The patient, male, 72 years old, was diagnosed with appendicitis peritonitis 11 days ago with a high fever of 39 degrees after low fever and abdominal pain and minimally invasive surgery with general anesthesia. The first 5 days the drainage tube was brownish red fluid, and the sixth day the amount of yellowish green fluid was 20 ml. Every afternoon, there was throbbing pain in the lower abdomen and severe pain in the evening, which was maintained by painkilling injections. The incision is changed every two days and there is a foul odor and pressure can squeeze out pus.
The blood test without fever says that the white blood cells are high. The ultrasound 12 days after surgery said there was fluid in the right and left lower abdomen, and the drainage tube has been flowing 10-20 ml of yellow-green fluid Hope to get doctor’s help: now in the hospital can be transferred? The patient is weak and is now on intravenous anti-inflammatory water amino acids and glucose daily, is there not enough nutritional support.
In terms of the patient’s existing condition, the following conditions are considered.
A. Residual inflammation or abscess at the site of appendectomy;
Second, there is residual infection or even abdominal abscess formation in the abdominal cavity;
Third, the possibility of appendiceal stump fistula is not completely excluded.
It is recommended to first clarify the patient’s condition by.
I. Bacteriological culture and drug sensitivity examination of wound secretions and abdominal drainage fluid, and adjust the type and strength of antibiotics according to the results of the examination, it is recommended to strengthen the strength of antibiotics and the combination of antibiotics to control the infection;
Ultrasound or CT examination of the abdomen should be performed to understand whether there is abscess formation in the abdominal cavity, and if necessary, puncture and flushing should be performed under the guidance of ultrasound;
If it is clear that the fistula is a stump fistula, it is necessary to operate again or replace the drainage tube with a double-cannula for continuous flushing and drainage treatment, so as to shape the tubular fistula by active flushing and drainage and then strive to close the fistula.
Fourth, strengthen intravenous nutritional support to prevent and control the negative nitrogen balance of the body. It is recommended to maintain active and positive contact and communication with the primary surgeon!
Continue to keep in touch and wish the elderly a speedy recovery!
Patient’s family.
On September 29th my father went to ** hospital for abdominal pain to have appendicitis surgery, I thought I would be discharged in a few days, who knew that the secondary infection, the condition is becoming increasingly serious, daily infusion from 8:00 am to 8:00 pm still no improvement, looking at the tube inserted in his abdomen every day, the pus and pus too viscous to squeeze the drainage tube, overflowing from the receiver on the stomach.
Looking at the ** hospital doctors helpless, and finally ** hospital deputy director arranged two young doctors to rub the stomach to squeeze pus every day, anxious and scared, admitted to the hospital just ten days, my father lost 20 pounds, the pain every day can not walk, and rely on pain injections at night to maintain. At 72 years old, his body was getting weaker and weaker, and when he saw the daily lack of progress in treatment and the increasingly serious infection, he even started to make arrangements for his death. I was so anxious that I called Dr. Sun and saw a ray of light in the dark night.
On the phone, Dr. Sun patiently and professionally explained the condition to me, and I could hear that he knew a lot about the disease, so we immediately decided to go to Dr. Sun for treatment. When we met Dr. Sun, he had just gotten off the operating table and had done 2 surgeries in a row, so he was very tired, but he still received us with great enthusiasm and carefully reviewed the medical records. He was very sure of the condition and quickly gave us a hospital order.
The next day we were just admitted at night and Dr. Sun immediately started treatment, saying that he had prepared several targeted treatment plans, which was very touching. Dr. Sun started with a bedside ultrasound to carefully review the situation, and then took a series of measures. Amazingly, after this series of measures, my dad was actually able to sleep that night without the need for pain injections.
Looking back, my dad had been suffering from appendicitis for more than half a month since the surgery, and he had been relying on painkillers every day. The next day, the yellow-green pus in the drainage tube was gone, and it became a more normal drainage fluid. During my stay in the hospital, I saw that Dr. Sun was really dedicated to his work, as all the patients said, and he was busy on the front line every day, often coming to the ward early to check on the patient’s condition and doing his best for the patient.
He often went to the ward early to check the condition of the patients and did his best for them. He is very efficient in his work and deals with the situation as soon as he finds it. He is also very skilled in medical treatment, and is warm, humble and funny. Dr. Sun is also a good-hearted doctor who thinks about his patients and tries to save money for them.
After a few days of treatment, my dad recovered very quickly. My dad went from not believing that he could be cured to now being very superstitious and only listening to Dr. Sun. Today, when Dr. Sun was very tired after the surgery of other patients, he was still treating my dad with the same enthusiasm and seriousness. My father’s recovery was so fast, thanks to Dr. Sun and all the doctors and nurses of the First People’s Hospital of Nanning, who are so dedicated and professional in treating patients.
Wish Dr. Sun a good life and all the best! Take care of your health and rest, because there are more people waiting for you to save and treat! It is the greatest wish of all of us, the professional doctors who are the younger generation, that the elderly can recover successfully!