Rope pumped right wrist to fly out

Off injured hand X-rays
Yesterday, a point [to Dr. Tian Heng Chan] information on the rapid spread of the micro-channel Changchun circle of friends and microblogging, a broken hand continue operation aroused great concern. In addition to hands-off workers of sympathy, people have done 17 hours of surgery on a trip to the toilet only Dr. Tian Heng particularly intense curiosity --- this complex and time-consuming operation very long, in the end have taken place what?
 
Rope pumped right wrist to fly out
 
He recalls that painful moment, workers Zhu Yaqin (a pseudonym) is very calm.
 
"We all feel the hand certainly retain his job, and now connected, and is my greatest blessing, thanks Changchun doctors, so that I can have a pair of hands full again. Even if it is to survive, at least my hands are full, I also satisfied. "she said, smiling.
 
Zhu Yaqin 30-year-old home in Qingzhen City, Guizhou Province, in recent years, and her husband go out to work. The husband of ten years of railway workers, this spring, they follow the railway sector, to the mountains in the province Songjianghe area, cut railway tunnel.
 
Zhu Yaqin post operating mixer, mixing concrete. April 15, 18 am, she is operating the machine suddenly hopper meal, rope connecting the hopper collapse up,http://www.novalug.ca/cgi-bin/index.cgi, pumped her right wrist! "This is what particularly painful, I just shout out, you see my hand was out with a rope, thrown into the hopper!" Zhu Yaqin said.
 
Seeing his right arm from the moment she felt a little unreal,http://www.jakyoto.com, after a long time to believe this scene real place. Heard shouting, workers flew over, with his hands to his bleeding wound her arm and shouting others. Several workers ran, turn off the mixer, a worker with a rope tied around his waist, he leaned into the hopper, found the concrete has been wrapped up in a broken hand.
 
Workers with a rope wound at her arm and a broken hand strapping good, Fusong rushed to the hospital immediately. But hospitals are limited and unable to make the connection broken hand, only sent her to Changchun. Hospital for a broken hand bag fitted with saline soaked by her husband Grab ambulance flew heading Changchun.
 
The wound is large and serious damage is extremely difficult surgery
 
21 am on the 15th, the Second Hospital of Jilin University Hospital Orthopedics Hand and Foot Surgery receive calls, someone to help contact here, please hospital ready.
 
Arduous task fell to 35-year-old physician who Owada. "This case is too rare, and a broken hand suffered such devastation, surgery will be low probability of success. But no matter what, we have to give it a try!" Tian Hengli That organization medical team.
 
Zero o'clock on the 16th, the patient was sent to the hospital. Although there are some mental preparation, but seeing broken hand, Owada was surprised. "We often see limb covered with mud, grease, but it is concrete to stirring, or too rare. Broken hand has been seriously eroded by pollution, skin, tendons and ligaments, blood vessels and other tissues serious defect, wrist comminuted fractures in principle, has no need to do follow surgery, amputation process can be done. "Owada said.
 
But Zhu Yaqin tears, let Owada be touched. She was so young, lost or main hand, the future life of the affected too. Zhu Yaqin said he hoped the doctor to help her handle connected, even then do not live, but also to have a complete arm.
 
"Then I'll try to fight it then live it!" Owada said the patient has a strong sense of quality and good mental, emotional calm, postoperative recovery which is a great help. He decided to challenge this extremely difficult surgery.
 
The main difficulty lies in surgery: the wound is large and serious injuries, broken hand across the skin, tendons, ligaments, blood vessels and other tissues serious defect, wrist fracture, thumb the skin, muscle and other tissue severely damaged, leaving only a skeleton; wound contamination serious, it is prone to infection; surgery time will be very long, at least use more than 15 hours, the doctor of physical energy is a severe test.
 
17 hours! Take off the whole process of hand
 
This surgery took 17 hours, from at 1:00 on the 16th until the 18th, almost a record with the longest record of hand, foot surgery. Surgery,Louboutin à Bout Ouvert, Dr. Tian Heng total stitched 14 blood vessels, the medical team to the injured more than two thousand milliliters of blood transfusion.
 
1:00 - 3:00
 
The first step: debridement
 
1 pm, broken hand and continue the operation begins. Anesthesia general anesthesia for the wounded, Tianheng Qing Li broken hand wound. Off hand is completely concrete package, has not been thoroughly cleaned, although the road was saline soaked, but limited cleaning action.
 
"Usually clean up the wound and a broken hand full hand, need two or three minutes, but the hand is completely concrete package, and attached very tight, so spent a total of two hours." Owada said. His first use of hydrogen peroxide and saline to rinse off hands thoroughly, wash off the attached foreign matter. In this case, a broken hand is no longer gray and black, showing yellow and white. Followed by the instrument to clean the wound, the necrotic tissue removed. Finally, under the microscope probe breakage of blood vessels and nerves, further clean the wound.
 
3:00 - 5:00
 
Step two: bone and joint fixation, tendon ligament repair surgery
 
Do first bone and joint fixation. Wrist and forearm fracture two connections to be fixed.
 
The fracture of the tendon restored, forearm tendon avulsion defects due more to other forearm tendon remnants of the severed hand tendons are connected. "In the absence of more cases of tendon, often using artificial tendons instead. But in this case, amputation serious pollution, postoperative prone to infection, artificial tendon poor resistance to infection, does not apply. So tendon taken from the patient's body . "Owada explanation.
 
5:00 ~ 11:00
 
The third step: the back of the skin defect repair, forearm and finger vein bridging surgery
 
Avulsion due to stirring and cement concrete corrosion, broken hand back skin serious defect. To fix, you must take the flaps from other parts of the patient. Owada right instep from the patient to take a 2 × 6 cm flap to repair the defect in the back of the skin.
 
