BXBX NOVEL Chapter 2332: 【2332】Reverse cheer
In the case of intussusception, the most straightforward and easiest way to get the inset intestines out and restore them to their original state is to stretch the doctor's hand in and straighten the broken intestines. That's the same as going to be a knife.
Duan Sanbao knew that what Xie suggested was definitely not referring to this surgery. This is not to say that there are no conditions at the scene. The Emergency Department of the First Children's Department has an emergency operating room for emergency surgery, but there is no specialist doctor.
If the emergency doctor has the ability to cure the case himself, it is your cow. In fact, what the emergency doctor can do is to protect the child as long as possible until the specialist arrives. They are not what pediatric general surgeons prescribe.
Is there no way to do it without surgery? As mentioned in many medical cases before, medicine and other engineering disciplines have the same effect. Without surgery, the doctor's hand will not go in to reset the discounted intestines, and tools can be used to solve the problem according to the principles of engineering.
The intestines are said to be a bit like rubber tubes. In addition to pulling out the integration with external force, the discounted rubber tube often has to bulge the dented rubber item. Another method is usually called pumping.
At this point, you can try to inflate the intestinal cavity in the opposite direction, and use the momentum of the gas to force the discounted section inserted into the recess to exit. This method of repositioning the bowel is clinically called an air enema.
Due to the downward movement of the peristaltic wave, most of the intussusception is consistent with the activity of the peristaltic wave, from the proximal end to the distal end. When pumping, you have to do it the other way around and hit from the far end. To play from the far end, the outlet of the human distal intestinal tract is the human anus, that is, the air is injected into the intestinal tube from the anus.
Injecting air into the human body is a high-risk operation, and the doctor must perform it under the monitoring of visual effects.
It is not suitable to use b-ultrasound to see the condition of the whole intestine after gas injection without abdominal opening. b-ultrasound can only perform local observation. We can think of the closest surgical monitoring method to this method, yes, it is interventional surgery.
Like interventional surgery, X-ray machine fluoroscopy system is adopted, and real-time surgical monitoring can be achieved at any time. Although barium meal fluoroscopy to examine patients with intussusception is more dangerous to be eliminated. Air enema is not like barium meal, it is not indigestible barium but air, relatively speaking, the complete coefficient is higher. To sum up, what Xie is referring to is the air enema reset method under fluoroscopy.
Student Wei rushes to speak again: "I know, Yingying is talking about using air enema."
Xie Wanying thought: Wei quickly showed his special attention to the pediatrics every time. The students said that Wei's grades were average, and only Wei's interest in pediatrics could be explained. The question is, why did Mr. Wei deny it himself? Could it be that Mr. Wei denies that he likes pediatrics for the sake of making a statement?
"Don't you know about air enema?" Seeing that Duan Sanbao didn't respond, Wei Shangquan questioned what the country's top scholar was doing.
The attending doctor was clearly concerned. The concerns of young doctors are understandable, and young doctors have little experience in getting started. At present, the occurrence time of intussusception in this child is probably more than 48 hours, and the elders in the family discovered the abnormality of the child too late.
(end of this chapter)