Chapter 553

It seems uncomfortable for the child to roll left and right on the sickbed.

The main reason is that he can only cry and can't talk, and he doesn't know where he's uncomfortable.

"Help click." Dr. Cui said.

Anzehan hurried over and finally came in handy.

He pressed the baby's hands and his mother pressed the baby's feet. Guo Xiang untied the child's coat and lifted the inner coat up.

Dr. Cui gently touched the baby's stomach, as if he had touched something hard.

Guo Xiang also reached out and touched, "is intussusception?"

Intussusception refers to the insertion of a segment of intestinal tube into the intestinal cavity connected to it, which leads to the obstruction of intestinal contents. Intussusception often occurs in infants and young children. The typical clinical manifestations are the quadruple sign of paroxysmal abdominal pain, vomiting, bloody stool, abdominal mass and changes of systemic conditions.

Food allergy and abdominal discharge are easy to cause intussusception.

Therefore, intussusception in children will be very painful, but it can't be said. It can only be expressed by crying.

Dr. Cui nodded and said to anzehan, "touch and feel it, too."

Anzehan is very grateful. This is Dr. Cui teaching himself palpation.

Guo Xiang helped hold down the baby who kept twisting his body. Anzehan also touched it carefully. Is this the touch of intussusception?

Guo Xiang took the opportunity to open the perspective. When he saw it, it was intussusception. One piece of intestines had been inserted into the other. No wonder the baby cried so badly. It must be very painful.

Dr. Cui took off the baby's pants and tied a diaper inside. When he opened it, there was jam like bloody stool on the diaper, which could be basically diagnosed as intussusception.

"Ah?" The child's mother screamed. She didn't find it before. She hurriedly asked, "doctor, what's wrong with the baby?"

"It should be intussusception. You should also have a B-ultrasound examination to see if the situation is serious. If it is serious, you may have to have an operation." Dr. Cui said.

"Surgery?" The child's mother was frightened.

Dr. Cui looked serious and hurriedly issued a bill. "Go and pay for the examination. Don't delay. If the situation is serious, it will be fatal."

The child's mother was scared to death. She ran out with the child and the bill.

"What should intussusception do?" Dr. Cui tested two students.

"Generally speaking, it is air enema, which uses the pressure of air to push out and reset the intestines inserted into the intestines. Air enema has small trauma and rapid recovery after hand, but it depends on the specific situation. If the intussusception is serious and there is small intestinal necrosis, it is necessary to operate immediately, remove the necrotic small intestine, and then anastomose the intestines." Said anzehan.

Dr. Cui nodded. The two students, girls with enough experience and boys with good theory, were very good.

Guo Xiang also nodded. Just now she had seen that the child's condition was not so serious. There was no small intestinal necrosis and intestinal perforation. Air enema should be OK.

"Shall we do it ourselves?" Asked Guo Xiang.

"Well, there is an operating room nearby with relevant equipment. Come with you later." Dr. Cui said.

"Yes!" They both nodded. Anzehan was especially happy. Guo Xiang knew everything. Dr. Cui didn't hide it. He could learn a lot.

After a while, the child's mother came back. Dr. Cui saw that it was intussusception, "treat it immediately!"

"Do you want an operation?" The child's mother asked anxiously.

"Small surgery, the one without surgery, you can watch it. I'll write a bill. You pay the fee and start right away." Dr. Cui said.

"Hey!" The child's mother is busy.

Guo Xiang saw that it was not easy for her to run up and down. She didn't ask her husband to come with her. She was too tired with her children.

"Why don't I help you pay the fee? If you give me the money, you'll have trouble with your children. " Guo Xiang said.

"Thank you!" The child's mother is very embarrassed.

"I'd better go!" An zeshu said that he didn't help much, and he could still do errands.

"Thank you, doctor!" The child's mother is very grateful. The doctors here are very kind.

Dr. Cui is also very satisfied. Both students are good, studious and diligent. Unfortunately, they are not majoring in pediatrics, otherwise it would be good to stay.

The child's mother gave the bill and money to anzehan. He quickly ran to pay the fee, and Dr. Cui took them to the operating room next door.

There is a therapeutic instrument for air enema.

Guo Xiang first gave the child an ordinary enema to keep the intestine clean, and then injected 5ml racemic anisodamine hydrochloride injection, which mainly relaxes the gastrointestinal smooth muscle, inhibits its peristalsis and relieves intestinal spasm, so as to avoid accidents during the operation.

Then apply lubricant to the baby's anus, insert the double lumen catheter with air bag, inject air into a branch pipe with syringe, inflate the air bag, block the anus to prevent air leakage, and then clamp it with hemostatic forceps.

Because the child didn't have to use anesthetic, he struggled very hard. An Zehan always helped to press the child's hand, and the child's mother pressed the child's leg to prevent him from breaking free.

The other branch pipe is connected to the instrument to inject an appropriate amount of air according to different patients.

There is also an X-ray machine on the instrument to shine on the chest and abdomen, so you can see the situation in the abdomen.

"Doctor, does this X-ray machine have radiation? Is it bad for children?" Asked the child's mother.

"The radiation is very small. It's okay." Guo Xiang said, "in this way, there is no need for laparotomy. Compared with laparotomy, the harm is still a little less."

The child's mother nodded. Of course, she couldn't do it without surgery. She always felt that she was seriously ill if she wanted to do it.

The air began to inject. It was obvious that the intestines on the screen connected to the X-ray machine were bulging like that long balloon, and the air pushed forward little by little.

Push it to the position of intussusception. The small intestine blocked in the intestines is pushed out a little bit because of the pressure of air, and then it is finally pushed out, and the intestines are reset.

Guo Xiang breathed a sigh of relief and gently rubbed the baby's stomach. Dr. Cui turned off the machine.

As soon as the intestines recovered, the baby stopped crying.

Guo Xiang pulled out the pipe and wiped the baby's ass.

Mother was very distressed and coaxed the baby into her arms.

"We still need to stay in the hospital for observation for a day, take anti-inflammatory injections, and pay attention to whether it will be repeated." Dr. Cui said.

"OK, listen to you." The child's mother nodded.

"Don't give your child anything to eat within 20 hours. After that, you can only eat liquid food. Don't suddenly change your usual diet in case your child's intestines and stomach don't adapt." Dr. Cui said.

"OK, thank you, doctor!" The child's mother was very grateful and went to the hospital.

Anzehan also breathed a sigh of relief. He didn't expect to sweat when he saw a child.

"You all did well!" Miss Cui looked at the two students and liked them very much.

"Thank you, Miss Cui." Two people smile.

Back to the clinic, there were several parents waiting with their children outside. There was another panic. I saw several babies before work. They were almost paralyzed after work.

"Are you tired? Go back and rest early! " Dr. Cui smiled.

The two students are really good and helped a lot. Unlike some interns in the past, they can't do anything at all, and some even help.

They changed their clothes, "I'll take you back!" Guo Xiang said to anzehan.

"I was just about to say." Anzehan said with a smile, "I got up early in the morning and came by myself. I'm on my way from work. You can pick me up."

"Let's go!" Guo Xiang smiled. They have known each other for so long, but they are almost the same as their sister and brother.