Chapter 2273 【2273】Lecture
With just a few strokes of Xie, he drew an anatomical diagram from three angles on a piece of paper, showing a rich three-dimensional thinking path map. The large brush of the pen makes the shadow part more three-dimensional. Use the tip of the pen to hook the parts that need to be detailed. As far as she is concerned, drawing this thing is really easy, it is too easy.
Cao Zhao can imagine the human body in her mind, perhaps turning around like a Rubik's cube, and she can turn the human body to any plane she wants, as smooth as silk without hindrance.
He is a master of Rubik's Cube.
She stretched out her white and jade-like hand, like touching the back of Xie's head like a child: This is a good brain.
Xie Wanying didn't dare to move after being touched by the fairy brother, and concentrated on finishing the painting and handing it over to the teacher for review.
Looking at a good anatomical map is definitely much more comfortable and quicker than reading text. Cao Zhao took back the pen in her hand, put the cap on the pen and put it back into the pocket of his white coat. When she was painting just now, he looked at it all the way, and he probably knew it well.
"Comrade parents."
Hey, Hu Hao hurriedly responded and walked up to the doctor.
"The situation of your children is just like the picture in this painting." Cao Zhao said while using his fingers as teaching sticks to give medical lessons to parents.
At this moment, the parents turned themselves into children, listening carefully to every detail of the child's condition told by the doctor.
"The esophagus is here, and the trachea is here. The hospital you went to before was a maternity hospital, wasn't it?"
"yes."
"The Department of Pediatrics in the Obstetrics Hospital is not unprofessional, it may not be comprehensive. The Department of Neonatology in Beidu No. 3 is very general. Its digestive tract X-rays are not good. It may be because it was anxious to transfer the child to a specialized hospital, and did not take it seriously. Gastrointestinal radiography. If the initial suspicion is H-type esophageal atresia, you need to clearly see where the fistula is and whether there is a fistula in order to make a definite diagnosis. It is necessary to take a gastrointestinal radiography and inject a contrast agent. Such a small child, you let him How do you swallow the contrast agent? Under special circumstances, you can insert a three-lumen two-capsule catheter and inject the contrast agent.”
"Can't I take a CT?"
"CT can be taken. But if you have been to the hospital to check the digestive tract, you will hear from the doctor that some adult digestive tract examinations, such as fistulas, are very effective in developing gastrointestinal lesions. CT also has digestive tract contrast. "
CT also has gastrointestinal contrast. For ordinary people who do not understand medicine, it may be cold knowledge. They usually think that a barium meal is just an X-ray film. At this stage, multi-slice spiral CT technology is immature, and gastrointestinal radiography has advantages.
"So my son is not necessarily—" Hu Hao asked.
"The results of the examination must be clear first. Gastrointestinal radiography is needed. If it is found to be positive, let's talk about it. For H-type esophageal atresia, some children are highly suspicious of it, but the radiography shows that it is not, and there is no X-ray sign of contrast medium entering the trachea. "
"If not, my son's condition—"
"This involves another problem. If it is really impossible to detect it, the child's lung infection and pneumoperitoneum and other symptoms have not disappeared, and the doctor has to doubt this direction again. It may be necessary to wait until the fistula is larger before taking an X-ray. It may come out. It may not be able to be photographed at all, it can only be seen by the doctor to see if it is necessary to open the chest to help the child find the fistula. This is usually the family member who asks for emergency surgery to make the last effort when there is no other way.”