#常德头条 ##石门县中医医院#
"Fortunately, you rescued me in time and pulled me back from the 'ghost gate'! Thank you for saving my life with superb medical skills and warming people's hearts with careful service! Praise to our surgical medical staff and Shimen County Hospital of Traditional Chinese Medicine!"
Grandpa Tu (pseudonym) said excitedly, his gratitude overflowing. The 86-year-old grandfather Tu was sent to Shimen County Hospital of Traditional Chinese Medicine by his family for "constipation with severe abdominal pain" not long ago, and was diagnosed with "incarcerated hernia and intestinal perforation, acute peritonitis".
Story review
Grandpa Tu suffered from heart failure, resulting in inconvenience, long-term bed rest, and constipation, not long ago after the appearance of bowel movement and accompanied by abdominal pain symptoms, has not paid attention to it, until the recent unbearable abdominal pain, only in the Shimen County Hospital of Traditional Chinese Medicine outpatient treatment;
The patient was very old, and after admission examination, it was found that in addition to heart disease, he also had pulmonary infection, hypoproteinemia and other diseases, and his condition was extremely critical, and he could be life-threatening due to intestinal perforation at any time due to multiple organ failure, and the operation was extremely risky.
However, the patient's only daughter is far away in Shanghai, and the disease has progressed and it is no longer allowed to wait for the return of the daughter to undergo surgery! The treating doctor patiently communicated with the daughter by phone, informed her in detail of the criticality of her condition and the necessity and urgency of the operation, and finally obtained the full understanding of the patient's daughter and agreed to the surgical treatment.
Incarcerated inguinal hernia is one of the more dangerous diseases in surgical acute abdomen, and the condition is changing rapidly, and rescue is a race against time. Considering the patient's urgent condition and advanced age, the surgical team decided to perform exploratory laparotomy as soon as possible.
Intraoperative exploration confirmed that it was "right incarcerated femoral hernia with intestinal perforation, mechanical small bowel obstruction", and "intestinal decompression + intestinal perforation repair + hernia high ligation" was performed to reduce the risk of postoperative intestinal fistula!
After the operation, he returned to the ICU for treatment, and returned to the department for further treatment after the endotracheal tube was removed on the third day.
However, patients have many underlying diseases, and are still facing the risk of postoperative intestinal fistula, aggravation of abdominal and pulmonary infections, and multi-organ failure.
Through the surgical team's active anti-infection, stomach protection, nutritional support, laxative and other symptomatic treatments, and full use of surgical measures to accelerate recovery, combined with the unique advantages of traditional Chinese medicine treatment, the patient turned the crisis into safety.
What is an inguinal hernia?
Incarcerated hernia refers to the patient with inguinal hernia, the hernia contents are stuck through the smaller hernia sac neck and are stuck and cannot be successfully retracted, resulting in progressive congestion and edema, the intestinal tube is gradually ischemic in the hernia sac, develops into a strangulated hernia, and finally leads to intestinal necrosis.
It's like a rubber ball, you push the rubber ball into the bottle hard, but it is difficult to pour the ball out of the bottle, which is why the hernia can become incarcerated.
If the inguinal hernia is incarcerated within 4 hours and there is no obvious abdominal pain, medical attention should be sought as soon as possible, and manual reduction can be tried.
Therefore, it is still necessary to closely observe the abdominal symptoms after reduction, pay attention to the changes in the condition of intestinal obstruction and peritonitis, and if manual reduction is difficult, surgery must be performed as soon as possible, and the surgical method can be minimally invasive surgery or traditional open surgery.
Hunan Medical Chat Special Author: Shimen County Hospital of Traditional Chinese Medicine Luo Gongchen
Follow @Hunan Medical Chat to get more health science information!
(Edited YT.) Part of the picture is from the Internet, invaded and deleted)