Reset, people may hear this term most often from doctors in orthopedics, for example, joint reduction. Doctors use techniques to reset a dislocated joint. The meaning of reset is easy to understand based on this. In medicine, it means to restore the organ to its original normal state.
state.
In intussusception, the most straightforward and easiest way to take out the encased intestines and restore them to their original state is for the doctor to put his hands in and straighten the folded intestines. In this case, an operation will also be required.
Duan Sanbao knew that what Xie suggested was definitely not an operation. It did not mean that there were no conditions at the scene. The Emergency Department of Pediatrics had an emergency operating room for emergency operations, but there were no specialists.
If the emergency doctor has the ability to cure the case, then you are good. In fact, what the emergency doctor can usually do is to protect the child as long as possible and wait until the specialist arrives. They are not pediatric general surgeons who can perform operations.
Is there no way to do it without surgery? As mentioned in many medical cases before, medicine and other engineering disciplines are similar to each other. Without surgery, the doctor’s hands cannot go in to reposition the broken intestines. You can use tools and follow the principles of engineering to solve the problem.
question.
The intestine is an organ that is a bit like a rubber tube. In addition to using external force to pull out and integrate the folded rubber tube, another method called inflating can usually be used to bulge the dented rubber object.
In this regard, you can try to inflate the intestines in the opposite direction, and use the momentum of the gas to force the folded section inserted into the recess to exit. This method of resetting the intestines is clinically called air enema.
Because the intestinal peristaltic wave moves downward, most of the intussusception moves in line with the intestinal peristaltic wave, from the proximal end to the distal end. When inflating, you have to do it in the opposite direction, from the distal end. To inflate from the distal end, the human body is far away.
The outlet of the terminal intestine is the anus of the human body, that is, air is injected into the intestine from the anal opening.
Injecting air into the human body is a high-risk operation, and doctors must perform it under visual supervision.
If you want to see the condition of the entire intestine after gas injection without opening the abdomen, it is definitely inappropriate to use B-ultrasound. B-ultrasound can only perform local observation. We can think of the closest method of real-time monitoring of surgery to this method, yes, it is interventional
Had surgery.
Just like interventional surgery, the X-ray machine fluoroscopy system is used to achieve real-time surgical monitoring at any time. Although barium meal fluoroscopy is more dangerous and eliminated when examining patients for intussusception. Unlike barium meals, air enema does not inject indigestible barium.
It is air, which has a relatively higher complete coefficient. To sum up, what Xie is referring to is the air enema reduction method under fluoroscopy.
Classmate Wei spoke up again: "I know, Yingying is talking about using air enema."
Classmate Xie Wanying thought: Every time Classmate Wei reacts to Pediatrics, she quickly shows her special concern for her. Her classmates say that Classmate Wei’s grades are average, and only Classmate Wei’s interest in Pediatrics can be explained. The question is why Classmate Wei denies it herself, is it possible?
Is it Mr. Wei who denies that he likes pediatrics just to gain some kudos?
"Don't you know about air enema?" Seeing that classmate Duan Sanbao didn't respond, classmate Wei Shangquan questioned what had happened to this top student in the country's capital.
The attending doctor is obviously worried. It is understandable that the young doctor has many concerns. He has little experience and lacks confidence. The current time for intussusception in this child is probably more than 48 hours, and it takes too long for the elders in the family to notice the child's abnormality.