Wei Guoyuan put his mouth next to his ear and said, "It's a female doctor." There was only one female doctor at the scene, which was conspicuous. It was not difficult for Shao Jialiang to recognize Xie Wanying, and a look of surprise flashed in his eyes, not because she was a female doctor, but because she was really young. In internal medicine, an excellent female doctor
Live a lot. There are some like Xuanwu.
"Didn't I tell you? He is an intern and has not graduated." Wei Guoyuan raised his eyebrows at him, "And he is studying surgery."
This girl wants to be a surgeon? Shao Jialiang was confused. It's not that girls can't be surgeons, but why they want to be surgeon students, saying that they have unique skills in endoscopic techniques in gastroenterology.
It can only be that he himself was in a hurry to cram his feet. He didn't hear everything Wei Guoyuan said, and he just thought it would be good to invite anyone to help solve the problem. Even a medical student came to join in the scene.
"Thank you for coming to help." Shao Jialiang sincerely expressed his gratitude to several doctors of the National Association of China.
"You're welcome." Yu Xuexian replied, looking at Wei Guoyuan, he only knew that this person was much thicker than Shao Jialiang.
Wei Guoyuan didn't seem to catch his gaze, smiled, and said to them, "The patient is in the digestive endoscopy room."
On the way, Shao Jialiang introduced his patient to his colleagues: "Malnutrition, the wound healing is much slower than normal, and now we are strengthening nutrition injections." ?” As a physician, Yu Xuexian is also familiar with all surgical methods in the gastroenterology department. Because even his internal medicine patients, such
In the same situation, please consider asking surgery to assist with fistula.
Jejunostomy is to insert a tube into the patient's jejunum so that the nutrient solution dripped from the outside of the body can directly enter the patient's intestinal tract. Generally as a temporary measure, it must be unplugged after the patient returns to normal gastrointestinal eating. Yu Xuexian said this, clarifying the basic principles of clinical treatment of patients who cannot eat normally through the digestive system. Even if the doctor wants to make an incision on the patient, he must pour nutrient solution into the patient's intestinal tract, avoiding static as much as possible.
Pulse nutrition is total parenteral nutrition. The reason is simple. The risk of total parenteral nutrition is too high to cause many complications, such as hyperglycemia, cholecystitis, blood clots, bacterial infections, etc. can be fatal. Only as a last resort for patients who cannot enter enteral nutrition, doctors will consider long-term parenteral nutrition. For example, Chen Chengran, a patient with Crohn's disease just admitted today, can't eat at all, and his intestines are inflamed.
Nutrition can't be done, so I can only rely on total parenteral nutrition to get nutrient solution through veins. Received a question from the consulting doctor, Shao Jialiang explained: "This patient is like this. He was diagnosed with adenocarcinoma of the lower esophagus, cardia, and fundus of the stomach four months ago. The tumor volume is relatively large. He underwent total gastrectomy with esophagojejunostomy. The digestive tract was reconstructed and the surrounding lymph nodes were removed. An enteral nutrition tube must be reserved for him during the operation, so that the nutrient solution can be fed directly to his jejunum for enteral nutrition through nasal feeding. Give him enteral nutrition during the early postoperative period when he cannot eat.
Nutritional support. " Let's talk about enteral nutrition again. Enteral nutrition can be divided into two types: oral and transcatheter according to the route of feeding. Oral, that is, the patient can use the mouth to supplement the nutritional solution. Transcatheter, the most common is a nasogastric tube. Nasal cavity to stomach.