Xue Fei'er said in a low voice: "Didn't you say that this kind of operation for people who are too old will be dangerous?" ”

Surgery for the elderly is indeed very dangerous, because the organs of the elderly are declining, the operation tolerance is very poor, and the elderly generally have high blood pressure, diabetes, cardiovascular and cerebrovascular diseases or poor kidney function, etc., the operation is easy to cause arrhythmia, shock, heart failure and kidney failure and other dangers, the most important of which is cardiopulmonary diseases. In addition, the recovery from surgery in the elderly is slow, which is easy to cause infection, and the possibility of complications and sequelae is far greater than that of ordinary people. Therefore, surgical treatment in the elderly is generally discouraged.

Listening to Xue Fei'er's words, Du Wenhao only smiled bitterly, thinking that this old lady is currently suffering from a serious abdominal infection, and if she doesn't operate immediately, she is afraid that she will not survive to dawn! Now it can only be a dead horse as a live horse doctor. But you can't say this in front of the old lady, so she just waved her hand: "Don't say this, prepare for surgery immediately!" ”

In fact, the key to surgery is not in age but in the body, poor health, even if you are twenty or thirty years old, your body is good, there are many people who have successfully operated at the age of ninety and one hundred, the key is the patient's cardiopulmonary function, liver and kidney function, blood sugar, blood pressure levels, etc., whether the old lady can survive the operation, it depends on her body, since she can live to seventy or eighty years old, her body should still be good, and from the physical examination, the old lady is very well nourished, The physical fitness is not bad, which makes Du Wenhao feel a little bottom.

When the surgery is ready, the abdominal cavity opens and the small intestine is perforated causing acute peritonitis!

However, after draining the fluid in the abdominal cavity, Du Wenhao and the others were stunned - in the old lady's stomach, there was a shiny gold nugget!

Du Wenhao took out the gold nugget, looking at this gold nugget, the same question appeared in everyone's minds,—— how could the mother of this official test master also have gold nuggets?

Du Wenhao didn't have time to think about this matter, he had to complete the operation as soon as possible, and one less minute would be safer.

With the experience of the previous successful abdominal surgery, Du Wenhao and the second daughter have become much more proficient, after suturing the broken small intestine, cleaning the abdominal cavity with antiseptic solution, and then suturing the wound, proceeding in an orderly manner. The operation went smoothly, and after the completion of the operation, the vital signs of the elderly were relatively stable, and there were no complications that Du Wenhao was worried about for the time being. It seems that the elderly's usual adequate nutrition and good health still play a role at this critical time.

After waking the old lady up with salt water, the old lady looked around dimly: "I...... Where am I? How do I have a tube in my nose? And ......"

Pang Yuqin said: "Grandma, your nose, stomach and lower body are intubated, which is necessary for treatment, and I will take it off for you when you exhaust it the day after tomorrow." You hold on. How does your stomach feel right now? ”

"Thank you ......, feel the stomach ...... It doesn't hurt ......, thank you, girl! ”

"No thanks! Don't talk too much, get some rest. I'll talk about it later. ”

Send the old lady to the ward, and Yingzi and Xue Fei'er will take turns on duty to guard.

Du Wenhao sat in the room, taking the gold nugget taken out of Zhan's mother's stomach and comparing it with the gold nugget taken out of Dong Zhukuai's son's abdominal cavity last time, Lin Qingdai and Pang Yuqin sat on the side and looked at him.

Du Wenhao first carefully observed the two gold nuggets and found that there was also trachoma on the surface, and the position of trachoma was very similar. With a move in his heart, he found ink and carefully wiped the surface and fracture of the two gold nuggets, and then wrapped the two gold nuggets with two thin pieces of glutinous rice paper respectively, removed the surface patterns, and then superimposed and contrasted the patterns on the two pieces of glutinous rice paper. Trachoma is a perfect match! Two gold nuggets should be poured out of the same mold! ”

The second daughter took a closer look, and sure enough!

Lin Qingdai said in a low voice: "Could it be that the murderer who wanted to kill Dongdong and Zhan's mother is the same person?" ”

"Quite possibly!"

"That's strange, Dongdong is an ordinary fast catcher, and Zhan's mother is the mother of the eldest in Kaogong Shilang, the two have nothing to do with each other, why did the murderer kill the two of them?"

Du Wenhao frowned and thought for a long time, and shook his head: "I can't think of the reason, wait for the old lady to get better, and then ask in detail, maybe you can find clues." - There's still a little time before dawn, so let's go back to your room and sleep for a while. ”

Pang Yuqin bit her lip lightly and said in a low voice: "Husband, I'll go and protect the old lady, I see her sick, just like seeing my grandmother sick, stay by her side, I feel more at ease." ”

Du Wenhao hugged her shoulder and patted her gently: "I know you miss home, the first day after the operation is the most dangerous period for the old lady, I will guard her with you." ”

Pang Yuqin gratefully took Du Wenhao's hand, nodded with tears, and said: "You haven't slept all night, I don't know if the old lady's condition will recur, I am sleepy and there is someone to replace me, you are tired but there is no one for you." While it's not a big problem, you can get some sleep. I'll call you right when there's something! ”

Du Wenhao thought that this was right, so he went back to his room and went to sleep.

