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【2273】Lecture

With just a few strokes, Xie drew an anatomical diagram from three angles on a piece of paper, showing a rich three-dimensional thinking path map. The pen brushed the shadow part with a large brush to make the picture appear more three-dimensional.

Use the tip of the pen to draw out the parts that need to be detailed. For her, drawing this thing is really easy and it is too easy.

Cao Zhao could imagine that the human body was spinning around in her mind like a Rubik's Cube. She could move the human body to any plane she wanted, as smoothly as silk without any hindrance.

He is a master of Rubik's Cube.

She stretched out her jade-white hand, like touching a child, and touched the back of Xie's head: "This is a good brain."

After being touched on the brain by the fairy brother, Xie Wanying did not dare to move and concentrated on finishing the painting and handing it over to the teacher for review.

Looking at good anatomy diagrams is definitely much more comfortable and faster than reading text. Cao Zhao took the pen back from her hand, put the cap on and put it back into the pocket of his white coat. He looked at her while she was drawing,

I generally have an idea.

"Comrade parents."

Hey, Hu Hao hurriedly responded and walked to the doctor.

"The situation of your child is just like what's shown in this painting." Cao Zhao said, using his fingers as a teaching stick to teach parents about medicine.

At this moment, the parents transformed into children, listening carefully to every detail of the doctor's explanation of the child's condition.

"The esophagus is here, and the trachea is here. The hospital you were treated in before was a maternity hospital, right?"

"yes."

"It's not that the pediatric department in the maternity hospital is unprofessional, it may not be comprehensive. The neonatal surgery department at Beito San is very average. It does not take good pictures of the digestive tract. It may be that they were anxious to transfer the child to a specialist hospital and did not take the pictures carefully or take any pictures.

Gastrointestinal tract imaging. If you initially suspect H-type esophageal atresia, you need to make a clear diagnosis by clearly seeing where the fistula is. If there is a fistula, you need to take a gastrointestinal tract imaging and inject a contrast agent. For such a young child, you need to let him

How do you swallow contrast media, right? In special circumstances, you can insert a three-lumen, two-capsule tube and then inject the contrast media."

"Can't we take a CT scan?"

"CT can be taken. However, if you have been to the hospital to check the digestive tract, you will have heard from the doctor that for some adult digestive tract examinations, such as those involving fistulas, the imaging effect of digestive tract lesions is very good. CT also has gastrointestinal tract imaging.

"

CT also includes gastrointestinal tract imaging. It may be unknown to people who do not understand medicine. They usually think that barium meals are just for taking X-rays. At this stage, multi-slice spiral CT technology is immature, and gastrointestinal tract imaging has advantages.

"That means my son is not necessarily——" Hu Hao asked.

"The examination results must first be clear. A gastrointestinal radiograph is required. If the film shows yes, let's talk about H-type esophageal atresia. Some children are highly suspected of having it, but the radiograph shows it is not the case. There is no X-ray sign of contrast agent entering the trachea.

"

"If not, my son's condition——"

"This involves another issue. If it really cannot be detected, the child's symptoms of pulmonary infection and pneumoperitoneum have not disappeared, and the doctor has to doubt this direction again. It may be possible to wait until the fistula is larger before taking X-rays.

It may come out. Or it may not be photographed at all, and the only way is for the doctor to see if a thoracotomy is needed to help the child find the fistula. This is usually when there is no other way, and the family members ask for rescue surgery as a last-ditch effort."

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