Chapter 1507

"Doctor..." said the pregnant woman anxiously.

Her hand was pale, but she didn't know where the strength burst out and grabbed director Luo's hand. The nails were deeply dug into the sterile gloves.

"What's the matter with you?!" Director Luo was a little surprised.

I have done gastroscopy countless times, and this is the first time that the patient grabs his hand.

He tried to fix the gastric tube to avoid causing side injuries.

"Doctor..." the pregnant woman's voice was hoarse.

The gastroscope went in from the oropharynx, coupled with severe hyperemesis gravidarum, resulting in vocal cord compression. Her voice was very strange.

I can barely say a few sounds, but I don't know.

Like a dying person, he has something unwilling in his heart and wants to leave the last word to the world.

"Do you feel bad?" Director Luo asked softly, "if not..."

He paused.

"Doctor... Don't... don't... Give up..." the pregnant woman tried hard and said word by word.

The sound has become difficult to understand because of the pressure of the gastroscope tube. But she tried to hold director Luo's hand and let herself say it.

"You can't do it without bleeding." Director Luo comforted her to stabilize her mood.

"Director Luo, did the patient say to give up the operation, not to deflate the balloon?" Su Yun suddenly said.

“……”

“……”

For a moment, several people understood what pregnant women meant.

After a short laugh and cry, everyone can feel the persistence of pregnant women. For the children in her belly, she has her own constant persistence. Although she is still only a mother to be, maternal love has overflowed.

"Don't give up, don't give up, don't worry." Director Luo said, "we 912 never give up, never give up."

Listen to Director Luo in his ear, pregnant women are relieved.

Her face was pale, her sweat fell crackling, and her hands loosened.

There was another violent nausea and retching. Director Luo immediately deflated the balloon during this interval.

After the balloon is deflated, there is no further stimulation to the stomach, and the pregnant woman is obviously much better.

Although nausea and retching still occur occasionally, the degree of discomfort is much weaker than before.

According to the gastroscope guidance, Zheng Ren passed the guide wire through the pregnant woman's pylorus and ran the guide wire into the jejunum.

Then the catheter also went in smoothly. There was no pleating during the exploration. A bottle of empty saline was used to try. The dropping speed was 60 drops / min, and the pipeline was very smooth.

Jejunal drainage tube was fixed on the body surface, and the operation was over.

The pregnant woman was carried back to the flat car, and the jejunal nutrition tube was washed with saline to avoid the reflux of digestive juice, resulting in the blockage of the pipeline. She was sent back to the ward.

As for the subsequent enteral high nutrition, Zheng Ren doesn't care.

The technology in this area is very mature, and there is no need to talk at all.

In the 1980s, when fat emulsion was just imported into China, it was impossible to open the market for a long time.

After all, at that time, the domestic economic conditions were limited, and fat emulsion was still a luxury. Most clinicians were not willing to use it.

Later, I met a young woman who needed total intestinal resection because of some disease.

All intestines were removed, and the nutrition of the body could not be supplied by eating. Even if the operation was successful, she would die waiting for her.

When the company producing fat emulsion learned the news, it immediately rushed to the patient's location.

Explain the purpose. After the operation, you can provide free fat emulsion and other intravenous nutritional liquids needed for a lifetime.

Later, the girl chose total intestinal resection.

After the operation, through intravenous high nutrition, she survived and lived well.

A few years later, getting married and having children had no impact.

In addition to staying quiet for a long time every day to support yourself to live.

Decades ago, this kind of patients could survive, let alone hyperemesis gravidarum. It was just an alternative operation with jejunal nutrition tube for a period of time.

Whether Abbott or any other company that produces nutrient solution, the nutrient solution can provide enough calories, ions and trace elements.

Zheng Renmu sent the pregnant woman away. She was relieved to see that her reaction was the same as that of the experimental body in the system operating room.

The postoperative response was not serious. The operation completion degree given by the system was 100%, which made Zheng Ren choose percutaneous puncture.

Facts have proved that big pig hooves are still very reliable.

"Director Du, if you have any questions back, you can contact the nutrition department." Zheng Ren finally made a long winded remark.

"Well, boss Zheng, don't worry." Director Du smiled and said.

Director Du was moved when the pregnant woman grabbed director Luo's hand and said with all her strength not to give up.

As long as the patient's own will is firm enough, obstetrics has many ways to help her keep the fetus.

This confidence, 912 obstetrics still have.

"Boss Zheng, that's all right?" Liu zewei asked, "do you still need to eat?"

"According to the previous case records, there are two options. One is 60ml / h jejunal drip of nutrient solution, 12-16 hours a day. When the stomach is not stimulated for a long time, you can choose to eat a small amount of food to maintain the basic function of gastric smooth muscle."

"Is that ok?"

"Some can maintain 50% energy supply with jejunal nutrition and another 50% energy supply through eating." Zheng Ren said, "but some pregnant women can't. They can only use 80ml / hour and drip for 12 hours at night to maintain 100% energy supply."

"And then?"

"Drink a small amount of water during the period to maintain the activity of smooth muscle and try not to let gastric smooth muscle atrophy." Zheng Ren said: "it is said that the effect is also good."

Liu zewei knows that this should be the best way.

As for pregnant women who can afford that treatment, it depends on their life.

The part that cannot be involved in the existing medical field is fate.

Normal eating will cause hyperemesis gravidarum, but a small amount of eating will only cause nausea and no severe vomiting. This is the best situation.

I hope so.

"One month or so after the operation, the pipe may be blocked. It's OK to change a pipe at that time. It's not a big deal."

"Boss, when the child is born, you have to go with the members." Su Yun smiled.

"Er..."

With the members, Zheng Ren was jubilant and did not resist. Just at the thought of people everywhere, everyone saying happy words, and the occasional crying of children... Zheng Ren's head couldn't help but ache.

"If the method is feasible, I'm ready to go back and try it with obstetrics." Liu zewei said firmly.

"Have you met?"

"Well, that's the case with a friend of mine." Liu zewei said: "his daughter-in-law had severe vomiting during pregnancy, and finally the child was not saved. Up to now, his daughter-in-law's mind is a little abnormal, which is too big a blow."

"No way." Zheng Ren sighed, "it will be all right in the future. Everything will be all right."