Pang Yuqin came to the ward and asked Xue Fei'er to go back to sleep first, and she and Yingzi guarded the old lady.

Abdominal pain for several days in a row made Zhan's mother unable to sleep at all, and the anesthetic did not disappear completely, the whole person was drowsy, but the pain of 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 irritated the respiratory tract, not only increased the secretions, but also kept coughing, but the cough caused the pain of the incision, coupled with gastrointestinal decompression, so that Zhan's mother did not dare to cough, nor was she able to cough up the phlegm in the throat, and began to appear suffocation.

Du Wenhao, a commonly used knowledge in nursing, has already taught Pang Yuqin, and Pang Yuqin knows what to do.

The pain of the abdominal surgery incision could not be completely lying on her side, so Pang Yuqin used a cotton cushion to cushion Zhan's mother's back, let her lie on her side, and then gently patted her back to promote expectoration.

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

Pang Yuqin said softly: "Grandma, my father-in-law helped you to heal by caesarean section, you haven't exhausted gas yet, the gas in the stomach can only be discharged through this tube, this tube is to help you reduce the pressure on the stomach and intestines, if you pull out this tube, the gas in your stomach will have nowhere to excrete, it will swell, at that time it is far more uncomfortable than intubating, this is your need for treatment, but also to make you suffer less sin." ”

Mother Zhan understood, but she couldn't cough up the phlegm in her throat, which was very uncomfortable. His expression was very painful.

Since he is now in an absolute fasting period, he does not even use decoction in principle, so it is difficult to use decoction to help with phlegm, Pang Yuqin said: "Grandma, I will teach you a way to cough up phlegm, you follow the example, you first inhale deeply twice, and then use your abdomen to drive the chest cavity, and carry out two bottom-to-top coughing sputum, first light and then heavy, mainly do not cough violently, so as not to crack the wound." ”

Zhan's mother tried to cough a few times, but she didn't grasp the essentials, coupled with the obstruction of the stomach tube, not only did she not cough up much phlegm, but it caused severe pain in the incision, she shook her head painfully: "No......, girl, ......, I don't cough anymore......"

Pang Yuqin helped her pat her back to discharge phlegm, and coaxed her softly: "Grandma, it's not okay if you don't cough, I told my father-in-law, if you don't cough, there will be more and more phlegm in your trachea, and once you inhale it into your lungs, it will cause infection, which will be dangerous!" ”

Zhan's mother knew that it was powerful, so she tried to learn to cough up phlegm with the method taught by Pang Yuqin, tried a few times, but it still didn't work, but the tracheal secretions seemed to be getting more and more, she began to get irritable, kept swallowing in pain, and reached out to pull the stomach tube. Pang Yuqin hurriedly pressed her hand: "This won't work!" Grandma, you're going to pull it out, and I'm going to have to plug it in for you! ”

"Go away!" Zhan's mother hissed irritably, and couldn't break free of Pang Yuqin's hand, so she grabbed Pang Yuqin's hand with her other hand and scratched hard. The ancient old lady's nails were rarely trimmed, they were very long, and the back of Pang Yuqin's hand was full of blood grooves, but Pang Yuqin still held her hand and kept persuading her not to extubate.

Mother Zhan hissed in her throat, and her eyes opened round: "Let go of ......, I'm going to die......!" Help me......! cough cough cough ......"

Pang Yuqin comforted softly: "No, grandma, my father-in-law's medical skills are very clever, and he has cured many people's injuries by caesarean section, and they are all fine, and they are all alive and well now." Don't worry. ”

"Nope! I want to see my son! Son......! Where are you? Mother is going to die......! Son...... Ahem......! ”

The old lady became more and more irritable, and suddenly, her abdomen twitched, and wow, a lot of vomiting mucus gushed out of her mouth, because she had vomited many times before, everything in her stomach was vomited, and only acid water remained.

Then, he retched continuously, causing the stomach tube to irritate his throat, and he wanted to cough and pulled the incision pain, so he could only swallow in extreme pain, and old tears flowed out. Slurred his son's name.

Yingzi also panicked when she saw this, and said to Pang Yuqin: "Madam, shall I call the young master?" ”

Pang Yuqin was also a little panicked, and nodded and said, "Okay!" Just go! ”

Du Wenhao had just slept in a daze for a short time when he was woken up by Yingzi, but fortunately he was lying in a suit, drooping his shoes, and ran quickly to the ward.

Du Wenhao briefly asked about the experience, and after diagnosing the pulse, he found that the pulse was slippery, the tongue was red, and the moss was yellow, which was due to the worry about his own symptoms, coupled with the unfamiliar environment, and the doubts about the completely unfamiliar treatment method of laparotomy and wound treatment, which led to high tension, fear, anxiety, increased blood pressure, and rapid heartbeat, especially the intubation irritated the throat, and finally caused reflex vomiting.

Vomiting while she is unable to cough is even more dangerous, because if the vomit does not get out of the mouth, it can be inhaled into the lungs with her overly stressed breathing and knee-jerking movements in the case of throat irritation, causing aspiration pneumonia, which is dangerous. Nausea must be stopped as soon as possible and the patient must be taught the correct way to cough up sputum.

Now there is no gas, and you can't take decoction, otherwise it can easily cause intestinal obstruction. How to stop nausea without decoction?