1 case of postoperative acute appendicitis nursing multiple complications.docVIP

 PAGE \* MERGEFORMAT 9 1 case of postoperative acute appendicitis nursing multiple complications [Keywords:] acute appendicitis; old; complications Acute appendicitis is the most common surgical acute abdomen, with clinical metastatic right lower abdominal pain right lower quadrant tenderness with a fixed point for the main features of the treatment to surgery. In recent years, the incidence of acute appendicitis increased year by year, due to old age reduce the human body function, and postoperative complications, mortality, hence the post-operative care, reduce complications is particularly important. now one case of acute appendicitis complicated by a variety of postoperative complications are described below. 1 Clinical data Male patients, aged 78, in half a day there before with no clear trigger intermittent epigastric pain, paroxysmal increase, 2 h after transfer to the right lower quadrant pain, was sustained attack, no fever, nausea and vomiting 2 times , a small amount of stomach contents, no diarrhea, poor appetite, blood in the emergency investigation showed: WBC 13.8 109 / L, N 0.882, ultrasound sonogram demonstrating compliance with appendicitis, so the emergency room to be “acute appendicitis” in 2009, 8 admitted to hospital on at 00:30 on the 28th. to give fast, and actively improve the preoperative preparation, immediate appendectomy under general anesthesia, surgical success, patients to be fasting, oxygen, wound drainage, intravenous cefuroxime , ornidazole, pazufloxacin, bleeding and other anti-inflammatory hemostasis .8 Min 29 abdominal distension, vomiting, be gastrointestinal decompression, August 30 was to clean enema invalid bloating, abdominal X-ray film showing small bowel obstruction, increased fluid 1 250 ml, potassium chloride 30 ml, 9 1 bloating ECG showed HR 125 ~ 150 times / min, arrhythmias, heart sound is low, ECG: fast Rapid atrial fibrillation, complete left bundle branch block, I cedilanid heart rate after