In order to implement the national strategic plan of " Healthy China 2030", improve the level of grassroots chest diagnosis and treatment in my country, and allow grassroots people to enjoy homogeneous medical services, the "group-type" assistance team of the thoracic surgery department of Lanzhou University First Hospital recently completed the first "thoracoscopic lung repair + internal fixation surgery for rib fracture reduction" at Huining County People's Hospital, filling the gap in minimally invasive surgery and rapid postoperative recovery in Huining County People's Hospital.
Since Lanzhou University First Hospital launched assistance work at Huining County People's Hospital in June this year, under the leadership of team leader Liu Yongqiang, the new technologies and new concepts of Lanzhou University First Hospital have been gradually implemented in County Hospital through "passing and helping".
htmlOn September 4, the Department of Thoracic Surgery Assistance Expert of Lanzhou University First Hospital went to Huining County People's Hospital to successfully carry out "thoracoscopic lung repair + internal fixation surgery for rib fracture reduction". After the assistance experts were connected with the thoracic surgeon of the county hospital, the patient was accurately evaluated before the operation and conducted "dual-cavity tracheal intubation and single-pulmonary ventilation". Liu Yongqiang, the captain and anesthesia department, guided the Anesthesia department of the county hospital to perform general anesthesia for the patient and taught the patient to perform general anesthesia under visual bronchoscopy positioning, central venous catheterization under ultrasound guidance, femoral artery puncture cannulation and invasive blood pressure monitoring, and postoperative analgesia under ultrasound guidance. Subsequently, the thoracic surgery expert conducted a thoracoscopic investigation. During the operation, he saw ruptures in both lungs, multiple fractures of the left ribs, and the broken end pierced the chest wall. He performed "single-hole thoracoscopic lung rupture repair surgery + rib fracture incision reduction and internal fixation of internal thoracic cavity."
Intraoperative thoracic surgery experts gave detailed on-site surgery teaching to colleagues in the county hospital with their superb skills, skillful techniques and rich clinical experience, and shared their clinical experience without reservation. The operation lasted 2 hours and the process went smoothly. The patient woke up well after the operation, had tracheal intubation removed, his vital signs were stable, and he returned to the ward safely.
After the operation, the assistance team of Lanzhou University First Hospital assisted the county hospital to provide patients with rapid rehabilitation guidance and nursing, encourage early exit from bed activities, the patients have good diet and mental state, and formulate a pulmonary rehabilitation training plan. The successful implementation of this operation and rapid rehabilitation care have won unanimous praise from patients and their families, and the concept of minimally invasive surgery and rapid rehabilitation is deeply rooted in the county hospital, laying a solid foundation for the future rapid rehabilitation development after surgery.
The "group-style" assistance team of the Department of Thoracic Surgery of Lanzhou University First Hospital donated medical equipment to the county hospital and established a long-term assistance plan to truly implement precise assistance, achieving the sharing of resources and technology. At the same time, through the promotion of precise minimally invasive technology, the assistance team has improved the application of minimally invasive diagnosis and treatment technology in , comprehensively improved the medical technology and treatment capabilities of county-level hospitals, achieved the goal of sinking high-quality medical resources and "severe illnesses without leaving the county", and played the leading role of the medical quality control center.
text and pictures | Huining Assistance Team of Lanzhou University First Hospital
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