YM778.TV Chapter 2329: 【2329】Identification
After removing the foreign body in the child\'s mouth, keep the child\'s airway open. The nurse takes the child\'s temperature and blood pressure and reports it to the doctor. Low body temperature and low blood pressure.
Since the main symptom of the child is in the digestive tract, the doctor who put on the stethoscope and earplugs should not be in a hurry to listen to the heart and lungs, but to listen to the intestinal condition first. Then touch and press the child\'s abdomen for palpation.
The child\'s mother stood on tiptoe behind the doctor and watched nervously.
"Does the child have a bowel movement?"
The mother of the child who was pulled back by the doctor to ask about the medical history, replied: "No today." Then she asked the doctor: "What is the disease of my son?"
Acute abdomen in infants and young children, like acute abdomen in adults, requires careful identification. Acute abdomen is the most difficult to identify because the human body has the most organs in the abdominal cavity.
At present, the main symptoms of this child are: vomiting, no stool, no fever, not very similar to acute food poisoning, normal breathing, not like foreign body aspiration. The symptoms of the child\'s crying have progressed to insignificant, indicating that the child\'s spirit has deteriorated and the disease has progressed to a more serious level. The onset time is based on the information provided by the family, and the initial judgment is within 48 hours.
What is the result of the doctor\'s abdominal examination?
Xie Wanying, together with student Wei, watched Duan Sanbao\'s hand pressing on the child\'s abdomen.
A good doctor will never press **** palpation. Duan Sanbao\'s finger is gently pressing on the child\'s abdomen. This pressing is actually because the organs in the abdominal cavity of the human body are soft and located deep, and the doctor\'s hand needs to probe into the depths before they can be touched. The purpose is to feel abnormal signs.
In order to avoid pressing pain on human organs, some doctors\' techniques have come into being in various ways. Like the current Duan Sanbao\'s gesture, it\'s a bit like a push. The organs in the abdominal cavity are indeed fixed by ligaments, and at the same time, when pushed by the doctor, it is like a ship anchored on the seabed. When pushing, it is beneficial to let the doctor\'s hand feel the objects in the abdominal cavity. Is it space? is the skin? Is it the peritoneal ligament? Or a moving organ?
Push, push, touch, and touch an abnormal object. Touch it again, and feel the range of this abnormal object, like a root sausage.
A sausage-like mass in the lower right abdomen?
"It\'s intussusception." Wei Shangquan said first.
"What did he say?" The child\'s mother was listening, very nervous, and asked Xie Wanying\'s white coat.
Acute intussusception is a very common acute abdomen in infancy. The age of onset is generally within one year of age, the most common age group is four months to ten months, and it is rare over two years of age. It is mainly related to the immature development of the baby\'s digestive tract system. In addition, children over four months are just during the period when various complementary foods are added to the infant. Some infants\' digestive tract adaptability is poor, and as a result, they become ill.
"That\'s because his grandmother fed him indiscriminately, didn\'t he?" the child\'s mother said unhappily, with a tone of voice she knew earlier.
The grandmother of the child who was sitting outside the clinic stood up, her face full of unease.
"It\'s not like this." Xie Wanying denied.
This is not meant to speak for the grandmother of the child, the doctor only speaks about science.
If it is really intussusception, we must first clarify what intussusception is.
Intussusception is when one section of the intestine is invaginated into another section of the lumen.
The image point description can be connected with several rubber tubes of different diameters.
(end of this chapter)