After the family members of the children know this, they will definitely denounce why the prenatal check-up failed to detect this disease.
Esophageal atresia is a congenital malformation of the digestive tract, and some patients can be screened out by performing four-dimensional color ultrasound in the late second trimester.
It cannot be 100% detected. On the one hand, it may be due to the machine. The detection results of machines that are not at the most advanced level are naturally limited.
On the other hand, there is the human factor. Not all sonographers are top-notch in technology. Even in tertiary hospitals, where there are young doctors, their technical level is inferior to that of older doctors.
There are often other factors that affect the doctor's operation and judgment. The color ultrasound of pregnant women takes the longest, and it is very common for a pregnant woman to take more than half an hour to do a color ultrasound prenatal examination. People in the queue behind will complain and wish the doctor would move faster. Maybe the doctor We will adhere to principles to avoid omissions, but we cannot avoid encountering special circumstances.
If the child's disease belongs to a rare type of disease, the doctor will most likely not be able to detect it.
Therefore, Dr. Wang made the following rebuttal to Dr. Peng: "You are talking about the common type. This child may have the V type, which is the most difficult to distinguish. Otherwise, how could we have just checked for a long time before we finally suspected it."
Esophageal atresia is divided into five types. The first four types, I to IV, are all self-closing of the esophageal terminal. Only type V is connected to the esophagus and gastric tube, and only shows the existence of a fistula between the esophagus and the trachea. Anatomy A cross-section shows that there are two vertical bars on the trachea and esophagus plus a horizontal bar for the fistula, showing an image of an H shape, so it is also called H-shaped.
The other types of esophagus are closed, and they will definitely not be able to feed, and they will choke directly. This V type is different, the digestive tract is open, making the symptoms of the child more subtle.
The same principle applies to the examination. For other types, you only need to insert a gastric tube. If the tube cannot be inserted halfway, it must be that the esophagus is interrupted. This is a way to quickly identify and diagnose esophageal atresia. V-type is not, and the gastric tube can be inserted. No exception occurs.
It's not that Dr. Peng doesn't know about this classification, he just complains that he and his colleagues are unlucky enough to encounter a special case. Now that he's done, his head hurts so much when he goes out to explain all this to the family members of the children.
"Teacher, let me go out and talk." Xie Wanying volunteered. She was the one who asked the teacher to help transfer Luo Xiaomei to the hospital for treatment. She was responsible for communicating with the patient's family.
What teachers like most about Xie is reflected here: he is responsible.
Dr. Peng sighed and said to her, "I'll go with you."
It is impossible for teachers to let students face responsibilities alone.
Dr. Wang needs to quickly examine the child to confirm the diagnosis. The lucky thing about this child is that it was discovered in time, and he did not need to feed milk or water, etc., which will not cause further lung infection. The doctor can take measures to block the condition as much as possible. All measures have been taken to prevent children from developing critical illnesses such as suffocation.
Walking outside the neonatology department with Teacher Peng, Teacher Peng confided to Xie Wanying in private: "If this is really the disease, the child will probably have to be transferred to another hospital."
There is no separate pediatric hospital in Beito San. This disease cannot be cured by internal medicine. It requires surgery and the patient has to go to pediatric surgery.
Dr. Peng has long given up expectations for other departments in his hospital that are not equipped with the excellent obstetrics department they have.
