The 47-year-old fisherman is in danger of accidentally "discharging" Shanghai medical institutions and Shanghai Salvage Bureau successfully rescued
Sino-Singapore Online, June 12 (Chen Jing, Shi Jiaqi) When a 47-year-old fisherman dived for fishing operations in the waters near Shengsi, when he dived to about 32 meters underwater, he was accidentally quickly "floated" to the surface and life At stake.
The reporter learned on the 12th that with the joint efforts of the medical staff of the Xinhua Hospital affiliated to the Shanghai Jiaotong University School of Medicine, the diving doctor and the divemaster of the Shanghai Salvage Bureau, they were successfully rescued after 45 hours of hyperbaric oxygen therapy.
Professor Pan Shuming, deputy director of Xinhua Hospital, said: "This kind of treatment is rare at home and abroad. This successful treatment not only reflects the results of multidisciplinary cooperation in the medical field, but also lies in the close cooperation between medical and other social forces to win patients' recovery. Opportunity."
The patients were taken to the rescue room of Xinhua Hospital in the early morning of the 30th, and the doctors were discussing. Photo courtesy of Xinhua Hospital
Ocean diving is quickly "floating" and floating, which may cause lung pressure injury, decompression sickness, and multiple organ failure. It is difficult to treat and is a nightmare for every diver. During the diving fishing operation on May 29, the rope of the ballast stone suddenly broke, and the patient was quickly "floated" to the surface of the water. Immediately, he was unconscious and had bleeding in his nose and nose. His heartbeat was restored after first aid at the scene.
The hospital told reporters that as the air bubbles entered the patient's vascular system, blocking the blood passages to various organs, causing multiple organ failure; the air bubbles entered the cerebral blood vessels, causing cerebral vascular embolism and causing cerebral ischemia and hypoxia. Large area of multiple infarctions. If not rescued in time, the patient will face death.
An ambulance took the fisherman from Zhejiang to Shanghai and arrived at Xinhua Hospital at 2 a.m. on the 30th. At this time, the patient repeatedly convulsed, high fever, coma, heart, liver and kidney were severely damaged, and a large-scale infarct has been seen on the head CT. Ge Xiaoli, deputy chief physician of the Department of Emergency Medicine of Xinhua Hospital, told the reporter that the condition was "very serious." Fei Aihua, director of the emergency medical department, organized a full rescue.
According to reports, for this type of patient, it is more important to pressurize with hyperbaric oxygen to increase the pressure in the patient's body and reduce the volume of the bubble, so as to relieve the gas from blocking the blood vessels and tissues to achieve the relief or disappearance of symptoms. According to the situation at that time, it must be added to the environment at 6 atmospheres, which is equivalent to a pressure of 50 meters underwater.
Because the medical staff did not have deep sea diving experience and could not accompany the patients, Xinhua Hospital issued a request to the Shanghai Salvage Bureau for help. The Shanghai Salvage Bureau immediately sent three experienced diving doctors to assist in the treatment, and sent two more experienced dive masters to successively enter the hyperbaric oxygen chamber to accompany the patients.
The patient entered the cabin for 45 hours under ECG monitoring in the hyperbaric oxygen chamber. After the organ damage indicators gradually improved, he left the cabin and transferred to the emergency intensive care unit to continue treatment. It is reported that after further careful treatment by medical staff, the patient's condition is getting stable over the months and the vital signs are stable. Due to the long delay in the transport process, leaving irreversible nerve damage, patients still need to receive further rehabilitation treatment. (Finish)