Chapter 1496: The past and present of the endoscope room

Jin Yaowu’s
enemy of life
, which he never missed, was not buried in TIPS surgery as he had imagined.
Zheng Ren has gone to the obstetrics department, and has just explained the condition of the patient with the sudden onset of pregnancy and the patient's family, and has looked for a laparoscopic room to prepare for surgery.
A sketch is placed on the table, and the surgery is clearly drawn out.
"Basic is like this." Zheng Ren put down his pen and looked at the patient's family, saying: "The principle is to solve the stimulating autonomic nerves after eating, leading to severe vomiting.
In general, the catheter is enough to stay in the stomach. But for patients with hyperemesis during pregnancy, we also need to send the tube to the jejunum.


Danger is not big?
the patient’s lover asked.

Not big.
Zheng Rendao:
But there may still be discomfort, which may lead to the failure to meet the expectations of our surgery after surgery.

"You are not saying..." The patient's lover was particularly entangled and asked, he was a bit timid, but the doctor looked too young and not like a professor. So he was brave and kept asking.
"I just said that if you use the lower stomach tube, the irritation will be great. And even if the stomach tube is filled with chyme, it will cause side effects of severe vomiting."
"If the jejunal tube is used, the method of intravenous drip, there are related nutrients, can support your lover to the expected date of birth. When the child is born, the nutrient tube can be removed." Zheng Rendao.
The family members of the patients are awkward, but Zheng Ren’s explanation of the popular, as well as sketches, is clear at a glance.

Even if there is no vomiting, the nutrient solution can provide sufficient nutrition and may have side effects. For example, after the postpartum removal of the nutrition tube, your lover will not be able to eat for a long time, the function of the stomach is affected, etc.

"That... what to do?" The patient's lover's hand is a bit numb.
"You can only recover a little, or during the jejunal nutrition, you can drink a small amount of water, eat, and try gradually around the threshold that causes discomfort." Zheng Rendao: "This is just a general idea, the specific situation varies from person to person."
The family members of the patients were silent.
Zheng Ren said, they all understand.
But when I think that pregnant women can not eat, they have to rely on nutrient solution for several months. Everyone is a little flustered.
Coupled with a series of side effects, there are as many as 23 pre-operative explanations, and some people will not panic.
But there is no way at home.
Pregnant women have had a severe pregnancy reaction from 3 weeks of gestation until 24 weeks of gestation. She had a miscarriage twice before, and the children did not keep it. So this time, even if there is a sudden pregnancy, she has to insist.
The most terrible thing is that her mental state is somewhat unstable.
The patient himself has made it very clear that he should never induce labor. Even if you vomit yourself, you must give birth to your child.
If she was anesthetized and induced to give birth, she would jump off the building after surgery.
And so on, let the family and obstetricians feel helpless.
The method provided by Zheng Ren is the only way to solve the problem. The director of the obstetrics contacted Concord's classmates, who provided relevant medical records.
Although the number is small, there is a similar attempt on that side.
As with Zheng Ren's approach, nutrition support is also provided by means of jejunal nutrition. The postoperative results are good.
Therefore, the director of the Department of Obstetrics gave the hospital a total consultation, please intervene in the boss of Zheng Zheng to see.
She did not expect that Zheng boss would draw a sketch comparable to the textbook picture, and did not expect all the side reactions Zheng Boss to consider, listed twenty-three pre-operative explanations.
"We... can you think about it?" The patient's family finally couldn't make up their minds, hesitantly asked.
"No problem, you can try to calm down the vitamin B6, the way of intramuscular vitamin B1." Zheng Ren smiled and tried to ease the tense atmosphere in the office.
But no one noticed his smile, and the family was bleak, thinking about different things.
"Director Du, then this is the case." Zheng Rendao, "If the family agrees to the operation, you can always inform me that if there is no surgery on my face, you can do it with enough time."
"Good." Director Du did not talk nonsense, nodded directly, "Look at the mirror room first?"
Zheng Ren thought about it. Although he had already had surgery in the system operating room, the 912 cavity mirror room had not been touched by himself. It is best to take a look.
"Well, Director Du?" Zheng Ren asked.
"I will accompany you to see." Du said.
The patient's family is still very polite, a little embarrassed and Zheng Ren apologizes. Zheng Ren smiled and sent them out, and went to the mirror room together with Director Du.
"Zheng boss has long heard of the name, I did not expect the opportunity to cooperate with you." As he walked, Director Du said.
"I used to work with obstetrics." Zheng Ren said with a smile: "What happens after the postpartum hemorrhage is to intervene."
"Well, please consult, please don't go to your head, it's a bit regrettable. Zheng boss, this surgery is not big enough?"
"The operation is not difficult, but the recovery of the stomach after the birth, the time is longer. Yes, there may be a possibility of jejunal nutrition tube blockage in the middle, it may be necessary to change the tube. But this is no trouble, just minor surgery."
"It is also a way." Director Du went to: "There are many patients with severe pregnancy. If they are successful, they can cooperate for a long time."
Zheng Ren indulged a moment and asked: "Director Du ~ EbookFREE.me ~ You go back and ask the patient, can you accept the live broadcast."

Surgical live broadcast of Xinglinyuan?

"Ok."
"The plane spreads faster and the procedure is simple, so you are not afraid..." Du said that if he said half of it, he stopped.
"This is just a kind of thinking, can solve the pain of many patients, what is the use in the hand? Surgical surgery, should solve the problem." Zheng Ren smiled.
Director Du has some feelings, and Zheng’s boss is very majestic. It’s no wonder that everyone has become a visiting professor of Mayo.
On the day of the office meeting, Director Du was able to see the director of the hole hard against Mao Mao, and finally the Jedi came back.
At that time, I did not understand why Director Kong would be so much hardworking for a "small" doctor.
Now, if you look at it, don't say anything else. It's just the atmosphere of people, and you feel comfortable.
In the future, we must cooperate with Zheng Boss.
"The luminoscopy room of our hospital was not very big at first, but Director Luo supported it with one hand." Director Du did not mention the jejunal nutrition tube and began to introduce Zheng Ren.
This is the past and present of the endoscope room.
There are some specialists in the domestic vitrinal room, but some hospitals are in the Department of Gastroenterology.
After all, the majority of patients who use gastrointestinal mirrors are in the Department of Gastroenterology. There is absolutely no suspense in the proper upstream department.
If the Department of Gastroenterology does not support it, the work of the endoscope room is difficult to carry out.
The original 912 is this model, Zheng Ren smiled and nodded.
Director Luo, I also support myself. Working with him should be a very happy thing.
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