Song Yi

Chapter 136 Another piece of gold

Xue Fei'er whispered: "Don't you say that people who are too old for this kind of surgery will be dangerous?"

Surgery for the elderly is indeed very dangerous, because the organs of the elderly are declining, and the surgical tolerance is very poor. In addition, the elderly generally have high blood pressure, diabetes, cardiovascular and cerebrovascular diseases, or poor kidney function, etc. Surgery is likely to cause arrhythmia, shock, Risks such as heart failure and renal failure, the most important of which is cardiopulmonary disease.

In addition, the elderly recover slowly from surgery, which is prone to infection, and the possibility of complications and sequelae is far greater than that of ordinary people.Therefore, surgical treatment of the elderly is generally not encouraged.

Hearing Xue Feier's words, Du Wenhao could only smile wryly, thinking that the old lady had a serious abdominal infection at present, if she didn't have an operation immediately, she might not live until dawn!Now it can only be a dead horse as a living horse doctor.

But this can't be said in front of the old lady, so I just waved my hand: "Stop talking about this, prepare for the operation immediately!"

Surgery for the elderly is not absolutely impossible, nor is it that you will die after doing it. In fact, the key to surgery is not age but health. If you are in poor health, you will die even if you are 30 or 90 years old. If you are in good health, there are many people who have successful surgery at the age of [-] or [-]. Now, the key lies in the patient's heart and lung function, liver and kidney function, blood sugar, blood pressure level, etc. Whether the old lady can survive the operation depends on her body.

Since she can live to be 80 or [-] years old, she should still be in good health. According to the physical examination, the old lady has good nutrition and good physical fitness, which makes Du Wenhao a little bit worried.

After the operation was ready, the abdominal cavity was opened, and the small bowel was perforated causing acute peritonitis!

However, after the peritoneal fluid was drained, Du Wenhao and the others were shocked—there was a shiny gold nugget in the old lady's stomach!
Du Wenhao took out the gold nugget, and looking at it, the same question popped up in everyone's minds,—why does the mother of Mr. Lang Zhong, the official examiner, have a gold nugget?
Du Wenhao didn't have time to think about this matter carefully, so he had to complete the operation as soon as possible. If it takes less than 1 minute, it will be more safe.

With the experience of several previous successful abdominal operations, Du Wenhao and the second daughter are already more proficient. After suturing the damaged small intestine, the abdominal cavity was cleaned with disinfectant, and then the wound was stitched up, proceeding in an orderly manner.

The operation went smoothly. After the completion, the old man's vital signs were relatively stable, and there were no complications that Du Wenhao was worried about.It seems that the usual adequate nutrition and good health of the elderly still played a role at this critical time.

After the old lady was revived with salt water, the old lady looked around in a daze:
"I... where am I? Why is there a tube in my nose? And..."

Pang Yuqin said: "Grandma, you have tubes inserted in your nose, stomach and lower body. This is necessary for medical treatment. I will remove it for you tomorrow or the day after you exhaust your gas. Hold on. How does your stomach feel now? "

"Thank you..., I feel that my stomach... doesn't hurt anymore..., thank you girl!"

"No thanks! Don't talk too much, take a good rest first. Wait until you're done."

Send the old lady to the ward, where Yingzi and Xuefeier take turns guarding her.

Du Wenhao was sitting in the room, comparing the gold nugget taken from Zhan's mother's stomach with the gold nugget taken from the abdomen of Inspector Dong's son last time, Lin Qingdai and Pang Yuqin sat aside and looked at him .

Du Wenhao first observed the two gold nuggets carefully, and found that there were trachomas on the surface, and the positions of the trachomas were very similar.

With a heartbeat, I found ink to carefully wipe the surface and fracture of the two gold nuggets, then wrapped the two gold nuggets with two thin glutinous rice papers, removed the surface patterns, and then superimposed the patterns on the two glutinous rice papers In contrast, his eyes lit up, and he exclaimed:
"Look! The trachoma matches perfectly! The two gold nuggets should have been poured out of the same mold!"

The second daughter looked carefully, and it was indeed so!
Lin Qingdai whispered: "Could it be that the murderer who wanted to kill Dongdong and Zhan's mother was the same person?"

"Very likely!"

"That's strange. Dongdong is the son of an ordinary policeman, and Zhan's mother is the mother of Lord Kaogongsi. The two have nothing to do with each other. Why did the murderer kill them both?"

Du Wenhao frowned and thought for a long time, then shook his head: "I can't think of the reason. When the old lady is better, I will ask in detail, maybe I can find a clue. ——Now there is still a little time before dawn, go back to the room and sleep for a while .”

Pang Yuqin bit her lips lightly, and said in a low voice: "Husband, I'll go and protect the old lady. When I see her sick, it's like seeing my grandma sick. Staying by her side makes me feel more at ease."

Du Wenhao put his arms around her shoulders and patted her lightly: "I know you are homesick. The first day after the operation is the most dangerous time for the old lady. I will guard her with you."

Pang Yuqin took Du Wenhao's hand gratefully, nodded with tears in her eyes, and said:

"If you haven't slept all night, you don't know if the old lady's condition will come back. If I'm sleepy, there will be someone to take care of you. If you're tired, no one will take care of you. Before you have any serious problems, you should go to sleep for a while. What's the matter?" I'll call you right away!"

Du Wenhao thought that this was true, so he went back to sleep.

