460 A child swallows a foreign object and must not be negligent
(Thanks to my friend for encouraging me to start the commuter pass, !~DSUK~!)
By the time Liu Banxia had completed the surgery, it was already more than nine o'clock in the evening, and there was a gallbladder operation with serious adhesions, and some time was wasted when it was separated.
"You fried chicken comfortably, didn't you leave me some?" asked Liu Banxia after returning to the emergency center.
"Teacher Liu, my wife left you a whole box in the ward. Xu Yinuo said with a grin.
Now that it's past teaching time, she's not a good student. I've been angry for a day today, and I have to find a chance to take a little revenge.
However, Liu Banxia didn't care about this, took a short turn below, and walked directly to the VIP ward.
"Why did you just step down, show Fei Fei quickly, it's normal to say that it's an MRI. After seeing him come in, Qiao Qiao said a little anxiously.
"They're good friends so soon? Liu Banxia said.
"Oh, you're just resting when you see a doctor. I can't let Fei Fei wet the bed all the time, how will she live in the future. Jojo said.
Tang Feifei was very moved in her heart, and she couldn't laugh or cry.
After contacting Qiaoqiao, I also like Qiaoqiao's straightforward personality, but Qiaoqiao is also too direct, and the bedwetting thing comes as soon as he opens his mouth.
"Heat up the fried chicken, I'm really hungry. Liu Banxia said.
Qiao Qiao nodded happily, and then gave Liu Banxia hot fried chicken.
Liu Banxia sat on the edge of the hospital bed and rubbed his neck, "The MRI examination is normal, at least it is a good thing, it proves that your brain is normal and there are no organic lesions." ”
"But your symptoms are real, so you need to think of something else. I'll call an internist to come over and have a consultation in a moment, okay?"
Tang Feifei nodded, "It's that Doctor Wang, right? Yes, as long as it can cure my illness." ”
Liu Banxia directly took out the phone and sent a message to Wang Huan.
If others also went directly to Wang Huan to study, Tang Feifei would also have to live in VIP, and he would have to enjoy some VIP services.
When Wang Huan came over, the fried chicken on Qiaoqiao's side was also hot. Although it does not taste as good as when it first comes out of the pot, it is also supreme delicious for Liu Banxia, who has just undergone surgery.
"Brother Wang, there are no outsiders, let's talk while eating. What do you think of the situation?" Liu Banxia said, handing over a fried chicken leg.
Wang Huan was also not polite, and took it and gnawed, "It's really a little complicated." Judging by the description, diabetes insipidus has been ruled out. The MRI examination just now, the brain is also normal, which also excludes abnormal hormone secretion caused by brain tumor. ”
"And she's still normal during the day, only at night when she goes to bed, I think she can also rule out urinary incontinence, what do you think?"
Liu Banxia frowned and nodded.
Although urinary incontinence can also be uncontrolled, it can be done day or night. Tang Feifei's situation is special here, everything can be normal during the day, and only after falling asleep will she have enuresis.
Moreover, the relevant tests done this afternoon also ruled out the symptoms of infection, so urinary incontinence can be ruled out.
"Does that mean a neurological problem?" asked Liu Banxia.
"It's hard to say, if it's a neurological disorder, normally speaking, there won't be such a manifestation, right? It can't be a teratoma and then produce a paraneoplastic syndrome, right?" Wang Huan asked.
"Teratoma, I have a tumor?" Tang Feifei suddenly became nervous.
"Don't worry, probably not, because our blood test results are normal. If there is, there will definitely be a special performance. Wang Huan hurriedly said.
Tang Feifei's heart was slightly relaxed.
She can rest assured for the time being, but for Liu Banxia and Wang Huan, she still has no clue.
Liu Banxia ate all the boxes of fried chicken, and the two of them didn't discuss the direction.
"Well, let's observe for a day. Liu Banxia said.
"Your situation is really complicated at the moment, and we don't have much direction. After observation, we will see if there are any other symptoms, and if there are no new findings, I will invite the whole department for consultation. ”
"Are you going to invite so many doctors?" Tang Feifei was a little worried.
"It's a last resort, but we don't need it yet, we can think about it first. Then you also take a closer look to see if there are any other symptoms that have been overlooked. Liu Banxia said.
Tang Feifei nodded, for now, it can only be like this.
The most fundamental purpose is to cure one's own disease, and if it can really be cured, it will be spread in the future.
It's better than wearing diapers every night when you go to bed, otherwise you won't expect to make TV series in the future.
"Feifei, you don't have to worry too much, he is still very powerful, and he will definitely make you not wet the bed. Jojo gave a serious word of encouragement.
"Thank you Jojo, you're so nice. Tang Feifei said.
