Chapter 2255 [2255] Hard to Find

How many prenatal checkups did you spend and how much did you spend? !

In the thoughts of family members, I often heard that some pregnant women were found to have fetal problems during the prenatal examination and were advised by the doctor to have an abortion. The prenatal examination should completely detect the unhealthy fetus.

This is the reason for Dr. Peng's sad sigh. Going out now to talk about this matter with the family members of the child, it is estimated that there will be a lot of quarrels. The patient's father has previously questioned the negligence of their medical staff.

It is expected that the family members will not only complain that the obstetrician did not detect the fetal disease in advance, but also that the neonatologist did not realize that my baby was sick until 20 hours later.

Dr. Wang's mood is not much better than that of Dr. Peng, but a doctor needs to admit the actual situation: "The child's disease is not easy to find."

"Is this esophageal atresia?" Dr. Peng asked his colleagues.

The common tracheal fistula in neonatology is not bronchopleural fistula, but a relatively rare disease called esophageal atresia.

The child's "big belly" is actually pneumoperitoneum, the abdominal distension caused by gas entering the stomach and intestines.

Where does this gastrointestinal gas come from?

The amount of gas inhaled by the normal population into the human digestive tract is a small amount, which is not enough to cause abdominal distension. The gas inhaled by the human body mainly goes through the nose and goes to the lungs for gas exchange.

Some clinically abnormal diseases are caused by the anatomical differences between the patient's human body structure and the normal human body. If the gas does not take the normal path to the lungs, but goes to the abnormal path of the digestive tract, it may cause pneumoperitoneum.

The abnormal path is what classmate Xie said. A fistula is formed between the child's trachea and the digestive tract, and the gas that the child should have inhaled into the lungs escapes to the digestive tract. It can be seen in human anatomy that the digestive tract organ next to the trachea is the esophagus, and abnormal fistulas are most likely to occur here. The fact is the same, called esophagotracheal fistula.

Esophagotracheal fistula can be said to be a symptom of the result, and the cause can be trauma, infection, and so on. In the neonatology department, doctors should pay attention to checking whether it is a congenital disease.

For a newborn child with a good score at birth, the possibility of factors such as trauma and external infection is indeed lower, and the possibility of congenital etiology is higher. Among the esophagotracheal fistulas caused by congenital diseases in newborns, congenital esophageal atresia, as Dr. Peng said, is the most common cause.

Dr. Peng continued: "If the esophagus is atresia, I should not be able to breastfeed."

The spearhead pointed out that there was no abnormality in breastfeeding in the neonatology department before?

Esophageal atresia, as the name suggests, is the closure of the esophagus, that is, the end of the esophagus as a digestive tract tube. To put it more simply and concretely, the esophagus is like the terminal of a water pipe and is not connected to the sink (stomach). If a part of the body of a child suffering from this disease is cut open, it can be clearly seen that the esophagus and stomach are not connected, and the esophagus is closed by itself. The digestive tract, which should have been unobstructed, has been emptied for a while in this place.

So strange, why does the esophagus close by itself? It is said that the disease is congenital, which means that it is caused by the poor development of the fetus in the mother's body. Looking back at the various causes of the child's congenital diseases, there are many factors. It may be that the mother encountered the surrounding polluted environment during pregnancy, and it may be that the chromosomal abnormality of the father and mother caused the child to develop abnormally. For these reasons, it is difficult to find out the truth in medicine for the time being.