stjorthotic Chapter 374
Chapter 374
Chapter 374
“The rejection response of the donor’s small intestine to the host is mostly divided into the following types:
·The first type is GVHD. This disease often occurs in bone marrow transplantation and small bowel transplantation, and the main symptoms are systemic rash…
·The second type is because there are more lymphoid tissues in the intestinal wall and mesangium, so the rejection rate of small bowel transplantation is higher. The clinical manifestations are fever, abdominal pain, vomiting and watery diarrhea. Severe intestinal paralysis, intestinal bleeding, and infection Shock and ARDS performance…”
·The third…
“About how to prevent and treat? Generally, a large amount of adrenal cortex hormones are used to increase immunosuppression…”
Lin Feng taught him world-class surgical experience in his mind.
Doctors who study: experience +1000+1000+1000+1000……
unconsciously,
One hour passed…
Lin Feng stopped the topic and ended the teaching.
One by one interns, I feel very rewarded,
Even the training and attending of those regulations, I feel very rewarded and very excited.
Screamed in my heart.
“Doctor Lin is awesome 08!”
…
Lin Feng’s teaching of gastrointestinal surgery was a great success.
Well-known,
Other departments are also ready to move!
…
at the same time,
In the suburbs of the Imperial Capital,
A general hospital, delivery room.
A cry of a newborn baby,
Let the whole world of a family of grandparents, grandparents, uncles and aunts, full of brilliance.
“Congratulations, it’s a boy…”
“Haha, thank you so much, thank you doctor.”
“Come on, I want to see my grandson…”
“so happy……”
Everyone happily teased the baby in their arms.
Newborn babies have a little pointed head (squeezed by the cervix, the pointed head is easier to come out), and the hair is still too much, wet (generally more than 40 weeks old), a bit like a little old man (because it was born at 42 weeks, So the skin will be more wrinkled, like an old man)…
“Although he looks like a little old man, he is still so cute~~~”
“Good grandson~~mua~~~”
And the new mother happily looked at Mr. Yang, who was happy in the family.
However,
The joy of the family did not last long.
But when they are going to breastfeed their babies,
The situation has appeared!
As soon as you breastfeed, your baby will spit up, and even keep coughing, short of breath, and out of breath.
“What’s the matter? Why don’t you want to drink milk?”
“Why keep spitting bubbles?”
“What’s the matter with the baby?”
When repeated 3 times,
The family members were horrified to find that the baby’s face was starting to turn wrong.
His face is cyanotic!
This time it scared the family.
Find a doctor quickly!
When the doctor saw the situation, he also realized something was wrong.
Check quickly.
A check, surprised!
“not good!”
“This baby turned out to be “congenital long-segment esophageal atresia”! ”
The doctor felt distressed!
This baby is in big trouble!
The so-called esophageal atresia means that the middle of the esophagus is disconnected, and the two ends of the atresia are more than 2cm apart.
The distance between the two ends of 2.1 to 3.5cm is called “long type”.
The distance between the two ends is greater than 3.5cm as “ultra-long type”.
Congenital esophageal atresia is not uncommon in the neonatal period. It is one of the serious congenital malformations in newborns, with an incidence rate of 1 in 4000.
As for why “can’t drink milk”?
This is obviously because there is no esophagus, so milk can’t get into the stomach at all, but into the digestive system.
Those milk can only enter the trachea, which will naturally cause serious problems such as tracheal resistance, coughing, shortness of breath, gasping, hypoxia… and so on!
“Doctor, what’s wrong with my grandson?”
Grandparents, grandparents and grandparents were too anxious.
“this……”
The doctor glanced at the four old people, and was very embarrassed for a while.
He was really afraid that as soon as he told the truth, he would send the four old people away!
When I saw the doctor,
The whole family is aware of the seriousness of the problem.
“Doctor, what happened to my son?”
“Doctor, what is going on?”
Young fathers and mothers are very emotional,
And the four elderly people are also very emotional,
Stared at the doctor.
The doctor was helpless: “This baby is suffering from esophageal atresia… The specific meaning is…”
I haven’t explained it yet,
Gudong~~~~
Grandpa with coronary heart disease fell directly to the ground.
And the grandpa with high blood pressure also lay directly on the ground.
“dad!!”
“Old man!!”
The whole scene is in chaos!
The young father was angry at the moment and snarled at the doctor: “Why didn’t it get a check in the first place? We go for a birth check every week, why didn’t we get a check!!”
Even the fist is already ready to swing…
The doctor hurriedly explained: “This really can’t be blamed on the hospital, this kind of disease cannot be detected by the B-ultrasonic examination of the obstetric examination!”
Finally,
Finally comforted a family.
Grandpa and grandpa also woke up and turned around, but fortunately, after taking the medicine, there was no serious problem.
“Doctor, what should I do now? Is my son still saved?”
“Yes, this is the imperial capital, there must be salvation!”
“Doctor, what should we do next? Money is not a problem. Even if we sell the house, we have to heal my son!”
The doctor explained: “Because the esophagus is missing, so the baby needs to confirm how long the esophagus is missing. If it is short, it will be very troublesome. If it is long, it will be very troublesome… Now you have to go for a checkup immediately…”
The baby is just born, and there is still enough energy stored in the body, so there is no need to eat immediately.
The family is mighty, follow the doctor, take the baby, and send for examination.
In the face of the angry parents, the hospital directly arranged a jump-in inspection, not dare to delay the time, so as not to irritate the parents.
The check result came out soon,
bad news!
Length of esophageal atresia, 5.3cm! 057!
It’s already “super long”!
“Trouble!”
The doctor sighed: “Under normal circumstances, in this case, we will choose to extend the patient’s own esophagus. By connecting the two ends, we will open up the patient’s esophagus again. This is called “esophageal prolongation anastomosis.” ”
“However, the missing segment of the baby’s esophagus is too long, and the esophagus cannot be extended to a suitable length, so “esophageal replacement surgery” can only be used! ”
“No one in our hospital can do this operation…”
“It is recommended to transfer to the Harmony Hospital…”
One more sentence, the doctor did not say:
The treatment of ultra-long esophageal atresia is not only difficult to operate, but also has a high risk of postoperative complications.
In statistics,
Long missing esophageal atresia, postoperative complications, the mortality rate is as high as 80%!
They are an ordinary hospital on the outskirts of the Imperial Capital, and they dare not receive such a difficult operation!
“Harmony Hospital?”
Upon hearing this, the young father was furious.
“Fart, I don’t know how difficult it is to register at Harmony Hospital!”
“My son may not be able to hang up for a few months!”
He has tried the difficulty of registering at Harmony Hospital.
When the doctor saw that the family was getting angry again, he quickly shouted.
“Don’t worry, I have the contact number of Dr. Lin Feng, I can help you contact Dr. Lin Feng…”
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ps: I changed the computer today, I will continue to work hard on the codeword, the update will be a little later…
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