From the doctor's perspective, it is better to have hyperactive bowel sounds than to weaken or even disappear the bowel sounds. Because the weakening and disappearance of the bowel sounds can mean that the gastrointestinal tract is not peristaltic, and it is possible that the gastrointestinal tract has gone on a general strike. You know, the human body
The nature of an organizational strike is far more terrifying than the consequences of human tissue trying to save itself in times of crisis. The most terrifying outcome is gastrointestinal perforation and peritonitis.
Now the intestines in the child's belly are moving desperately, like a wild horse trying to escape from some restraint.
"There should be no bowel movement in the past two days." Nie Jiamin said.
The judgment of the pediatrician is not unexpected, and it is accurate and fast without asking other people.
After removing the earplugs and putting away the stethoscope, Tan Kelin glanced at the child's face that turned white with fear, and stopped putting his hand on his belly.
Two specialists were present. Tao Zhijie was not as confused as the young people below. He turned around and greeted Nie Jiamin politely: "Professor Nie is here." Then he asked for opinions from all parties: "What do you think?
What is the situation of the child? How to deal with it? "
Ask an expert to see the patient first and make a preliminary judgment on the patient's condition to avoid panicking when he goes to the hospital. This child's situation is quite special and he is scared of the hospital doctors. It is necessary to shorten the examination and treatment time as much as possible, so plan the diagnosis and treatment in advance.
Plans are very important.
Tao Zhijie's thinking is very clear. It is not the random speculation of young doctors who think that if they don't call an expert before sending him to the hospital, he won't be sent to the hospital without examination. It's impossible.
Those people who were questioning me on the phone were ashamed.
Tao Zhijie glanced at Sun Rongfang who was sitting at the other end: To be honest, these young doctors are not as stable as Mama Xie.
There is hope for conservative treatment of appendicitis in the early stage. Unlike the rumors outside that appendicitis will never be cured without surgery, early conservative treatment has a high success rate. Calculated in percentage terms, only a few cases of more than 100 cases will relapse and cause conservative treatment to fail.
The most important thing is to detect it early, make a decisive diagnosis and identify whether it is early stage, and use medicine in time to avoid misdiagnosis. After treatment, the patient needs to be followed up and observed for a period of time.
When the bosses were thinking further, others discussed: "Go to the hospital and do an appendix B-ultrasound and a blood test. You won't see much from this."
Hospital examination is necessary, and it depends on which examination is appropriate and quick.
Nie Jiamin stretched out his hand and touched the child's palm. The child's hand was a little sweaty and not very hot. But it should not be taken lightly. Unless appendicitis is perforated peritonitis, it will not be a high fever above 38 degrees.
After thinking about it for a while, the pediatrician said: "It will be difficult for children to cooperate with B-ultrasound. It will be quicker to do a CT scan. If conditions permit, you can defecate first."
The B-ultrasound probe needs to be pressed on the child's abdomen. Sometimes the examination area is deep and difficult to detect. The examining doctor has to press the patient's belly vigorously. This will inevitably cause pain to the child for a long time, and may even aggravate inflammation.
If this child just has a simple phobia of hospital doctors and at most has autonomic nervous system disorder, the doctor will not be afraid to do any examination on him. But this child is not afraid of doing any examination. The preliminary clinical diagnosis is that the body itself is unhealthy. If the doctor does not handle it properly, the autonomic nervous system disorder will worsen.
It may trigger other physical conditions in the child, which may be fatal to the child.