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Li Chang Yue
General Surgery
About me
Graduated from Harbin Medical University, has been working in the front line of clinical surgery since graduation.
Proficient in diseases
Common diseases in general surgery: gallstones, cholecystitis, bile duct stones, acute and chronic pancreatitis, pseudocysts of the pancreas, appendicitis, inguinal hernia, varicose veins of the lower limbs, superficial masses, enlarged lymph nodes, various wound treatments for external injuries, fibroadenoma of the breast, breast cancer, thyroid diseases, surgical treatment, post-injury and postoperative recovery guidance.
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What should I do if I have severe nausea with acute pancreatitis?
In cases of acute pancreatitis with severe nausea, it's crucial to first decompress the stomach and intestines. By removing gases, stomach contents, and gastric fluids, this effectively reduces symptoms such as abdominal distension, nausea, and vomiting. It also helps alleviate the burden on the intestines, indirectly relieving symptoms of nausea and vomiting. For more severe cases, it may be necessary to administer antiemetic drugs, including medications like Gastropin, which effectively alleviate issues caused by inflammation-induced nausea and vomiting. When necessary, drugs that suppress pancreatic enzyme secretion should also be administered, as these can help improve symptoms of nausea in acute pancreatitis.
Can an umbilical hernia be seen as a bulge?
Umbilical hernia manifests as a bulge around the belly button, mainly because the contents of the hernia include the intestines and omentum. This bulge becomes apparent when there is an increase in abdominal pressure due to crying or other activities, pushing the intestinal contents through the weak area around the navel, resulting in a noticeable protrusion. This bulge has a characteristic feature known as reducibility. It disappears when lying flat or in a calm state, but becomes more apparent and may increase in size when standing or under conditions of increased abdominal pressure, such as crying, shouting, or jumping. Clinically, this reducibility of the bulge is used to diagnose an umbilical hernia.
How long is the incubation period for intussusception?
The incubation period of intussusception generally varies depending on the severity of the condition. Intussusception most commonly occurs during infancy or in adulthood. Typically, the incubation period is around 2 to 3 years of age, which is when the chances of developing intussusception are highest. In adults, intussusception is generally associated with tumors. As the tumor grows or other pathological changes occur, the likelihood of intussusception significantly increases. Therefore, once symptoms appear in patients with intussusception, it indicates a severe condition. Thus, in cases where intussusception is clearly diagnosed, timely surgical intervention should be administered to effectively treat the disease.
Why does intussusception cause bleeding?
Patients experience bleeding in cases of intussusception primarily because the segment of intestine that telescopes into another suffers from poor blood supply, or ischemia and hypoxia, ultimately leading to ischemic and hypoxic hemorrhagic changes in the intestinal wall. As a result, patients often exhibit symptoms such as bloody stools or stool that resembles jam. The occurrence of bleeding in intussusception generally indicates a relatively severe case. Treatment methods vary between adults and children. For children with intussusception, manual reduction or air or barium enema can be used to perform pressure reduction, allowing the intussusception to be treated conservatively without the need for surgical intervention. However, for adults, if bleeding is present, it indicates that the intussusception is severe and might be due to tumors or other space-occupying lesions, necessitating active surgical treatment. This approach is effective in stopping the bleeding and identifying the underlying cause of the condition.
Can a hemangioma be seen on a CT scan?
Hemangiomas, especially typical or larger ones, can generally be identified or diagnosed through a CT scan. However, for smaller hemangiomas, a plain CT scan usually cannot conclusively diagnose the condition. For a definitive diagnosis of a hemangioma, an enhanced CT scan can be conducted. This type of CT scan can typically diagnose the disease and also help differentiate hemangiomas from other types of tumors. Therefore, for patients with hemangiomas, if they wish to use CT for diagnosis and examination, it should be combined with some color Doppler ultrasound and, if necessary, some MRI or enhanced CT scans for further diagnosis.
Is a second recurrence of acute pancreatitis serious?
Acute pancreatitis recurring for the second time is quite serious, as recurrent episodes of pancreatitis can lead to worsened conditions. Particularly after the second recurrence, there may be continuous damage to the pancreatic cells, leading to possible pancreatic fibrosis, and even severe complications such as pancreatogenic diabetes and pancreatic pseudocysts following substantial necrosis of the pancreas. Therefore, for recurrent pancreatitis, it is essential to adopt an aggressive treatment approach, aiming for early diagnosis and timely control measures. This can allow for comprehensive and effective treatment of pancreatitis, salvaging some damaged pancreatic cells, which might be more meaningful for the patient's prognosis. Thus, in cases of a second recurrence of acute pancreatitis with severe complications, active interventions including surgical treatment and other emergency measures should be pursued.
Does tetanus infect others?
Tetanus occurs when wounds are contaminated by Clostridium tetani, which then proliferates and grows within the human body, ultimately causing tetanus. Generally, tetanus is not transmitted from person to person; it usually occurs when bacteria invade the body through external injuries or wounds. Additionally, newborns may contract tetanus through the birth canal during delivery. Therefore, for deep or large wounds, especially in heavily contaminated conditions, it is crucial to clean and possibly stitch the wounds promptly. If necessary, tetanus immune globulin injections and vaccinations against these bacteria can be administered to thoroughly prevent the occurrence of tetanus.
The difference between umbilical hernia and umbilical sinus.
The main difference between umbilical hernia and umbilical sinus is that an umbilical hernia is primarily due to the weakness of the tissues around the navel. When the intra-abdominal pressure of a patient increases, it can easily cause intestinal contents to protrude through the weak umbilical ring. On the other hand, an umbilical sinus generally refers to certain secretions that form around the navel after the scab falls off post-birth in newborns, which sometimes can easily lead to infections. This condition is not caused by weakness of the navel but is likely related to localized infections after the umbilical cord is cut. Therefore, the mechanisms of these two conditions are different. Generally, an umbilical hernia requires surgical treatment, while an umbilical sinus can be completely healed by controlling the infection, and it does not pose significant harm.
Is cervical lymphadenopathy related to syphilis?
Enlargement of cervical lymph nodes is somewhat related to syphilis. Although cervical lymph node enlargement is not necessarily solely caused by syphilis, if syphilis progresses to its secondary or tertiary stages, it tends to cause lymph node enlargement, and severe cases may even lead to ulceration. This happens because after a syphilis infection, immune responses in the lymph cells are triggered by the Treponema pallidum, leading to the enlargement of cervical lymph nodes, and also possibly the lymph nodes under the arms and in the groin area. In such cases, it is advised to seek timely medical attention, complete the necessary immunological testing, and ensure an accurate diagnosis of syphilis. If cervical lymph node enlargement occurs, prolonged treatment with penicillin should be administered, as it effectively controls the Treponema pallidum and can help reduce the severity of the lymph node enlargement.
Do hemangiomas differentiate between benign and malignant?
Hemangiomas are a type of tumor commonly seen in clinical settings, generally not classified as benign or malignant because most hemangiomas are benign without malignant variants. Therefore, for patients diagnosed with hemangiomas, surgical removal may be considered if there is an impact on function or aesthetic appearance. Typically, treatment options for hemangiomas include surgical removal, the application of local sclerosing agents, or practices such as embolization. This is particularly true for visceral organs, such as liver and spleen hemangiomas, where interventional embolization can be utilized, yielding satisfactory results with minimal damage.