From the doctor's perspective, it is better to have increased bowel sounds than to have 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 moving 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 stopped putting his hand on his belly.
Two specialists were 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 was very clear. It was not the random speculation of young doctors who thought that if they didn't call an expert before sending the patient to the hospital, he would not do an examination and not send the patient to the hospital. It was impossible.
The 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.
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 were thinking further, others were discussing: "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 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 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, 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.
