How many prenatal tests did you do and how much money did you spend to end up like this?!
From the perspective of family members, we often hear that a pregnant woman’s prenatal check-up revealed something wrong with her fetus, and the doctor recommended an abortion. Prenatal check-up should fully detect the fetal health problems.
This is the reason for Dr. Peng's sad sigh. If he goes out to talk to the patient's family about this now, there will probably be a quarrel. The patient's father has already questioned the negligence of their medical staff.
It is expected that the family members will not only complain about the obstetrician's failure to detect the disease in the fetus in advance, but also complain about the neonatologist who actually took 20 hours to realize that my child was sick.
Dr. Wang's mood is not much better than that of Dr. Peng, but as a doctor, he needs to admit the actual situation: "This disease in children is not easy to detect."
"Is this esophageal atresia?" Dr. Peng asked his colleague.
The common tracheal fistula in neonatology is not a bronchopleural fistula, but a relatively rare disease called esophageal atresia.
The "big belly" in children is actually pneumoperitoneum, which is abdominal distension caused by gas entering the gastrointestinal tract.
Where does this gastrointestinal gas come from?
The amount of gas inhaled by a normal person enters the human digestive tract in a small amount, which is not enough to cause abdominal distension. The gas inhaled by the human body mainly passes through the nose and goes to the lungs for gas exchange.
Some abnormal clinical symptoms are caused by anatomical differences between the patient's human body and the normal human body. If the gas does not go through the normal path to the lungs, but instead takes an abnormal path through the digestive tract, it is possible.
Cause pneumoperitoneum.
The abnormal path is the fistula that Mr.
The organ of the digestive tract is the esophagus, and abnormal fistulas are most likely to occur here. This is also true, and it is called an esophagotracheal fistula.
Esophagotracheal fistula can be said to be a symptom, and the cause can be trauma, infection, etc. In the neonatal department, doctors should pay attention to check whether it is a congenital disease.
For a child who is just born and has a good score at birth, the possibility of factors such as trauma and external infection is indeed lower, and the possibility of congenital causes is higher. In the case of esophagotracheal fistula caused by congenital diseases in newborns
, Dr. Peng said congenital esophageal atresia is the most common cause.
Dr. Peng continued: "If you have esophageal atresia, you probably won't be able to breastfeed."
The finger was pointed at the previous feeding in the neonatology department, but no abnormalities were found?
Esophageal atresia, as the name suggests, means that the esophagus is closed, that is, one end of the esophagus as a digestive tract pipe ends. To put it more generally and more concretely, the esophagus is like a water pipe at the end of which is not connected to the water tank (stomach). If part of the patient is cut open,
In children with this disease, it can be clearly seen that the esophagus and the stomach are not connected, and that section of the esophagus is closed by itself. A section of the digestive tract that should be unobstructed is empty in this place.
It’s so strange, why does the esophagus close on its own? Saying that this disease is congenital means that it is caused by poor development of the fetus in the mother. Looking back at the various causes of congenital diseases in children, there are many factors. The mother may have suffered during pregnancy.
Considering the polluted environment, it may be the chromosomal abnormalities of the father and mother that cause the child to develop abnormally. It is difficult to get to the bottom of the details medically for these reasons.
