Women's abdominal pain and forbearing for 3 days are dangerous, and the multi -disciplinary team has clearly rescued the lesion in the surgery of the multi -disciplinary team

The Yangtze River Daily Da Wuhan client July 24th. The 54 -year -old patient Ms. Peng had a sudden abdominal pain. After 3 days of patience at home, she came to Huangpi District People's Hospital for treatment. When I arrived at the hospital, Ms. Peng had a painful face, showing anemia, with a high fever of 39 ° C. The test results only show that the pelvic tumor rupture is accompanied by infection, and it cannot further confirm the exact position of the rupture tumor in the pelvic cavity. The patient's condition is very critical. On the premise of implementing the prevention and control of the epidemic, a diagnosis and treatment team consisting of gynecological, hepatobiliary surgery, and gastrointestinal surgery was quickly formed, and the diagnosis of the surgery was clearly saved in a timely manner.

At 10 am on July 23, Ms. Peng was admitted to the hospital for abdominal pain. The emergency gynecological color ultrasound reminds that there is a mixed block in the pelvic cavity, and there is a large amount of effusion around the uterus. After being pulled out of 10ml of coagulation by puncture, it was confirmed that the patient's abdominal hemorrhage was clear.

Tumor in the pelvic cavity found in the color Doppler ultrasound.

The gynecological director of the gynecological bleeding, Liu Hailin, knew that this situation was urgently needed to surgery immediately, and he couldn't afford it in one minute. However, the patient's tumor sources cannot be clear and have fever symptoms. Before surgery, the CT indicates that the liver also has nodules and cannot exclude surgical conditions. Therefore, she quickly opened the green channel to solve the problem in accordance with the requirements of the epidemic prevention and control. At the same time, she invited Ding Yibing, deputy chief physician of hepatobiliary surgery, and Li Sheng, director of Gastrointestinal Surgery and deputy director of Xiao Dongyun.

Multi -disciplinary diagnosis and treatment team is surgery for patients.

During the operation, a tumor of about 9*7cm was seen in the pelvic cavity of the patient. The tissue was crispy and the active bleeding was obvious. The pus after the tumor rupture makes the pelvic attachment area and the appendix adhesion of the posterior peritoneum and intestinal tube, which brings great difficulty to the detection. Experts of the three disciplines are responsible. After excluding hepatic and spleen and ovarian tumor bleeding, Li Sheng and Xiao Dongyun of gastrointestinal surgery are led by gastrointestinal surgery, and continued to explore the rupture and adhesion of intestinal tumors, and then remove surgery.

After more than 3 hours, the surgery ended smoothly, the patient's life signs were stable throughout the process, and after surgery, the gastrointestinal surgery was further treated.

Liu Hailin, director of the gynecology department of the People's Hospital of Huangpi District, reminded that once the pelvic tumor ruptures, the patient needs to go to the hospital to take surgical treatment immediately. Because tumor rupture can cause bleeding and tumor planting in the abdominal cavity, if not treated in time, life will affect patients' prognosis.

In addition, common diseases that cause female acute abdominal pain include pelvic inflammatory disease, twisting of ovarian cysts, ovarian rupture, abnormal pregnancy, urinary stones, gastrointestinal perforation, and acute appendicitis. Friends must not ignore the usual health checkups, and have problems with early detection and early treatment. (Correspondent Liu Zhihua Zhang Hongmei Changjiang Daily reporter Liu Yue)

[Edit: Yu Lina]

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