Chapter 1506 Don't Give up, Don't Give up (Leader Mingsong Zhao Qingquan Plus 2)
"Doctor..." the pregnant woman said anxiously.
Her hands were pale, but she didn't know where the strength burst out and grabbed Director Luo's hand. The fingernails dig deep into the sterile glove, sinking deep into it.
"What's wrong with you?!" Director Luo was a little surprised.
Having done countless gastroscopy, this is the first time that a patient has grabbed his hand.
He tried to fix the gastric tube to avoid causing side damage.
"Doctor..." The pregnant woman's voice was hoarse.
The gastroscope went in through the oropharynx, and the severe hyperemesis gravidarum caused the compression of the vocal cords, and her voice was extremely strange.
He could barely utter a few sounds, but he couldn't tell.
Like a dying person, there is something unwilling in their heart, and they want to leave the last words to this world.
"Are you uncomfortable?" Director Luo asked softly, "If not..."
He paused.
"Doctor...don't...don't...give up..." The pregnant woman said hard, word by word.
The voice has become difficult to understand because of the compression of the gastroscope tube. But she grabbed Director Luo's hand hard, and forced herself to say these words.
"Don't let your breath go." Director Luo soothed her and made her feel more stable.
"Director Luo, did the patient say to give up the operation instead of deflating the balloon?" Su Yun said suddenly.
"..."
"..."
In an instant, several people understood what the pregnant woman meant.
After a short time of crying and laughing, everyone can feel the persistence of pregnant women. For the child in her womb, she has the kind of persistence that she has never changed. Although she is still only a mother-to-be, her 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."
Hearing what Director Luo said in his ear, the pregnant woman was relieved.
Her face was pale, sweat was dripping down, and she let go of Director Luo's hand.
Another burst of severe nausea and retching, Director Luo immediately took advantage of this interval to deflate the balloon.
After the balloon is deflated, there is no further stimulation to the stomach, and the pregnant woman is obviously much better.
Although I still have occasional nausea and retching, the degree of discomfort is much weaker than before.
According to the guidance of the gastroscope, Zheng Ren used a guide wire to pass through the pylorus of the pregnant woman, and passed the guide wire into the jejunum.
Then the catheter also went in, and there was no pleats in the probe. I tried it with an empty bottle of saline, and the drip rate was 60 drops/min, and the pipeline 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 feeding tube was flushed with saline to avoid reflux of digestive juices, which caused the tube to be blocked, and she was sent back to the ward.
As for the high nutrition in the intestines, Zheng Ren doesn't care.
The technology in this area is already very mature, and there is absolutely no need to talk about it.
In the 1980s, when fat milk was just imported into China, it was unable to open the market for a long time.
After all, domestic economic conditions were limited at that time, and fat milk was still a luxury, and most clinicians were reluctant to use it.
Later, I met a young woman who needed a total bowel resection because of a certain disease.
All the intestines were removed, and the body could not be nourished by eating. Even if the operation was successful, what awaited her would be death.
When the company that produced the fat emulsion heard the news, it rushed to the location of the patient.
The purpose of the explanation is that after the operation, the fat emulsion and other intravenous nutrition fluids can be provided free of charge for a lifetime.
Later, the girl opted for a total bowel resection.
After the operation, she survived and survived well through intravenous hypernutrients.
A few years later, getting married and having children has no effect.
In addition to taking nutrient fluids for a long time every day to support yourself to survive.
A few decades ago, this kind of patient could survive, not to mention hyperemesis gravidarum, just a surgical method of replacing the treatment with a jejunal feeding tube for a period of time.
No matter it is Abbott or any other company that produces nutrient solution, the nutrient solution produced can provide enough calories, ions, and trace elements.
Zheng Ren watched as the pregnant woman was sent away. Seeing that her reaction was the same as that of the experimental subjects in the operating room of the system, she felt relieved.
The postoperative reaction was not severe, and the system gave a 100% operation completion rate, so Zheng Ren chose percutaneous puncture.
Facts have proved that the big pig's hoof is 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, Boss Zheng can rest assured." Director Du said with a smile.
Just now, when the pregnant woman grabbed Director Luo's hand and tried her best to say not to give up, Director Du was moved.
As long as the patient's will is strong enough, the obstetrics department has many ways to help her keep the fetus.
This confidence, the obstetrics department of 912 still has it.
"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 60ml/hour jejunal instillation of nutrient solution for 12-16 hours a day. When the stomach is not stimulated for a long time, you can choose to eat a small amount to maintain the smooth muscle of the stomach. basic functions.”
"Can you?"
"Some can, use jejunal nutrition to maintain 50% of the energy supply, and maintain the other 50% of the energy supply through eating." Zheng Ren said: "But some pregnant women can't, and can only use 80ml/hour, instillation for 12 hours at night, to Maintain 100% energy supply."
"Then?"
"Drink a small amount of water during the period to maintain the activity of smooth muscles, and try not to let the smooth muscles of the stomach atrophy." Zheng Ren said: "It is said that the effect is also good."
Liu Zewei knew that this should be the best way.
As for the kind of treatment that pregnant women can withstand, it depends on their lives.
The part that cannot be covered by the existing medical field is destiny.
Normal eating can cause hyperemesis gravidarum, but eating a small amount will only cause nausea, not violent vomiting, which is the best situation.
Hope so.
"A month or so after the operation, the tube may be blocked, and you can change the tube at that time. It's not a big deal."
"Boss, when the child is born, you have to follow the family." Su Yun smiled.
"Uh……"
The followers were beaming with joy, but Zheng Ren did not resist. Just the thought of people everywhere, everyone saying festive words, and the occasional cries of children... Zheng Ren's head couldn't help but hurt.
"If the method is feasible, I'm going to go back and try it with the obstetrics department." Liu Zewei said firmly.
"Have you met?"
"Well, this is the case with a friend of mine." Liu Zewei said: "My daughter-in-law has hyperemesis gravidarum, and in the end the child was not saved. Now his daughter-in-law's mind is a little abnormal, and the blow is too great."
"No way." Zheng Ren sighed, "It will be fine in the future, everything will be fine."