Chapter 285
"Baby, don't scare me!" The woman kept calling the child's nickname, but the child kept twisting his body, his face was pale, his expression was painful, and he ignored the woman at all.
"What to do, what to do..."
The woman was in a hurry, patting the child's back. The male family members beside him didn't know what to do and could only stamp their feet anxiously.
Obviously, these are a pair of cute new parents, and their experience in raising children is hard to describe.
"Give me the baby. If you slap it like this, it will cause her to aspirate."
During the vomiting process, what doctors fear most is that the patient will choke and cause suffocation.
Without allowing the woman to react, Xiao Chenguang directly held up the child, supporting the girl's body with his palms and forearms.
Different from the previous case of a girl choking due to candy obstruction in the compound, this time there was no need to perform the Heimlich maneuver, but to ensure that the child's airway was open.
Because the girl was very light, Xiao Chenguang asked her to lie directly on his arms, leaned forward, lowered her head and kept her feet high, and kept patting the child's back.
Bang bang bang...
Xiao Chenguang made a bow with his palms and flapped according to the rhythm to protect the child from the risk of suffocation.
"The child's intussusception is very serious. I will take the child to the radiology department first, and you will go to the pharmacy and bring all the materials I need."
The girl's paroxysmal pain became more and more frequent, and coupled with the incarceration caused by intussusception, the girl began to vomit and showed signs of intestinal obstruction.
If it cannot be prevented at this time, once intestinal necrosis occurs, the only remaining step is to go on stage and perform an operation to cut off the intestines to save life.
But the child is too young and is at a critical stage of growth and development. Once the operation is performed, it will inevitably have a certain impact on future growth.
Stunted growth, weight loss, and allergies are all problems.
Xiao Chenguang was just about to take the child to the radiology department to take a radiograph, but the woman beside him had her legs weak and was almost paralyzed.
She turned pale.
When I thought that my child might have to undergo surgery, I couldn't help but shed tears, and my whole body was shaking with fear.
"What are you doing? The child can't be saved. Is there any use standing here crying and crying? Go to the pharmacy to get medicine and send it to the radiology department!"
Seeing the woman's distraught appearance, Xiao Chenguang scolded her directly.
Roaring sounds resounded in the observation room, and the woman suddenly woke up from the scolding, and then said emotionally: "Doctor, I can do whatever you ask me to do. Please save my child."
"The child's intestinal cuff is superimposed and requires an enema. I won't consider surgery for the time being and hurry up and get something."
Xiao Chenguang's eyes were full of doubt.
Before he could say anything, the emergency nurse had already called the radiology department and brought a transfer bed.
After hearing that the operation could be skipped, the family members were obviously relieved, and they hurried to the pharmacy as Xiao Chenguang asked.
Xiao Chenguang and the nurse pushed the child to the imaging department for examination.
"Director Xiao, in this case of the child, can the enema be used to unblock it?"
The nurse was pushing the cart with a worried look on her face.
Although the main solution for patients with intestinal obstruction and intussusception is enema.
But the child in front of me is obviously in a more serious condition. If he accidentally develops symptoms of intestinal necrosis or perforation, he may not only need surgery, but also a lot of anti-inflammatory drugs and liquids in the later stage to prevent the risk of septic shock.
This will definitely cause a lot of damage to the child.
"As long as it is confirmed to be ileo-colonic intussusception, it is not difficult to treat."
Xiao Chenguang replied calmly.
Is it really not difficult?
The nurse didn't know what to say, so she could only remain silent all the way to the radiology department.
Because I had said hello in advance, the doctor on duty was already waiting in front of the door when he learned that the child had an emergency and needed to take a X-ray examination.
"Come here."
The doctor saw Xiao Chenguang and others arriving in a cart from a distance, and immediately took them to the radiology room.
"How is the child?"
"The intussusception should be of the ileo-colonic type. Let's take a X-ray to see the exact depth so we can give her an enema."
"Then let's hurry up."
The doctor was very distressed to hear that such a young child had intussusception. After all, they are parents with children. The doctor was also uncomfortable seeing a young patient who was similar in age to his own child.
At this moment, family members hurried over, holding the things Xiao Chenguang needed in their hands.
But although they were anxious, there was confusion and doubt in their eyes.
Because the packaging bag in their hands clearly says disposable silicone catheter for adults.
Even the emergency nurse and radiologist on the side were stunned for a moment when they saw it.
Is it wrong to use a urinary catheter on a little girl or an adult urinary catheter?
But when Xiao Chenguang saw this thing, he nodded directly.
"Okay, put the things down and help support the child for a while. The next operation may be a little uncomfortable."
At this point, the male family members couldn't bear it anymore.
He pointed to the product name on the package and the yellow hose that was nearly 20 centimeters long, and asked Xiao Chenguang.
"Doctor, have you made a mistake? Why should this thing be used on children? And why did you ask us to buy a bottle of barium sulfate solution? I read on the instructions that it is used to make barium meals to treat gastritis?"
Neither of the two items was about enema, which inevitably made the family members suspicious.
Even the radiologists wondered whether Director Xiao had given the wrong medical order.
"The anal canal enema we usually use is easy to prolapse, difficult to adapt to, and the effect is not good for children."
Xiao Chenguang picked up the adult urinary catheter and continued, "Using this soft rubber tube can make the child more cooperative and reduce intestinal damage."
"And experiments have shown that using a urinary catheter instead of an anal tube for pediatric enema will have a more obvious treatment effect."
The treatment that Xiao Chenguang is using for the child now is the most effective treatment for pediatric intussusception that has been studied and promoted by later generations.
Air barium enema.
It is used for patients with sudden intussusception within 48 hours through the combination of air enema and barium enema.
It can be said that in order to make this child suffer less, Xiao Chenguang has done his best.
When the family heard Xiao Chenguang's treatment plan, they realized that they had blamed him wrongly.
So they apologized quickly and actively cooperated with Xiao Chenguang's operation.
Clean up the child's oral secretions, carry him to the examination bed, and place him in the left enema position.
Expose the operation site, and cover the rest with lead clothes to prevent X-rays.
Xiao Chenguang and the child's mother also put on lead clothes and scarves at the same time and stayed by the child's side.
At this moment, Xiao Chenguang felt like he was doing interventional embolization in the future.
However, there were no high-tech equipment such as DSA, high-definition imaging equipment, interventional instruments, guidewires, and vascular sheaths.
At this time, he only had a catheter and a disposable X-ray machine for imaging.
The gap was really big...
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