How many prenatal checkups and how much money did I spend to end up like this?!
Family members often hear that pregnant women are advised to have artificial abortions by doctors because prenatal examinations reveal that the fetus is defective. Prenatal examinations should fully detect any unhealthy conditions in the fetus.
This is the reason for Dr. Peng's worried sigh. If he goes out and tells the patient's family about this, there will probably be a quarrel. The patient's father has already questioned their medical staff for negligence.
It is expected that the family will not only be dissatisfied with the obstetrician for not detecting the fetal disease in advance, but also dissatisfied with the neonatologist for not realizing that my child was sick until twenty hours later.
Dr. Wang was not in a much better mood than Dr. Peng, but as a doctor, he had to admit the reality: "This disease of the child is not easy to detect."
"Is this esophageal atresia?" Dr. Peng asked his colleague.
The common tracheal fistula in neonatology is not bronchopleural fistula, but a relatively rare disease called esophageal atresia.
The child's "big belly" is actually pneumoperitoneum, which is abdominal distension caused by gas entering the gastrointestinal tract.
Where does this gastrointestinal gas come from?
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The amount of gas inhaled by a normal person that enters the human digestive tract is small, not enough to cause abdominal distension. The gas inhaled by the human body mainly goes through the nose and to the lungs for gas exchange.
Some abnormal clinical symptoms are caused by the anatomical differences between the patient's body structure and the normal body. If the gas does not go to the lungs through the normal route, but goes through the abnormal route of the digestive tract, it may cause pneumoperitoneum.
The abnormal path is what Xie called a fistula. A fistula is formed between the trachea and the digestive tract of the child, and the gas that the child should have inhaled into the lungs goes to the digestive tract. In human anatomy, the digestive tract organ next to the trachea is the esophagus, and this is where an abnormal fistula is most likely to occur. This is indeed the case, and it is called an esophageal tracheal fistula.
Esophageal tracheal fistula can be said to be a symptom of a result, and the cause may be trauma, infection, etc. In the neonatal department, doctors should pay attention to whether it is a congenital disease.
For a newborn with a good birth score, the possibility of trauma and external infection is indeed lower, and the possibility of congenital causes is higher. Among the esophageal tracheal fistula caused by congenital diseases in newborns, congenital esophageal atresia is the most common cause, as Dr. Peng said.
Dr. Peng continued, "If the patient has esophageal atresia, he or she will not be able to breastfeed."
Shieldhead then pointed out that the neonatal department didn’t find anything abnormal during the breastfeeding before?
Esophageal atresia, as the name suggests, means that the esophagus is closed, that is, the esophagus as a digestive tract has one end terminated. To put it more simply, the esophagus is like a water pipe that is not connected to the sink (stomach). If you cut open part of the body of a child with this disease, you can clearly see that the esophagus and stomach are not connected, and the esophagus is closed by itself. The digestive tract that should be unobstructed is now empty at this point.
It's so strange, why does the esophagus close itself? To say that this disease is congenital means that it is caused by poor development of the fetus in the mother's body. If we trace back the various causes of congenital diseases in children, there are many factors. It may be that the mother encountered a polluted environment during pregnancy, or the chromosomal abnormalities of the father and mother may cause the child to develop abnormally. It is difficult to find out the specific reasons for these reasons in medicine.
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