Reborn Wife Strikes Back in the 80s

It seems very uncomfortable for the child to roll from side to side on the clinic bed.

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

Press it for help, said Dr. Cui.

An Zehan came over quickly, and he was finally able to come in handy.

He held the baby's hands, the mother held the baby's feet, Guo Xiang unbuttoned the child's jacket, and lifted the undershirt up.

Dr. Cui gently touched the baby's belly, as if he had touched something hard.

Guo Xiang also reached out and touched it, Is it intussusception?

Intussusception is when a section of bowel becomes invaginated into the lumen of the bowel to which it is attached, resulting in an obstruction to the passage of bowel contents. Intussusception mostly occurs in infants and young children, and the typical clinical manifestations are episodic abdominal pain, vomiting, bloody stool, intra-abdominal mass tetralogy and changes in systemic conditions.

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

Therefore, the intussusception of a child will be very painful, but it can't be said, and can only be expressed by crying.

Dr. Cui nodded and said to An Zehan, You can also touch and feel it.

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

Guo Xiang helped hold down the baby who kept twisting his body, and An Zehan also touched it carefully. It turns out that the intussusception feels like this?

Guo Xiang also took the opportunity to open a fluoroscopy, and when he saw it, it turned out to be intussusception. One part of the intestines had already been inserted into the other part of the intestines. No wonder the baby was crying so hard, it must be very painful.

Dr. Cui took off the baby's pants again, with a diaper tied inside, and opened it to see that there was jam-like bloody stool on the diaper, which could basically be diagnosed as intussusception.

Ah? The child's mother exclaimed. She hadn't noticed it before, and hurriedly asked, Doctor, what's wrong with the baby?

It should be intussusception, and a B-ultrasound should be done to see if the situation is serious. If it is serious, surgery may be required. Dr. Cui said.

Surgery? The child's mother was horrified.

Dr. Cui's face was serious, and he hurriedly placed the order, Go and pay for the inspection, don't delay, if the situation is serious, it will be fatal.

The child's mother was scared to death.

I ran out with the baby in my hand.

What should I do about intussusception? Dr. Cui examined two students.

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

Dr. Cui nodded. The two students, the girls are experienced, and the boys are good at theory, they are all good.

Guo Xiang also nodded. She had already seen it just now that the child's condition was not that serious. There was no small bowel necrosis and intestinal perforation. It should be enough to do an air enema.

Do we do it ourselves? Guo Xiang asked.

Well, there is an operating room next to it with related equipment. You can come together later. Dr. Cui said.

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

After a while, the child's mother came back. When Dr. Cui saw that it was intussusception, he said, Treat it right away!

Do you want surgery? the child's mother asked worriedly.

Minor surgeries, the kind that don't require surgery, you can watch from the side. I'll make an order and you will pay for it. It will start immediately. Dr. Cui said.

Hey! the child's mother hurriedly responded.

Guo Xiang saw that it was not easy for her to run up and down. She didn't ask her husband to come with her, and she was too tired to bring her children.

Would you like me to pay for you? If you give me the money, 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, and he could still do errands.

Thank you doctor! The child's mother is very grateful, the doctor here is really good.

Dr. Cui is also very satisfied. Both students are good, eager to learn and diligent. Unfortunately, neither of them majored in pediatrics, otherwise it would be good to stay.

The child's mother handed the bill and money to An Zehan, he quickly ran to pay the fee, and Dr. Cui took them to the operating room next door.

There are therapeutic devices for air enema.

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

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

Because the child did not need anesthesia, he struggled hard. An Zehan kept helping to hold the child's hand, while the child's mother pressed the child's leg to prevent him from breaking free.

The other tube is connected to the instrument, and an 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 the situation in the abdomen can be seen.

Doctor, does this X-ray machine emit radiation, and is it bad for the child? the child's mother asked.

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

The child's mother nodded. Of course, she could avoid surgery as much as possible. She always felt that surgery would be a serious illness.

The air began to be injected, and it was obvious that the intestines were bulging on the screen connected to the X-ray machine, slowly expanding like a long balloon, and the air pushed forward little by little.

Pushed to the position of intussusception, the small intestine blocked in the intestinal tube was pushed out a little bit by the pressure of the air, and finally all of it was pushed out, and the intestines were reset.

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

As soon as the intestines recovered, the baby was no longer in pain, and immediately stopped crying.

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

The mother was very distressed and held the baby in her arms to coax her.

It is still necessary to stay in the hospital for a day for observation, to take anti-inflammatory injections, and pay attention to whether it will recur. Dr. Cui said.

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

Don't give your child food for 20 hours, and you can only eat liquid food after that. Don't suddenly change your usual diet to prevent your child from gastrointestinal discomfort, Dr. Cui said.

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

An Zehan also breathed a sigh of relief, not expecting to sweat a child when he saw a doctor.

You guys are doing well! Teacher Cui looked at the two students and liked them very much.

Thank you, Teacher Cui. The two smiled.

Back in the consultation room, there were already several parents waiting outside with their children in their arms, and there was another wave of panic. Before leaving get off work, I saw several babies. After work, both of them were almost paralyzed.

Are you tired? Go back to rest early! Dr. Cui smiled.

The two students were really good and helped a lot, unlike some interns in the past who didn't know anything at all, and some were a disservice.

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

That's what I was about to say. An Zehan smiled, I woke up early in the morning and came here by myself. You can pick me up on the way after get off work.

Let's go! Guo Xiang smiled, the two of them had known each other for so long, in fact, they were almost like siblings.

vertex

txt download address:

phone-reading: