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74
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
Does intestinal obstruction cause fever?
It is possible, as the primary pathophysiological change in intestinal obstruction is the translocation of intestinal flora causing infection, which can lead to symptoms such as fever. Therefore, fever is also a factor in assessing the condition. If a patient has persistent high fever, they may even develop septic shock, which could necessitate surgical intervention such as exploratory laparotomy. Thus, fever is a common factor in intestinal obstruction, but it is not a mandatory one.
Why has the umbilical hernia become hard?
If the umbilical hernia becomes hard, it may indicate that it has become incarcerated. In such cases, vigorous activities should be avoided and one should rest appropriately or try to manually reduce the protruding hernia sac back into the abdominal cavity. In this situation, close observation is needed to check for intestinal necrosis or even rupture of the hernia. Generally, for umbilical hernias, most children can heal naturally within two years, particularly within the first six months if conservative treatment is chosen. One can use a coin or a piece of paper larger than the umbilical ring, wrap it around, press it against the umbilical ring, and then secure it with adhesive tape to prevent movement, which generally leads to healing within six months. If the umbilical ring still has a diameter greater than 1.5 cm after two years, surgical treatment is recommended as early as possible. If the child is over five years old and the umbilical hernia has not healed, timely surgical intervention should be chosen.
Nursing methods for umbilical hernia
Care methods for umbilical hernia, we need to pay attention to the following points. If during a child's intense crying or activity, the contents of the umbilical hernia protrusion are relatively large, it is important to promptly soothe the patient to avoid incarceration. Because if the incarceration lasts too long, it can lead to necrosis or even rupture of the intestine, potentially endangering the child's life and requiring emergency surgical treatment. The general conservative treatment method for umbilical hernia is to select a coin or flat plate larger than the diameter of the umbilical ring, wrap it around to press against the umbilical ring, and then secure it with adhesive tape to prevent movement. Generally, most children can self-heal within six months. If the umbilical hernia does not heal by itself after two years and the diameter of the umbilical ring is greater than 1.5 cm, surgery is recommended. In any case, if the patient is older than five years and has not healed in a timely manner, it is advisable to proactively opt for surgery as soon as possible.
Treatment methods for gastric varices
Gastric varices primarily refer to varices at the stomach base, often occurring in diseases characterized by portal hypertension associated with liver cirrhosis and as a complication of these gastric varices. For treating varices at the stomach base, if continuous hematemesis or vomiting blood occurs, there are several treatment options: The first is the injection of a sclerosing agent, which can achieve the purpose of hemostasis. Additionally, endoscopic ligation treatment can be considered. This method is very effective in preventing the rupture and bleeding of gastric varices. However, it is crucial to assess the overall status of the patient and determine whether liver cirrhosis can be prevented or treated.