"The sweat on my hands when I write the test paper will get the test paper wet, and the sweat on my feet often wet all the socks, which seriously affects normal life and study... Today, when I came to the hospital without hospitalization, day surgery relieved me of more than ten years of troubles, and I could be discharged on the same day, which was so convenient! Xiao Yang, a high school student who successfully cured hand sweat in the First Affiliated Hospital of Jiaotong University, was happy and excited about this.
High school studies are very stressful, so Xiao Yang can not take a long leave of absence to be hospitalized, but hand sweat disease seriously affects his normal study and life. Finally, with the joint efforts of the Day Surgery Center of the First Affiliated Hospital of Jiaotong University and the Department of Thoracic Surgery, on January 15, Dr. He Haiqi of the Department of Thoracic Surgery adopted the minimally invasive surgical method of "preserving spontaneous breathing non-tracheal intubation general anesthesia bilateral thoracic sympathetic chain severance", which cured Xiao Yang's hand sweat disease, and because the surgical method retained spontaneous breathing during the operation, there was no need for tracheal intubation, and the trauma was small and the recovery was fast. Anesthesiologists also use the anesthesia method of general anesthesia compound nerve block, which reduces the pain of the patient and is more conducive to postoperative recovery.
According to Professor Zhang Guangjian of Thoracic Surgery, through thoracoscopic surgery, it is only necessary to make a small hidden incision of 0.5 cm in the chest wall under the armpit and place it into the thoracoscope, and then use special instruments to cut off the sympathetic nerve that innervates the sweat glands of the hands, and the operation can usually be completed within forty minutes. There is almost no bleeding during the operation, and there is no need to place a chest drain tube after the operation. The symptoms of sweaty hands can disappear immediately after surgery, and the hands turn to a dry and warm state, from admission to discharge for no more than 24 hours, which is a veritable day surgery disease.
With such a short period of time to be discharged from the hospital, is day surgery safe? Professor Zhang Guangjian said that day surgery is not simply to compress time, but to improve surgery and anesthesia methods, as well as the application of rapid rehabilitation, so that patients can reach the discharge standard within 24 hours. "This is not simply seeking speed, but based on a single disease, clinical path, after the integration of resources to complete a set of standardized processes, must be the patient's vital signs to meet the standard before discharge." Moreover, after the postoperative patient is discharged from the hospital, the day surgery center has a full-time follow-up staff for continuous follow-up management, if the patient needs to change the dressing in the later stage, the day surgery center will also make an appointment in advance to fully consider the needs of the patient. Any problems that occur after the patient is discharged from the hospital can call the medical staff at any time and be solved by the full medical staff. According to him, the day surgery center broke through the traditional hospitalization model, using new ideas and new technologies to optimize the process, facilitate patients, save costs, and reduce the occurrence of nosocomial infections.
<h1>What is hand sweating? </h1>
Hand sweating disease mostly appears in adolescents and even childhood, manifested as sweating all year round, even in winter, the hands are cold and wet, and sweating is more serious when encountering stress, tension and anxiety. In addition to sweating on the hands, the feet and armpits often love to sweat, and some of the head, face, and groin also sweat. The incidence of hand sweat is between 1% and 3%. The incidence in the southern region of china may be as high as 4%-5%.
Sweating is light and heavy, mild is only wet skin, moderate can soak through a handkerchief, and heavy sweat will drip down. It is worth noting that hand sweating is mostly local hyperhidrosis, which is different from generalized hyperhidrosis caused by hyperthyroidism and diabetes.
Current treatments for hand sweat include non-surgical treatment and surgical treatment, mainly for moderate-to-severe hand sweating. Mild hand sweating has little impact on work and life and does not require treatment; premature treatment is not recommended in childhood.
1. Non-surgical treatment
(1) Antiperspirant: Apply antiperspirant drugs to the skin, so that the sweat is viscous and lumpy, blocking the opening of the sweat glands, which is actually to choke the sweat gland cells. The disadvantage is that it is used for a long time, and it is easy to have skin irritation symptoms such as rash, itching, and pain.
(2) Electroion osmosis therapy: the treatment requires soaking the hands and feet in an ionizing solution, and the symptoms improve for about 4 weeks. The main disadvantage is that it is time-consuming and requires soaking for 30 minutes a day, at least 4 times a week.
(3) Anticholinergic drugs: inhibit the secretion of sweat glands through oral drugs, producing a systemic effect, so it is suitable for systemic hyperhidrosis. However, after taking the drug, it will cause side effects, such as dry mouth and tongue, panic, indigestion and so on.
(4) Botulinum toxin block therapy: injection is carried out at multiple points of local skin, botulinum toxin can inhibit the secretion of sweat glands, but the effect can only be maintained for about 6 months, and repeated injections are required.
Surgical treatment is to cut the sympathetic nerve through minimally invasive techniques, the principle is like cutting the wire of a light bulb, so it can achieve a complete and lasting treatment effect, and is currently considered to be the most effective treatment for hand sweat.
Text/Photo Wang Chao and Zhang Lina, all-media reporters of Xi'an Newspaper
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