Dr. Peng's worries surged again.

After learning about this, the family of the child will certainly complain about why the disease was not detected during the prenatal examination.

Esophageal atresia is a congenital digestive tract malformation. Four-dimensional color ultrasound in the late second trimester can screen out some patients.

It is not possible to detect 100% of the problem. On the one hand, it may be due to the machine. The machine is not at the most advanced level, so the results it can detect are naturally limited.

Another factor is the human factor. Not all ultrasound doctors have first-rate skills. Even in the top three hospitals, there are young doctors whose skills are not as good as those of the old doctors.

There are often other factors that affect the doctor's operation and judgment. Pregnant women take the longest time to have a color Doppler ultrasound examination. It is common for a pregnant woman to take more than half an hour to have a color Doppler ultrasound examination. The people waiting in line behind will complain and hope that the doctor will move faster. Doctors may stick to their principles to avoid omissions, but they cannot avoid encountering special circumstances.

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

So Dr. Wang refuted Dr. Peng as follows: "You are talking about the common type. This child may have the most difficult type to distinguish, type V. Otherwise, why did we just check for a long time before we suspected something?"

There are five types of esophageal atresia. The first four types, I to IV, are all self-closing of the esophageal terminal. Only type V is the connection between the esophagus and the stomach tube, with only a fistula between the esophagus and the trachea. Anatomically, two vertical bars of the trachea and esophagus plus a horizontal bar of the fistula can be seen, presenting an image of an H shape, so it is also called type H.

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In other types of esophageal closure, the baby cannot be fed and will choke. This V-type is different, as the digestive tract is open, making the symptoms more hidden.

The same principle applies to the examination. For other types, you can only insert a gastric tube. If the tube cannot be inserted halfway, it must be that the esophagus is interrupted. This is a quick way to differentiate and diagnose esophageal atresia. V-type is not like this. Even if the gastric tube is inserted, it is abnormal.

It's not that Dr. Peng didn't know about this classification, he just complained that he and his colleagues were unlucky to encounter a special case. Now, he had a headache explaining all this to the patient's family.

"Teacher, let me go out and talk." Xie Wanying volunteered. It was she who asked the teacher to help transfer Luo Xiaomei to the hospital for treatment, and it was her responsibility to be responsible for these matters of communication with the patient's family.

The thing that teachers like most about student Xie is reflected here: his sense of responsibility.

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

It is impossible for a teacher to let students face the responsibility alone.

Doctor Wang will immediately order tests for the child to confirm the diagnosis. The child is lucky that the disease was discovered in time, and he was not fed with milk or water, so the lungs would not be further infected. The doctor can take all measures to block the progression of the disease as much as possible to prevent the child from developing critical illnesses such as suffocation.

When she and Teacher Peng walked to the door of the neonatal department, Teacher Peng told Xie Wanying privately: "If this is really the disease, the child will probably have to be transferred to another hospital."

There is no separate pediatric surgery department in Beidu No. 3. This disease cannot be cured by internal medicine. It requires surgery and the patient needs to go to the pediatric surgery department.

Dr. Peng had long given up hope that other parts of his hospital could not match their excellent obstetrics department.