Earthquake buried 179 hours experience of Early treatment of injury.docVIP

 PAGE \* MERGEFORMAT 8 Earthquake buried 179 hours experience of Early treatment of injury Of: Marui Yan, Zhou Yue, Zhang Xia, Zhang Chao, Ying-Bin Xiao [Abstract] successfully treated 1 patient in our hospital earthquake buried 179 hours of special injury with infection: rapid diagnosis of disease through to important organs and support the implementation of comprehensive monitoring and actively adjust the internal environment, select the appropriate timing for surgical treatment of amputation, patients discharged. [Keywords:] earthquake injury, buried wounds, gas gangrene Clinical data Male patient, aged 32, after being buried in the floor of the Wenchuan earthquake, the legs can not live by the cement board activities, 163 hours after the earthquake, was found buried time of 179 hours, rescued and given immediately after the establishment of the right femoral vein access, intravenous blood infusion set Wo 5% GS anti-shock, anti-infection infusion of antibiotics, the use of 0.5% iodophor on the head, right hip disinfect wounds bandaged, fed warm water 400ml and other treatment, close monitoring of vital signs, rescued after 10 hours to improve the vital signs of patients, the use of helicopters transferred to our hospital. Admission examination: a little agitated patients, body temperature 38.5 , pulse 134 / min, breathing 15 times / min, blood pressure 119/74mmHg. Left hand flexion fixed, not active, the left dorsal forearm of a skin wound (about 5.0cm 0.6cm, the Ministry of left elbow and forearm 6 ~ 7cm beyond are black hand skin, focusing on the ulnar radial, smell, feel lost. right side of the head and face, neck, shoulder swelling with multiple skin abrasions , and some of the skin, subcutaneous tissue defect and tissue necrosis, purulent discharge, swelling of the distal part of the right clavicle, tenderness. lungs buckle clear, breath sounds clear, the right side of the chest, abdomen, with visible skin abrasions and subcutaneous t