Chapter 1496

Jin Yaowu's unforgettable "enemy of life" did not immerse himself in tips surgery as he imagined.

Zheng Ren has gone to the obstetrics department, explained the relevant conditions to the patients with hyperemesis gravidarum and their families who have just been admitted to the hospital, and found the endoscopic room to prepare for surgical treatment.

A sketch was placed on the table and clearly drew the operation process.

"That's basically it." Zheng Ren put down his pen, looked at the patient's family and said, "the principle is to solve the problem of stimulating autonomic nerves after eating, resulting in severe vomiting.

In general, it is enough for the tube to stay in the stomach. But for patients with hyperemesis gravidarum, we have to send the pipeline to the jejunum. "

"How dangerous is it?" Asked the patient's lover.

"Not much." Zheng Rendao: "but there may still be discomfort, resulting in the failure to meet our expectations after the operation."

"Didn't you say..." the patient's lover asked, he was a little timid, but the doctor looked too young and didn't look like a professor. So he dared to keep asking.

"I just said that if you use the stomach tube, it will be very irritating. Moreover, even if you inject chyme into the stomach tube, it will cause severe vomiting."

"If you lower the jejunal tube, use intravenous drip. There are relevant nutritional drugs that can support your lover until the due date of delivery. After giving birth, you can pull out the nutritional tube." Zheng Rendao.

The patient's family members are a little confused, but Zheng Ren's explanation is popular and his sketch is clear at a glance.

"Even if there is no vomiting, the nutrient solution can provide sufficient nutrition, and there may be side effects. For example, pull out the nutrient tube after childbirth, and your lover's stomach function will be affected because she doesn't eat for a long time."

"So... What should I do?" The patient's hand is a little numb.

"It can only recover a little, or during jejunal nutrition, you can drink a small amount of water and eat, and gradually try near the threshold causing discomfort." Zheng Ren said, "this is just a general idea. The specific situation varies from person to person."

The patients' families were silent.

They all understand what Zheng Ren said.

But the thought that pregnant women can't eat and rely on nutrient solution is very good for several months, everyone is a little flustered.

Coupled with a series of side effects, there are as many as 23 preoperative explanations. Who will not panic.

But there's nothing I can do at home.

Pregnant women had severe pregnancy reaction from the 3rd week of pregnancy to the 24th week of pregnancy. She had miscarriages twice before, and the child didn't stay. So even if there is hyperemesis gravidarum this time, she should insist.

The most terrible thing is that her mental state is a little unstable.

The patient himself has made it clear that never induce labor. Even if you vomit yourself to death, you have to give birth to the child.

If you hide from her anesthesia and induced labor, you will jump out of a building after the operation.

And so on, leaving families and obstetricians at a loss.

The solution provided by Zheng Ren is the only way to solve the problem. The obstetric director contacted Xiehe's classmates and provided relevant medical records.

Although the number is small, it has made a similar attempt.

Like Zheng Ren's practice, they all use jejunal nutrition for nutritional support, and the postoperative effect is still good.

Therefore, director Du of Obstetrics asked the inpatient general manager for a consultation and asked boss Zheng of the intervention department to have a look.

She did not expect that boss Zheng would draw a sketch comparable to textbook pictures, nor did she expect that all the side effects were taken into account by boss Zheng, who listed 23 preoperative explanations.

"Can we... Think about it?" Finally, no one in the patient's family could make up their mind and asked hesitantly.

"No problem. You can try the way of intravenous vitamin B6 and intramuscular vitamin B1 first." Zheng Ren smiled, trying to ease the tense atmosphere in the office.

But no one noticed his smile. The family were gloomy and thought of different things.

"Director Du, let's do it first." Zheng Ren said, "if the family agrees to the operation, you can inform me at any time. If there is no operation on my side, I can do it if I have enough fasting and water time."

"OK." Director Du didn't talk nonsense. He nodded directly, "take a look at the mirror room first?"

Zheng Ren thought about it. Although he had already had an operation in the system operating room, he had never touched the endoscope room of 912. It was best to have a look.

"OK, director Du?" Zheng Ren asked tentatively.

"I'll go with you." Director Du said.

The patient's family members are still very polite. I'm a little embarrassed to apologize to Zheng Ren. Zheng Ren sent them out with a smile and went to the mirror room with director Du.

"Boss Zheng has heard of you for a long time. I didn't expect that the opportunity to cooperate with you came like this." While walking, director Du said.

"I used to work with obstetrics." Zheng Ren said with a smile, "postpartum hemorrhage is done through intervention."

"Well, it's a pity that you can't have a consultation. Boss Zheng, how sure is this operation?"

"The operation is not difficult, but the recovery of the postpartum stomach takes a long time. By the way, there may be the possibility of jejunal nutrition tube blockage in the middle, and it may be necessary to change the tube. But it's not troublesome, it's just a small operation."

"It's also a way." Director Du said: "there are many patients with hyperemesis gravidarum. If they succeed, they can cooperate for a long time."

Zheng Ren pondered and asked, "director Du, go back and ask the patient if you can accept the live broadcast of the operation."

"Live broadcast of operation in Xinglin garden?"

"Yes."

"The spread speed is faster and the operation is simple, so you are not afraid..." director Du stopped halfway.

"This is just a way of thinking. It can solve the pain of many patients. What's the use of staying in your hand? The operation should have solved the problem." Zheng Ren smiled.

Director Du sighed that boss Zheng was magnificent. No wonder people have become Mayo's visiting professors.

At the office meeting that day, director Du saw with his own eyes that director Kong resisted Director Mao and finally the Jedi turned over.

At that time, I didn't understand why director Kong invested so much effort in a "small" doctor.

Now when I look at it, I feel comfortable just because of the atmosphere of others.

In the future, we should cooperate more with boss Zheng.

"The mirror room in our hospital was not big at first, but director Luo supported it with one hand." Director Du didn't mention the jejunal nutrition tube and began to introduce Zheng Ren.

This is the past and present life of the mirror room.

There are some specialists in the domestic endoscopy room, but some hospitals are controlled by the gastroenterology department.

After all, the vast majority of patients who do gastroenteroscopy are in the Department of Gastroenterology. There is absolutely no suspense about the proper upstream department.

If the gastroenterology department does not support it, the work of the endoscope room is difficult to carry out.

It turned out that 912 was this mode. Zheng Ren smiled and nodded.

Director Luo is also very supportive of himself. It should be a very happy thing to cooperate with him.