BXBX NOVEL Chapter 2256: [2256] In charge
The family of the child will definitely criticize why the prenatal examination failed to detect the disease.
Esophageal atresia is a congenital malformation of the digestive tract. Some patients can be screened out by 4D color Doppler ultrasound in the second and later stages of pregnancy.
cannot be detected 100%. On the one hand, it may be due to the machine. The results obtained by the machine are naturally limited if they are not at the most advanced level.
On the other hand, it is the human factor. Not all sonographers are top-notch. Even in the top three, there are young doctors, and their technical level is lower than that of old doctors.
There are often other factors that affect the operation and judgment of doctors. Pregnant women have the longest color ultrasound time. It is very common for a pregnant woman to have a color ultrasound examination for more than half an hour. The people in the line at the back would complain and wish the doctor could move faster. Perhaps the doctor will adhere to the principle to avoid omissions, but it cannot avoid encountering special circumstances.
If the disease in the child belongs to a rare type of this disease, the doctor will probably not be able to find it out.
Therefore, Dr. Wang retorted to Dr. Peng as follows: "You are talking about the common type. This child may be the most difficult type to distinguish. V type. Otherwise, we just checked for a long time before we suspected it."
Esophageal atresia is divided into five types, the first four types I to IV, all of which are self-closing of the esophagus terminal, only the V type, which is the connection between the esophagus and the gastric tube, and only shows that there is a fistula between the esophagus and the trachea. Anatomically, it can be seen that two vertical bars of the trachea and esophagus are combined with a fistula transverse bar, which presents an image of H shape, so it is also called H type.
Several other types of esophagus have been closed, and if you are breastfeeding, you will definitely not be able to feed it. This V-type is different, the digestive tract is open, which makes the symptoms of children appear more hidden.
The same is true for the examination. For other types, you can only insert a gastric tube. If the tube cannot be inserted into half, the esophagus must be interrupted. This is a rapid differential diagnosis of esophageal atresia. V-type is not, the gastric tube can not be inserted abnormally.
It’s not that Dr. Peng doesn’t know this classification, but he just complained that he and his colleagues were unlucky enough to encounter a special case. It's alright now, it's going to hurt my head to go out and explain all this to the family of the patient.
"Teacher, let me go out and talk." Xie Wanying volunteered. At the beginning, she asked the teacher to help transfer Luo Xiaomei to the hospital for treatment, and it was her who was responsible for the communication with the patient's family.
Xie classmates most liked by the teachers and it is reflected here.
Dr. Peng sighed and said to her, "I'll go with you."
It is impossible for a teacher to let a student face the responsibility alone.
Dr. Wang wants to quickly prescribe an examination for the child to confirm the diagnosis. The lucky thing for this child is that it was found in time, and it was found that he did not breastfeed or drink water, etc., and he would not say that the lungs would be further infected. Doctors can take all measures to block the development of the disease as much as possible to prevent the child from developing into a critical condition such as suffocation.
and Mr. Peng walked outside the neonatology department, and Ms. Peng revealed to her Xie Wanying privately: "If this is the real disease, the child will probably be transferred to another hospital."
Beidusan has no separate children. This disease cannot be cured by internal medicine. Surgery is required, and the patient must be admitted to pediatric surgery.
Dr. Peng has long given up his expectations for other departments in his hospital that cannot support their excellent obstetrics department.
(end of this chapter)