Ishikawa Kohei, Omori Kazuhiko, Ohsaka Hiromichi, Jitsuiki Kei, Yoshizawa Toshihiko, Oode Yasumasa, Sakurada Mutsumi, Mogami Atsuhiko, Yanagawa Youichi
Department of Acute Critical Care Medicine Juntendo Shizuoka Hospital Izunokuni Japan.
Department of Surgery Juntendo Shizuoka Hospital Izunokuni Japan.
Acute Med Surg. 2016 Aug 5;4(1):89-92. doi: 10.1002/ams2.231. eCollection 2017 Jan.
We review the case of a severely injured patient to evaluate the system of delivering medical staff by helicopter in areas with limited medical resources.
The patient's chart was reviewed, summarized, and presented.
A 22-year-old woman attempted a suicidal fall after using a knife to stab herself. She was transported to a local hospital. A radiological study revealed fractures to the patient's face and the base of her skull, pneumocephalus, traumatic subarachnoid hemorrhage, stab wounds to the neck and chest, pneumothorax, unstable pelvic fracture, and right femoral shaft fracture. Her circulation status became unstable. We sent medical staff members to the local hospital by doctor helicopter. The patient underwent tracheal intubation and the insertion of a chest drain, and was evacuated by doctor helicopter. After aggressive intensive treatments in our hospital, the patient finally obtained social rehabilitation.
In an area where medical resources are limited, sending trained physicians to a referring hospital to appropriately prepare a severely wounded patient for transportation might be the key for the patient to maximize his or her chance of survival.
我们回顾了一例重伤患者的病例，以评估在医疗资源有限地区通过直升机运送医务人员的体系。
查阅、总结并展示了该患者的病历。
一名22岁女性在持刀自残后试图跳楼。她被送往当地医院。影像学检查显示患者面部和颅底骨折、气颅、创伤性蛛网膜下腔出血、颈部和胸部刺伤、气胸、不稳定骨盆骨折以及右股骨干骨折。她的循环状况变得不稳定。我们通过医生直升机将医务人员送往当地医院。患者接受了气管插管和胸腔引流管插入，随后通过医生直升机转运。在我院进行积极的强化治疗后，患者最终实现了社会康复。
在医疗资源有限的地区，派遣训练有素的医生前往转诊医院，为重伤患者进行适当的转运准备，可能是患者最大化生存机会的关键。
