The man was squeezed for 1 hours by a pile driver, and the rib was pierced into the pipe.

category:Global
 The man was squeezed for 1 hours by a pile driver, and the rib was pierced into the pipe.


In April 4th, Mr. Kang (pseudonym) was accidentally squeezed by a piling machine at the construction site of the red island and was sent to the emergency department of Qilu Hospital of Shandong University (Qingdao) at 10 a.m. Because the chest and back were pressed by heavy objects for 1 hours, men had already had symptoms of severe chest tightness, suffocation and dyspnea during admission. The results of CT examination showed that Mr. Kang had a bone density shadow in the trachea and considered the first rib fracture and transposition of the trachea, large subcutaneous emphysema and mediastinal emphysema of the neck and chest, the right multiple rib fracture with the chest wall collapse, the right clavicle fracture, the sternum fracture, bilateral hemopneumothorax, double lung contusion and intrapulmonary hemorrhage. Because of continuous dyspnea and no oxygen inhalation, the Department of thoracic surgery closed drainage for patients in the emergency room. The operation continued to drain out a large number of bubbles, but the patients breathing difficulties were not alleviated, and the blood oxygen saturation continued to decline, and there could be any risk of death at any time. At the moment, emergency department, trauma department of orthopedics, hand and foot surgery, otolaryngology head and neck surgery, Department of thoracic surgery, anesthesiology department and other emergency consultation, decided to undergo first stage emergency surgical resection of the first rib of the trachea, repair the trachea to save the patients life; the two stage of the sternum, rib fracture reduction to correct abnormal breathing. The operation is very difficult, there may be the risk of trachea defect, subclavian arteriovenous tear, brachial plexus injury and so on. The mortality and disability rate of the patients are high, but the life of the patients who do not operate is in danger, and the family members and the hospital decide to take emergency operation first. The operation was carried out in the Department of orthopedics, hand foot surgery and Department of thoracic surgery respectively. First, the first rib was exposed by the combination of trauma and hand foot surgery, and the repair of the laceration trachea and the pleural cavity closure. After nearly 4 hours of surgery, the patient turned the corner. In the Department of thoracic surgery, in April 9th, the patients were treated with a fracture of the sternum, multiple ribs open reduction and internal fixation and pleural hematoxy clearance, restoring the shape of the chest, and correcting the abnormal breathing of the patient. One week after the operation again, after examination and diagnosis, the doctors and nurses removed the trachea cannula for him and gave his mask oxygen inhalation, and the patients condition continued to improve. In April 18th, patients were transferred from intensive care unit to general ward. / * one point PC, the bottom of the body 200*250 is created in 2017/9/26*/varcpro_id= u3104494; / * the bottom of the PC end of the one point network is created in the 2017/9/26*/varcpro_id= u3104497; / * the bottom of the PC end of the one point net 220*185 is 2017/9/26*/varcpro_id= u3104507; /*225*185 is created in 2017/9/26*/varcpro_id= u3104537; The source of this article: Qilu one point editors: Xun Jianguo _NN7379