A lot of dander fell off in the old man's palm.

The white ones are red ones, and there are a lot of dead skin that has not fallen off.

"Is there any on your feet?" Xu Qiu asked immediately.

The old man was so surprised that he couldn't help but say angrily: "Oh, there is. You really have the ability!"

Xu Qiu hurriedly said, "Old man, you don't have to talk..."

His face became a little serious.

There are many diseases of peeling.

Such as psoriasis, pityriasis red hair, pityriasis rosea, ichthyosis, etc.

However, only the palms and soles of the feet are peeling, which is common in toxic shock!

And toxic shock...

Add abdominal pain.

The most common ones are bacterial peritonitis, intestinal paralysis and gastrointestinal perforation!

Xu Qiu quickly listened to the patient's cardiopulmonary function.

In addition to the common manifestations of hypertension in the elderly...

No basic cardiopulmonary function changes!

Auscultation of the abdomen.

The abdominal breathing sound disappears and the intestinal rumbling disappears.

He also wanted to have further examination, but the old man was unable to stay in bed due to severe pain, so he had to give up.

“The pain is burning.

Severe abdominal pain, nausea and vomiting.

The patient's body temperature is also very high and there is fever.

Plus, the possibility of toxic shock...

Stomach perforation!”

The most reasonable diagnosis immediately emerged in Xu Qiu's mind.

He wrote a checklist and said, "Go and make a flat belly film."

This is a diagnosis for gastric perforation.

"In addition, blood routine, blood coagulation, liver and kidney skills were also done."

This is for toxic shock.

"Okay, let's go now!"

The young man also wants to carry his grandfather.

Xu Qiu stopped him, pointed to the corner of the clinic and said, "There is a folding wheelchair there."

"Okay! Thank you doctor!"

A warm feeling surged in the hearts of the grandfather and grandson, and they left in a wheelchair.

"Next……"

Xu Qiu's voice rang again.

...

...

After more than three hours, the grandfather and grandson came over with a stack of inspection reports.

They stood outside the door and waited until the patient had left before knocking on the door and coming in.

"Doctor, see!"

The young man has a little respect for Xu Qiu.

All this is just a matter of a wheelchair.

Xu Qiu nodded and quickly scanned the inspection form.

The flat film shows that there is free gas under the diaphragm of the elderly.

A true stomach perforation.

Another report also suggests that the elderly are infected.

There were mild abnormalities in blood coagulation, liver and kidney skills.

You can know without thinking that this is after the gastric perforation, a large amount of gas and gastrointestinal fluid flow into the abdominal cavity, causing bacterial peritonitis.

If the surgery is not done as soon as possible, the condition will develop into shock, and the elderly’s age cannot withstand this toss.

Xu Qiu put down the examination form and said solemnly: "Stomach perforation, prepare for hospitalization, arrange the operation as soon as possible!"

"Listen to you!"

The grandfather and grandson had no doubts and quickly got hospitalized.

On that day, the old man finished all the examinations he should have done before the operation at the hospitalization department.

Because the elderly are older and their liver and kidney function, coagulation and other indicators are not optimistic, the emergency department invited the gastroenterology department to consult.

At around three o'clock, the two departments discussed the surgical method of this case.

As the first doctor, Xu Qiu also participated in the discussion.

A doctor said: "There are two ways to confirm it now.

One is perforation and simple suture.

Another type is major gastric resection!

Everyone expressed their opinions and saw which surgery is more suitable for personalized treatment for patients!”

The deputy director of the Department of Gastroenterology and Surgery frowned and said, "I recommend doing a major gastric resection in this case!"

He analyzed: "The patient has many perforations, including gastric antrum and gastric pyloric tube forearm, all have a perforation of about 1.0 cm. In addition, there are ulcer perforations in the ileum!

If you perform repair and suture surgery, there will be too many perforations to deal with!

Moreover, selective vagus nerve severity and pyloroplasty have to be performed. The surgical steps are too cumbersome and the patient can't last for so long!"

Some doctors agree with this view:

"The patient is also older, 78 years old, at this age... just remove most of the stomach."

Stitching, suitable for people with longer survival.

The elderly are old and to put it bluntly. If they can't live for a few years, it's great to correct peritonitis caused by perforation.

The majority of stomach removal is obviously more realistic.

Just as everyone nodded in support, Xu Qiu's voice suddenly rang.

He said plainly: "It is not impossible to just stitch the holes..."

Everyone looked over.

When the deputy director of the Department of Gastroenterology Surgery saw that it was Xu Qiu, he became interested and said, "Tell me what you think."

Xu Qiuwei said: "The patient's physical condition is not as bad as everyone thinks.

When I checked my body, I found that he was just a little hypertension, and in addition to that, he was very healthy.

His abnormal indicators are basically caused by bacterial peritonitis!

After removing most of the stomach, his quality of life will decline sharply in the future.

This is unacceptable to patients.

Therefore, I would recommend perforation and stitching!”

This view made many people frown.

A doctor said: "It is too difficult to repair and suture. There are seven or eight perforations on the image alone...unless the operation can be completed within forty minutes!"

Everyone's eyes were also turned to the deputy chief physician.

The deputy director shook his head: "It's difficult! If you open the abdominal cavity, the situation will only be more complicated. There may be many small perforations that cannot be photographed!"

Doctors tend to prefer conservative surgery for these elderly patients.

The risk is too high and the threat to your career is even higher!

Xu Qiu took everything at this time and said, "Leave this surgery to me."

"you……?"

The digestive surgeon present suddenly turned strange.
To be continued...