Patient's question:
Urgent, a one-year-old and four-month-old baby has intestinal perforation. They have already undergone repair surgery and abdominal drainage. It has been 8 days since the surgery, but the body temperature is still unstable, with high readings of 39.5°C and low readings below 36°C. Today, when changing the dressing, I noticed a bulge around the incision. The doctor loosened one stitch to drain the fluid. Since yesterday, the drainage fluid has been dark green, and today the stomach tube drainage fluid is yellow. What is the current situation? The doctor only said the child is in danger. Kneeling thanks to everyone!Doctor's answer:
1. Basic treatment for the primary illness2. While confirming the diagnosis of intestinal perforation, it is also necessary to identify the location and cause of the perforation.
3. Due to the potential for perforation to cause acute diffuse peritonitis, septic shock, or even death, active surgical treatment should be initiated upon diagnosis.
4. The surgical approach should be selected based on the cause and location of the intestinal perforation, the duration of the perforation, the extent of abdominal contamination, and the patient's overall condition. Options include perforation repair, partial intestinal resection, or intestinal diversion.