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Zhang Peng
General Surgery
About me
Studied at Changzhi Medical College from 2004 to 2009, graduated with a bachelor's degree; Studied at Qinghai University from 2009 to 2012, graduated with a master's degree in surgery; Employed at Linfen People's Hospital in July 2012, working in general surgery to present. Visiting scholar at Peking University Medical School from March to December 2019.
Proficient in diseases
Common diseases in general surgery: comprehensive treatment of gastrointestinal tumors, thyroid and breast diseases, inguinal hernia, etc.
Voices
Principles of Intestinal Obstruction Treatment
In the treatment principles of intestinal obstruction, the basic treatment methods apply to both partial and complete intestinal obstructions. Firstly, gastrointestinal decompression is required based on the situation. Gastrointestinal decompression involves the insertion of a gastric tube, which is determined by whether the patient has symptoms of nausea and vomiting. If these symptoms are prominent, a gastric tube should be placed to drain the stomach contents, thus alleviating the burden and swelling of the intestines and aiding in the treatment of the disease. Another aspect is fluid replenishment and anti-inflammation, as intestinal obstruction will definitely lead to changes in intestinal flora and concurrent infections, making anti-infection measures very important. Fluid replenishment involves administering nutrient solutions to provide nutrition and prevent electrolyte imbalances. Additionally, enemas or traditional Chinese medicine may be used to facilitate intestinal motility. During this treatment process, it is crucial to closely monitor the condition to assess if exploratory surgery is indicated. As the condition can either improve or worsen, close observation is extremely important.
Intestinal Obstruction Nursing Measures
Intestinal obstruction is primarily a disease that requires treatment, which involves fasting from water, gastrointestinal decompression, anti-inflammation treatments, enemas, and sometimes the auxiliary use of traditional Chinese medicine. The nursing measures for this condition build upon these treatments and involve further management of daily activities. Generally, patients with intestinal obstruction must be cautious with their diet to avoid overeating or consuming foods that are hard to digest or that could potentially form obstructions. Secondly, it is important to manage and ensure that patients avoid vigorous exercise, as such activity can lead to the recurrence of intestinal obstruction, especially if there are adhesions within the abdominal cavity.
Can you run with an umbilical hernia?
Patients with umbilical hernias are generally advised against engaging in vigorous activities such as running and jumping. This is because an umbilical hernia is a type of hernia that can lead to incarceration or even rupture due to sudden increases in abdominal pressure, which would require emergency surgery. For umbilical hernias, conservative treatment is mostly adopted. Typically, affected children can self-heal within six months through conservative treatment. However, if the condition persists beyond the age of two and the diameter of the umbilical ring is still greater than 1.5 cm, surgical treatment is recommended. If the patient is over the age of five, it is advised to undergo surgery as soon as possible, regardless of the circumstances. Both before and after the surgery for an umbilical hernia, vigorous activities are not recommended. Intense activities increase abdominal pressure, which on one hand can lead to complications like incarceration, and on the other hand, can affect the outcome of the surgical treatment.
What foods are good for acute gastroenteritis?
For patients with acute gastroenteritis, it is mainly important to prevent very strong irritation to the entire mucosa of the digestive tract, otherwise symptoms such as abdominal pain and diarrhea may occur. For patients with acute gastroenteritis, in terms of diet, it is mainly important not to consume spicy and stimulating foods, to eat easily digestible foods as much as possible, and not to eat too much coarse dietary fiber, as this may be beneficial for alleviating the disease.
What is chronic gastritis?
Gastritis is divided into acute and chronic types. Chronic gastritis is primarily caused by various reasons that lead to chronic inflammation of the gastric mucosa or atrophic changes. This condition is quite common in clinical practice. Generally, about 85% of patients undergoing gastroscopy exhibit such symptoms, and with increasing age, the incidence of atrophic diseases gradually increases. The symptoms mainly manifest as abdominal pain, predominantly in the upper abdomen, bloating, belching, and even symptoms of black stools, which, if present, indicate bleeding of the gastric mucosa.
Is cervical polyp surgery painful?
Is cervical polyp surgery painful? The answer is not certain, as many minimally invasive techniques are now used, and some very effective anesthetics are applied, so the pain from cervical polyp surgery is not significant. When conducting hysteroscopic surgery or gynecological color ultrasound, if cervical polyps are found, they are generally removed through minimally invasive methods using a hysteroscope. The main purpose of this is to make a definitive pathological diagnosis of the polyp, which can help in early screening for many cervical diseases, such as cervical cancer.
How big must a liver hemangioma be to require surgery?
Regarding whether a liver hemangioma requires surgery, size is only one factor that determines the necessity of surgery. Generally, hemangiomas larger than five centimeters have reached the criterion for surgical intervention. However, while the size of the hemangioma is one aspect, we must also consider its location and whether there are any symptoms of compression, as well as the potential for further pathological changes. Therefore, the necessity for surgery is influenced by size, but it is just one of the factors. Of course, the larger the hemangioma, the higher the possibility of requiring surgery.
What is lipoma surgery?
The necessity of surgery for lipomas depends on their location. Lipomas are commonly found on the limbs. Whether surgery is needed depends on the size, location, and impact of the lipoma on the body. Surgery is generally recommended for lipomas that are particularly large or symptomatic. The surgical procedure involves excision followed by a pathological examination, as there is still a possibility that some lipomas could be liposarcomas, especially when located on the limbs, where such cases are more common. Therefore, for lipomas with significant symptoms and prominent manifestation, surgical removal is usually advised.
Enema method for intestinal obstruction
Enemas are an effective treatment measure in the management of intestinal obstruction. An enema involves a nurse using an enema bag to introduce about 500 milliliters of soapy water through a rounded-tip catheter into the rectum via the anus. Typically, the catheter is inserted about 30 centimeters deep. The purpose of injecting soapy water into the rectum is to stimulate intestinal peristalsis, leading to the expulsion of intestinal contents. During this process, it is important to avoid damage to the intestinal mucosa and consider the patient's tolerance. Generally, it is preferable to retain the soapy water for an extended period for better results.
Will an umbilical hernia cause abdominal pain?
Umbilical hernia may cause stomach pain. This is possible because an umbilical hernia occurs when the intestines push through a weak spot in the belly button area due to pressure. In most cases, it is the small intestine that protrudes through the hernia. If a large portion of the small intestine protrudes, it can lead to kinking and potentially cause an obstruction of the small intestine. Once the small intestine is obstructed, it can lead to abdominal pain, and may also be accompanied by bloating, nausea, and vomiting. Thus, in cases where the small intestine is kinked, it is possible for an umbilical hernia to cause stomach pain.