"You're welcome, I'll go home first, and I'll come back tomorrow to play. Jojo waved his hand.
"Why are you still tossing so much? Liu Banxia said.
"Haha, didn't you come out in a hurry and forgot to add dog food to Jelly Beans. I'll go first, and I'll come back tomorrow morning. Jojo said.
"Drive slowly, put away your temper, and let whoever loves to overtake. Liu Banxia instructed.
"Oops, mother-in-law, mother-in-law, annoying, gone. After Qiaoqiao finished speaking, he left directly.
For this version of Jojo, he also has no way. It's such a temper that you don't have any ruts at all.
"Just observe first?" Wang Huan asked.
"That's right, I've done more tests than I need to do, and I'll have to see if there are any other symptoms." No, let's do a blood test and urine test tomorrow, there are no indications, and we can only guess. Liu Banxia said with a wry smile.
It's a bit helpless to say this, but what can be done? This is the reality.
"Teacher Liu, I was about to call you. We just received a little patient who swallowed a foreign body, and this is an X-ray that has just been taken. ”
As soon as he got out of the elevator, Xu Yinuo ran over.
"It doesn't look big, what is this?Small piece of metal?Is the edge sharp?" Liu Banxia asked after taking a look.
Xu Yinuo shook his head, "There are five small magnet buckles in total." ”
Hearing her words, Liu Banxia frowned, "It's troublesome, notify the endoscope, I can only take it out." And I have to inform the operating room to prepare, Dr. Shi doesn't have a patient, right? ”
"Ah...... , Teacher Liu, can't you wait for the child to come out by himself?" Xu Yinuo asked in surprise.
It is normal for a child to swallow a foreign body, and if you are not careful, he may put it in his mouth to taste whatever he is curious. The little patient was curious to look at the little colored magnet and swallowed it.
However, in such cases, it is often necessary to wait for the patient to pass it on his own. If it is difficult to discharge, the current method will be used to deal with it.
"You, it seems that you have done too much surgery today, and you are a little silly. Tell me what the child is swallowing. Liu Banxia asked.
"The small magnet buckle is not very big, that is, the size of a fingernail. Xu Yinuo said.
"What are the characteristics of magnets?" Liu Banxia asked again.
Xu Yinuo was stunned for a moment and hurriedly ran back.
I see, what the child swallows is not an ordinary thing, but a magnet. The characteristic of magnets is that the same level repels and the different levels attract.
If these magnets can be put together in the stomach, at most it will cause some constipation difficulties, but it will not have any effect.
But what if they enter the intestine in different batches? When the time comes, under the effect of mutual attraction, the two sections of the intestine will die.
It's scary, and it's very likely to happen.
Even in the process of obtaining with an endoscope, abnormalities may occur, so the operating room and Shi Lei are prepared. I didn't expect it, but Mr. Liu thought of it in an instant.
"It's not easy to take care of children these days, and the slightest negligence can lead to problems. Wang Huan said with emotion.
"They're all busy working, unless the old people at home help them out. Liu Banxia said.
"Now I'm a little worried, if I have a child with Jojo. I don't know if she will take the child or play with the child in the future, I think the latter is more likely. ”
Wang is happy, thinking about Qiaoqiao's character, this is also something that cannot be prepared.
I have to say that the two of them are still quite interesting, they seem to be playful personalities, and now they get along very well.
"What's the situation?" Shi Lei, who had been notified, walked over.
"A child swallows a few magnets and tries them with an endoscope. I've had a lot of surgery today, if you have any problems. Liu Banxia said.
"Okay, Xu Yinuo was too anxious to explain, I thought I had to go on stage now. Shi Lei nodded.
"Don't put too much pressure on them. Since this afternoon, everyone has been nervous. Why are they all tired?"
"It's okay, they're very resilient. Liu Banxia said with a smile.
"And after today's experiment, I think there is still a lot of room for improvement in their strength. You can also try it when you bring them on stage again. ”
"After all, they will be official doctors in less than half a year, in fact, sooner or later, I don't think it's anything. As the first batch of interns in our emergency center, I also have to set a good example for future students. ”
Shi Lei rolled his eyes rarely, "I don't want to be scared on the side, if you want to abuse yourself, you can come." I'll pick up ready-made ones then, anyway, you like to mess around. ”
Wang was happy, and after he came to take over, he also found that the interns had become very nervous. Now I know what's going on, the root cause is still here in Liu Banxia.
But I do have to say that the interns brought out by Liu Banxia are really different.
Surgeons should not expect to be opportunistic, but can only rely on solid basic skills and long-term training to be able to deal with emergencies.
Just like the case just now, I promise that I won't waste even a second if I encounter it again in the future.