Chapter 2254 【2254】Find Out the Pot
I have talked about what a fistula is before. A tracheal fistula is a fistula that grows on the trachea at one end, and the other end is connected to the trachea to form a special-shaped channel that becomes another part of the human body. The most common one in adults is the pleura, which is a bronchopleural fistula. The cause of this disorder is usually traced to pulmonary infection such as tuberculous empyema pulmonary abscess.
When the two teachers and doctors heard the diagnosis of fistula that the student suspected, they immediately looked back at the child.
The respiratory rate of the child is acceptable, and there is no critical situation such as rapid suffocation. Moist rales represent an infection but no high fever. If it is a lung abscess, you will have a high fever. The heart rate is around 120, which is not off the chart. There was something strange about the child's condition. Saying that the child's condition is very serious does not seem to be very serious, and the vital signs did not burst into red alarm. Let's say the child is not sick, there are moist rales in the lungs. No wonder the two teachers struggled with amniotic fluid remaining in the lungs or choking on the milk.
Bronchopleural fistula? According to the photo, maybe the hidden fistula can be detected? In view of Mr. Xie's excellent performance in the past, Dr. Peng once again advocated paying attention to it: "Make a film and make a film."
"What she said probably wasn't what you thought." Dr. Wang said.
Neonatologists must react somewhat faster than obstetricians.
The colleague said "no", Dr. Peng looked at Dr. Wang and the students for a while, and suddenly realized: "Big belly."
The teacher finally remembered that a group of people stood here to study. The main reason was that the child's father said that the child had a "big belly". The reason why the teachers forget about it is because the child's symptoms of a big belly are not obvious.
She, Xie Wanying, persisted in this issue because she was familiar with the family of the child and knew the personality of the child's father, Hu Hao. Hu Hao's character is not very good, but after all, he is a college graduate with good college entrance examination results and a good IQ. The possibility of this kind of nonsense is too low.
If the father of the child is not sensitive, the symptoms of the child's big belly may be established. What are the causes of the child's big belly. Bloating means there is gas and liquid accumulation in the abdomen? If there is ascites, is it congenital hepatobiliary disease in newborns? If it is not gas and liquid, if the mass is felt, it means there is a solid tumor in the abdomen?
Abdominal palpation is mandatory. Doctor Wang's hand came again, pressing on the child's abdomen. The patient's condition is progressing. This time, Dr. Wang felt the gas symptoms similar to what Xie felt. At the same time, he noticed that the child had a lot of saliva and the child was spitting.
"That's right." Doctor Wang said with a serious expression.
"Innate." Dr. Peng followed his colleague's words with a long sigh.
The two had been arguing for a long time before, fearing that whoever mishandled it would cause the disaster, but it turned out to be the fault of a congenital disease.
Congenital diseases of newborns account for 23% of the overall proportion of newborns, which is actually not low. Usually, with the birth of the child, related symptoms will appear. If the symptoms are very mild and difficult to identify, limited by medical technology and other factors, the child may not be detected and diagnosed in time after the child is born, and the disease will be directly brought to many years later or even died. This ratio is not low in clinical practice.
These things, the family members of the children may not be able to understand.
Most of the family members of the children will ask the doctor anxiously when they hear that the child was born with a disease: You say that, is the prenatal check-up a waste of effort?