Pang Yuqin came to the ward and asked Xuefeier to go back to sleep first, while herself and Yingzi guarded the old lady.

The abdominal pain for several days made Zhan's mother unable to sleep at all, and the anesthetic had not completely disappeared, so she was drowsy, but the pain in the abdominal wound, especially the gastric tube inserted in the nose and the urinary tube inserted in the lower body, made her very uncomfortable , The gastric tube stimulates the respiratory tract, not only increases the secretions, but also keeps wanting to cough.

However, coughing caused incision pain, coupled with gastrointestinal decompression, made Zhan's mother afraid to cough, and unable to cough up the sputum in her throat, and began to appear signs of suffocation.

Du Wenhao has taught Pang Yuqin the common knowledge of nursing, and Pang Yuqin knows what to do.

The pain from the abdominal surgery incision made it impossible to completely lie on her side, so Pang Yuqin put a cotton pad on Zhan's mother's back, asked her to lie on her side, and then gently patted her back to promote expectoration.

The stomach tube inserted in Mother Zhan's nostrils made her very uncomfortable, and she couldn't sleep at all. She moaned in pain and begged: "Girl..., help me..., please take this tube..., please!"

Pang Yuqin said softly: "Grandma, my husband will help you to heal your laparotomy. You haven't exhausted the gas yet. The gas in your stomach can only be discharged through this tube. This tube is to help you relieve the pressure on your stomach. If you pull it out With this tube, the gas in your stomach will have nowhere to drain, and it will swell up, which is far more uncomfortable than intubation at that time, this is what you need for medical treatment, and it is also to save you from suffering."

Mother Zhan understood, but the phlegm in her throat could not be coughed out, which made her very uncomfortable.The expression is very painful.

Since we are now in the period of absolute fasting, even decoctions are not used in principle, so it is difficult to use decoctions to help expel phlegm. Pang Yuqin said:
"Grandma, I'll teach you a way to cough up phlegm. Follow the example. First, take two deep breaths, then use your abdomen to drive your chest cavity, and carry out two times from bottom to top. First, light and then heavy coughing. The main thing is not to rush. Cough, so as not to shock the wound."

Mother Zhan tried to cough a few times, but she didn't grasp the essentials. Coupled with the obstruction of the gastric tube, not only did not cough up much phlegm, but it caused severe pain from the incision. She shook her head in pain:

"No... girl... I don't cough anymore..."

Pang Yuqin patted her back to expel phlegm while coaxing her softly:
"Grandma, it's okay if you don't cough. My husband-in-law said that if you don't cough all the time, there will be more and more sputum in your trachea. Once it is inhaled into your lungs, it will cause infection, which is dangerous!"

Mother Zhan knew how powerful it was, so she tried her best to use the method taught by Pang Yuqin to cough up phlegm. She tried several times, but it still didn't work, but her tracheal secretions seemed to be increasing. stomach tube.Pang Yuqin hurriedly held down her hand: "This won't work! Grandma, you're about to pull it out, so I have to insert it for you!"

"Go away!" Zhan's mother hissed irritably, unable to break free from Pang Yuqin's hand, she grabbed Pang Yuqin's hand with the other hand and scratched hard.

The ancient old lady's nails were rarely trimmed, and they were very long. The back of Pang Yuqin's hand was covered with blood grooves, but Pang Yuqin still held her hand and kept persuading her not to extubate.

Mother Zhan hissed in her throat, her eyes were wide open: "Let go..., I'm going to die...! Help...! Cough cough cough..."

Pang Yuqin comforted softly: "No, grandma, my husband is very skilled in medicine. He has performed laparotomy for many people and healed them. They are all fine, and they are all living well now. Don't worry."

"No! I want to see my son! Son...! Where are you? Mother is dying...! Son...cough cough...!"

The old lady became more and more irritable. Suddenly, her abdomen twitched, and with a wow, a lot of vomiting mucus poured out of her mouth. Because she had vomited many times before, everything in her stomach was vomited out, leaving only sour water.

Then, he continued to retch again, which caused the gastric tube to irritate his throat. He wanted to cough and felt pain in the incision.Vaguely called his son's name.

Seeing this, Yingzi also panicked, and said to Pang Yuqin, "Madam, shall I call the young master?"

Pang Yuqin also panicked, nodded and said, "Okay! Go!"

Du Wenhao just fell asleep for a while, and was woken up by Yingzi. Fortunately, he was lying in his clothes, with his shoes drooping, and quickly ran to the ward.

Du Wenhao briefly asked about the process. After pulse diagnosis, he found that the pulse was slippery and rapid, the tongue was red, and the coating was yellow.

Coupled with being in an unfamiliar environment and doubts about the completely unfamiliar treatment method of laparotomy, it led to high tension, fear, anxiety, elevated blood pressure, and rapid heartbeat, especially the irritation of the throat by intubation, which eventually caused reflex vomiting.

Vomiting while she is unable to cough adds to the danger, because if the vomit cannot be expelled from the mouth, it will be inhaled into the lungs with her overstretched breathing and subconscious swallowing in the case of throat irritation, causing aspiration. Pneumonia is dangerous.It is necessary to stop vomiting as soon as possible, and let the patient learn the correct method of expectoration.

There is no exhaust gas yet, so you can't take decoction, otherwise it will easily cause intestinal obstruction.How to stop vomiting without decoction?

(End of this chapter)