The child is still rolling around on the bed and seems uncomfortable.

The main thing is that he can only cry and not speak, and he doesn't know what is uncomfortable.

"Help press it." Dr. Choi said.

An Zehan hurriedly came over, and he was finally able to come in handy.

He held down the baby's hands, the mother held the baby's feet, and Guo Xiang untied the child's coat and lifted the underwear up.

Dr. Cui's hand gently touched the baby's belly, and it seemed to touch something hard.

Guo Xiang also reached out and touched it, "Is it intussusception?" ”

Intussusception is when a section of intestine is inserted into the lumen of the intestine to which it is attached, causing the passage of intestinal contents to be impaired. Intussusception is more common in infants and young children, and the typical clinical manifestations are paroxysmal abdominal pain, vomiting, bloody stools, and intra-abdominal mass, as well as systemic changes.

Food allergies, diarrhea, etc. can easily cause intussusception.

Therefore, it will be very painful for a child to have intussusception, but he cannot say it, so he can only express it by crying.

Dr. Cui nodded and said to An Zehan, "You can also touch it and feel it." ”

Ahn Chaekhan is very grateful, this is Dr. Cui is teaching himself palpation.

Guo Xiang helped hold down the little baby who kept writhing his body, and An Zehan also touched it carefully, it turned out that intussusception felt like this?

Guo Xiang took the opportunity to also open the perspective, and when he saw it, it was indeed intussusception, and one intestine had been put into the other intestine, no wonder the baby cried so much, it must be very painful.

Dr. Cui took off the baby's pants again, tied a diaper inside, and opened it to see that there was jam-like bloody stool on the diaper, which could basically be diagnosed as intussusception.

"Huh?" The child's mother screamed, but she hadn't noticed it before, and hurriedly asked, "Doctor, what is the baby's disease?" ”

"It should be intussusception, and a B-ultrasound examination should be done to see if the situation is serious, and surgery may be required if it is serious." Dr. Choi said.

"Surgery?" The child's mother was terrified.

Dr. Cui's face was serious, and he hurriedly opened the order, "Hurry up and pay the fee for the examination, don't delay, if the situation is serious, it will be fatal." ”

The child's mother was almost frightened to death, so she ran out with the child in her arms and the sheet.

"What should intussusception do?" Dr. Choi took two exams.

"Generally speaking, it is an air enema, using the pressure of air to push out the intestine in the intestinal tube to reduce, the air enema is less traumatic, and the recovery after the hand is fast, but it depends on the specific situation, if the intussusception is serious, there is necrosis of the small intestine, it is necessary to operate immediately, remove the necrotic small intestine, and then carry out intestinal anastomosis." An Zehan said.

Dr. Cui nodded, the two students, the girl has enough experience, and the boy has learned theory well, both very good.

Guo Xiang also nodded, she had already seen just now that the child's condition was not so serious, there was no necrosis of the small intestine and intestinal perforation, and it should be okay to do an air enema.

"Shall we do it ourselves?" Guo Xiang asked.

"Well, there is an operating room next door with relevant equipment, so you can come together later." Dr. Choi said.

"Yes!" Both of them nodded, An Zehan was especially happy, Guo Xiang knew everything, and Dr. Cui didn't hide it, he could learn a lot.

Not long after, the child's mother came back, and Dr. Cui saw that it was indeed intussusception, "Treat it immediately!" ”

"Do you need surgery?" The child's mother asked worriedly.

"Minor surgery, the kind that doesn't require surgery, you can watch from the side, I have a bill, you go to pay the bill, and it will start immediately." Dr. Choi said.

"Hey!" The child's mother is busy.

It was not easy for Guo Xiang to see her running up and down, why didn't she ask her husband to come with her, and she was too tired with her children.

"Why don't I pay for you? You give me the money, and you have trouble with the children. Guo Xiang said.

"Thank you then!" The child's mother was embarrassed.

"I'd better go!" An Zedi said that he didn't help much, and he could still do errands.

"Thank you, doctor!" The child's mother is very grateful, the doctor here is so good.

Dr. Cui is also very satisfied, both students are good, studious and diligent, but unfortunately they are not pediatric majors, otherwise it would be good to stay.

The child's mother handed over the bill and money to An Zehan, he quickly ran to pay the fee, and Dr. Cui took them to the operating room next door.

There's an air enema treatment device there.

Guo Xiang first gave the child an ordinary enema to keep the intestines clean, and then injected five milliliters of racemic hyoscyamine hydrochloride injection, which mainly has a relaxing effect on the smooth muscle of the gastrointestinal tract, inhibits its peristalsis, and relieves intestinal spasm, so as to avoid accidents during the operation.

Then the baby's anus is lubricated, a double-lumen catheter with an air bag is inserted, air is injected into a tube with a syringe, the air bag expands to block the anus to prevent air leakage, and then clamps it with a hemostat.

Because the child does not need to be anesthetic, so he struggles very hard, An Zehan has been helping to press the child's hand, and the child's mother has been pressing the child's leg to prevent him from breaking free.

The other tube is connected to the instrument to inject the right amount of air according to the patient.

There is also an X-ray machine on the machine that shines on the chest and abdomen, so that you can see the situation inside the abdomen.

"Doctor, is this X-ray machine radioactive, is it bad for children?" The child's mother asked.

"It's a small amount of radiation, it's fine." Guo Xiang said, "In this way, there is no need to open the abdomen, which is a little less harmful than open surgery." ”

The child's mother nodded, of course, she could try not to have surgery as much as possible, and she always felt that if she wanted to operate, it would be a serious illness.

The air began to pour in, and it was obvious that the intestines bulged on the screen connected to the X-ray machine, slowly expanding like that kind of long balloon, and the air pushed forward little by little.

Pushed to the position of intussusception, the small intestine blocked in the intestinal tube was pushed out little by little due to the pressure of the air, and then finally all pushed out, and the intestine was reset.

Guo Xiang breathed a sigh of relief and gently rubbed the baby's belly, and Dr. Cui turned off the machine.

As soon as the intestines recovered, the baby stopped crying immediately.

Guo Xiang pulled out the tube and wiped the baby's fart.

The mother was very distressed and took the baby into her arms and coaxed her.

"I still have to stay in the hospital for a day for observation, and I have to take anti-inflammatory injections to see if it will be repeated." Dr. Choi said.

"Okay, listen to you." The child's mother nodded.

"Don't give your child food for 20 hours, and then you can only eat liquids, and don't suddenly change your usual diet in case your child's stomach is uncomfortable." Dr. Choi said.

"Okay, thank you, doctor!" The child's mother was very grateful and went to the hospital.

An Zehan also breathed a sigh of relief, and he couldn't imagine that he would sweat when he saw a child.

"You're all doing well!" Teacher Cui looked at the two students and liked it very much.

"Thank you, Mr. Cui." The two smiled.

Back in the consultation room, there were already several parents waiting outside with their children, and there was a panic, and before getting off work, they saw several babies, and both of them were almost tired and paralyzed after work.

"Tired, aren't you? Go back and rest early! Dr. Choi smiled.

Both students were really good and helped a lot, unlike some interns who didn't know anything at all and some of them didn't help at all.

The two changed their clothes, "I'll take you back!" Guo Xiang said to An Zehan.

"I was about to say that, too." An Zehan smiled, "I got up early in the morning and came by myself, and you can pick me up just by the way after work." ”

"Let's go!" Guo Xiang smiled, the two have known each other for so long, but they are actually similar to sisters and brothers.

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