2157 Chapter 2157 [2157]
It is faster and painless to do CT, and it can make a clear diagnosis. At the same time, if there is a blockage in the appendix, it can be photographed. If another intestinal CT is done together, it can be confirmed whether there are other obstructions by the way.
The two items measure the stakes, and the radiation of ct can be completely ignored. It is good to do ct. Everyone agrees with the proposal of the pediatrician, and the point of contention lies in defecation.
Shi Xu asked the pediatrician: "An enema?"
"We tried it in pediatrics, and the effect is not bad." Luo Jingming said to Nie Jiamin.
"You haven't tried it. Sudden perforation after enema, when the time comes, the family members will say that you have perforation from enema." Sun Yubo curled his lips.
Patients with appendicitis in general surgery are the most common, and such disputes have indeed occurred. Although anatomically speaking, the tube used for enema is only so long from the anorectum, far away from the appendix, and the pressure is not high at all. It is nonsense for the family members to insist on a causal relationship between the two. Helplessly, some family members will always only believe that certain clinical accidents are related to previous medical behaviors, and will not think that the patient's own condition is deteriorating, and make unreasonable troubles in the hospital.
What Sun Yubo said was reality. It is the last word when encountering appendicitis clinically. Because doctors, like everyone else, prefer less than more. How cool it is to cut it off with one knife, instead of suddenly piercing, and then the family will sue you for death.
That being the case, why do pediatricians dare to mention such a risky and seemingly useless thing as enema.
The enema does not have a direct therapeutic effect on appendicitis, and the enema at this moment is mainly aimed at other symptoms of the child. The child is constipated, defecates are blocked, and the intestines are somewhat obstructed, which adds to the burden on the body. Besides, appendicitis and constipation can be said to be somewhat related. Sometimes feces will be blocked in the appendix to form appendicitis, which shows that fecal obstruction in the intestine is not friendly to this disease. Constipation in other intestines can also cause nerve reflexes in organs and organs to spasm and narrow the lumen of the appendix, causing obstruction of blood supply, allowing bacteria to take advantage of it.
If the laxative is effective, it can indirectly reduce appendicitis.
Another important reason why the Department of Pediatrics dared to make suggestions was that Luo Jingming said unceremoniously to the second general: "Don't you watch people order food?"
It is a major feature of pediatrics that children's condition changes rapidly and their condition is unpredictable. Pediatrics is the second and third child in the hardest-hit areas of medical disputes, second only to obstetrics. Anyone who knows how to do it knows everything. Pediatrics has more experience in dealing with doctor-patient relations than general surgery.
Whether a doctor dares to make other risky attempts for patients depends on the family members.
Everyone turned their attention to Rongfang Sun: Mother Xie is too reliable as a family member.
Cao Yong leaned over and listened to the murmur of little friend Xie Youtian: "Sister——"
The son is calling his sister. Sun Rongfang sighed, her son used to be naughty at home and liked to confront his sister, calling her for help at critical moments. Same as her husband. On the surface, Xie Changrong scolded his daughter for nothing, but in his heart he was always concerned about her daughter's every move, caring more than anyone else. The old Xie's people have this kind of virtue, they are stubborn and love face.
A group of teachers and doctors around heard that the child was looking for his sister, and the string in his heart was touched. My sister is not here, she is saving other people's lives. Being a doctor will never avoid this kind of situation. If colleagues don't reach out to save colleagues, who would dare to do this job. A doctor's heart is either hard or soft. One by one, they feel that their lips and teeth are interdependent.
"It's okay, it's okay, your sister is not here, but your brother is here."
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