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¡¾2155¡¿Quiet auscultation

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    Only Nie Jiamin has this privilege, and only sees five to six patients in a special expert clinic.

    The doctors at the same hospital who were present knew that he, a great pediatrician, loved to commit pediatric occupational diseases, so they did not take his warning to heart.

    In fact, no doctor dares to neglect the child Xie Youtian.  Even a person like Tan Kelin, who seemed to be very cold towards children, took a stethoscope and put on earplugs. He deliberately warmed the cold earpiece and put it close to the child's belly to listen.

    It is to listen to the bowel sounds in the child¡¯s stomach.

    ??????? Bowel sounds, sometimes doctors don¡¯t need a stethoscope to listen to them, but ordinary people can hear them themselves.  For example, when people are hungry, they usually say that their stomachs are growling, which can be said to be a sign of hyperactive bowel sounds.

    How did this sound come out?  We know that the human body¡¯s gastrointestinal tract is the digestive system. When you need to eat, you eat solid food and drink liquids. There is digestive juice in the gastrointestinal tract itself even when you don¡¯t eat.  At the same time, there is gas in the gastrointestinal tract.

    During gastrointestinal peristalsis, a physical phenomenon occurs when gas and gastrointestinal liquid are mixed, and the sound of gas passing through water is made. To put it more graphically, gas bubbles on the water surface, making a gurgling bubbling sound.

    On weekdays, human gastrointestinal peristalsis is in a healthy state, and the sound of gas bubbling in liquid is relatively mild, like a frog boiling in warm water, not sullen or hot, low-key and calm.  It manifests as normal bowel sounds, with gurgling sounds less than four or five times a minute, hidden under the belly, and no one can notice it unless you pay special attention.

    When you are unhealthy, gastrointestinal motility is abnormal, and bowel sounds will be abnormal.  This abnormality can be manifested as hyperactive bowel sounds, that is, the gurgling sound is accelerated; it can also be manifested as weakened or disappeared bowel sounds, that is, the gurgling sound is weakened or disappeared.

    Based on the above principles, doctors can listen to bowel sounds to find out whether there is a peristalsis problem in the patient's gastrointestinal tract, and further infer what may be wrong with the patient's gastrointestinal tract.

    Auscultation requires special concentration.  A doctor wearing a stethoscope is like a musician. He can keenly judge the abnormal signals emitted by the human body by distinguishing the nature of the sound. It goes far beyond the simplest counting of times.

    Tan Kelin¡¯s single-lidded eyes under his long bangs seemed to be frozen at a certain point, unable to move, and his attention was focused on nothing but his ears.

    How many times does a child¡¯s bowel sounds occur in a minute? What is the sound like? Is it high-pitched?  Metallic sound?  Or is it a relatively normal bubble sound?

    No one standing around him dared to speak.  Qiu Ruiyun and Sun Yubo, who were arguing, decisively kept their mouths shut.  If you dare to make any noise again, you will be shouted out by the boss later.

    When the doctor auscultates, what he needs is silence, and it is best to have absolute silence around him.

    Other experienced doctors did not waste time when listening to Tan Kelin. They raised their ears as if they were transformed into stethoscopes at the same time.  When the bowel sounds are very loud, you don't need a stethoscope. You can hear something just by listening.

    Now it sounds like the child's little belly: gurgling, gurgling, gurgling is a bit loud.

    This sound, definitely more than six times a minute, is an example of hyperactive bowel sounds.  This hyperactivity is basically impossible to be the growling of a child's hungry stomach.  The child has a past medical history of eating too much.  The elevated bowel sounds caused by hunger are the result of tonic contractions of the intestines.  In addition, partial mechanical obstruction in the intestines such as acute gastroenteritis will also stimulate gastrointestinal peristalsis and accelerate the production of hyperactive bowel sounds.  (Remember the website address: www.hlnovel.com
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