The ulnar artery forearm, ulnar veins also defects more Owada take 16 cm-long vessel from her right foot back, used in the defect. After replacement of vessels and index finger, middle finger arteries and veins at the back of the hand in a "bridge." After the vessel to catch the bridge, except the thumb of the four fingers are beginning to blood flow it!
 
"All blood flow, indicating expected to take live, promising to restore part of the broken hand function!" Owada very excited.
 
11:00 - 16:00
 
Step four: the thumb and the palm skin repair, forearm and palm vein bridging surgery
 
Palm severely injured skin defect. Owada from the right thigh before the patient took 15 × 10 cm flap, palm skin repair, and with a portion of the thumb wrapped flap.
 
"Worn only bone of the thumb. Surgery, briefly dispose of thumb, if a good recovery after surgery, a broken hand can restore some function, then you can do two operations, re thumb reconstruction." Owada expressed. After his right thigh and from the front side of the patient was a 12 cm long vessel, to replace the forearm radial artery and vein defect. The use of these vessels, complete radial artery, radial artery vein and little finger ring bridging technique, so, forearm and palm blood supply reopened again.
 
16:00 - 18:00
 
Step Five: Take the flap wound repair
 
The main phase of the operation has been completed, but must also take the flap wound repair. Owada introduction: "flap is with muscle and other tissues of the skin,http://www.forensic.to, helps the skin to heal serious defect but also because of rapid flaps made relatively thick, so you must take the flap wound repair.." His right from patients Remove thigh relatively thin skin graft to repair the wound flap. Then take the skin graft site, it is relatively easy to self-healing.
 
■ Recovery
 
As can be passed the critical stage surgery a success
 
"After the surgery there are four phases, the first two stages are dangerous period." Owada said that within one week after surgery, vascular crisis period, the circulation system may occur clogging; after seven to fifteen days, and is tissue necrosis infection. Carry off two road mark, indicating that the operation will be successful. Owada said four weeks after three thoughtful, depending on the recovery, would be discharged.
 
After two months, the healing of bone joints, to be resting, and use of drugs and foods promote bone healing.
 
Bone healing after six months, is a functional recovery, the doctor will guide the patient to recover, if desired, can restore some function, will recover almost grasping ability, but whether the action can do more elaborate, depending on exercise recovery situation.
 
Zhu Yaqin is currently in good condition.
 
■ Tips
 
How to save themselves sudden limb
 
Owada said that after the sudden amputation, limb blood vessels at both ends of serious avulsion, we must immediately stop the bleeding, the first end of the body that stop bleeding, you can hand over the wound, looking for a clean clothes as soon as possible, preferably a gauze bandage If more people, it is necessary division of labor, while the limb to stop bleeding. Note, however, on the way to the hospital, and dressing in part to every hour while loose, otherwise it will cause tissue necrosis.
 
If the limb is contaminated,Louboutin Bottines, it is best cleaned with saline as soon as possible, no conditions can also be used with water. Thereafter, the limb is placed in cold,http://www.toyomane.com, dry environment, and the wounded to the hospital for surgery as soon as possible together. Not soak amputation, because the liquid environment leads to cell dehydration organizations and even disintegration.
 
With clean clothes, preferably gauze, the limb wrapped after cleaning, put a layer of plastic, then cover a layer of plastic,http://123.56.110.91/home.php?mod=space&uid=35294, mounted on the ice between the two,Louboutin Botte, so that we can provide a better dry and cold environment .
 
If you can do these self-help measures, we will be able to continue to provide good conditions for amputation, increase the chance of survival.
 
■ Features
 
17 hours of continuous operation is expected to take just feel alive when I went to the toilet broken hand
 
In this lengthy surgery, the other members of the medical team is working rotation, while the surgeon Owada full 17 hours of continuous work. Colleagues after GF circle of friends for his point like.
 
"It is my duty, you flatter me. Can help patients take live amputation,http://snowstorm.sourceforge.net/cgi-bin/site.cgi, I was most happy thing." Tian Heng smiled and said.
 
This is 17 hours, in fact, can change Owada assistant took upon himself to rest a few times, but he did not. He said the operation was complicated, if horses in midstream would delay the time, each one more substitutions, will increase the risk of a sub, so he has been at their posts,Louboutin Homme, only went to the toilet.
 
"Go to the toilet took about three minutes, I do not remember specifically a few, you know that the third step is completed, the fingers over the blood, and I think there is hope then live a very happy,http://www.ir.isas.jaxa.jp, gave himself a Small fake, went to the toilet to urinate. "Owada said.
 
Within 17 hours Shuimi not stick, it is how to do it? Owada said that the work so many years, he had developed a habit to eat or drink before surgery, in order to avoid going to the toilet, the surgery will not eat and drink, when not a last resort will not go to the toilet.
 
After surgery, at 19:00 on the 16th, he left the hospital, 20, at home to eat dinner,Louboutin Mary Jane, the meal, from the last, just one day and night, 24 hours.
 
In the micro-channel, microblogging has a picture, Owada leaning tired and fell asleep in the chair, many netizens sigh: Doctor is really hard! The picture is taken Shashi Hou?
 
Tian Heng said: "before this operation, I made two consecutive night of surgery, in the 15th day, I'll work overtime to take care of it after two patients back to the office too tired to fall asleep, here. colleagues 'candid' I am. "And after this 17-hour operation, two days and nights of continuous work,http://meguru.jp/cgi-bin/joyful/./joyful.cgi, he yesterday 7:00 and again came to the hospital, because he misses of recovery. New Culture Reporter Liu Changyu
 
& Nbsp;
 
Edit: SN091