Chapter 553 Intussusception

  It seems uncomfortable for the child to roll around on the bed.

  The main reason is that he can only cry but can't speak, and he doesn't know where he is uncomfortable.

  "Help me click." Dr. Cui said.

  An Zehan hurried over, and he finally came in handy.

  He held down the baby's hands, the mother held down the baby's feet, Guo Xiang untied the child's coat and lifted the coat upwards.

  Doctor Cui gently touched the baby's belly with his hand, as if he had touched a hard object.

  Guo Xiang also stretched out his hand and touched it, "Is it intussusception?"

  Intussusception refers to a section of intestinal tube that is inserted into the intestinal lumen connected to it, which causes obstacles to the passage of intestinal contents. Intussusception is more common in infants and young children. The typical clinical manifestations are paroxysmal abdominal pain, vomiting, **** stools and intra-abdominal mass tetralogy and changes in the general condition.

  Food allergies, diarrhea, etc. can easily cause intussusception.

  Therefore, children with intussusception can be very painful, but they can’t tell, they can only express it by crying.

  Doctor Cui nodded, and said to An Zehan: "You also touch it and feel it."

  An Zehan is very grateful, this is Dr. Cui teaching himself to palpate.

  Guo Xiang helped hold the little baby who kept twisting his body, An Zehan also carefully touched it, it turns out that the feeling of intussusception is like this?

  Guo Xiang took the opportunity to open the fluoroscopy. At first glance, it turned out to be intussusception. One section of the intestine has already been inserted into the other section. No wonder the baby crying so hard, it must be very painful.

  Dr. Cui took off the baby’s trousers and tied a diaper inside. When he opened it, there was jam-like blood on the diaper. The diagnosis is basically an intussusception.

   "Huh?" The child's mother screamed. She hadn't noticed before, and hurriedly asked: "Doctor, what is the baby's disease?"

   "It should be intussusception, and I need to do a B-ultrasound examination to see if the condition is serious. If it is serious, surgery may be required." Dr. Cui said.

   "Surgery?" The child's mother was frightened.

  Dr. Cui's face was serious, and he hurriedly opened the order, “Go and pay the check, don’t delay, if the situation is serious, it will be fatal.”

  The mother of the child was almost scared to death, and ran out while holding the child with the slip.

  "What should I do with intussusception?" Dr. Cui tested two students.

"Generally speaking, it is an air enema, which uses the pressure of air to push the intestine into the intestine to reset it. The air enema is less traumatic and recovers quickly after the hand. However, it depends on the specific situation. If the intussusception is severe, there is small intestinal necrosis. Surgery is needed immediately to remove the necrotic small intestine, and then perform an intestinal anastomosis." An Zehan said.

  Dr. Cui nodded. Two students, the girls have enough experience, and the boys are good at theoretical studies, and they are both very good.

  Guo Xiang also nodded. She had already seen just now that the child’s condition is not that serious, and there is no small intestinal necrosis or perforation. An air enema should be enough.

  "Do we do it ourselves?" Guo Xiang asked.

   "Well, there is an operating room next to it with related equipment, so let's come together later." Dr. Cui said.

  "Yes!" Both nodded. An Zehan was especially happy. Guo Xiang knew everything, and Dr. Cui didn't hide it, so he could learn a lot.

  Not long after, the child’s mother came back, and Dr. Cui saw that it was an intussusception and said, “Get treatment right away!”

   "Do you want an operation?" the child's mother asked worriedly.

   "Minor surgery, the kind that does not require surgery, you can watch it by the side, I will pay the bill and you will start immediately." Dr. Cui said.

   "Hey!" The child's mother hurriedly responded.

  It’s not easy for Guo Xiang to see her running up and down. Why didn't she ask her husband to come with her, and it was too tired to bring the children.

  "Why don't I help you pay the bills? You give me the money, and it will be troublesome for you to bring your children." Guo Xiang said.

