Chapter 2332 【2332】Reverse Cheer

Repositioning, common people may hear this term most often from doctors in orthopedics, such as joint reduction. The dislocated joint doctor used manipulation to reset it. According to this, the meaning of reset is well understood. In medicine, it means to restore the organs to their original normal state.

In intussusception, the most straightforward and easy-to-think method to get the encased intestine out and restore it to its original state is nothing more than a doctor's hand reaching in to straighten the folded intestine. If this is the case, it will be a knife.

Duan Sanbao knew that student Xie's suggestion was definitely not referring to the surgery. It’s not that there are no conditions at the scene. The Emergency Department of Seoul has an emergency operating room for emergency surgery, but there is no specialist doctor.

If the emergency doctor has the ability to cure the case, you are considered a cow. In fact, what the emergency doctor can usually do is to guard the child and wait until the specialist doctor arrives. They are not pediatric general surgeons.

Is there no other way without surgery? As mentioned in many medical cases before, medicine and other engineering disciplines have similar results but different approaches. Without surgery, the doctor's hand does not go in to reset the discounted intestines, and tools can be used to solve problems according to engineering principles.

The intestine is an organ that says it's a bit like a rubber tube. In addition to pulling out the folded rubber tube with external force, it is often necessary to bulge the sunken rubber item, which can usually be called inflating by another method.

In this regard, you can try to pump air in reverse in the intestinal cavity, and use the momentum of the gas to force the folded section that is inserted backward into the recess to exit. This method of resetting the intestines is clinically called an air enema.

Due to the downward movement of the peristaltic wave, most of the intussusception is consistent with the movement of the peristaltic wave, from the proximal end to the distal end. When pumping, you have to do it the other way around, from the far end. To blow from the far end, the outlet of the human body’s distal intestinal tract is the anus of the human body, that is, air is injected from the anus to the intestine.

Infusing air into the human body is a high-risk operation, and doctors must perform it under the monitoring of visual effects.

It is definitely inappropriate to use B-ultrasound to see the condition of the whole intestine after gas injection without laparotomy. B-ultrasound can only be used for partial observation. We can think of the real-time surgical monitoring method closest to this method, yes, it is interventional surgery.

Like interventional surgery, the X-ray machine perspective system can be used for real-time surgical monitoring at any time. Although barium meal fluoroscopy is more dangerous for patients with intussusception, it is eliminated. Air enema is not like barium meal, what is injected is not indigestible barium but air, relatively speaking, the coefficient of completeness is higher. To sum up, what Xie refers to is the air enema reset method under fluoroscopy.

Classmate Wei rushed to speak again: "I know, Yingying is talking about using air enema."

Xie Wanying thought: Every time Wei students reacted to pediatrics, she quickly showed special attention to it. The students said that Wei's grades were mediocre, and only Wei's interest in pediatrics can be explained. The question is why student Wei himself denies it. Is it because Student Wei denies that he likes pediatrics for the sake of making a fool of himself?

"Don't you know about air enemas?" Seeing that Duan Sanbao didn't reply, Wei Shangquan questioned what this Guodu Xueba was doing.

The attending physician was clearly concerned. It is understandable that young doctors have a lot of concerns. Young doctors have little hands-on experience and no confidence. At present, the onset of intussusception in this child may take more than 48 hours, and the elders in the family discovered the abnormality in the child too late.