Another important factor is that, as Lin Hao suspected, the child's clinical symptoms were "too mild", and there were many cases that were not consistent with the description of this disease in the textbook.
In the textbook, the clinical symptoms that this type of child will have are: dyspnea, hypoxia, cyanosis, heart failure, etc. If the surgery is not done as soon as possible, a serious neonatal heart disease will soon die.
Of course, as written in the textbook, children with left heart dysplasia are easily missed because the above symptoms may appear several hours later or within one or two days.
Looking back at the birth history of the child, this is the case. The records at the time of birth showed that there was no major problem of dyspnea and heart failure. Given that the routine examination of newborns does not include electrocardiograms and echocardiography. In such a short period of time, it is not reasonable to accuse the obstetrics hospital of missed diagnosis of the child.
I realized that the child had some breathing problems, and the obstetrics hospital did not act erroneously, but gave the child the examination as soon as possible. Therefore, the problem was not the erroneous responsibility, but the limited technical capabilities of the grassroots hospitals.
The newborn echocardiogram presented by the obstetric hospital did not have a diagnosis name, but it was just a preliminary suspect that the child had heart malformations and heart disease. To make an accurate diagnosis, it is necessary to find a specialist in the specialist in the hospital to make a judgment.
Another problem is that it is not easy to diagnose left heart dysplasia. The main reason is that this disease is very rare in clinical practice in China, and the incidence groups are mostly abroad.
Clinicians do not rely on textbook guidelines to diagnose. Who has caused too many similar diseases in clinical practice and too many special situations that confuse each other's audience. Clinicians need to learn real cases in clinical practice and be clear in mind before they can start to diagnose. Therefore, grassroots hospitals failed to diagnose and send them to their first child.
Two days have passed, and the child's symptoms are still so "slight". Young doctors who have never seen such cases must have to mutter when they diagnose them. Dr. Cheng did not dare to say anything for a long time, so he could only wait for his superiors to express his affirmation or negativeness.
Now it is not a missed diagnosis, but is it possible to misdiagnose?
Is it really a serious disease of such a severe disease of left heart dysplasia?
If not, I need to give it to anal atresia. Look, Dr. Wu, who is responsible for anal atresia, ran out and said that I would either let my surgery do it first.
If this disease is the case, there is no need to say anything. This cardiac surgery may have to be performed tonight. Non-cardiology doctors know that left heart dysplasia is more likely to kill the child in a short time than anal atresia with fistulas.
"Yingying, what do you think?" Lin Hao turned his head and asked classmate Xie.
Student Xie is not like them. He may have some answers in his mind when he is watching the ECG monitor of the child in the morning.
As for the time being, like other students, I have not seen an echocardiography report. Xie Wanying had no choice but to make a judgment based on what she observed and said: "I guess the child's left ventricular cavity is relatively small and has mitral valve atresia."
It sounds like a sign of left heart dysplasia.
Let’s go back to the original question, what is left heart dysplasia.
The reason why left heart dysplasia is called syndrome is that it is not an abnormality but a combination of multiple abnormalities.
Chapter completed!