胃早癌Chapter 4 Early-stage gastric cancer
学习目标
1.了解内镜下黏膜剥离术
2.掌握术后饮食宣教
3.掌握以下词汇
early-stage gastric cancer 早期胃癌
endoscopic ultrasonography 超声内镜
be appropriate for 适合
endoscopic submucosal dissection 内镜黏膜下剥离术（ESD）
semi-fluid diet 半流质饮食
Li Bo is a patient in bed #29.He has been diagnosed with early-stage gastric cancer in a physical exam arranged by his company.He comes to the hospital for further treatment.Xu Dan is his primary nurse.She is talking with Li Bo and giving him a health instruction.
Xu Dan: Good morning, Li Bo.How was your sleep last night?
Li Bo: Morning, Xu Dan.I was quite worried and didn't sleep well last night.I am afraid my condition will get worse.
Xu Dan: Take it easy.You will undergo the endoscopic ultrasonography tomorrow.I am here to tell you about the dos and don'ts before the operation.
Li Bo: OK.I have undergone this examination before, and I know that I cannot eat or drink anything before the procedure.
Xu Dan: That's right.You are required to avoid food and drink after 10 pm today, until your doctor allows you.This examination helps determine whether the endoscopic submucosal dissection (ESD) is suitable for your conditions.
Li Bo: What is ESD?
Xu Dan: Generally speaking, ESD is a surgery of dissecting the lesion in your stomach using gastroscopy.Take it easy and have trust in us, since the success rate of ESD in our hospital is quite high.In addition, you need to cooperate with the nurses, and we will always be here with you.
Li Bo: Okay, thanks.What should I do after the operation?
Xu Dan: You should avoid food within the 24 hours after the procedure.After that, you may firstly choose liquid diet, like rice soup andjuice, etc.When the condition gets improved, you can eat semi-liquid diet such as porridge and noodles.After recovery you can switch to regular diet, but still avoid overeating.
Li Bo: OK.Thank you very much, Xu Dan.I will keep your advice in mind!
译文
李博是29床患者，体检时发现胃早癌，为进一步治疗来医院。徐丹是他的责任护士，她正在和李博对话并对他进行健康教育。
徐丹：早上好李博！昨天晚上睡得怎么样？
李博：早上好！我很紧张，昨天晚上也没睡好。我怕我的病情会恶化。
徐丹：放轻松，不要紧张！明天你就要做超声内镜，我给你讲一下手术前要注意些什么吧！
李博：好的。我曾做过这个检查，知道手术前不能吃东西，也不能喝水。
徐丹：对的，你今天晚上10点起就要禁食、水了，直到医生说你可以吃东西了才行。这个检查主要是为了确定你的情况适不适合进行ESD。
李博：什么是ESD啊？
徐丹：简而言之，ESD就是内镜下黏膜剥离术，也就是把胃里的病灶切掉。放轻松，我们医院这类手术的成功率挺高的，要相信我们医生，另外也要配合我们的护理工作，我们会一直陪伴在你的身边！
李博：好的，谢谢你！手术后我需要注意些什么？
徐丹：术后24小时不能进食。之后你开始可以吃流质，像米汤、果汁之类的；病情好转后就可以吃粥、面条之类的半流质；病情恢复后才可以进普食，但还是不能暴饮暴食！
李博：好的，非常感谢你徐丹！我会牢记你的意见！