By Sun Zhaoshun, Liu Gang, and Zhu Dongdong
孫兆順、劉港、朱冬冬
MALI, Dec. 8 -- The 9th Chinese peacekeeping medical contingent to Mali received a notice from the Sector East Command of the United Nations Multidimensional Integrated Stabilization Mission in Mali (MINUSMA) that a wounded Nigerian had been transferred to a Chinese secondary hospital in the Sector East Command by helicopter on December 5 local time. He was injured in a blast and needed emergency surgery.
馬里12月8日電：馬里當地時間12月5日，中國第九批赴馬里維和醫療分隊接到聯馬團東戰區通知，一名遭遇爆炸的尼日爾籍傷員通過直升機轉運東戰區中國二級醫院進行急診手術。
At 14:40 that day, the evacuation group of the medical contingent escorted the wounded to the ward, who was later found with more than 40 foreign matters left in upper limb from the blast, some tiny, some embedded in muscles, and some stuck in articulatio.
當日14時40分，醫療分隊空運后送組將傷員轉至病房。醫生對傷員進行了一系列術前檢查，X線光片顯示左上肢爆炸異物多達40多個，有些異物很小，有些在肌肉內，還有部分在骨關節處。
In this case, the medical contingent decided to perform surgery as guided by intraoperative X-ray to remove all the matters after discussion, which was favorable for accurate location and has facilitated complete removal of the foreign matters.
為了能夠準確定位，將手臂里面的異物完全取出，醫療組討論后決定采用X線術中引導配合手術，將所有異物完全取出。
The operation lasted for 4.5 hours, after which postoperative complications including suddenly increased blood pressure, increased heart rate, and decreased blood oxygen saturation, were seen, and blast injury of head, abdominal cavity and other important organs still couldn’t be excluded, either.
歷經4個半小時，手術完成。術后，該傷員突然出現血壓升高、心率增快，口鼻出現大量粉紅色泡沫痰，血氧飽和度下降。醫療隊員迅速予以積極救治。據介紹，雖然該傷員是左上肢爆炸傷，但是不能排除外胸部，甚至頭、腹腔等重要臟器的爆震性損傷。
The doctors had to take a series of emergency measures such as opening the airway, mechanical ventilation, anti-inflammatory treatment, glandular secretion suppression, and control of volume capacity, which finally turned the wounded to be off the danger list. As of now, the patient is out of the oral tracheal intubation and has clear consciousness, with good cardiopulmonary function and free movement.
經過醫療隊員開放氣道、機械通氣、抗炎、抑制腺體分泌、容量管理等搶救及治療后，傷員轉危為安?，F已拔除經口氣管插管，意識清楚、心肺功能良好，可以自由活動。
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