That is, to do everything possible to make the patient survive longer after surgery.

Although the X-ray did not show the gas-liquid level, Sedum checked it again.

It is seen that there is no obvious obstruction in the patient's intestine, but the intestinal wall muscles have stopped peristalsis, which can rule out mechanical intestinal obstruction and suspect dynamic intestinal obstruction.

Finally, Jing Ye shifted his attention to the intestinal wall and found that there were symptoms of congestion and edema, so it is very likely that he was suffering from hematovascular intestinal obstruction.

Vascular obstruction can lead to impaired blood circulation, which can lead to blood clotting, edema, congestion, infarction, and necrosis.

In other words, blood circulation in the rectum obstructs nitrogen, inhaled gases, and gases that are digested and broken down by food.

There are two major types of intestinal ischemia and intestinal diseases.

Sedum quickly ruled out intestinal ischemia and felt that there were two causes of intestinal disease.

1: The rectum is compressed by the tumor and causes obstruction.

2. Increased intestinal pressure, causing venous return, making the catheter unable to advance, and also consistent with the symptoms of edema.

If it is not treated, the next step is really intestinal ischemia, followed by intestinal perforation and necrosis, abdominal infection, and death.

"Hurry up and prepare enema tools and 500ml of 0.9% normal saline to clean the intestines before surgery. ”

"Prepare another 210.5mg arginine hydrochloride to prevent metabolic alkalosis caused by excessive aldosterone. ”

As soon as the words fell, the nurse next to her was already quickly ready, controlled the temperature of the normal saline at 36 degrees, put it into the infusion bottle, and handed the disposable oxygen tube.

Originally, I wanted to choose a disposable PVC tube, but considering that the rectum was still obstructed after dilation, I used a thinner oxygen tube. Of course, double-lumen urinary catheters and disposable balloonless urinary catheters are also feasible.

After applying some liquid paraffin wax to the tip of the catheter, Sedum began to slowly set off along the valley road.

Seeing this, the people outside were a little surprised, and they all showed a look of disbelief.

"What is he doing here??"

"Is it to repeat the mistake of Ma Binghe?"

"No way, he won't intervene at all, didn't you find out that he was preparing saline?

"What? Enema, what is an enema? How do I seem to have heard of it somewhere?"

As a doctor who has worked in pediatrics for nearly ten years, I often hear people say that drug enemas work well every day, but as a doctor who has worked in a medical university for ten years, I know very little about the treatment of enema.

"Hehe, I've heard that those who have gone through the enema have listened to the nonsense of those old Chinese medicine doctors in small clinics, and as a result, they are either stomach paralysis, kidney failure, or shock death.

"It's impossible, in front of everyone's eyes, even if he has this heart, he doesn't have the courage. ”

Qi Xiuyuan said calmly: "Okay, don't quarrel, my grandfather is a Chinese medicine practitioner, and I don't know much about enema, but I think there are still old Chinese medicine doctors who are very powerful, but they are mixed, and a large number of small clinics have ruined the reputation of Chinese medicine." Although there are also those who think that Chinese medicine is not scientific, it is definitely an empirical science. Just like my dream lover Tu Youyou, she has probably made more than 200 traditional Chinese medicines, and there are more than 380 extraction methods, although all of them have not succeeded, but this is all experience. ”

"The dean is right, since ancient times, it has been the essence of the essence and the meal. Hawking's prophecy is what we have come to confirm, and the medicine of the ancients is not also for future generations to explore?

As a result, everyone's hearts were suddenly hooked by Jing Ye's behavior.

Jingye is like a man with boundless charm and difficulty in hiding the light, no need to sing, dance, rap, it is enough to make thousands of girls and deer crash and pound.

Let the eleven crows be excited without smelling blood.

In fact, this behavior of Sedum is not an enema in the true sense.

This is because an enema is fluidized with a catheter along the valley tract, through the rectum, and then into the colon.

But Jingye only enters the rectum and stops, and it does not enter the colon, besides, there is obstruction in the rectum, even if Jingye wants to enter, he can't get in.

That's why this kind of surgery is called rectal instillation therapy.

The principle of rectal instillation therapy is to introduce a certain amount of medicine into the rectum through the valley canal, absorb it by the rectal lymphatic system, and then enter the blood through the mesentery, chyle cistern, and thoracic duct, thereby improving blood circulation.

As long as the blood circulation disorder is removed, the symptoms of vascular intestinal obstruction will be suppressed, so that the interventional department can perform interventional surgery again.

At the same time, Jing Ye continued: "The patient was given a 4ml of sarcosinosinoside injection and an 80mg of drotavirine hydrochloride intramuscularly to promote blood circulation. ”

Although the preparation is sufficient, due to the small number of rectal mucosal folds, no villi, small fluid volume, small absorption area, slow drug absorption, and very limited amount of drug absorbed into the blood drug circulation, the effect is not very ideal.

To this end, Jing Ye added: "In addition, prepare a 2ml Guanxinning and a 10ml compound salvia for a higher dose." ”

Despite this, even if the treatment effect is very satisfactory, it will still have a negative effect on the rectum, because the rectal sensory nerves are particularly rich, and once such a strong dose is impacted, the intestinal mucosa, intestinal pH, and intestinal wall secretion will be damaged accordingly.

It is a medicine that is three parts poisonous.

But there is no way to do it, no medicine is innocent, as long as it is a medicine, there will be side effects, it will definitely destroy the body's immune function, different degrees of destruction, nothing more than the dosage size.

......

A few minutes later, interventional resident Ma Binghe came again.

"Stinky boy, didn't you say you wouldn't let me intervene for treatment?" Ma Binghe was dissatisfied, and there was always a feeling that Jing Ye was playing him as a monkey.

Jing Ye hurriedly explained: "Ahem, there were very tricky problems before, but I have paved the way for you, and the road ahead is smooth, so I promise that there will be no worries, please rest assured Uncle Ma." ”

After taking a reassuring pill, Ma Binghe's mood really improved, and it was cloudy and sunny again.

"Alright then, I'll try again. ”

Ma Binghe proceeded according to the previous process, and sure enough, this time after reaching the rectum, it was unimpeded.

Ma Binghe couldn't help but be surprised: "Boy, how did you do it?"

Jing Ye explained it simply, and after listening to it, Ma Binghe's face shone: "Boy, you can!"

After there was no intestinal obstruction, Ma Binghe's interventional surgery was much smoother, and the iodized oil embolic agent was directly aimed at the villous adenoma and was inactivated in one go.

The surgery went smoothly, first removing the melanomachyma and then necrosis villous adenoma, but this does not mean a cure.

Advanced tumors have been spread and metastasized insidiously long before surgery, which is simply undetectable at the current level of hospitals, even if it is a tertiary hospital or a world-class top medical technology.

But at least the original lesion has been solved, and the next operation is the hypothalamic hamartoma of the brain metastases.

however

When Jing Ye turned around and tested the hypothalamic hamartoma again, he was stunned for a moment......