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美国医生敢做敢为

《万维读者网》 NBC 09/26/2013

pocketKnife2013年9月25日美国加州一名老妇在餐厅用餐时不慎鲠喉几乎丧命,幸餐厅内一批国家级高官名医人急智生,即场为她开刀急救,救命工具是一把小刀和一支笔。

  71岁的拉伍德(Pauline Larwood)偕丈夫周一与两名共和党参众议员,在加州中部城市贝克斯菲尔德(Bakersfield)一间餐厅晚膳。拉伍德是当地社区大学的校董,也是加州克恩县前议员,在当地颇有名声。

  肉鲠咽喉难唿吸 嘴唇发青

  在进食期间,一块肉突然卡住拉伍德的咽喉,令她唿吸困难。其丈夫两次尝试急救无效,拉伍德的嘴唇和手指开始发青。当拉伍德的丈夫致电报警求救时,正在同一间餐厅用餐的几名男子迅速到来。

  这几名男子是正在贝克斯菲尔德出席医学研讨会的医生,他们均是国家级名医和政府高官,包括美国疾病预防及控制中心主任弗里登(Thomas Frieden)、国家卫生研究院主任柯林斯(Francis Collins)、加州大学洛杉矶分校医学院教授暨科恩医学中心传染疾病主任约翰逊(Royce Johnson)和加州大学洛杉矶分校医学院儿科教授克拉格斯塔德(Paul Krogstad)等。他们来到时,拉伍德已陷入昏迷。

  约翰逊当时冷静地说:「我要一把刀子。」他接过另一名退休医生随身携带的3吋半长小刀,在拉伍德咽喉附近切开一个口子,清理拉伍德的气管。克拉格斯塔德则把一支笔掰成两段,把空心的一段插入拉伍德气管切口,由约翰逊吹气进入气管,弗里登在一旁监测拉伍德的脉搏。

  几分钟完成手术

  医生们在几分钟内完成了急救手术。救护车抵达时,拉伍德已无大碍,被送往医院继续治疗,据说她的伤口很快就能复元。

  人们纷纷称赞约翰逊的冷静及卓越医术,并大赞他是英雄。美国急症医生学会新闻发言人梅尔表示,这不是谁都能在家尝试的行为,唯有经过专业训练的医生才能如此施救。

BAKERSFIELD, Calif. (AP) -- Dinner was just getting served to a crowd of doctors and elected officials when a cry to dial 911 rang out at The Mark restaurant.

Dr. Paul Krogstad rushed to the commotion and found longtime friend, Dr. Royce Johnson, tending to a community leader who was choking on a piece of meat.

After the Heimlich maneuver failed to open Pauline Larwood's airway, Johnson called out for a knife. A fellow doctor handed him a pocket knife that he always carries around. Johnson quickly made an incision near Larwood's throat. Krogstad, who was kneeling next to Johnson, broke a pen-like device in half that Johnson used as a breathing tube.

"He's a well-trained physician who didn't hesitate to step up. He was very calm, skillful and careful," said Krogstad, a pediatrician at UCLA's Mattel Children's Hospital.

The doctors were in Bakersfield, 110 miles north of Los Angeles, for a summit on valley fever, a fungal respiratory infection that has surged in California and the Southwest.

Some of the nation's top doctors attended Monday's meeting, including Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention, and Dr. Francis Collins, director of the National Institutes of Health. Johnson, chief of infectious diseases at Kern Medical Center, had appeared on stage with Frieden and Collins earlier that day.

Frieden was at the restaurant that night and monitored Larwood's pulse as Johnson cleared her airway, Krogstad said.

Assemblywoman Shannon Grove, R-Bakersfield, said she, her husband and state Sen. Jean Fuller, R-Bakersfield, were seated at a table with Larwood and her husband when she started choking. Grove said her husband ran to Larwood and tried to perform the Heimlich maneuver. He called for a doctor and Johnson attempted the technique as well.

"She had already started turning a real like blue, her fingers and her lips," Grove told the Bakersfield Californian .

The emergency procedure lasted several minutes before paramedics arrived to take Larwood to the hospital.

Larwood, a community college board trustee and former Kern County supervisor, was doing fine, her son told the Bakersfield Californian.

"Seeing a life saved in seconds was a moving experience," Frieden said in a statement.

Doctors praised Johnson for his quick thinking, but said only a trained professional should attempt what he did.

"This isn't something to try at home," said Dr. Howard Mell, a spokesman for the American College of Emergency Physicians, who was not at the dinner.

Mell said the incision was "like a bad cut" that should heal quickly.

Johnson declined a request for comment.

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