Little Li, 22, should be in great shape. However, sudden gallstones and cholecystitis put her in the hospital.
Actually, the so-called sudden, in fact, is not sudden, her cholecystitis has been repeated many times. The reason why others thought it was the first time she got sick was because she was carrying it all the time.
She could hardly believe her ears when doctors told her she had cholecystitis. She wondered in her heart: she had cholecystitis at such a young age! When I asked the doctor about the reason, the doctor could not find a clear cause for a while, but it could only be caused by the deposition of cholesterol caused by the action of estrogen.
I thought it was a very short operation, but the doctor told her that laparoscopy may not be able to complete the operation completely. She has had repeated episodes of this disease many times, and the adhesions inside may be very heavy. If the adhesion is relatively heavy, traditional surgery has to be used.
I am afraid of what to do: During the operation, the doctor found that the gallbladder triangle was widely adhered. Therefore, the electric hook is gradually separated and loosened. Later, it was shown that the stone was incarcerated in the gallbladder neck canal, and the patient was transferred to open cholecystectomy.
Thought this was the end, but on the third night after surgery she felt a sudden sharp pain in her right upper quadrant. The severe pain made her fall to the hospital bed all of a sudden. The medical staff who arrived urgently immediately checked her blood pressure and other tests. As soon as the blood pressure came out, everyone was frightened: the blood pressure was only over 80, and the heart rate was over 110. Further examination: right upper quadrant tenderness, rebound tenderness, muscle tension. All kinds of situations suggest that there must be a big problem! The right lower abdomen was punctured urgently, and uncoagulated blood was drawn. At the same time, B-ultrasound showed intra-abdominal hemorrhage.
The phone is urgently called to the operating room, but the operating room has a procedure that is about to end. The reply said that the operation is about to end, and I have to take over.
Because it was at night, there was no extra staff in the anesthesiology department, so the surgery had to wait for the reception.
Hearing this, Xiao Li’s family was anxious: Why are there not many people on duty in the anesthesiology department?
The surgeon explained: There are only a few people in the anesthesiology department, and there are many surgeries waiting for them every day. If there are more people on the night shift, I am afraid no one can bear it.
Dr. Wang, who was under anesthesia, wondered after hearing the news of the operation: I didn’t hear the ambulance! Where did the emergency surgery come from?
It wasn’t until the nurse sent Xiaoli to the operating room that Dr. Wang realized that this operation was caused by postoperative bleeding. Moreover, this operation happened to be anesthetized before.
Though it has been a few days, the patient’s circumstances are almost imprinted in their minds that will never be forgotten. After confirming that Xiaoli had no other serious conditions, Dr. Wang immediately started anesthesia.
Even with such a rush, Xiao Li’s family outside the operating room expressed dissatisfaction.
Of course, it is impossible for Dr. Wang to know at this time. The only thing he cares about is how to do this anesthesia safely and let the patient get out of the operating room safely.
Faced with the vital signs of decompensated hemorrhagic shock, Dr. Wang quickly filled the patient with fluids and blood. At the same time, use vasoactive drugs to control vital signs.
When Dr. Wang completed the anesthesia intubation, the surgeon immediately went to the stage.
Exploratory laparotomy found: 900 ml of blood in the abdominal cavity, and more than 500 grams of blood clots alone. After removal of the clot in the bile duct, active bleeding was found on the proximal side wall of the common bile duct, and biliary repair and T-tube drainage were performed.
No accident after the operation, the family sued everyone involved in the operation, including Dr. Wang and others.
Facing this situation, Dr. Wang’s almost numb brain flashed a sentence: Another “Farmer and the Snake”. But with a clear conscience, he has nothing to worry about.