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【2167】Indications

Regarding this question, Huang Zhilei wanted to scratch his mind. Senior Brother Cao didn't say anything after he carried the child up, and he couldn't figure out what was the reason and how to answer it.

I would say that this child is seriously ill. He should be sent to the emergency room rather than to the office. There is not even oxygen in the office.

What a bunch of famous doctors is not about pushing rescue medicines for patients or emergency intubation and heart compression and defibrillation for patients... is whether enema is useful?

"It's useless for your surgery to do enema for him," said Jiang Mingzhu. "If he doesn't have surgery for appendicitis, he can try to use a colonoscopy to check the intestine and appendix. Colonoscopy is more accurate and intuitive than CT, and can clearly identify whether there is feces left in the intestine. If so, take it out and rinse it and then rinse it and prevent inflammation."

(At that time, there was no treatment for ERAT endoscopic retrograde appendicitis in this era. The principle of ERAT surgery is similar to the method mentioned above by Jiang Mingzhu. The method of treating appendicitis through endoscopy and feces removal and irrigation is mainly aimed at appendicitis caused by feces residues.)

The situation of Xie Youtian is indeed suspected of appendicitis caused by feces.

"You are too impatient. You just finished the enema and don't know what the effect will be. Let's talk about any changes in the subsequent situation." Dr. Jiang from Puyi waved her hand to her suggestions.

"I'm not in a hurry. I think that if I make up my mind to not plan to perform surgical removal of the child's appendix and try more other methods, I can make plans for digestive endoscopy in advance." Jiang Mingzhu said that the internal medicine doctor is careful and advocates that we need to prepare for the future.

Yu Xuexian said to her: Yes.

After hearing the two of them, the surgeons disagreed and refuted:

"Your endoscopy is OK. Other treatments are very ordinary, and the appendix part is very special. It is difficult for you to reach the appendix if you endoscopy is difficult. This child will definitely not be able to cooperate. He needs anesthesia, otherwise he will not be able to do it."

"The endoscopy method you mentioned is not much different from conservative treatment. If the inflammation is small, the inflammation will naturally dissipate under conservative treatment. You will need to draw blood and injections for this child later. If the inflammation is large, you can eradicate the inflammation in this place just by rinsing it twice. Antibiotics need to have enough treatment courses to take effect. In severe cases, our surgical department will perform incision and drainage in the place where the suppurated is impossible to do it multiple times at a time. Therefore, the appendix is ​​very easy to recur, and in the end it can only be cut by surgical procedures."

(There are also this defects in future ERAT surgery and has some requirements for indications.)

It is not easy to keep the appendix.

The current confidence in conservative treatment in surgery is mainly based on the fact that the child was discovered earlier.

After being yelled by the surgery department, Jiang Mingzhu whispered twice, and thought about it again, insisting on her opinion on internal medicine.

The internal medicine department present not only digestively, but Dr. Lin from the cardiology department spoke: "The child's heart rate is relatively fast and his breathing rate is faster. It is difficult to tell whether he is simply a sense of fear. Because he hurts and has a fever, these will increase his heart rate and breathing rate. If you want to be more at ease, let him stay in a hospital for observation, right?" After saying that, he looked at Jin Tianyu.

Jin Tianyu was not as simple as his colleagues thought. The problem of enema was so quarrel that he had to go to if the child was hospitalized.

Besides, I have no objection?

Fu Xinheng didn't speak.

Zhu Huicang put his glasses on his hands: "The attending doctor still doesn't speak?"
Chapter completed!
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