男子火车突发急症疼痛嚎叫 大连23岁医学生脚踹救人

2017-10-04 wsy 医界

9月29日晚7点半,由大连开往广州的T369次列车拉满了准备回家过十一的旅客,还有不少大学生。当列车快到盘锦站时,一阵急促的广播声在车厢传开:有没有医生?请来15车。突然,一位帅小伙起身疾步,径直地朝向15车厢走去。15车厢内一38岁男乘客肩关节脱位,疼痛不已,帅小伙是学医的,立即展开营救,使用足蹬法,脚蹬患侧,因为空间太小,前两次失败了,第三次终于成功复位。

9月29日晚7点半,由大连开往广州的T369次列车拉满了准备回家过十一的旅客,还有不少大学生。当列车快到盘锦站时,一阵急促的广播声在车厢传开:有没有医生?请来15车。突然,一位帅小伙起身疾步,径直地朝向15车厢走去。15车厢内一38岁男乘客肩关节脱位,疼痛不已,帅小伙是学医的,立即展开营救,使用足蹬法,脚蹬患侧,因为空间太小,前两次失败了,第三次终于成功复位。



今早,独家获悉,救人小伙是23岁的研一学生小唐。他说:这是学医行医的本能,不足挂齿。被救男子王大哥却感动地说:在这个社会环境下,小伙子还敢出手,充满正能量!在被人遇到困难的时候,勇敢地站出来,救死扶伤,他的这份德与行让我感动。









肩关节脱位最常见,约占全身关节脱位的50%,这与肩关节的解剖和生理特点有关,如肱骨头大,关节盂浅而小,关节囊松弛,其前下方组织薄弱,关节活动范围大,遭受外力的机会多等。肩关节脱位多发生在青壮年、男性较多。

病因

肩关节脱位按肱骨头的位置分为前脱位和后脱位。肩关节前脱位者很多见,常因间接暴力所致,如跌倒时上肢外展外旋,手掌或肘部着地,外力沿肱骨纵轴向上冲击,肱骨头自肩胛下肌和大园肌之间薄弱部撕脱关节囊,向前下脱出,形成前脱位。肱骨头被推至肩胛骨喙突下,形成喙突下脱位,如暴力较大,肱骨头再向前移致锁骨下,形成锁骨下脱位。后脱位很少见,多由于肩关节受到由前向后的暴力作用或在肩关节内收内旋位跌倒时手部着地引起。后脱位可分为肩胛冈下和肩峰下脱位,肩关节脱位如在初期治疗不当,可发生习惯性脱位。

临床表现

1.伤肩肿胀,疼痛,主动和被动活动受限。

2.患肢弹性固定于轻度外展位,常以健手托患臂,头和躯干向患侧倾斜。

3.肩三角肌塌陷,呈方肩畸形,在腋窝,喙突下或锁骨下可触及移位的肱骨头,关节盂空虚。

4.搭肩试验阳性,患侧手靠胸时,手掌不能搭在对侧肩部。

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    2018-01-11 wjywjy
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    2017-10-06 ay2006fy
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    2017-10-05 惠映实验室

    学习了.看到了一股清流.

    0

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    2017-10-04 天涯183

    非常好的文章.学习了

    0

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    2017-10-04 lienken127

    能量是正的--没出事就好

    0

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    2017-10-04 欣怡b88dc255

    正能量!

    0

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    2017-10-04 yfjms

    学习了

    0

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    2017-10-04 hhh678

    henhao

    0

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