阜阳市二院内科监护室成功救治重症破伤风患者-阜阳在线-阜阳在线论坛阜阳综合门户

网站小七 发表于 2025-4-27 17:36

阜阳市二院内科监护室成功救治重症破伤风患者

<style type="text/css">html{font-size:375%}</style><link href="https://pic.app.fy169.net/frontend/web/static/publish/css/style.css?v=20240712" rel="stylesheet" position="1" data-qf-origin="/frontend/web/static/publish/css/style.css?v=20240712"> <div class="preview_article ">  <section style="text-align: center;"><img class="rich_pages wxw-img js_insertlocalimg" style="width: 578px; height: 179px;" src="https://pic.app.fy169.net/FhpDTRyGzxILTVXND5XsuzL2rcUw" width="1080" height="175" /></section><section><img class="rich_pages wxw-img __bg_gif" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; vertical-align: bottom; height: auto !important; color: #222222; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.544px; orphans: 2; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; visibility: visible !important; width: 677px !important;" src="https://pic.app.fy169.net/FnlK-idNBok4Yuraeg6oW1SpLTf-" /></section><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #222222; font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 17px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.544px; orphans: 2; text-align: justify; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; background-image: url('https://pic.app.fy169.net/FnEQCfdb6FAHO3fSpkHCzIccCrFS'); visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; line-height: 2em; visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: center; align-items: center; width: 677px; visibility: visible;"><section style="margin: 0px; padding: 0px 8px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; display: flex; justify-content: flex-start; align-items: center; flex-direction: column; width: 677px; visibility: visible;"><section style="margin: 0px; padding: 12px 7px 18px 15px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 661px; text-align: left; background: #ffffff; visibility: visible; border: 1px solid #df8567;">2025年3月3日傍晚，家住临泉县的61岁郭先生因破伤风病情恶化，从外院紧急转入阜阳市第二人民医院急诊医学科。彼时的他已出现张口困难、言语不清等症状，但更凶险的一幕在转诊后10分钟骤然发生——患者突然面色青紫、呼吸停止、全身剧烈抽搐！急诊团队立即启动“急危重症抢救流程”：90秒建立生命通道；监测颅内压、肌张力及氧合指数，预判多器官衰竭风险；内科监护室提前启动隔离病房，做好接收危重破伤风患者准备。 患者转入内科监护室时，已合并急性呼吸衰竭、肺部感染、循环不稳定等多重危象。面对这场“破伤风攻坚战”，医护团队制定精准救治方案。历经24天全力救治，患者于3月20日成功脱离呼吸机，3月27日转入普通病房进行康复治疗。4月2日治愈出院。4月15日，家属专程送来锦旗，红绸上“医德高尚医术精，关爱病患暖人心”十四字，承载着对医护团队最深的敬意。 <section style="text-align: center;"><img class="rich_pages wxw-img" src="https://pic.app.fy169.net/FhqAWI_WvPjg1SHIZwXvSIDuIBnD" /></section>  在这场惊心动魄的救治中，凝聚着市第二人民医院多学科协作的智慧与力量。内科监护室全体医护人员将继续以专业与坚守，守护每一位患者的生命之光。  健康科普 “破伤风”是什么？ 破伤风由破伤风梭菌引起，该菌为严格厌氧的革兰氏阳性芽孢杆菌，其芽孢在外界环境中可存活数年，广泛分布于土壤、动物粪便及锈蚀金属表面。细菌产生的破伤风痉挛毒素通过影响中枢神经系统，导致肌肉强直性痉挛和自主神经功能紊乱，严重者有致命风险。 破伤风防治关键要点： 1破伤风并非只由铁钉致伤！动物咬伤、烧伤、甚至木刺伤、微小伤口接触泥土铁锈等均可能感染，关键在伤口缺氧环境。 2既往接种疫苗≠终身免疫！抗体水平随时间衰减，10年后保护率不足40% ，需定期加强。 3受伤后24小时内尽早注射疫苗，若未及时注射疫苗，超过24小时也应注射疫苗。TIG在发病后仍可中和未结合毒素，尽早使用仍具价值。 4 破伤风有潜伏期，典型症状：牙关紧闭、角弓反张、喉痉挛、受伤部位肌肉强直、颅神经麻痹（如面瘫、吞咽障碍）。 三级防护指南： 1基础免疫：儿童期完成3剂百白破疫苗接种 2外伤处置：   •清洁小伤口：立即用肥皂水冲洗伤口15分钟，完成全程疫苗接种者可观察  •污染/复杂伤口（动物咬伤、深刺伤、坏死组织）：彻底清创+开放引流（禁用单纯缝合）；   24小时内注射破伤风人免疫球蛋白（TIG）250-500 IU（被动免疫）；同时接种破伤风类毒素疫苗（主动免疫，不同部位注射）   3主动预防： • 普通人群每10年加强接种1剂疫苗  • 高危人群（务农、建筑、野外工作者）建议5年检测1次抗体。 阜阳市二院内科监护室郑重提醒：破伤风病死率高达30%，但规范预防可完全避免。</section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end;"></section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end;"></section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end;"></section><section style="margin: -24.1px 0px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; width: 58px; height: 31px; display: flex; justify-content: center; align-items: center; align-self: flex-end;"></section></section></section></section></section><section style="margin: 8px 8px 10px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #3e3e3e; font-family: inherit; font-size: 24px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: 0.544px; orphans: 2; text-align: center; text-indent: 0px; text-transform: none; white-space: normal; widows: 1; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial; line-height: 25.59px; word-break: normal !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; visibility: visible;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; color: #222222; letter-spacing: 0.544px; white-space: normal; font-family: 微软雅黑; font-size: 16px; background-color: #ffffff;"><section style="margin: 0px; padding: 0px 4px; outline: 0px; max-width: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important; font-size: 15px; line-height: 1.8; letter-spacing: 1px;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 16px; white-space: normal; letter-spacing: 0.544px; widows: 1; font-family: 微软雅黑; background-color: #ffffff;"><section style="margin: 10px 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; box-sizing: border-box; overflow-wrap: break-word !important; font-size: 14px; color: #605af5;"><p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">供稿: 内科ICU 张菁菁 <p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">编辑: 赵上静 <p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">责任编辑: 马晓琳 <p style="-webkit-tap-highlight-color: transparent; margin-bottom: 0px; outline: 0px; color: #605af5; font-family: 微软雅黑; font-size: 14px; letter-spacing: 0.544px; text-indent: 0em; widows: 1; background-color: #ffffff; text-align: left; line-height: 2em;">审核: 高勇<p style="-webkit-tap-highlight-color: transparent; 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玩的开心 发表于 2025-4-28 05:05

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玩的开心 发表于 2025-4-28 05:05

{:6_315:}

玩的开心 发表于 2025-4-28 05:05

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阜阳在线's Archiver

阜阳市二院内科监护室成功救治重症破伤风患者