2256 【2256】Responsibility

Dr. Peng's worries skyrocketed again.

After the child's family members know about it, they will definitely criticize why the prenatal examination failed to detect the disease.

Esophageal atresia is a congenital malformation of the digestive tract, and some patients can be screened out by four-dimensional color Doppler ultrasound in the late second trimester.

It cannot be detected 100%, on the one hand, it may be due to the machine, and the results of the machine are naturally limited if the machine is not at the most advanced level.

Another aspect is the human factor. Not all sonographers are top-notch. Even in the top three, there are young doctors, and their technical level is worse than that of old doctors.

Other factors that affect the doctor's operation and judgment are often present. Pregnant women have the longest time for color Doppler ultrasound, and it is very common for a pregnant woman to take more than half an hour for color Doppler ultrasound. People in the queue at the back will complain and wish the doctor could act faster. Perhaps doctors will stick to the principle to avoid omissions, but they cannot avoid encountering special circumstances.

If the child's disease belongs to the rare type of this disease, the doctor will probably not be able to find it out.

So there is Dr. Wang's rebuttal to Dr. Peng as follows: "You are talking about the common type, and this child may be the most difficult type to distinguish. Otherwise, we just checked for a long time before we suspected the point."

Esophageal atresia is divided into five types. The first four types I to IV are all self-closing esophageal terminals. Only type V is the connection between the esophagus and the gastric tube, and only shows the presence of a fistula between the esophagus and the trachea. Anatomically, two vertical bars of trachea and esophagus plus a horizontal bar of fistula can be seen, presenting a vivid H shape, so it is also called H type.

The other types of esophagus are closed, and they will definitely not be able to feed after feeding, and they will choke out directly. This V-type is different, the digestive tract is open, which makes the child's symptoms appear more subtle.

The same principle applies to the examination. For other types, only a gastric tube can be inserted. If the tube fails to go down halfway, the esophagus must be interrupted. This is a quick way to differentially diagnose esophageal atresia. V-type is not, it is abnormal that the gastric tube cannot be inserted.

It's not that Dr. Peng is ignorant of this classification, but just complaining that he and his colleagues encountered special cases unluckily. Now it's all right, going out and explaining all this to the family members of the child is going to hurt my head.

"Teacher, let me go out and talk." Xie Wanying volunteered. She was the one who asked the teacher to help transfer Xiaomei Luo to the hospital for treatment, and she was responsible for the communication with the patient's family.

The thing that teachers like most about Mr. Xie is reflected in this is that he is responsible.

After Dr. Peng sighed, he said to her, "I'll go with you."

It is impossible for the teacher to let the students face their responsibilities alone.

Dr. Wang will quickly prescribe an examination for the child to confirm the diagnosis. The lucky thing for this child is that it was discovered in a timely manner, and it was found out that it was not fed milk, water, etc., and it would not cause further lung infection. Doctors can take all measures to block the development of the disease as much as possible, so as to prevent the child from developing into critical illness such as suffocation.

Walking to the neonatology department with Mr. Peng, Mr. Peng privately revealed to her Xie Wanying: "If this disease is really the case, the child will probably have to be transferred to another hospital."

Beidusan has no single son. This disease cannot be cured by internal medicine. Surgery is required, and the patient needs to be admitted to pediatric surgery.

Dr. Peng has long given up expectations for other departments in his hospital that cannot afford their excellent obstetrics.