Jimu News reporter Liao Shiqi.
Correspondents: Li Linmu, Pan Yuqian, Ye Xin.
My mom had pain in her right shoulder and back, but she always thought it was joint pain. In addition, I don't know much about gallbladder diseases, and I think that I can not have surgery without surgery, but I don't think that I can take home remedies for a week and make it so serious! On March 1, looking at her mother who was lying in Wuhan Purenhu Sea Urchin Stone Disease Hospital receiving **, her daughter Ms. Zheng (pseudonym) was remorseful.
Granny Liu (pseudonym), who lives in Xiantao, is 92 years old this year, and she was found to have gallstones during an examination 17 years ago, but at that time, gallbladder surgery was mainly open surgery.
On February 9, 2024, Granny Liu suddenly felt a dull pain in her upper abdomen, which was not relieved after resting, but began to radiate pain in her shoulder and back, and her sclera also turned yellow visibly. His son, Mr. Wang (pseudonym), immediately sent his mother-in-law to a local hospital, where the examination showed that Granny Liu's gallstones were accompanied by an acute attack of cholecystitis.
We heard from relatives that eating home remedies can expel stones, my mother was too old, and it was the Spring Festival at the time, so I didn't want her to toss and suffer, so I said to try home remedies first, and asked my relatives to help buy some Chinese patent medicine remedies from a small clinic and eat them for a week. Mr. Wang recalled.
However, Granny Liu's symptoms not only did not ease, but ** and the sclera became more and more yellow, darker and darker, almost brown, and the abdominal pain gradually intensified. On the morning of February 17, after making many inquiries with Mr. Zheng, Ms. Zheng transferred her mother-in-law to Wuhan Purenhu Sea Urchin Stone Disease Hospital for treatment. The doctors immediately improved the relevant examinations for Granny Liu, and the CT showed that the gallbladder was enlarged, the gallstones had reached two centimeters, the enzymatic indicators of the liver had increased sharply, and it was considered that there was also drug-induced liver injury.
Gallstones in the mother-in-law under CT.
If you want the stone to be discharged from the gallbladder through drugs, first of all, the drug must be correct, and secondly, two major conditions must be met: first, the gallbladder has a good contractile function; Second, the outer diameter of the stone is smaller than that of the cystic duct and common bile duct. Normally, the inner diameter of the cystic duct is only 2 mm to 3 mm, and the inner diameter of the common bile duct is 6 mm. Yin Pei, the attending physician of Wuhan Purenhu Sea Urchin Stone Disease Hospital, explained, "Granny Liu's stone is two centimeters, which is about several times larger than the cystic duct, and cannot be discharged on its own. In addition, gallstones need to be drained into the common bile duct first, which often blocks the common bile duct, causing serious complications such as acute cholangitis and acute pancreatitis, and even life-threatening. ”
Another reason why Granny Liu's condition progressed so quickly was that some harmful ingredients in the stone removal remedies she took damaged her mother-in-law's liver cells. The human body is secreted by the liver, and damage to the liver cells can lead to abnormal bile secretion and intrahepatic cholestasis, which in turn leads to liver damage and hepatocellular jaundice (total bilirubin 1917umol L (normal value is 0-21umol L), aspartate aminotransferase (AST) 2093U L (normal value is 0-21umol L), alanine aminotransferase (ALT) 799u L (normal value is 7-40u L). If left untreated, it will progress to liver failure and coagulation dysfunction, which will affect organs throughout the body and even be life-threatening.
Due to the serious liver damage of the elderly Granny Liu, the metabolic ability of anesthetics is reduced, and there is coagulation dysfunction, the risk of blood is greatly increased, after full communication with the family, the doctors decided to focus on the situation of Granny Liu, and first control gallbladder inflammation and edema through anti-infection, as well as transfusion of frozen plasma and symptomatic drugs to protect the liver, and then perform laparoscopic single-port cholecystectomy after the liver function indicators and coagulation function meet the surgical requirements.
After 8 plasma transfusions, it can be seen that on February 28, Granny Liu is gradually out of danger and her condition is gradually improving, with total bilirubin, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) dropping to 127 respectively5umol l (normal value is 0-21umol lu l (normal value is 13-35u lu l (normal value is 7-40u l), mental state and appetite are gradually restored. After consultation with Granny Liu's family, the doctors advised Granny Liu to be discharged from the hospital to recuperate and continue to take oral liver protection drugs, and then recheck liver function and coagulation indicators after one month, and perform surgery immediately once the surgical criteria were met**.
Real-time monitoring of the relevant indicators of the mother-in-law shows that its value is gradually recovering.
Jiang Fan, executive vice president of Wuhan Purenhu Sea Urchin Stone Disease Hospital, reminded that only a very small number of gallstones in clinical practice can be dissolved by taking medicine, and there is only an 8%-10% probability of being completely dissolved under very strict conditions, and once the drug is stopped, the stones will grow again. With the development of gallbladder surgery to minimally invasive, compared with more than ten years ago, it has greatly improved in terms of operation time, blood loss, and postoperative recovery, and also reduced the impact of surgical anesthesia on elderly patients. We must be early detection, early diagnosis, early treatment of gallbladder diseases, do not believe in home remedies, ancestral secret recipes, and go to a professional and regular hospital in time according to the doctor's advice, choose scientific programs and drugs.
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