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從廣州到慕尼黑(32)

2024-06-28 17:23:56 廣州仁醫(yī)醫(yī)療 62

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6月10日上午10:00,仁醫(yī)醫(yī)療四人團隊準時抵達德國BG協(xié)會創(chuàng)傷外科醫(yī)院穆爾瑙分院(BG穆爾瑙分院),拜訪該院院長Stuby教授,他親自帶我們參觀醫(yī)院。Stuby教授介紹,醫(yī)院在德國最高峰楚格峰腳下,傍山而建,從醫(yī)院各個窗戶看出去都是連綿的山脈。穆爾瑙這座南德小鎮(zhèn)只有1.2萬人口,這其中有2300名是醫(yī)院的員工。BG協(xié)會是德國法定工傷保險協(xié)會,旗下運營9家創(chuàng)傷??漆t(yī)院,其中穆爾瑙分院是規(guī)模最大的。醫(yī)院建立于1953年,是全德國最大的創(chuàng)傷中心,現(xiàn)共有590張床位,其中40張重癥監(jiān)護床位,一共有12個手術室,每年完成超15000臺創(chuàng)傷相關手術,其中約190臺骨盆髖臼骨折手術。我們首先參觀了醫(yī)院直升機停機坪。BG穆爾瑙分院有一臺專用直升機供醫(yī)院使用,是來自空客的最新型號,即使在風速高達80km/h的情況下,配合救援繩可以在離山10米的距離進行救援,這對多山的穆爾瑙及其周邊地區(qū)的緊急救援情況大有幫助。除此之外醫(yī)院也會接收創(chuàng)傷網(wǎng)絡轉(zhuǎn)運過來的病人,高峰時期院內(nèi)可以同時容納四五架直升機,該院每年接收約1800例直升機轉(zhuǎn)運病人,其中超400例嚴重多發(fā)傷病人。隨后教授帶我們參觀了直升機轉(zhuǎn)運病人專用的搶救室,配備了高級創(chuàng)傷生命支持系統(tǒng)及CT。教授特地為我們介紹了該院脊髓損傷中心。脊髓損傷中心一共有三層,共有約100張床位。該中心的理念是為截癱病人提供“終身護理計劃”,不僅為病人提供受傷后的緊急手術,還以門診和住院的形式為離院病人持續(xù)提供定期脊髓檢查、神經(jīng)康復、壓瘡護理等服務?,F(xiàn)約有1500名病人正在接受“終身護理計劃”的服務。隨后我們訪問了醫(yī)院的高壓氧艙。該院一共有兩個高壓氧艙,配備了定制的重癥監(jiān)護設備,可以同時容納8名病人。1998年以來,醫(yī)院一直使用高壓氧艙治療一氧化碳中毒、嚴重骨骼和軟組織感染和損傷、潛水事故和氣體栓塞等危及生命的疾病的患者。參觀結(jié)束后我們回到Stuby教授辦公室詳細討論了他2025年3月訪問中國一周開展客座教授活動的詳細計劃。他表示雖然從來沒有訪問過中國,但是他已經(jīng)從很多德國同道處聽說中國創(chuàng)傷骨科的飛速發(fā)展、巨大的病例數(shù)量及中國其他產(chǎn)業(yè)的發(fā)展,他非常期待明年的訪問。

At ten o’clock on the morning of June 10th, Gloryren’s team of four people arrived at the BG Accident Clinic Murnau on time. This visit is for Prof. Stuby, the Medical Director of the hospital, and he then showed us around. Prof. Stuby introduced that the hospital was built alongside the Zugspitze, right at the feet of this highest mountain in Germany. From every window of the hospital you could see the stretches of mountain ranges Murnau am Staffelsee, a small town in Southern Germany, harbors a population of only twelve thousand with two k three hundred of them work for BG Accident Clinic Murnau. The BGs is a member institution of German Social Accident Insurance (DGUV) and operates nine trauma specialist hospitals, with BG Accident Clinic Murnau being the largest one.  The hospital was founded in nineteen fifty three and has now become the biggest trauma center in Germany. Currently, it has 590 five hd and ninty beds, 40 of which are for Intensive Care. It owns 12 operating rooms and performs over fifteen thousand Trauma Surgeries annually, about 190 of which are surgeries for pelvic and acetabular fractures. We first visited the helipads of the hospital. BG Accident Clinic Murnau is equipped with a specified and exclusive helicopter, the latest model produced by Airbus. Even if the wind speed is as high as 80km/h, with rescue rope, the helicopter can carry out rescues at a distance of 10 meters from the mountain. This makes a difference to emergency rescues in the mountainous area of Murnau am Staffelsee and its peripheral regions. Besides, the hospital also received patients transferred from other centers in the trauma networks. Its helipads can accommodate four to five helicopters at peak times. The hospital receives about one thousand eight hundred patients transferred by helicopter, 400 of which are severe poly-trauma patients. Then Prof. Stuby led us to visit the Emergency Room exclusive for the helicopter-transferred patients, which is equipped with an advanced trauma life support system and CT. Prof. Stuby specifically introduced the hospital’s Spinal Cord Injury Center to us. The Spinal Cord Injury Center has three floors and about 100 beds. The concept of the center is to provide a “l(fā)ifetime care plan” for paraplegic patients. It offers not only emergency surgical treatment after injury but also regular spinal cord examinations, neuro’logical reha, pressure sore care, and other services for discharged patients via outpatient and inpatient services. Currently, about one k five hd patients are receiving the “l(fā)ifetime care plan” service. After that, we visited the hyperbaric oxygen chambers of the hospital. There are two chambers of this kind in the hospital and both are equipped with intensive care equipment for eight patients at a time. Since nineteen ninty eight, the hospital has been using the hyperbaric oxygen chamber to treat patients suffering from carbon monoxide poisoning, severe infection and injury on the bones and soft tissues, diving accidents, gas embolism, and other life-threatening diseases. After the visit, we went back to Prof. Stuby’s office and had a detailed discussion with him on his one-week visiting professor activities in China in March 2025. He noted that although he had never been to China, he had learned about the rapid development of China’s Ortho-Trauma specialty, the vast amount of cases, and the growth in other sectors in China. He is so much looking forward to his visiting trip next year.

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