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          患者倒在醫院大廳 醫護跪地搶救成功挽回其生命

          時間:2016-01-08 11:28:49    來源:    瀏覽次數:    我來說兩句() 字號:TT
          醫護人員合力搶救病人 寧波一院供圖
          醫護人員合力搶救病人 寧波一院供圖

            昨天上午10點20分左右,寧波市第一醫院門診大廳上演了一場真實版的與死神搏斗。

            記者 賀艷

            醫護人員跪地搶救

            當時,急診護士小袁剛下班有事來到門診,突然聽到“有人暈倒了”,她本能地迅速撥開人群,發現一名男性病人倒在地上,雙眼微睜,呼吸微弱。她一邊請圍觀者立刻呼叫醫護人員,一邊探測頸動脈,發現無法觸及,立即給予胸外按壓。

            門診一樓注射室護士長聽到門診傳來的喧囂呼叫,和一名護士一起帶上氧氣袋、搶救車、AED(除顫儀)趕到現場投入搶救。同時電話呼叫行政總值班、急診科、心內科與麻醉科醫師。醫生們不約而同向現場跑去。現場,醫生護士跪在地上輪流心肺復蘇,除顫搶救;麻醉科醫生用嫻熟的手法快速給予氣管插管,護士們第一時間在頸外靜脈及上臂建立生命通道,準確執行醫囑,注射腎上腺素、多巴胺等藥物。正確復蘇、氣道管理、輸液管理、生命體征監護,一切都在分秒必爭又有條不紊地進行。

            急救的信息快速在醫院內傳播,內外科急診主任、醫務部主任、內科住院總醫師、門診部主任等也都相繼趕到現場。跪地搶救的醫護人員滿頭大汗,奇跡終于在分分秒秒搶救中出現了,病人血壓135/82mmHg,心率121次/分,急診科副主任賀鶴群評估后命令立即轉入急診室繼續搶救。

            鬼門關上把人救了

            病人轉入急診室后,又多次室顫發作心臟驟停。按照常理,這種情況下搶救回來的希望已經渺茫。但在場的搶救人員沒有放棄。多次電除顫、不間斷胸外心臟按壓,并采取人工通氣、靜脈用藥等搶救措施。11點19分,病人意識、自主呼吸恢復,循環趨于穩定。在全面評估病人的情況后,還是考慮了心肌梗死的可能性為大,于是急診繼續做好病人鎮痛鎮靜及機械通氣等生命支持治療,為進一步冠脈介入術做好準備工作。

            當病人被送入了DSA介入手術室,心血管內科團隊接上了搶救的接力棒。在冠脈造影下發現了病人右冠狀動脈100%完全閉塞,在給予臨時起搏器安裝和冠脈再通后,病人真正得救了。

            病人的搶救全過程,驚心動魄,分秒必爭,每一個步驟都是非常專業的醫護合作,但最主要的還是醫護人員不輕言放棄。當病人睜開眼睛的那一刻,幾位現場的醫護人員流下了激動的淚水。

            事后,記者了解到,患者今年61歲,是到胸外科門診就診的。寧波市第一醫院黨委書記,心血管內科學科帶頭人陳曉敏說,這一類突發心臟驟停的患者在院外是沒有什么生機的,因為心肺復蘇和除顫條件都不具備。在院內能夠獲救的希望也是微乎其微,但因為作為一家三甲醫院,第一醫院所有醫護人員的心肺復蘇技能培訓、院內急救設施的常規配備、多次演練下醫護人員的應急反應,以及對病人不言放棄的決心,讓這位病人死里逃生。目前,病人的堵塞冠脈已經疏通,但仍沒有最終脫離危險,需要進一步住院治療。

          news.sohu.com false 現代金報 http://dzb.jinbaonet.com/html/2016-01/07/content_293483.htm?div=-1 report 1653 醫護人員合力搶救病人寧波一院供圖昨天上午10點20分左右,寧波市第一醫院門診大廳上演了一場真實版的與死神搏斗。記者賀艷醫護人員跪地搶救當時,急診護士小袁剛下班有

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