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¡¾2167¡¿Indications

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    About this question.  Huang Zhilei wanted to scratch his head.  Senior Brother Cao didn't say anything after he picked up the child. He didn't know the reason or how to answer.

    ¡°Let¡¯s just say this child is seriously ill. If he is seriously ill, he should be sent to the emergency room, not the office.  There isn't even oxygen in the office.

    "What a bunch of famous doctors are arguing about is not to recommend emergency medicine to patients or to give patients emergency intubation, cardiac compression, defibrillation, etc but whether enema is useful.

    "It's useless for your surgeon to just give him an enema." Jiang Mingzhu said, "If he doesn't need surgery for appendicitis, you can try to use a colonoscopy to check the intestines and appendix. Colonoscopy is more accurate and intuitive than CT.  You can clearly identify whether there is fecal residue in the intestines, and if so, take it out and flush it to reduce inflammation."

    (At that time, there was no erat endoscopic retrograde appendicitis treatment. The principle of erat surgery is similar to the method mentioned by Jiang Mingzhu. It uses endoscopic examination of the appendix and fecal extraction and flushing to treat appendicitis. It is mainly targeted at fecal stones.  Appendicitis caused by residue.)

    The situation of Xie Youtian¡¯s child is indeed suspected to be appendicitis caused by feces.

    "You're too impatient. I just finished the enema and I don't know what the effect will be. We'll have to wait and see if the situation changes later." Dr. Jiang, a general medical student, waved his hand at her suggestion.

    "I'm not in a hurry. I just think that if I make up my mind not to perform surgery to remove the appendix on this child and want to try more other methods, I can make a plan for digestive endoscopic surgery in advance." Jiang Mingzhu said.  Physicians are more cautious and advocate the need to prepare for a rainy day.

    Yu Xuexian said to her: Yes.

    After hearing what the two of them said, the surgeon did not agree and refuted:

    "It's OK to do an endoscopy, but it's normal to do other treatments. The appendix is ??a very special part. It's very difficult for you to reach the appendix with the endoscope. This child will definitely not be able to cooperate. He needs to be anesthetized, otherwise he won't be able to do it."

    "The endoscopic examination method you mentioned is not much different from conservative treatment. If the inflammation is small, it will naturally dissipate under conservative treatment. We will give the child blood for injection later. If the inflammation is large, you can just rinse the two sides like this  How can it be possible to eradicate the inflammation in this place. A sufficient course of treatment is required for the antibiotics to be effective. If it is serious, our surgery will perform incision, open drainage and flushing of the suppurated area. It is impossible to do it multiple times at one time. Therefore, the appendix is ??very easy to treat.  If it recurs, the only option is surgery to remove it."

    (Future erat surgery also has this defect and has certain requirements for indications.)

    It is not easy to keep the appendix.

    Surgery¡¯s current confidence in conservative treatment is mainly based on the fact that the child¡¯s condition was discovered relatively early.

    After being yelled at by the surgeon, Jiang Mingzhu took a few breaths, thought about it again, and insisted on her internal medicine opinion.

    The internal medicine department present was not limited to gastroenterology. Dr. Lin from the cardiology department said: "The child's heart rate is too fast and his breathing rate is too fast. It is difficult to tell whether it is caused by fear alone. Because he is in pain and has a fever, all of which can cause  Increase his heart rate and respiratory rate. If you want to feel at ease, let him stay in a hospital for observation, right?" After saying that, he looked at Jin Tianyu.

    Jin Tianyu is not as simple as his colleagues thought. The issue of enema caused such a quarrel. If the child is hospitalized, which department should be arranged.

    ??Besides, you have no objection?

    Fu Xinheng didn¡¯t speak.

    Zhu Huicang adjusted his glasses: "The attending doctor is still silent?"

    The opinions of each subject are all here. Letting the attending physician get the final opinion is the right approach.  (Remember the website address: www.hlnovel.com
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