"Doctor …" the pregnant woman said anxiously.
Her hand was pale, but she did not know where the strength burst out from, but she grabbed Chief Luo's hand forcefully. Her fingernails dug deeply into the sterile gloves.
"What's wrong with you?!" Chief Luo was a little surprised.
He had done countless gastroscopes, but this was the first time a patient had grabbed his hand.
He tried his best to fix the gastric tube to avoid causing side injuries.
"Doctor …" the pregnant woman's voice was hoarse.
The gastroscope went in through the oropharynx. In addition to the intense hyperemesis of pregnancy, her vocal cords were compressed. Her voice was extremely strange.
She could barely say a few words, but they were not clear.
It was like a dying person who had something unreconciled in his heart and wanted to leave his last words to the world.
"Are you feeling very uncomfortable?" Chief Luo asked softly. "If it doesn't work …"
He paused for a moment.
"Doctor … Don't … Don't … Give up …" The pregnant woman tried her best to say word by word.
Her voice had become very difficult to understand because of the pressure of the gastroscope tube. However, she tried her best to grab Chief Luo's hand and forced herself to say this sentence.
"I have to." Chief Luo comforted her to calm her down.
"Chief Luo, did the patient say that she wanted to give up the surgery and not deflate the balloon?" Su Yun suddenly said.
"…"
"…"
In an instant, the few of them understood what the pregnant woman meant.
After a brief moment of not knowing whether to laugh or cry, everyone could feel the pregnant woman's persistence. She had an unchanging persistence towards the child in her stomach. Although she was still a mother-to-be, her maternal love was already overflowing.
"I won't give up, I won't give up. Don't worry," Chief Luo said. "The 912 has never abandoned or given up."
Hearing Chief Luo say this in her ear, the pregnant woman was relieved.
Her face was pale, and sweat dripped down her face. She let go of Chief Luo's hand.
There was another bout of intense nausea and retching. Chief Luo immediately took advantage of this interval to deflate the balloon.
After the balloon deflated, it no longer stimulated the stomach. The pregnant woman was obviously much better.
Although she would still occasionally feel nauseous and retch, the degree of discomfort was much weaker than before.
Zheng Ren followed the guidance of the gastroscope and used the guide wire to pass through the pregnant woman's pylorus. He inserted the guide wire into the jejunum segment.
Then, the catheter went in as well. it was not wrinkled. He tested it with an empty bottle of saline. The drip rate was 60 drops per minute, and the pipeline was very smooth.
The jejunum drainage tube was fixed on the surface of the body, and the surgery was over.
The pregnant woman was carried back to the stretcher trolley and the jejunum nutrition tube was flushed with saline to prevent the reflux of digestive fluid, which would cause the tube to be blocked. She was then sent back to the ward.
As for the high enteral nutrition, Zheng Ren did not care.
The technology in this area was already very mature, so there was no need to say anything more.
In the 1980s, when fat milk was first imported into China, there was no way to open up the market for a long time.
After all, domestic economic conditions were limited at that time. Fat milk was still considered a luxury, and most clinicians were reluctant to use it.
Later, he encountered a young female patient who needed total intestinal resection due to a certain disease.
All of her intestines had been removed, and she couldn't replenish her body's nutrients through food. Even if the surgery was successful, what awaited her was death.
When the company that produced the fat milk heard the news, they immediately rushed to the patient's location.
Explain the purpose of the visit. After the surgery, you will be provided with a lifetime of fat milk and other fluids for intravenous nutrition for free.
In the end, the girl chose total intestinal resection.
After the surgery, through intravenous high nutrition, she survived, and she lived quite well.
A few years later, he would get married and have children.
Other than having to stay still for a long time every day to support himself to survive.
Decades ago, this kind of patient could survive, let alone hyperemesis gravidarum. It was just a surgical method to use the jejunum nutrition tube as an alternative treatment for a period of time.
Whether it was Abbott or other companies that produced nutrient solutions, the nutrient solutions produced could provide enough calories, ions, and trace elements.
Zheng Ren watched the pregnant woman be sent away. Seeing that her reaction was the same as the reaction of the simulation mannequin in the operating theater, he felt a little relieved.
The postoperative reaction was not serious. The completion rate given by the System was 100%, so Zheng Ren chose the percutaneous puncture surgery.
It turned out that the System was still very reliable.
"Chief Du, if you have any questions when you go back, you can contact the nutrition department." Zheng Ren finally said a few words.
"Okay, don't worry, Boss Zheng," Chief Du said with a smile.
Just now, when the pregnant woman grabbed Chief Luo's hand and used all her strength to say not to give up, Chief Du was moved.
As long as the patient's willpower was strong enough, the obstetrics department had many ways to help her save the fetus.
The 912 obstetrics department still had this confidence.
"Boss Zheng, is that all?" Liu Zewei asked. "Do you still need to eat?"
"According to the past medical records, there are two ways to choose from. One is to inject a nutrient solution into the jejunum at 60ml per hour 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 basic function of the smooth muscle of the stomach. "
"Is that okay?"
"Some can. Use the jejunum to maintain 50% of the energy supply and eat to maintain the other 50% of the energy supply," Zheng Ren said. "But some pregnant women can't do it. They can only use 80ml per hour and inject it for 12 hours at night to maintain 100% of the energy supply."
"After that?"
"During this period, drink a small amount of water to maintain the activity of the smooth muscle and try not to let the smooth muscle of the stomach atrophy," Zheng Ren said. "It's said that the effect is also good."
Liu Zewei knew that this should be the best way.
As for whether the pregnant woman could withstand that kind of treatment, it would depend on fate.
The part that the current medical field could not touch was fate.
Normal eating would cause hyperemesis gravidarum, but eating a small amount would only cause nausea and would not cause intense vomiting. This was the best situation.
He hoped so.
"About a month after the surgery, the pipe might be blocked. At that time, you can just change the pipe. It's not a big deal."
"Boss, when the child is born, you have to go with him," Su Yun said with a smile.
"Uh …"
Zheng Ren did not resist the idea of being a follower and being happy. However, when he thought of people everywhere, everyone saying happy words, and the occasional crying of the child … Zheng Ren's head could not help but hurt.
"If the method is feasible, I'm going to go back and try it with the obstetrics and gynecology department," Liu Zewei said firmly.
"You've encountered it before?"
"Yes, a friend of mine is in this situation," Liu Zewei said. "His wife had hyperemesis gravidarum and in the end, the child was lost. Even now, his wife's mind is a little abnormal. The blow was too big. "
"There's nothing we can do." Zheng Ren sighed. "It will be better in the future. Everything will be better."
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