While the parents were answering the doctor's questions, the doctor was continuing to examine the child.
After clearing the foreign objects in the child's mouth, the nurse kept the child's airway open. The nurse took the child's temperature and blood pressure and reported to the doctor. The temperature was not high, and the blood pressure was low.
Since the main symptoms of the child were in the digestive tract, the doctor wearing the stethoscope earplugs did not rush to listen to the heart and lungs, but listened to the intestines first, and then touched and pressed the child's abdomen for palpation.
The child's mother stood on tiptoe behind the doctor and looked around nervously.
“Did the child have a bowel movement?”
The child's mother, who was pulled back by the doctor to ask about his medical history, replied, "Not today." Then she asked the doctor again, "What disease does my son have?"
Acute abdomen in infants and young children, like acute abdomen in adults, requires careful identification. Acute abdomen is the most difficult to identify because the human body has the most organs in the abdominal cavity.
The child's symptoms are mainly vomiting, no bowel movements, no fever, which does not seem like acute food poisoning, and normal breathing, which does not seem like foreign body aspiration. The child's crying symptoms have become less obvious, indicating that the child's spirit has deteriorated and the disease has progressed to a more serious stage. According to the information provided by the family, the onset time is initially judged to be within 48 hours.
What were the results of the doctor's abdominal examination?
...
...
Xie Wanying and Wei watched Duan Sanbao's hands pressing on the child's abdomen.
A good doctor will never press hard during palpation. Duan Sanbao's fingers gently pressed on the child's abdomen. This is because the organs in the human abdominal cavity are soft and located deep inside. The doctor's hand needs to probe deep inside to touch them. The purpose is to feel abnormal signs.
In order to avoid hurting human organs, some doctors have developed various techniques. For example, the hand gesture of Duan Sanbao is a bit like pushing. The organs in the abdominal cavity are indeed fixed by ligaments. At the same time, when the doctor pushes them, they are like ships anchored on the seabed. When pushing, it is helpful for the doctor's hand to feel the objects in the abdominal cavity. Is it space? Is it skin? Is it peritoneal ligament? Or is it an organ in motion?
Push and touch, and you will find an unusual object. Push and touch again, and you will find the scope of this unusual object, which looks like a sausage.
Sausage-like mass in the right lower abdomen?
"It must be intussusception," said Wei Shangquan first.
"What did he say?" The child's mother became very nervous when she heard it, and she pulled Xie Wanying's white coat and asked.
Acute intussusception is a very common acute abdomen in infants. The onset age is generally within one year old, most commonly in the age group of four to ten months, and rarely in those over two years old. It is mainly related to the incomplete development of the digestive system of infants. In addition, children over four months old are just in the period of adding various complementary foods to infants. Some infants have poor digestive tract adaptability, resulting in illness.
"So, it's because his grandmother fed him the wrong things, right?" the child's mother said unhappily, as if she had known this would happen.
The child's grandmother, who was sitting outside the clinic, stood up with a look of anxiety on her face.
"It's not like that." Xie Wanying denied.
This is not specifically speaking for the child's grandmother. The doctor only talks about scientific things.
If it is really intussusception, we must first clarify what intussusception is.
Intussusception occurs when one section of the intestine becomes inserted into the lumen of another section of the intestine.
To describe it in a more vivid way, you can connect several rubber tubes of different diameters.
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