Chapter 2167 【2167】Indications

For that matter. Huang Zhilei wanted to scratch his head. Brother Cao didn't say anything after he picked up the child, and he didn't know why and how to answer.

Let’s say that the child is seriously ill. If he is seriously ill, he should be sent to the emergency room instead of the office. There is no oxygen in the office.

A bunch of famous doctors are not arguing about administering rescue medicine to patients or intubating patients for emergency cardiac compression and defibrillation, etc... but whether enema is effective or not.

"It's useless for your surgeon to just give him an enema." Jiang Mingzhu said, "If he doesn't have an operation for appendicitis, you can try to use a colonoscope to check the intestinal tract and appendix. Colonoscopy is more accurate and intuitive than CT. You can clearly identify whether there is any feces left in the intestinal tract, and if there is any, take it out and rinse it to reduce inflammation."

(At that time, there was no ERAT endoscopic retrograde appendicitis treatment. The principle of ERAT surgery is similar to the method mentioned above by Jiang Mingzhu. The method of endoscopic examination of the appendix and feces washing is mainly for patients with fecal stones. residual appendicitis.)

Xie Youtian's situation is indeed suspected of appendicitis caused by feces.

"You're too impatient. I don't know how the effect will be after the enema just finished. Let's talk about the follow-up situation." Dr. Jiang from the first general surgery waved her hand at her suggestion.

"I'm not in a hurry. I just thought that if I made up my mind not to perform surgery to remove the appendix for this child, and wanted to try more other methods, I could make a plan for digestive endoscopic surgery in advance." Jiang Mingzhu said. Physicians are careful, advocating the need to plan ahead.

Yu Xuexian said to her: Yes.

After listening to the words of the two of them, the surgeon disagreed and retorted:

"Your endoscopy is fine, but other treatments are very common. The appendix is ​​very special. It is very difficult for your endoscope to go to the appendix. This child must not cooperate, and he must be anesthetized, otherwise he will not be able to do it."

"The endoscopic examination method you mentioned is not much different from conservative treatment. If the inflammation is small, the inflammation will naturally dissipate under conservative treatment. Later, the child will be given blood and injections. If the inflammation is large, you just wash it for two weeks. How can it be possible to eradicate the inflammation in this area. Antibiotics are effective and there must be a sufficient course of treatment. In severe cases, our surgery will do incision, open drainage and flushing in the suppurated area. If it recurs, it can only be surgically cut off in the end."

(The future ERAT surgery also has this defect, which requires some indications.)

It is not easy to keep the appendix.

The current confidence of the surgery department in conservative treatment is mainly based on the fact that the child's condition was discovered relatively early.

After being yelled at by the surgeon, Jiang Mingzhu heaved a few breaths, thought again, and insisted on her internal medicine opinion.

The Department of Internal Medicine was not limited to digestion and internal medicine. Dr. Lin from the Department of Cardiology said: "The child's heart rate is too fast and his breathing rate is fast. It is difficult to explain whether he is caused by pure fear. Because he is in pain and has a fever. Increase his heart rate and breathing rate. If you want to feel at ease, let him stay in the hospital for observation, right?" After speaking, he looked at Jin Tianyu.

Jin Tianyu didn't think as simple as his colleagues. The enema issue had become such a quarrel. If the child was hospitalized, which department would he arrange for?

Besides, do you have any opinions outside of your heart?

Fu Xinheng didn't open his mouth.

Zhu Huicang adjusted his glasses: "The attending doctor is still silent?"

The views of each subject are all here, and it is the correct way to let the attending doctor get the final opinion.