#常德头条##石门县中医医院#
Recently, 90-year-old Grandpa Liu (pseudonym) felt abdominal pain and discomfort, accompanied by nausea, vomiting and abdominal pain gradually worsened, and his family then accompanied Grandpa Liu to Shimen County Hospital of Traditional Chinese Medicine for treatment.
Long-term intestinal incarceration is most likely to lead to intestinal necrosis and intestinal perforation, at this time, the patient's heart rate is 116 beats/min, blood pressure is the lowest 73/46mmHg, anemia, hypoproteinemia, and may be life-threatening at any time.
Evaluate the condition Grandpa Liu has the indications for emergency surgery, but the physical condition is extremely poor, the serious underlying diseases lead to low immunity, cardiac insufficiency and frequent premature ventricular contractions have put the patient's life on the line, which undoubtedly increases the difficulty and risk of surgery, but if the operation is not performed, Grandpa Liu's life is worrying.
Faced with a dilemma, Wen Zhibiao, deputy chief physician of the Department of Surgery, communicated and exchanged with the patient's family, and at the same time carried out emergency treatment such as volume expansion, fluid rehydration, and anti-shock, and finally decided to perform emergency surgery.
During the operation, the small intestine was incarcerated in the inner ring orifice, the intestinal tube was entrapmented and the edema was obvious, the serous muscle layer was damaged, the intestinal wall was black, and the intestinal tube was dilated and adhered into a clump.
After nearly a week of treatment, the old man recovered well, the infection indicators were normal, and the person became energetic, Grandpa Liu and his family expressed their sincere gratitude to the medical staff of the first department of the outer department.
In this case, the team of the Department of Surgery performed the operation quickly and decisively after a comprehensive and accurate judgment, and successfully saved the patient's life. Rapid preoperative preparation, postoperative care and reasonable treatment constitute an important part of the patient's recovery.
Due to the patient's older age and complex physical condition, the treatment phase is challenging. However, with their profound professionalism and rich practical experience, the medical staff successfully helped the elderly tide over the difficulties.
It is hoped that this case can further enhance the health awareness of the general public, especially families with elderly people at home, be vigilant, pay attention to the physical condition of the elderly in time, and go to the hospital immediately if abnormal symptoms are found, so as to prevent the disease from worsening and avoid irreversible consequences.
Source: Shimen County Hospital of Traditional Chinese Medicine
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(Editor YT)