Pain in the middle of the night after esophageal cancer surgery

summary

Esophageal cancer is a common digestive tract tumor. About 300000 people die of esophageal cancer every year in the world. The incidence rate and mortality rate vary widely among countries. China is one of the high incidence areas of esophageal cancer in the world, with an average mortality of about 150000 people every year. Male is more than female, the age of onset is more than 40 years old. The typical symptom of esophageal cancer is progressive dysphagia, first difficult to swallow dry food, then semi liquid food, and finally water and saliva. Let's talk about the conditioning after esophageal cancer surgery.

Pain in the middle of the night after esophageal cancer surgery

First, adjust the diet structure: after esophageal cancer surgery, it has little effect on free fatty acids in blood, but has obvious effect on fat soluble vitamins. The reasonable diet for patients after surgery should be low-fat, high sugar, high protein diet, and intravenous supplement when necessary. Stomach enzyme mixture, pancreatin mixture and multi enzyme preparation were given to help digestion of nutrients. The use of antidiarrheal drugs: such as phenethylpiperidine, bismuth hypocarbonate, etc.

Second: control infection: according to the pathogenic bacteria choose the appropriate antibiotic treatment. Generally, ampicillin, compound sulfamethoxazole, fluoroguaic acid and other antibiotics can be used. Rehydration: mild dehydration can be oral rehydration salt, severe dehydration can be intravenous infusion. Treatment shock: adjust microcirculation disorder, correct acidosis, can use vasodilator and basic drugs. Symptomatic support treatment: antidiarrheal agents can be used for patients with excessive diarrhea, accompanied by heart failure, brain edema, shock lung, disseminated intravascular coagulation, etc.; symptomatic treatment should be given as soon as possible.

Third: Chinese medicine treatment: BAITOUWENG decoction, Baitouweng 15g, Huanglian 10g, Huangbai 10g, Qinpi 10g, Gegen 10g, Danggui 10g, Baishao 10g, Muxiang 10g, areca 10g, Cangzhu 10g, Houpu 10g, shenggancao 10g, administration method: 1 dose of medicine decocted twice, 100-150ml before each time, once in the morning and once in the evening, drip retention enema. The longer the retention time, the better the effect. The enema solution must be filtered with gauze to prevent the dregs from blocking the infusion tube.

matters needing attention

1. The diet should focus on juicy and semi juicy food, gradually transition to soft food, chew and swallow slowly, and choose high protein and vitamin foods that are easy to digest and swallow. 2. Avoid fatigue, full rest, generally should not do upper body strenuous activities, also don't head too bent back or whirl. 3. In case of numbness or heavy pressure of the upper limb on the operation side, muscle massage should be performed on the affected upper limb and around the wound, but percussion and massage on the chest wall should be avoided. 3. Strengthen the movement of upper limb on the operation side to prevent upper limb dysfunction and muscle atrophy. 4. Regular review: once every three months in the first year, once every six months in the second year, and once every year thereafter. 5. Abnormal discomfort and nausea after eating, vomiting and even hematemesis, black stool or chest pain, cough, shortness of breath, fatigue, progressive emaciation should be timely checked in the hospital.