Cancer patients had successful surgery, why did they die soon after? Reasons to ponder

Obviously it is a "zero risk" operation, but the patient suddenly died after the operation? Such a thing actually happened.

01. Did "zero-risk" surgery before the start of school, but passed away

Yang Chaoyu, a 26-year-old doctoral student, rushed back to his hometown in Shanxi from Xi'an and planned to have chronic rhinitis surgery before the start of school. Previously, Yang Chaoyu had an examination at the Shaanxi Provincial People's Hospital and was diagnosed with a deviated nasal septum. But because I didn't have time, I didn't have the surgery.

Due to the hurry of the trip, Yang Chaoyu's father took Yang Chaoyu to the Second People's Hospital of Jinzhong City the next day after returning home. After examination, Yang Chaoyu had a deviation of the nasal septum and chronic rhinitis, and needed surgery.

Judging from the hospital's surgical risk assessment table, this was just a minor surgery with a NNIS grade of 0 . All preoperative examinations were normal, and there were no obvious contraindications to surgery. After the examination, Yang Chaoyu went home and did not return to the hospital again until the day of the operation.

The operation was quick and completed in less than half an hour. Yang Chaoyu's father recalled that after the operation, his son was in good condition.

However, in the early morning of the first day after the operation, Yang Chaoyu had symptoms of weakness and difficulty breathing. After feedback to the doctor, the doctor said that it might be because he did not eat after the operation, which caused his body to be relatively weak, and then arranged for a nurse to inject Yang Chaoyu. glucose.

Unexpectedly, a few hours later, Yang Chaoyu's situation became more serious, and the hospital issued a critical illness notice. In the end, Yang Chaoyu died of hypokalemia due to ineffective rescue .

02. Professional first, I plan to get married next year

A "zero-risk" minor operation took his son's life, and Yang Chaoyu's father could not accept it anyway. Yang Chaoyu's grandmother also fell ill after learning the news of her grandson's death.

In 1992, Yang Chaoyu was born in Nanzheng Township, Pingyao, Shanxi Province. When I was young, my parents worked outside, and I lived with my grandmother in my hometown. In elementary school, junior high school, and high school, Yang Chaoyu's grades were mediocre, and he only got into one second-level college.

After going to college, Yang Chaoyu seemed to be a different person. He studied hard. After graduating from college, he got the first grade in his major and was admitted to the postgraduate of the Institute of Chinese Ideology and Culture at Northwestern University. Later, he was admitted to Northwest China with the first grade in his major. Ph.D. from the Institute of Chinese Ideology and Culture at the University.

At the reading meeting, Yang Chaoyu met Han Yiwei. Because of the same hobbies, the two quickly got together and planned to get married. Yang Chaoyu always wanted to reduce the burden on his family, but he didn't want to give up his studies.

Introduced by a friend, Yang Chaoyu began to write novels on the website, writing 3 million words a year and earning 130,000 yuan.

It is such a diligent and hard-working young man who had a bright future, but died in a minor operation, and the ending can't help but make people sigh.

1. Does "zero-risk" surgery really exist?

In this regard, many doctors said that "zero-risk" surgery is completely nonsense.

First, let's understand what NNIS is.

In the international medical quality index system, according to the surgical risk classification standard (NNIS) in the "Hospital Infection Surveillance Manual" in the United States, surgery can be divided into the following four levels: NNIS0, NNIS1, NNIS2 and NNIS3.

The grading standard is based on the degree of cleanliness of the surgical incision, the grade of anesthesia and the duration of the operation . In Yang Chaoyu's incident, his surgical risk assessment was shown as NNIS 0, which is "zero risk" reported by the media.

However, Shanghai urologist Wang Hua said that surgical risk assessment and postoperative complications are not the same thing. Even if the risk of surgery is low and the process is smooth, it does not mean that there will be no complications after surgery, leading to unexpected occurrences.

Therefore, the media actually misunderstood the meaning of NNIS0 level. What it really means is that " the risk of infection of the patient's postoperative incision is low ", that is to say, it does not mean "zero risk".

