From the doctor¡¯s perspective, it is better to have increased bowel sounds rather than weakened or even disappeared bowel sounds. Because the bowel sounds weaken and disappear, it means that the gastrointestinal tract is not peristaltic, and it is possible that the gastrointestinal tract has gone on a general strike. It is also known that the nature of human tissue strike is far more terrifying than the consequences of human tissue trying to save itself in times of crisis. The most terrifying thing is gastrointestinal perforation and peritonitis.
Now the intestines in the child's belly are squirming desperately, like a wild horse trying to escape from some restraint.
"There should be no bowel movements 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 unplugging the earplugs and putting away the stethoscope, Tan Kelin glanced at the child's face that turned pale with fear, and did not put his hand on the belly to rub it.
There are two specialists present. Tao Zhijie would not be 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 of the child's situation? How to deal with it? ?¡±
Ask an expert to see the patient first and make a preliminary judgment based on the patient's condition to avoid panicking when you go to the hospital. This child's situation is quite special and he is terrified of the hospital doctors. The examination and treatment time need to be shortened as much as possible, so it is important to plan the diagnosis and treatment plan in advance.
Tao Zhijie¡¯s thinking is very clear. It¡¯s not the young doctors¡¯ random speculation that if they don¡¯t call experts before sending him to the hospital, he won¡¯t be sent to the hospital without examination. That¡¯s impossible.
The people who were asking questions 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 Mother Xie.
In the early stages of appendicitis, there is hope for conservative treatment. Unlike the rumors outside that appendicitis will never be cured without surgery, early conservative treatment has a high success rate. Calculated as a percentage, only a few of the more than 100 cases will relapse leading to failure of conservative treatment.
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 for a period of follow-up observation.
When the big guys thought about it further, the 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. It depends on which examination is appropriate and quick.
Nie Jiamin stretched out his hand and touched the child's palm. The children's hands are a little sweaty and not very hot. But it is not something to be taken lightly. Appendicitis, unless it is perforated peritonitis, will not cause a high fever above 38 degrees Celsius.
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 site is deep and difficult to detect. The examining doctor has to press the patient's belly hard. 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, at most his autonomic nervous system is disordered, and his body is generally fine, the doctor will not be afraid to do any examination on him. But this child is not. The preliminary clinical diagnosis is that the body itself is unhealthy. If the doctor does not handle it properly, the aggravation of the autonomic nervous system disorder may trigger other physical conditions in the child, which may be fatal to the child. (Remember the website address: www.hlnovel.com