I have talked about what a fistula is. A tracheal fistula is a fistula with one end on the trachea, and the other end is connected to the trachea to form a shaped passage. It is another part of the human body. The most common one in adults is the pleura, which is a bronchial pleural fistula. The cause of this disease is usually traced to lung infections such as tuberculous empyema and pulmonary abscess.
When the two teachers and doctors heard the diagnosis of the fistula that the student suspected, they looked back at the child as soon as possible.
The child's breathing rate is still OK, and it has not reached critical situations such as rapid suffocation. The wet rales mean that there is an infection but no high fever. If it is a lung abscess, it will have a high fever. The heart rate is about 120 and it has not exploded. The child's condition shows a strange atmosphere everywhere. It is said that the child is very serious and does not seem to be very serious, and there is no hot alarm for various vital signs. It is said that the child is not sick, and the lungs are wet rales. No wonder the two teachers were both worried about the residue after amniotic fluid was accidentally inhaled into the lungs or choking milk.
Bronchial pleural fistula? Taking photos can detect hidden fistulas? Given the excellent performance of Xie in the past, Dr. Peng once again advocates paying attention to it: "Photographs and films."
"What she said should not be what you thought," said Dr. Wang.
The neonatologist must be a little faster than the obstetrician.
The colleague said "No", and Dr. Peng looked at Dr. Wang and the students for a while, and suddenly realized: "I have a big belly."
The teacher finally remembered that a group of people stood here to study, the main reason was that the child’s father said that the child had a “big belly”. The reason why the teachers forgot as they talked was that the child had a big belly symptom.
Xie Wanying was obsessed with this issue because she was familiar with the family of the child and knew more about the character of the father Hu Hao. Hu Hao is not very good, but he is a college graduate after all, with good grades in the college entrance examination and IQ. The possibility of nonsense is too low.
If the child's father is not sensitive, the symptoms of a child's big belly may be valid. What are the causes of a child's big belly? Belly bloating means that there is a accumulation of gas and fluid in the abdomen? If ascites are caused by congenital liver and gallbladder disease in the newborn? If it is not gas and fluid, if the lump is found, a solid tumor in the abdomen is present?
Abdominal palpation is necessary. Dr. Wang did his hand again and pressed it on the child's abdomen. The patient's condition is progressing. This time, Dr. Wang touched the similar gas symptoms that student Xie found. At the same time, he noticed that the child had a lot of saliva and the child was spitting.
"That's right." Dr. Wang said with a serious expression.
"Congenital." Dr. Peng followed his colleague's words and sighed endlessly.
The two of them had been arguing for a long time, afraid that someone would cause the disaster by mistake, but the result was the blame for congenital diseases.
Congenital diseases in neonates account for two or three percent of the total neonates, and the proportion is actually not low. Generally speaking, with the advent of children, related symptoms will appear. If the symptoms are very mild and difficult to distinguish, and due to factors such as medical technology, it may not be discovered and confirmed in time after the child is born, and the disease will be directly brought to life many years or even death. This ratio is also not low in clinical practice.
The family of the child may not understand these things.
Chapter completed!