Wei Guoyuan's mouth pressed against his ear and said, "It's a female doctor."
There was only one female doctor at the scene, which was very conspicuous. Shao Jialiang was not difficult to identify Xie Wanying, and a hint of surprise flashed in his eyes. It was not that the other party was a female doctor, but that she was really young. Among the internal medicine departments, there were many excellent female doctors. There were just like them, Xuanwu.
"Didn't I tell you? He is an intern but has not graduated." Wei Guoyuan raised his eyebrows at him, "And he is studying surgery."
This girl wants to be a surgeon? Shao Jialiang is confused. It’s not that girls cannot be a surgeon, but why do they have to be a surgeon student? It is said that they have unique skills in endoscopy technology in gastroenterology.
It was only because he was so anxious that he was cramming. He didn't listen to what Wei Guoyuan said, but he thought it would be better if anyone could be invited to help solve the problem. Even a medical student came to make up the situation.
"Thank you for coming and helping you." Shao Jialiang sincerely expressed his gratitude to several doctors from the National Association.
"You don't need to be polite." Yu Xuexian replied, looking at Wei Guoyuan, only knowing that this man is much thicker than Shao Jialiang.
As if he didn't receive his gaze, Wei Guoyuan 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, wound healing much slower than normal people. Now he is taking nutritional injections."
"Venic nutrition? Are you planning to have chemostomy if you don't get enough nutrition in the enteral? "As an internal physician, Yu Xuexian is also aware of the surgical methods of all gastroenterology departments. Because even patients in the internal medicine department, you have to consider asking the surgeon to assist in the fistula in such cases.
Jejunostomy is to insert a tube into the patient's jejunum, so that the nutrient solution dripping from the body can directly enter the patient's intestines. Generally, as a temporary measure, it must be unplugged after the patient returns to normal gastrointestinal tract and eats.
Yu Xuexian said this, clarifying the basic principles of clinical treatment of patients who cannot eat normally through the digestive system. Even if a doctor wants to make a cut on the patient, he must pour nutrient solution into the patient's intestines to avoid intravenous nutrition, that is, total parenteral nutrition. The reason is very simple. The high risk of total venous nutrition will cause many complications, such as hyperglycemia, cholecystitis, blood clots, bacterial infections, etc., which can be fatal.
Only patients who really cannot enteral nutrition will have no choice but to consider giving intravenous nutrition for a long time. For example, Chen Chengran, a patient with Crohn's disease who just received today, was completely unable to eat. The intestinal nutrition was inflamed and could not do it. He could only use parenteral nutrition to prepare nutrient solution from the vein.
After receiving a question from the consultation doctor, Shao Jialiang explained: "This patient is like this. He was diagnosed with adenocarcinoma of the lower esophageal cardia four months ago. The tumor was relatively large. He had a total gastrectomy with esophageal jejunal anastomosis to clear the surrounding lymph nodes. During the operation, he must reserve a nutrient tube in the intestine, so that the nutrient solution can directly reach his jejunum for enteral nutrition. He was given enteral nutrition support during the early stage of the operation."
Chapter completed!