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口腔科和胃腸外科同臺(tái)手術(shù),共除病魔

時(shí)間:2012-10-25 15:20來(lái)源:求醫(yī)網(wǎng)

  80歲的高級(jí)工程師林老,口腔癌放療后,并發(fā)下頜骨放射性骨壞死,腮部創(chuàng)口潰爛流膿不止。盛夏天氣悶熱,生理心理都倍受煎熬的他不得不在家人的攙扶下,來(lái)到了醫(yī)院口腔科治療??谇豢浦魅侮悅チ冀淌谠敿?xì)檢查后,告訴他必須及早做骨壞死切除,再用鄰近下頜骨進(jìn)行修補(bǔ)。聽(tīng)了陳教授的建議后,林老即刻同意接受手術(shù)治療。然后起身,離去……

  看著林老緩緩離去的背影和蹣跚的步履,陳偉良教授馬上叫住了患者,關(guān)切地問(wèn)了一句,“你的肚子不舒服嗎?”?!袄厦×?,以前下面有個(gè)包塊,時(shí)有時(shí)無(wú),無(wú)疼痛感,但最近時(shí)不時(shí)覺(jué)得有點(diǎn)痛?!绷掷闲邼刂噶酥缸髠?cè)大腿根部。陳教授給林老再做一次檢查,發(fā)現(xiàn)大腿根部有一腫塊,上端狹小,下端寬大,狀似梨形。陳教授微微皺了皺眉頭,立即撥通了胃腸外科陳雙教授的電話。約10分鐘左右,陳雙教授來(lái)了。在了解病情后,檢查證實(shí)了林老還患了腹股溝斜疝……

  面對(duì)著眼前這位曾在戰(zhàn)爭(zhēng)年代經(jīng)歷過(guò)槍林彈雨的老同志——現(xiàn)被下頜骨放射性骨壞死和腹股溝斜疝這兩個(gè)病魔折磨,口腔科主任陳偉良教授和胃腸外科陳雙教授斷然決定,優(yōu)化和簡(jiǎn)化醫(yī)療流程,提高醫(yī)療效率,一次同臺(tái)手術(shù)為病人解除病痛。

  在手術(shù)室的無(wú)影燈下,兩臺(tái)手術(shù)同時(shí)進(jìn)行,工作有條不紊。在兩位教授完好的配合下,手術(shù)僅用了80分鐘就告結(jié)束。同臺(tái)手術(shù)不僅減輕了病人痛苦,還節(jié)省費(fèi)用30%,縮短住院時(shí)間50%。

  One-stage surgery resulted in two healings

  Mr. Lin, an 80 yea old senior engineer, had a mandibular osteonecrosis with ulceration and purulence at the region of his cheek as complication due to radiotherapy treatment given agait his oral cancer.

  After being traumatized both physiologically and psychologically, Mr. Lin was finally accompanied by his family to the Stomatology Department of the Sun Yat-Sen Memorial Hospital (SYSMH), Zhongshan Univeity for treatment.

  After careful examination, Prof. Wei Liang Chen, the director of the Stomatology Department advised Mr. Lin that the necrotic bone must be removed as soon as possible and have his mandible recotructed. Mr. Lin accepted Prof. Chen’s treatment plan immediately.

  However, Prof. Chen looked carefully back to Mr. Lin and to the way by which he was walking, and then asked Mr. Lin: “Have you ever felt any discomfort at your abdomen?”, then he replied: “That is my problem! I have been feeling this swelling here which sometimes appea and disappea. It wasn’t painful before, but now I am feeling a little pain these last days”.

  Mr. Lin bashfully then pointed to his left groin region. Prof. Chen examined and found a pear-shaped lump, narrow at the top and wide at the bottom. Prof. Chen slightly squint his eyes and phoned Prof. Shuang Chen of the GI Surgery Department. Soon, Prof. Shuang Chen came and confirmed that Mr. Lin had indeed an indirect inguinal hernia.

  This old fellow, who experienced a lot in his life and suffered a great deal with an unexpected osteonecrosis and an unnoticed hernia, will finally receive a proper treatment by Dr Wei Liang Chen and Dr. Shuang Chen. They agreed to proceed an one-stage surgery to release Mr. Lin longtime suffering and optimize the whole process as well as to improve the prognostic of the whole situation.

  The perfect cooperation between two professo resulted in two surgeries done in 80 minutes. This one-stage surgery not only resolved the patient suffering but also saved 30% in financial costs and 50% in reducing days of stay in hospital.

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