Granny Wang (a pseudonym), 91 years old.Lung infection → triggered heart failure → more than 2 months, bounced around 3 major hospitals, 4 admissions ......Every time I think I'm better, I come home and it happens again within a few days.The family is exhausted and the elderly are even more tormented.
Many people thought that at such an advanced age and with such a complex condition, I was afraid that it would be difficult to make a comeback.However, thanks to the efforts of the medical and nursing team in the second ward of Kai Keung Memorial Hospital, Grandma Wang's heart failure gradually stabilized, and the breast mass was successfully removed, resulting in a significant improvement in her quality of life, which her family is particularly satisfied with.
On admission: multiple illnesses and in very poor condition
When Granny Wang was admitted to the hospital, she had paroxysmal chest tightness and shortness of breath (which had lasted for more than 2 months), and had a history of hypertension for many years. What is more difficult is that the old man's mental state is extremely poor, in a state of lethargy, left femoral central venous catheter, gastric tube, urinary catheter were left in the body, life is completely dependent on care.
Our medical team improved the relevant examinations at the first time. Granny Wang's condition was more complicated than expected -
Primary diagnoses include:
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Chronic heart failure (hypertensive heart disease, cardiac class III, pleural effusion, pericardial effusion)
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lung infection
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Age-related heart valve disease
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Hypertension grade 2 (very high risk group)
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Chronic renal insufficiency
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liver dysfunction
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bedsore
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urinary tract infection
A 91-year-old body is simultaneously taking multiple hits to the heart, lungs, kidneys, liver, skin, and urinary system. It can be said that every step of treatment is like walking on thin ice.
A multi-pronged approach: controlling heart failure and stabilizing the foundation
In response to Granny Wang's situation, the medical team in Ward 2 quickly developed a comprehensive treatment plan:
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Correction of heart failure, antiarrhythmia, diuresis to reduce cardiac load, and myocardial nourishment;
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Anti-infective therapy to control lung and urinary tract infections;
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Regulate your blood pressure to avoid drastic fluctuations;
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It is also supplemented with Chinese medicine rehabilitation therapy: Chinese medicine hot omelet (abdomen) and low frequency pulse electrotherapy (both lower limbs) to improve local circulation and gastrointestinal function.
After fine regulation, Grandma Wang's heart failure symptoms were significantly reduced, the number of episodes of chest tightness and shortness of breath was significantly reduced, and her vital signs stabilized.
A wave has not subsided: repeated fever, to find out the “hidden culprit”
Just as the heart failure treatment was beginning to take hold, Granny Wang developed recurrent fever.
The healthcare team repeatedly investigated and ruled out respiratory infections and other common sources of infection. At this point, a long neglected “hidden danger” surfaced - the
It turned out that Wang Granny had previously found a swelling in the right breast, the hospital considered “possible breast cancer”, but the family took into account the age and physical condition of the elderly, no further treatment.
Check the body for findings:A hard mass of about 4cm x 4cm was palpable in the lateral aspect of the right breast, with localized erythema.Combined with the manifestations of paroxysmal fever, redness and swelling of the right breast node, and epidermal breakdown in the elderly, the cause of fever was highly suspected to be due to infection of the breast mass.
MDT consultation: advanced age, heart failure, tumor, how to treat?
The situation became more difficult: the right breast mass had a high probability of malignancy, but Granny Wang was 91 years old, had poor cardiopulmonary function, was bedridden for a long period of time, and had a combination of chronic diseases, so could she withstand the surgery?
Our hospital quickly organized a MDT multidisciplinary consultation, and after thorough discussion, the team reached a consensus:
No major invasive surgeries such as radical mastectomies.Instead, he opted for a right-sided mastectomy for malignant breast tumors - only a localized removal of the tumor mass to minimize surgical risk.
The surgery was performed by Director Hu Yaohua from the second ward. The surgery was successfully completed with excellent technique and adequate preoperative preparation. After the operation, the incision healed in one stage, with no redness, swelling and fluid accumulation, and the recovery condition was good.
More importantly: Granny Wang's temperature slowly returned to normal, and the recurrent fever finally came to an end.
Gradual stabilization of heart failure and significant improvement in quality of life
Under the continuous management of the healthcare team in Ward 2, Granny Wang's chronic heart failure has remained stable.
In contrast to the previous experience of “repeated episodes and repeated admissions” in many hospitals, after a period of treatment in our hospital, the old man went from a state of lethargy when he was admitted to the hospital to a state where he can speak normally, look at a cell phone on his own, and eat on his own, which is a much better situation than before.
Although it was difficult to “cut off” the root cause of heart failure at the age of 91, through standardized medication + meticulous care + multidisciplinary collaboration, the symptoms were significantly reduced and the quality of life was greatly improved.
Wang Granny's family members were touched in their eyes and hearts: “Before running to so many big hospitals, I could not get well over and over again, but I didn't expect to be more and more stable day by day here. The hospital environment is good, doctors and nurses are professional and caring, we are really satisfied.”
Granny Wang's case not only reflects the professionalism and responsibility of Kaiqiang Memorial Hospital's healthcare team, but also highlights the hospital's advantage of multidisciplinary collaborative diagnosis and treatment. In the future, the hospital will continue to adhere to the original spirit of medical practitioners, with more exquisite medical skills and more attentive services, to protect the health of every patient, so that more elderly and critical patients like Granny Wang, live a more quality and dignified life.
