Chapter 936

When Guo Xiang heard that the patient had a high fever, he immediately went to the ward. When he took his temperature, it reached more than 39 degrees.

Guo Xiang rolled up his aunt's clothes and looked at it. He couldn't see anything on the surface. He gently pressed it, "does it hurt here?"

"Pain!" Aunt's face was cold sweat.

Guo Xiang frowned because it was normal for the operation to have a little pain, but it wouldn't hurt so much.

"Is there a blood test today?" Guo Xiang asked the nurse nearby.

"Yes." The nurse took the test sheet. Guo Xiang saw that white blood cells increased and more white red blood cells showed inflammation and bacterial infection.

Guo Xiang's heart clicked. Is the patient's intestinal suture inflamed?

This is anastomotic fistula. If this happens, it will be serious.

If it is mild, it can be cured with antibiotics and drainage, but if serious feces leak out, it will pollute the abdominal cavity, which is fatal.

But now I can't see what's going on inside unless I reopen.

Guo Xiang looked at it and suddenly found that pus was flowing out of the drainage tube hanging on the side. This was inserted during the operation, just for drainage.

But there is pus flowing out of it, which indicates that it is inflamed and very serious. It is possible that the intestinal tract is broken.

There are bacteria in the intestine, and most of them are harmful bacteria. These bacteria enter the abdominal cavity, so they are infected and suppurated.

Guo Xiang also had a cold sweat on his forehead. It was anastomotic leakage. The most worried situation appeared.

But I did a good job when I operated. How could this happen?

Guo Xiang immediately changed into the best antibiotics and supplemented albumin to promote wound healing. It depends on whether the situation can get better.

When she got off work, she didn't dare to go home. After a few hours, she waited until more than 8 o'clock. The patient's condition became more serious, her breathing became shortness and her blood pressure fell.

"Second operation immediately!" Guo Xiang made a quick decision.

"What's the matter with the doctor? Didn't you say the operation was successful? Why the second operation? " Aunt's daughter asked, "is there something wrong with your operation?"

Guo Xiang's face sank. "Absolutely not. There's no problem with the operation. I can guarantee it. However, everyone's constitution is different, and the healing situation is different. This can't be guaranteed. Isn't it written on the operation notice and what risks will there be? "

The patient's daughter closed her mouth. Although the operation risk was written there, she didn't expect that there would be a problem.

"But it was fine yesterday. I farted today. Didn't you just fart? Why is it serious? " The patient's daughter disagreed.

"This varies from person to person and cannot be generalized." Xu Wei on the side spoke.

"My operation is absolutely no problem. If it's an operation problem, I can give you a second operation for free until aunt gets well and leaves the hospital, but if it's due to her own constitution, it's beyond my control." Guo Xiang said.

"You haven't given the patient anything to eat these two days, have you?" Xu Wei asked.

"No." The patient woman shook her head and paused, "but..."

"But what?" Guo Xiang looked over.

"My mother said she was thirsty yesterday, so I gave her some water..."

"What? Who asked you to give her water? How can you drink water if the wound hasn't healed? Didn't I say you can't eat anything? " Guo Xiang's face became serious.

"But you just said you couldn't eat, not drink..." the patient's daughter was a little guilty.

Guo Xiang rolled his eyes. Forget it. He blamed himself for not making it clear. He said to Xu Wei, "surgery now!"

"Good!" Xu Wei nodded and immediately informed the operating room to prepare for the operation.

The preparation of the operating room is generally the work of disinfection and sterilization. It is necessary to ensure that the operating room is a sterile environment and try to avoid the infection of patients during the operation.

Entering the operating room again, Guo Xiang and Xu Wei opened aunt's abdominal cavity. They were all shocked. There were pus and fecal water in it. The abdominal cavity had been seriously polluted.

They hurriedly washed it with normal saline repeatedly, and it took dozens of minutes to wash it clean.

When the abdominal cavity is clean, we can see that it is indeed anastomotic leakage. There is obvious edema and rupture at the suture, so the fecal water will flow out, causing infection, inflammation and pus.

But it's OK to see the suture. Maybe it's because of aunt's physique or drinking water? It's hard to say.

But I can't sew it back because the anastomotic stoma has swollen and broken. If I sew it again, it will only break worse and can only make a fistula.

What to do is to separate the two ends.

Originally, there was a tumor at the connection between the sigmoid colon and the rectum, so this section was cut off, and there was a missing section in the middle. The operation was to pull the colon down a little and then sew it with the rectum.

Now we can't sew it up. We can only tie up the rectum first. Don't use it for the time being, and the anus can't be used again.

The upper sigmoid colon should extend outside the stomach, open an opening on the stomach, extend the colon outside and connect the fecal bag, and the stool is directly discharged from the stomach.

Of course, this is temporary. Wait until the swelling at the suture of colon and rectum is eliminated and restored, and then connect them back.

Guo Xiang handled the two intestinal tubes, reconfirmed that there was no fistula elsewhere, washed the abdominal cavity, left several drainage tubes, and then closed the abdomen.

But this time, my aunt was very serious. She was in a coma and went out of the operating room and directly into the ICU.

When Guo Xiang came out, Gu Zhennan waited outside.

"Why are you here?" Asked Guo Xiang.

"I'm not sure you haven't been home." Gu Zhennan took Guo Xiang's hand. "Why, is there an emergency?"

"Yes." Guo Xiang nodded and stretched out his arm. "A patient had a bowel cancer resection, and the intestinal tube leaked again. It's very dangerous."

"How's it going now?" Gu Zhennan asked.

"Still in ICU, the situation is not very optimistic." Guo Xiang said.

"Just try your best." Gu Zhennan took Guo Xiang's hand and pressed it on her arm. "You're tired. Go home and I'll massage you later."

Guo Xiang looked up and smiled at him. Her husband was very kind.

Early the next morning, Guo Xiang went to the hospital. When he went to the ICU, the doctor said that the patient was serious again. He was still in a coma. His blood pressure needed booster drugs to maintain. His kidney was in bad condition, his urine was less, and the oxygen concentration of the ventilator was adjusted to 100%.

Several of aunt's family members also came, and her daughter's eyes were red with tears.

"Doctor, you can use whatever medicine you should use. You must save my wife." Aunt said to her lover.

Aunt's daughter's tears fell down again, "it's all my fault. Why don't you wait a few days to drink water for mom, but I don't know..."

Guo Xiang doesn't know what to say. It's hard to say. There are various reasons. On the one hand, aunt's own physique is not as good as everyone's body.

After a few days or careful care, the drugs used, aunt's condition slowly improved again.

Finally, Guo Xiang took her intestines back and lived in the courtyard for more than ten days.

When he was discharged from the hospital, he reduced some medical expenses. Guo Xiang felt that he also had a little responsibility. He didn't make it clear.

So the doctor's advice must be broken and broken. Not everyone has common sense.