According to an analysis of more than 10,000 surgical patients by the Medical College of Shihezi University, China, the incidence of postoperative infection was 1.77% for those with NNIS grade 0.

2. Why do some patients have successful surgery, but die soon after?

Therefore, there are risks both before and after surgery, and sometimes even if the surgery is successful, many patients die soon after.

Netizens once shared the story of two relatives beside them who had a successful operation, but died shortly after the operation.

Why do people die soon after cancer surgery is successful? First, the success of cancer surgery depends on 3 points.

First, whether to remove the complete primary tumor . Taking breast cancer as an example, the tumor cannot be removed in blocks, otherwise it may fall off and cause the cancer to spread.

Second, whether to remove lymph nodes . Lymph nodes are one of the important ways for breast cancer, gastric cancer and other cancers to metastasize. Therefore, in addition to removing the primary tumor, nearby lymph nodes should also be removed to reduce the risk of cancer metastasis.

Third, whether the resection margin is negative and there is a sufficient distance between the resection margins , the cancer cells are not static, and may be latent in the resection margin. It may lead to unclean tumor resection and accelerate recurrence.

In addition, even if clinical surgery for cancer is successful, it does not mean that the cancer is cured. Because cancer patients have poor physical condition and low immunity, even if the tumor has been removed from the body, it does not rule out the possibility that other cells have lesions .

In addition, the possibility of infection in cancer surgery is relatively high, and infection may occur during and after surgery, resulting in aggravation of the disease. Therefore, even if the operation is successful, it does not mean a successful cure, and there is still the possibility of recurrence.

3. In recovery after cancer surgery, diet is very important

Huang Rui, a professor of colorectal tumor surgery at the Second Affiliated Hospital of Harbin Medical University, said that some patients died soon after the operation. One of the important factors is whether the postoperative rehabilitation is scientific and how much attention is paid to it, and diet is the key. step.

So, for patients, how to eat after surgery to recover faster and better?

1. A few days after the operation

For 3-4 days after surgery, food is generally fasted and nutrients are given intravenously. If your mouth feels dry, you can moisten a cotton swab and apply it to your lips to avoid dehydration. You can also eat some liquid food, such as rice soup, vegetable juice, etc., but do not eat too much at one time, and divide it into 6-8 times a day.

2. One week after surgery

One week after the operation, you can eat a small amount of easily digestible food, such as noodles, boiled eggs, and pureed meat.

3. Two weeks after surgery

Two weeks after the operation, the diet can return to normal, but don't eat and drink all at once, and make a gradual transition. The daily diet is mainly based on easy-to-digest foods, and you should closely observe your digestion after meals.

4. Rehabilitation period

Nutrition during the recovery period is very important. We should master the principles of scientific diet. One must be refined and the other must be complete. As much as possible, we must ensure that the variety of food is abundant and has sufficient nutrition.

Finally, a reminder that postoperative taboos are very important and play a key role in the recovery of the wound and the condition. It is recommended to avoid eating spicy, greasy, cold, rough food after surgery, and also to quit smoking and drinking, and avoid overeating.

Eat more low-fat, low-cholesterol, high-quality protein-rich foods , and fresh vegetables and fruits can also be eaten in moderation. Excessive diet after surgery must be done gradually, and it is not advisable to act too hastily, so as not to backfire and affect the recovery of the body.

Therefore, any operation is risky. As far as we are concerned, to reduce the risk of surgery, we must follow the guidance of the doctor, do a good job in preparation and care before and after the operation, and be responsible for our own body and life!

References

[1] "26-year-old doctor passed away after surgery, once wrote online novels to earn 130,000 yuan, and plans to get married next year". Red Star News. 2019-09-05

[2] "A 27-year-old doctor passed away 8 hours after surgery. Is there any risk in nasal septum deviated surgery? 》. Tencent Medical Code. 2019-09-04

[3] "Cancer surgery is successful, does it mean that the cancer is completely cured? Don't be too happy". Family Doctor Online. 2018-01-20

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