春节期间 仁济医院成功抢救一名法籍患者

2018-02-21 佚名 上海仁济医

上海仁济医院多学科协作在最短时间成功抢救回一名法籍危重患者。



上图为术前术后的对比。

2月15日,是农历大年三十,是中国人团聚的日子。就在这一天,仁济医院多学科协作在最短的时间内收治并成功抢救一名突发动脉瘤破裂法籍患者。

当天上午,62岁的法籍患者B先生因突发腹痛前往某涉外医疗机构就诊,随即该医疗机构将该患者的影像资料传至上海交通大学医学院附属仁济医院求助。肿瘤介入科池嘉昌医师凭借丰富的临床经验,诊断该患者为:胃十二指肠动脉弓动脉瘤破裂伴腹腔出血,同时告知该医疗机构负责人,患者情况危急,随时有腹腔大出血风险,建议尽快就近手术。

然而,由于患者病情危重,并且疾病涉及多个学科,又是外籍病人,临近的几家三甲医院均无法接受该名法籍患者的转诊。在这种情况下,仁济医院医务一处处长张继东在电话那头和该涉外机构的医疗总监说:“转来仁济吧,快!”。挂完电话,他随即组织相关医生进行病例讨论,迅速落实治疗方案:肿瘤介入科实施动脉瘤栓塞手术,一旦动脉瘤破裂或发生肠栓塞事件,胃肠外科实施开腹手术,外科监护室和手术室随时待命。

患者B先生到达仁济东院后,又一个问题来了。怎么和一位法籍患者沟通并告知他的病情及手术方案呢?带领治疗小组的医务一处副处长樊翊凌就是一位法语说得很溜的外科医生,他用流利的法语亲切地向患者家属解释了手术的必要性和相应风险,患者家属听到了熟悉的乡音,一颗悬着的心顿时放下了。

手术室里,池嘉昌医生有条不紊地准备着手术器械,胃肠外科周鸿医生观察患者的生命体征,放射技师曾帅和器械护士做着最后的设备调试。手术开始了,池嘉昌医生娴熟地操控导管导丝,不到10分钟就找到了位于胃十二指肠动脉弓上的“定时炸弹”——一个直径8mm左右的动脉瘤,更可怕的是这个“炸弹”还在冒着“火花”,造影剂外渗现象提示这个动脉瘤还在出血,情况非常危急。

一场生死时速随即开始,池嘉昌医生先使用微弹簧圈快速地将动脉瘤远端血管栓塞,随后将导管撤退至动脉瘤近心端继续填塞,一枚微弹簧圈释放到载瘤血管内,动脉瘤完全栓塞,其余正常血管毫发无损,整个手术仅耗时半小时。手术第三天,B先生病情平稳离开外科监护室,转往胃肠外科病房。

患者女儿告诉医生,她一家3口都生活在上海,父亲是来上海探望小外孙的,突然发生了这么大的事让他们一家手足无措,她知道这几天是中国人一年中最重要的节日,很担心医生的力量安排,更担心技术和沟通问题,但是在仁济这些都不是问题了,仁济医院有一支优秀的医疗团队,上海这座城市让他们觉得很安心。

池嘉昌医生回忆起去年的年三十晚上,也在抢救某位消化道大出血的患者,算来已经两年的年夜饭没和家人一起吃了。像他这样节假日坚守岗位的仁济人还有很多,仁济的职工很好地诠释了“仁术济世”的院训,仁济医院的医疗团队全年365天,全天24小时,从不间断为广大人民群众服务。不仅如此,仁济医院还能迅速组织起一支“召之即来,来之能战,战之能胜”的多学科诊疗团队,为患者的生命和健康挺身而出、全力以赴。

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    2018-02-23 guozhenyu
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    2018-02-23 lfyang
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    2018-02-22 飛歌

    厉害了我的哥

    0

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    2018-02-21 有备才能无患

    2月15日.是农历大年三十.是中国人团聚的日子.就在这一天.仁济医院多学科协作在最短的时间内收治并成功抢救一名突发动脉瘤破裂法籍患者.

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