The bomb in the body suddenly exploded, and the old lady hung a line!Experts help her through the "Ghost Gate Pass"
Author:Hunan Medical Chat Time:2022.08.29
"Thanks to you, I saved my life!" The 70 -year -old lady's waist and abdomen pain was uncomfortable. It was originally a football -sized tumor behind the right peritoneum, and the tumor had ruptured and bleeding. If it is not surgery in time, it will lead to blood loss shock, and life hangs a line.
Hunan Provincial People's Hospital's urology experts completely removed the tumor and successfully retained the kidneys. The old man was discharged from the hospital on August 29.
[Display before surgery: Tumor rupture and bleeding after the right peritoneal (in the red circle)]
On the morning of August 14th, Grandma Huang, a 71 -year -old in Shaoyang, Hunan, suddenly felt severe pain on the right waist and abdomen, pale and sweaty.
The family quickly sent her to a local hospital. It was inspected and found that there was a huge tumor with a large football behind the right peritoneum, and the tumor had ruptured and bleed, as if the "irregular bomb" suddenly "exploded" in the body.
Due to the age of patients and more elderly diseases, surgical risks and difficulties have increased.
Under the suggestion of the local hospital, it was first transferred to the emergency department of the Hunan Provincial People's Hospital on August 16.
Chief physician Liu Zhe in the urology area was urgent to check the abdominal CT found that the old man's right peritoneal tumor was huge, and he had violated the entire kidney and ruptured bleeding. In addition, blood pressure and hemoglobin continued to decline.
[The cut tumor is about 25x20x20cm size, weighs 4 kg]
Then open a green channel to improve various preoperative examinations in the shortest time.
However, pre -operation examination found that the lungs of the elderly were infected, which greatly increased the risk of surgery.
Director Liu Zhe immediately applied for urinary tumor MTD emergency consultation. After discussing with team experts and fully communicating with his family members, he formulated a surgical plan: the tumor resection+kidney removal+postconders after the general anesthesia.
[Postoperative images show: tumor and hematoma cleansing after peritonal membrane]
The surgery lasted 2.5 hours, and a huge tumor weighing 4 kg of 25 × 20 × 20cm and weighing 4 kg was completely removed, which retained the normal tissue and kidney function of the right kidney to the greatest extent.
The bleeding during the operation was only 100ml. The results of the postoperative disease were prompted to be "adoptive vascular lipoma", and the elderly successfully broke through the "Ghost Gate".
After the surgery, Captain Jiang Xia led the nursing team to implement personalized and fast rehabilitation care for her. The CT was reviewed one week after the operation: the tumor and hematoma were cleaned up, and the old man was discharged from the hospital on August 29.
[Chief physician Liu Zhe, the Hunan Provincial People's Hospital's Urinary Hospital, etc. to check the postoperative recovery of the patient]
Li Yuanwei, director of the urology department, said that the nephroba smooth muscle lipoma is mostly benign tumors. Generally, there are no symptoms. Most patients find it during the physical examination.
For such tumors below 1cm, regular observation can be used; closely follow -up of 1cm or more, and surgical treatment if necessary.
Once acute abdominal pain, back pain, or lower blood pressure, cold limbs, pale complexion, and coma, you must seek medical treatment immediately to avoid delaying treatment and life -threatening.
(Edit Rainbow.)
Hunan Medical Chat Special Author: Liang Hui Chen Songlin, People's Hospital of Hunan Province
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