and cerebral hypoxia and other symptoms. Because the trauma of the throat is often accompanied by compound injuries of the surrounding vital organs, improper treatment can have serious consequences that threaten life at any time.

It is reported that after the patient was out of danger, he was transferred from the ICU to the general ward of the Second Department of General Surgery for treatment. Because the patient had smoked for a long time and had a large amount of sputum after the tracheotomy, the patient could not communicate verbally, and nursing was difficult. The head nurse Wang Honglian led the nursing team to formulate a detailed nursing plan, and the nurse took good care of the patients, sucked sputum by a closed suction catheter periodically, performed tracheotomy-related nursing and nasal feeding. After careful treatment and nursing, the patient gradually recovered.