   "Thank you, then!" The child's mother was very embarrassed.

   "Let me go!" An Zehuan said, he didn't help much, he could still do errands.

  "Thank you, doctor!" The mother of the child is very grateful. The doctors here are really nice.

  Dr. Cui is also very satisfied. Both students are good, studious and diligent. Unfortunately, none of them are majors in pediatrics, otherwise it would be nice to stay.

  The child's mother gave the bills and money to An Zehan. He ran to pay the fee, and Dr. Cui took them to the operating room next door.

  There is a treatment device for air enema.

Guo Xiang first gave the child an ordinary enema to keep the intestines clean, and then injected 5 ml of racemic anisodamine hydrochloride injection, which mainly relaxes the smooth muscles of the gastrointestinal tract, inhibits its peristalsis, relieves the intestinal spasm, and avoids surgery. Accident.

  Then apply lubricant to the baby's anus, insert a double-lumen catheter with balloons, inject air into one tube with a syringe, expand the balloons to block the **** to prevent air leakage, and then clamp it with hemostatic forceps.

  Because the child doesn’t use anaesthetics, he struggles very hard. An Zehan has been helping to press the child’s hand while the child’s mother presses the child’s leg to prevent him from breaking free.

  The other pipe is connected to the instrument, and the appropriate amount of air is injected according to different patients.

  There is also an X-ray machine on the instrument to illuminate the chest and abdomen, so that you can see the situation inside the abdomen.

  "Doctor, does this X-ray machine have radiation? Is it bad for the child?" the mother asked.

   "This radiation is very small, it's okay." Guo Xiang said, "This way, there is no need to open the abdomen, and it is less harmful than open surgery."

  The child’s mother nodded. Of course, she could try her best without surgery, because she always felt that she would be seriously ill if she had to undergo surgery.

  Air began to be injected, and it was obvious that the intestines on the screen connected to the X-ray machine were bulging, slowly expanding like that kind of long balloon, and the air was pushing forward a little bit.

   Push to the position of intussusception, the small intestine blocked in the intestine is pushed out a little by the pressure of the air, and then finally all pushed out, and the intestine is reset.

  Guo Xiang breathed a sigh of relief, and gently rubbed the baby's belly, and Dr. Cui turned off the machine.

  The baby stopped crying as soon as the intestines recovered.

  Guo Xiang pulled out the tube and wiped the baby's ass.

  Mom felt very distressed, and she took the baby into her arms to coax.

  "We still have to stay in the hospital for observation for one day, and we should have anti-inflammatory injections, and pay attention to whether it will be repeated." Dr. Cui said.

   "Okay, listen to you." The child's mother nodded.

   “Don’t feed your child within 20 hours, and only eat liquid food afterwards. Don’t suddenly change the usual diet to prevent the child’s gastrointestinal disorders.” Dr. Cui said.

   "Okay, thank you doctor!" The mother of the child was very grateful, and then went through the hospitalization procedures.

  An Zehan also breathed a sigh of relief, unexpectedly sweating for a child to see a doctor.

   "You all performed well!" Teacher Cui looked at the two students and liked it very much.

   "Thank you Teacher Cui." The two smiled.

  Back to the clinic, there were already several parents waiting outside with their children, and there was another panic. They saw several babies before leaving get off work, and both of them were tired and paralyzed after work.

   "Tired? Go back and rest early!" Dr. Cui smiled.

  Both students are really good, they have helped a lot, unlike the previous interns who didn’t know anything at all, and some were even unhelpful.

  The two changed their clothes, "I'll take you back!" Guo Xiang said to An Zehan.

   "I'm just about to say it." An Zehan smiled, "I got up early in the morning and came by myself. You can pick me up when I get off work."

   "Let's go!" Guo Xiang smiled. The two have known each other for so long, and they are actually about the same as their siblings.

  　Thanks to Mo Xiaodou for rewarding 100 starting coins, okay!

  　　

  　

  (End of this chapter)