"Doctor..." the pregnant woman said anxiously.
Her hands were pale, but the strength burst out from nowhere and she grabbed Director Luo's hand with force. My nails dug into the sterile gloves and dug in deeply.
"What's wrong with you?!" Director Luo was a little surprised.
I have had countless gastroscopes, and this is the first time that a patient has grabbed his hand.
He worked hard to fix the gastric tube to avoid causing side injuries.
"Doctor..." The pregnant woman's voice was hoarse.
The gastroscope was inserted down the oropharynx, and the severe hyperemesis gravidarum caused compression of the vocal cords, making her voice extremely strange.
I can barely pronounce a few sounds, but I don't know them clearly.
Like a person who is dying, there is something unwilling to do in his heart, and he wants to leave his last words to the world.
"Are you feeling uncomfortable?" Director Luo asked softly, "If not..."
He paused.
"Doctor... don't... don't... give up..." The pregnant woman tried her best to speak word by word.
The sound has become difficult to understand due to the compression of the gastroscope tube. But she tried hard to hold Director Luo's hand and forced herself to say this.
"It won't work if you don't let off steam." Director Luo comforted her to stabilize her mood.
"Director Luo, did the patient say that he gave up the operation and deflated the balloon?" Su Yun said suddenly.
“…”
“…”
In an instant, everyone understood what the pregnant woman meant.
After a brief moment of dumbfounding, everyone could feel the persistence of the pregnant woman. She has an unchanging attachment to the child in her belly. Although she is only an expectant mother, maternal love is already overflowing.
"Don't give up, don't give up, don't worry." Director Luo said, "Our 912 team has always been about never abandoning or giving up."
Hearing Director Luo say this in her ear, the pregnant woman felt relieved.
Her face was pale, sweat was pouring down, and she let go of Director Luo's hand.
There was another bout of severe nausea and retching, and Director Luo immediately took advantage of this interval to deflate the balloon.
After the balloon deflated, there was no further stimulation to the stomach, and the pregnant woman was obviously much better.
Although I still experience nausea and retching occasionally, the level of discomfort is much weaker than before.
Zheng Ren followed the guidance of the gastroscope, used a guide wire to pass through the pregnant woman's pylorus, and inserted the guide wire into the jejunum.
Then the catheter was passed in and there were no wrinkles. I tried it with an empty bottle of saline. The drip rate was 60 drops/min and the pipe was very smooth.
The jejunal drainage tube was fixed on the body surface and the operation was concluded.
The pregnant woman was carried back to the flat car, and the jejunal nutrition tube was flushed with saline to prevent the reflux of digestive juices, which would cause blockage of the tube, and she was sent back to the ward.
As for the subsequent high enteral nutrition, Zheng Ren didn't care.
The technology in this area is already very mature, so there is no need to talk too much.
In the 1980s, when fat emulsion was first imported into the country, it was difficult to open the market for a long time.
After all, domestic economic conditions were limited at that time, and fat emulsion was still considered a luxury product, and most ordinary clinicians were reluctant to use it.
Later, I met a young female patient who needed a total intestinal resection due to a certain disease.
After the entire intestine was removed, she could not replenish her body's nutrition through food. Even if the operation was successful, death would be waiting for her.
After the company that produces fat emulsion learned the news, it immediately rushed to the patient's location.
After explaining the purpose of your visit, you will be provided with free fat emulsion and other intravenous nutrition liquids for a lifetime after surgery.
Later, the girl chose total intestinal resection surgery.
After the operation, she was able to survive through intravenous hypernutrition, and she was living well.
A few years later, getting married and having children had no impact.
In addition to taking nutrient liquid for a long time every day to support myself to survive.
A few decades ago, this kind of patient could survive, let alone hyperemesis gravidarum, and it was just a surgical method of using a jejunal feeding tube as a replacement treatment for a period of time.
Whether it is Abbott or any other company that produces nutrient solutions, the nutrient solutions produced can provide sufficient calories, ions, and trace elements.
Zheng Ren watched the pregnant woman being sent away, and felt relieved when he saw that her reaction was the same as that of the experimental subjects in the system operating room.
The postoperative reaction was not serious, and the completion rate of the operation given by the system was 100%, so Zheng Ren chose percutaneous puncture surgery.
Facts have proved that the big pig's trotters are still very reliable.
"Director Du, if you have any questions when you go back, you can contact the nutrition department." Zheng Ren finally said something long-winded.
"Well, don't worry, Boss Zheng." Director Du said with a smile.
When the pregnant woman grabbed Director Luo's hand and said with all her strength not to give up, Director Du was moved.
As long as the patient is determined enough, the obstetrics department has many ways to help her preserve the fetus.
This kind of confidence is still available in 912 obstetrics.
"Boss Zheng, is this all right?" Liu Zewei asked, "Do you still need to eat?"
"According to previous case records, there are two options. One is jejunal infusion of nutrient solution at 60ml/hour, 12-16 hours a day. When the stomach does not receive stimulation for a long time, you can choose to eat a small amount to maintain the smooth muscle of the stomach. basic functions.”
"Is that okay?"
"Some can, use jejunal nutrition to maintain 50% of the energy supply, and maintain the other 50% of the energy supply through food." Zheng Rendao: "But some pregnant women can't, and can only use 80ml/hour, infused at night for 12 hours. Maintain 100% energy supply.”
"And after that?"
"Drink a small amount of water during this period to maintain the activity of smooth muscles and try not to atrophy the smooth muscles of the stomach." Zheng Ren said: "It is said that the effect is also good."
Liu Zewei knew that this should be the best way.
As for what kind of treatment a pregnant woman can withstand, it depends on fate.
The part that cannot be covered by the current medical field is destiny.
Normal eating can cause hyperemesis gravidarum, but eating a small amount will only cause nausea and no severe vomiting. This is the best situation.
Hope so.
"About one month after the operation, the tube may become clogged. You can just replace it with another tube at that time. It is not a big deal."
"Boss, when the child is born, you will have to follow suit." Su Yun said with a smile.
"Well… "
The follower was beaming with joy, but Zheng Ren did not resist. Just thinking about the people everywhere, saying happy words, and the occasional crying of children... Zheng Ren couldn't help but feel his head hurt.
"If the method is feasible, I am going to go back and work with the obstetrics department to try it." Liu Zewei said firmly.
"Ever met?"
"Well, this is the case for a friend of mine." Liu Zewei said: "My daughter-in-law had hyperemesis gravidarum, and in the end she couldn't save the baby. Even now, his wife's mind is a little abnormal, and the shock was too great."
"No way." Zheng Ren sighed, "It will be fine in the future, everything will be fine."