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17
He Zong Quan
General Surgery
About me
Chief Physician, with a Master's degree, engaged in general surgery for over 20 years. Visited the Siena Hospital in Italy for exchange in 2013, and studied in Shanghai Ruijin Hospital in 2014. Awarded the first prize for natural science paper in Tongling City in 2016. Published dozens of papers in national core journals.
Proficient in diseases
Capable of independently performing major and medium-sized surgeries such as those involving the liver, gallbladder, pancreas, and intestines, especially skilled in laparoscopic techniques for liver, gallbladder, and pancreatic diseases.
Voices
How to avoid tetanus with minor wounds
If minor wounds are not properly handled, they can lead to serious problems, including tetanus. Treatment for minor wounds should be based on the integrity of the skin, the depth of the wound, and whether the object causing the wound was rusty. For simple minor wounds where the integrity of the skin is maintained and only abrasions are present, disinfection of the affected skin area may suffice. If the wound has compromised the integrity of the skin and is deep, especially if caused by rusty, sharp objects, it is necessary to thoroughly remove any foreign materials, clean the wound, and suture it. Dressing changes might be required, along with tetanus vaccination to prevent tetanus infection.
Can acute pancreatitis turn into pancreatic cancer?
Acute pancreatitis and pancreatic cancer are two diseases that occur in the same organ, the pancreas. However, acute pancreatitis is entirely an inflammatory change, often caused by gallstones, alcohol consumption, binge eating, and hyperlipidemia, with some cases being idiopathic. Pancreatic cancer, on the other hand, is a tumorous lesion and is a malignant tumor that generally requires surgery. Many pancreatic cancer patients are already in the advanced stages when discovered, making the surgery difficult to perform. The prognosis for patients is also completely different. After the onset of acute pancreatitis and treatment, the pancreas recovers, the inflammation subsides, and it does not affect a person's lifespan. However, if pancreatic cancer is clearly diagnosed, the lifespan oftentimes does not extend beyond a few years.
Causes of vomiting in acute pancreatitis
Acute pancreatitis vomiting has various causes. Firstly, the pancreas is a digestive organ, and upon the onset of pancreatitis, a large amount of pancreatic enzymes is secreted, which significantly affects digestive functions. This easily causes gastrointestinal reactions, and if undigested stomach contents remain in the stomach cavity for too long, it will increase stomach cavity pressure, leading to frequent vomiting. The vomiting caused by acute pancreatitis generally does not alleviate symptoms after vomiting. The treatment primarily targets acute pancreatitis, including enzyme inhibition, acid suppression, and fasting to help reduce vomiting. The occurrence of vomiting is also related to increased intra-abdominal pressure. Following the onset of acute pancreatitis, if treatment is not timely, it can lead to increased intra-abdominal pressure. This increase in pressure can affect gastrointestinal motility, causing reflexive symptoms of nausea and vomiting.
What does it look like after an umbilical hernia is healed?
After umbilical hernia occurs, if it is cured and the wound heals, there is no difference from normal. There will be no lumps protruding from the abdominal wall. In principle, surgical treatment is often required after umbilical hernia occurs, as the likelihood of natural healing is small. The surgery mainly involves a tension-free umbilical hernia repair, which includes suturing the hernia ring and generally reinforcing it externally to ensure that the hernia does not recur. After the umbilical hernia is cured, the patient's navel will be flat with no protruding lumps, and there will be no incarceration of the hernia or compression of the intestines, which could cause gastrointestinal symptoms.
How long does it take to recover from mild acute pancreatitis?
After an acute pancreatitis attack, most require fasting, gastrointestinal decompression, acid suppression, enzyme inhibition, fluid replenishment, and maintenance of water and electrolyte balance to achieve early recovery from pancreatitis. After the onset of acute pancreatitis, it is first necessary to understand the cause of pancreatitis. Many patients have biliary pancreatitis, and some are considered to be caused by alcohol or hyperlipidemia. Depending on the type of pancreatitis, the course of the disease may vary. Clinically, the most common biliary pancreatitis caused by gallstones generally improves with conservative treatment. In most cases, the condition can be controlled within about three days and recovery can occur within a week, whereas pancreatitis caused by hyperlipidemia or alcohol may take about ten days to control the progression of the disease.
Is it normal to have a fever with acute pancreatitis?
Acute pancreatitis often occurs following gallstones, hyperlipidemia, and alcohol consumption. Patients with acute pancreatitis sometimes exhibit clear symptoms, including fever. This is due to the significant inflammatory irritation and the extravasation of pancreatic juices, causing infection and effusion around the pancreatic tissue. If not treated promptly, the fever may persist. Therefore, after diagnosing acute pancreatitis, treatments such as dietary restrictions, gastrointestinal decompression, enzyme inhibition, acid suppression, correction of fluid and electrolyte balance, and anti-infection measures should be taken. These treatments can delay or alleviate the progression of acute pancreatitis and help the patient's body recover sooner, thereby reducing the fever.
The causes of nausea and vomiting in acute pancreatitis
The causes of acute pancreatitis are often considered to be gallstones, as well as hyperlipidemia, alcohol-related reasons, and others. After the onset of pancreatitis, it usually causes significant gastrointestinal symptoms, accompanied by nausea and vomiting. Due to the increased intra-abdominal pressure, it can also cause abdominal compartment syndrome, which can exacerbate gastrointestinal symptoms. Therefore, the symptoms of nausea and vomiting may worsen, and after vomiting, symptoms do not ease significantly, which is a clear distinction from other diseases. After the onset of acute pancreatitis, it is necessary to address the root cause of the condition, and to use acid suppression, enzyme inhibition, and suppression of gastrointestinal symptoms to promote the recovery from pancreatitis.