The heart is broken out after traffic accident of 18 years old of boys stalk life is dying! Encounte

Producing traffic accident is a sad thing, bring to the patient likely inflict heavy losses on. Add a city traffic accident happens to fall down when a boy goes out, be in fracture more not only, more terrible is to still accompany acute heart stalk, if not seasonable cure fears,lose life.

As we have learned, this boy this year 18 years old, it is the student in a duty. On March 27, traffic accident happens to fall down when its go out by motorcycle, send woman's head-ornaments ministry, bosom to get hurt, immediately occurrence mind is not clear, irritating wait for a symptom. 120 ambulances send him to hospital of water and electricity immediately. Local hospital travel is tracheal intubate lung ventilator is auxiliary aerate after waiting to support treatment to disease, turn and add one courtyard ICU greatly.

Look from appearance, the boy is facial only reach canthus occurrence abrade, double eye is red, bosom silt is green, appear and do not have hinder greatly. But electrocardiogram and exsanguinate examination all hint: Extensive before mural cardiac muscle straightens dead! CT clew: Comprehensive ministry fracture, occlusive and unbalanced! Sternum clew: Traumatic sex wet lung, left clavicular fracture, left the first costal fracture! Young life it may be said is on the verge of death or destruction!

Doctor ICU takes the lead in undertaking for the boy lung ventilator assists the supportive cure such as breath, but because the boy checks cardiac muscle is enzymatic lift continuously, electrocardiogram happening trends develops. Turn into heart internal medicine to continue to treat then. Diagnose through heart internal medicine, what boy place suffers from is the acute ST that traumatic sex causes paragraph flesh of drive up core straightens dead.

Cardiovascular internal medicine advocate treat fierce of doctor blue county to say frankly, traumatic sex cardiac muscle straightens dead very scarce, document report also is a case merely. Generally speaking, traumatic and OK scathing cardiac muscle, but be like not arteries and veins of drag in coronal is hemal, should considering is cardiac muscle blunt contusion. The boy confronts blunt force when traffic accident, bosom blunt force can make the haemal pressure inside hemal antrum lifts suddenly, the likelihood brings about organization of flesh of the bounce below endodermis cell and endodermis to suffer mechanical sex to injure, change in current having blood especially learn unusual situation to fall, make injury is in coronal arteries and veins to produce the thrombosis that add a wall or jam more easily coronal arteries and veins, cause traumatic sex cardiac muscle to straighten dead thereby.

But blue county fierce advocate treat a doctor to also mention cardiac muscle to straighten dead easy by by accident examine contuses dully for cardiac muscle, if want to be diagnosed clearly, the patient needs to do radiography of coronal arteries and veins. Before this, when the boy is doing electrocardiogram to check, blue county fierce advocate treat a doctor to discover its cardiogram presents a dynamic change, ST paragraph drive up, discovery of the ability after undertaking radiography of coronal arteries and veins is acute cardiac muscle stalk is dead. Accordingly, blue county fierce advocate treat a doctor to point out, when electrocardiogram occurrence trends changes, the patient should do radiography of coronal arteries and veins to straighten in order to eliminate acute cardiac muscle dead further. Radiography of coronal arteries and veins but the degree of stricture of the fastest clear coronal arteries and veins and blood-vessel are out-of-the-way.

Below the directive of doctor of Chairman Guo Jun, blue county fierce advocate treat a doctor to be examination of radiography of arteries and veins of coronal of boy urgent travel to discover his cardiac an old blood vessel -- before fall close paragraph of mouth point is narrow amount to 90-95% , companion interlining. Generally speaking, hemal stricture amounts to 80% above, the proposal uses embedded support or coronal arteries and veins builds bridge means to have treatment. But scar brings about the haematoma inside cardiac muscle, then oppresses coronary artery causes hemal stricture, of short duration is unfavorable the bracket inside travel coronal arteries and veins is embedded art, and because this boy age is small still, if use the means with embedded bracket, so patient need takes the medicaments that fights plaque for a long time, this meeting gives this child the following life bring huge worry; If do a heart to take bridge operation, exist again bridge blood-vessel is again narrow out-of-the-way even problem, its live quality will be affected.

In addition, MR examination and heart colour exceed the heart to all hint two thrombosis adding a wall inside ventricle, at any time thrombus falls off the risk that poses deadly embolism! If go right now surgical operation, the patient may be brought about to appear greatly extremely in art the head is apoplectic.

Considering afore-mentioned problems, medication with using on cure give priority to, avoid embedded stand or coronal arteries and veins takes bridge operation. But get as a result of woman's head-ornaments ministry of the patient the influence of traffic accident, oral cavity haemorrhage is more than, if fight,coagulate excessive will bring about cut haemorrhage is more than, need balanced haemorrhage and embolism to increase the difficulty of cure again. Accordingly, can coagulate through using a few fighting only medicine will control patient patient's condition. What what I hope is, because the patient is young, through using drug two week hind check radiography, the patient appears improving tendency, increase subsequently fight coagulate medicine comes normal dosage.

Dead problem of stalk of acute cardiac muscle gets understanding definitely, but the much place fracture because of traffic accident be caused by, especially two place fracture causes mandible framework the patient cannot have thing and conversation, surgery of face of oral cavity jaw Director He Wenpeng thinks to be like not operation, occlusive function reachs patient of can serious effect facial and beautiful, and cannot normal dehisce, take food and talk.

Below the associated therapy in surgery of face of oral cavity jaw and orthopaedics doctors, the patient restored occlusive function, piece the function that close a mouth and facial appearance. Restore after patient art good, leave hospital smoothly already.