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

Guo Xiang picked up his aunt's clothes and looked at them, he couldn't see anything on the surface, and pressed them lightly, "Does it hurt here?" ”

"It hurts!" Aunt was in a cold sweat.

Guo Xiang frowned, because it was normal for the wound to be a little painful during the operation, but it wouldn't hurt so much.

"Is there a blood test today?" Guo Xiang asked the nurse next to him.

"Yes." The nurse took the test sheet, and Guo Xiang saw that there was an increase in white blood cells, and there were many white and red cells, indicating that there was inflammation and bacterial infection.

Guo Xiang's heart chuckled, could it be that the patient's intestinal suture part was inflamed?

This is an anastomotic leak, and if it does happen, it will be serious.

If it is mild, it can be cured with antibiotics, drainage, etc., but if severe stool leaks out and contaminates the abdominal cavity, it is fatal.

But now I can't see what is going on inside, unless I open my stomach again.

Guo Xiang looked at it and suddenly found that pus was flowing from the drainage tube hanging on the side. This was inserted at the time of surgery to drain the water.

However, if pus comes out, it means that it is inflamed, and it is very serious, and it is possible that the intestine has ruptured.

The intestines are full of bacteria, and most of them are harmful bacteria, and these bacteria enter the abdominal cavity, so they become infected and suppurated.

Guo Xiang's forehead also broke out in cold sweat, it was a anastomotic fistula, and the most worrying situation appeared.

But when I did a good job during the operation, how could this happen?

Guo Xiang immediately changed to the best antibiotic and supplemented albumin to promote wound healing, to see if the situation could get better.

She didn't dare to go home when she got off work, and after a few hours, until after eight o'clock, the patient's condition became more serious, his breath became short, and his blood pressure also dropped.

"A second operation right away!" Guo Xiang made a decision immediately.

"What the hell is going on with the doctor? Didn't you say the surgery was a success? Why do I need a second surgery? The aunt's daughter asked, "Did something go wrong with your surgery?" ”

Guo Xiang's face sank, "Absolutely not, the operation is completely fine, I can guarantee it." However, everyone's physique is different, and the healing situation is different, which is not guaranteed, isn't it written on the operation notice, and what are the risks? ”

The patient's daughter pursed her lips, although the risks of surgery were written there, but she didn't expect that there would really be a problem.

"But yesterday was fine, and today I also farted, didn't you fart? Why is it still serious? The patient's daughter was not convinced.

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

"My surgery is absolutely fine, if it is a surgical problem, I can give you a second operation for free until my aunt is well and discharged from the hospital, but if it is due to her own physique, it is not something I can control." Guo Xiang said.

"You haven't fed the patient for the past two days, have you?" Xu Wei asked.

"Nope." The patient woman shook her head and paused, "But ......"

"But what?" Guo Xiang looked over.

"My mom said she was thirsty yesterday and I gave her some water......"

"What? Who asked you to give her water, how can you drink water before the wound has healed? Didn't I say you can't eat anything? Guo Xiang's face suddenly became serious.

"But you just said you can't eat, you didn't say you can't drink......" The patient's daughter felt a little weak.

Guo Xiang rolled his eyes, forget it, blame himself for not making it clear, and said to Xu Wei: "Surgery immediately!" ”

"Good!" Xu Wei nodded and immediately notified the operating room to prepare for surgery.

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

Entering the operating room again, Guo Xiang and Xu Wei opened the aunt's abdominal cavity and were shocked, it was full of pus and feces, and the abdominal cavity had been seriously polluted.

The two hurriedly rinsed with normal saline repeatedly, and it took dozens of minutes to rinse it off.

When the abdominal cavity is clean, I see that it is indeed an anastomotic leakage, and the suture is obviously edematous and ruptured, so the fecal water will flow out, which will cause infection, inflammation and pus.

But it's okay to look at the sutures, maybe it's because of the aunt's physique, or because of the relationship between drinking water? Hardly.

However, if I want to sew it back again, I can't do it, because the anastomosis is already swollen and broken, and if I sew it again, it will only break more severely, and I can only make a fistula.

How to do it is to separate the two ends.

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

Now I can't suture it, I can only tie the rectum first, and if I don't use it for the time being, the anus can no longer be used.

The sigmoid colon on top should be extended to the outside of the stomach, an opening in the stomach will be made, and the colon will be extended outside to connect the fecal bag, and the stool will be excreted directly from the stomach.

Of course, this is temporary, and when the swelling at the colon and rectal sutures has subsided, they can be reconnected.

Guo Xiang treated the two sections of intestines, reconfirmed that there were no fistulas elsewhere, washed the abdominal cavity, left a few drainage tubes at the same time, and then closed the abdomen.

However, this time the aunt was very serious, and she fell into a coma, and went out of the operating room and went directly to the ICU.

When Guo Xiang came out, Gu Zhennan was waiting outside.

"Why are you here?" Guo Xiang asked.

"It's not worrying that you haven't been home." Gu Zhennan took Guo Xiang's hand, "What, there is an emergency?" ”

"Hmm." Guo Xiang nodded and stretched out his arm, "There is a patient who has undergone bowel cancer resection, and the intestine is leaking again, which is very dangerous." ”

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

"It's still in the ICU, and the situation is not very optimistic." Guo Xiang said.

"Just do your best." Gu Zhennan took Guo Xiang's hand and pressed it on her arm, "Tired, go home quickly, I'll give you a massage later." ”

Guo Xiang looked up and smiled at him, her husband is so nice.

Guo Xiang went to the hospital early the next morning, and when he arrived at the ICU, he heard from the doctor there that the patient was serious again, the person was still in a coma, and his blood pressure could only be maintained with vasopressors, and the condition of the kidneys was not good, and the urine was less, and the oxygen concentration of the ventilator was adjusted to 100%.

Several of the aunt's family members also came, and her daughter's eyes were red from crying.

"Doctor, you can use whatever medicine you want, and you must save my wife." Aunt lover said.

Auntie's daughter's tears fell again, "It's all my fault, why don't you wait a few days to give your mother water, but I don't know ......"

Guo Xiang doesn't know what to say, it's hard to say, for various reasons, the aunt herself has a physique, and not everyone is so good at healing.

After a few days, I still took careful care, and all the medicines that should be used were used, and my aunt's condition slowly improved again.

In the end, Guo Xiang took her intestinal tube back and stayed in the hospital for more than ten days before it was fully cured.

When he was discharged from the hospital, part of the medical expenses were reduced, and Guo Xiang felt that he also had a little responsibility, so he didn't make it clear.

Therefore, when the doctor's order is given, it must be broken and crushed, and not everyone has common sense.