In the eyes of doctors, hyperactive bowel sounds are better than weakened or even disappeared bowel sounds. This is because weakened or disappeared bowel sounds indicate that the gastrointestinal tract is not moving, and it is possible that the gastrointestinal tract has gone on strike. As you can imagine, the nature of human tissue strike is far more terrible than the consequences of human tissue trying to save itself in times of crisis. The most terrible thing is gastrointestinal perforation peritonitis.
Now the intestines in the child's belly are wriggling desperately, like a wild horse trying to break free from some restraints.
"There should be no bowel movement in the next two days." Nie Jiamin said.
The pediatric expert's judgment is not surprising. He is always accurate and quick without having to ask anyone else.
After pulling out the earplugs and putting away the stethoscope, Tan Kelin glanced at the child's face, which was pale with fear, and did not put his hands on his belly to massage it.
There were two specialists present. Tao Zhijie was not like the young people who were confused. 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 condition? How should it be handled?"
Ask an expert to see the patient first, get a preliminary diagnosis of the patient's condition, and avoid panic in the hospital. This child's condition is quite special, and he is afraid of the hospital doctors. It is necessary to shorten the examination and treatment time as much as possible, so it is very important to plan the diagnosis and treatment plan in advance.
Tao Zhijie's thinking is very clear. It is not like the young doctors' random guesses that if they don't call an expert before sending the patient to the hospital, they won't do an examination or send the patient to the hospital. This is impossible.
Those people who were anxiously questioning on the phone before should be ashamed now.
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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.
There is hope for conservative treatment of appendicitis in its early stages. Unlike the popular belief that appendicitis cannot be cured without surgery, conservative treatment has a high success rate in the early stages. In percentage terms, only a few cases out of more than a hundred will relapse and lead to failure of conservative treatment.
The most important thing is to detect it early, make a decisive diagnosis to identify whether it is in the early stage, and take medicine in time. Don't misdiagnose it. After treatment, the patient needs to be followed up for a period of time.
While the bosses were thinking further, the others discussed, "Let's go to the hospital and get an appendectomy ultrasound and a blood test. We won't be able to tell anything from this."
Hospital examination is necessary, and it depends on which examination is appropriate and quick.
Nie Jiamin reached out and touched the child's palm. The child's hand was a little sweaty, but not very hot. But it should not be taken lightly. Unless the appendicitis is perforated or peritonitis, it will not cause a high fever of more than 38 degrees.
After thinking about it, the pediatrician said, "Ultrasound requires the cooperation of the child, which is quite tiring. A CT scan will make the diagnosis quicker. If conditions allow, you can have a bowel movement first."
The ultrasound probe needs to be pressed on the child's abdomen. Sometimes the examination area is deep and difficult to detect, and the examining doctor has to press the patient's belly hard. It is inevitable that the child will be hurt for a long time, and it may even aggravate the inflammation.
If this child is simply afraid of hospitals and doctors, at most he has autonomic nervous system disorder, and there is generally nothing wrong with his body, the doctor is not afraid to do any examination. But this child is not like that. The preliminary clinical diagnosis shows that his body is unhealthy. If the doctor does not handle it properly, the worsening of autonomic nervous system disorder may trigger other physical conditions of the child, which may be fatal to the child.
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