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¡¾2256¡¿Responsibility

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    Dr. Peng¡¯s worries skyrocketed again.

    After the family members of the children know this, they will definitely denounce why prenatal examinations failed to detect this disease.

    Esophageal atresia is a congenital malformation of the digestive tract, and some patients can be screened out by four-dimensional color ultrasound in the late second trimester.

    It cannot be 100% detected. On the one hand, it may be due to the machine. The results of detection by machines that are not at the most advanced level are naturally limited.

    On the other hand, it is the human factor.  Not all sonographers are equally skilled.  Even in tertiary hospitals, there are young doctors, but their technical level is inferior to that of older doctors.

    There are always other factors that affect doctors¡¯ operations and judgment.  Color Doppler ultrasound takes the longest time for pregnant women. It is very common for a pregnant woman to take more than half an hour for a prenatal check-up.  People in the queue at the back will complain and wish the doctor would move faster.  Perhaps doctors will adhere to principles to avoid omissions, but they cannot avoid encountering special circumstances.

    If the disease in a child belongs to a rare type of disease, the doctor will most likely not be able to detect it.

    So here is Dr. Wang¡¯s rebuttal to Dr. Peng: ¡°You are talking about the common type. This child may be the most difficult to distinguish type V. Otherwise, how could we have done the same investigation for a long time before we finally suspected it.¡±

    Esophageal atresia is divided into five types. The first four types, i to iv, are all self-closing of the esophageal terminal. Only type V is connected to the esophagus and gastric tube, and only shows the existence of a fistula between the esophagus and trachea.  Anatomically, when cut open, it can be seen that there are two vertical bars on the trachea and esophagus plus a horizontal bar for the fistula, showing an image of an H shape, so it is also called an H-type.

    Several other types of esophagus are closed, and they will definitely not be able to feed when feeding, and they will choke out.  This V-shape is different because the digestive tract is open, making the symptoms of the child more subtle.

    The same principle applies to the examination. For other types, the only way is to insert a gastric tube. If the tube cannot be inserted halfway, it must be that the esophagus is interrupted.  This is a rapid way to differentially diagnose esophageal atresia.  The V-type is not, and it is abnormal that the gastric tube cannot be inserted.

    It¡¯s not that Dr. Peng doesn¡¯t know this classification, he just complains that he and his colleagues are unlucky to encounter special cases.  It's okay now. My head hurts so much when I go out and explain all this to the patient's family.

    "Teacher, let me go out and talk." Xie Wanying volunteered.  She was the one who asked the teacher to help transfer Luo Xiaomei to the hospital for treatment. She was the one responsible for communicating with the patient's family.

    The thing that teachers like most about Xie is reflected here, he is responsible.

    Dr. Peng sighed and said to her, "I'll go with you."

    It is impossible for teachers to let students face responsibilities alone.

    Dr. Wang will quickly examine the child to confirm the diagnosis.  The lucky thing about this child is that it was discovered in time, and he did not need to feed him milk or water, which would prevent further infection of the lungs.  Doctors can take all measures to block the progression of the disease as much as possible to prevent the child from developing critical illness such as suffocation.

    When she and Teacher Peng walked outside the neonatology department, Teacher Peng confided to Xie Wanying in private: "If this is really the disease, the child will probably have to be transferred to another hospital."

    Northern Du San did not have a separate child.  This disease cannot be cured by internal medicine. It requires surgery and the patient has to go to pediatric surgery.

    Dr. Peng has long given up hope for other departments in his hospital that are not as equipped as their excellent obstetrics department.  (Remember the website address: www.hlnovel.com
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