medical road high rise

Chapter 503 Intussusception

Chapter 506 Intussusception

Qin Feng directly arranged an enterography for Zhang Kai, and found that he had a cup-like change in the descending part of the intestine, and the proximal intestinal tube was obviously dilated.

This is obvious duodenal intussusception, which is a relatively rare disease. It is more common in children, and it is even rarer in teenagers like Zhang Kai who are [-] or [-] years old.

In patients with duodenal intussusception, the intestinal tube will be inserted into the connected intestinal lumen. The main symptoms are obstruction, upper respiratory tract bleeding and abdominal pain. Hypoxic necrosis, which will directly threaten the life of the patient.

Qin Feng thought about the characteristics of duodenal intussusception for a while. This kind of duodenal intussusception can develop suddenly or slowly. The patient should have intussusception that occurred before. He experienced abdominal pain and vomiting. This time he vomited so badly because the intussusception had deteriorated.

This kind of duodenal intussusception can only be restored by surgery to restore the intussusception to its original position, and it is necessary to detect whether there is any necrotic intestinal segment, and to find out the cause of the intussusception to avoid recurrence.

Duodenal intussusception generally has a reason, which may be due to abnormal intestinal structure of the patient, or it may be caused by intestinal segment occupying space or simple accident.

If it's just an accident, it's very simple, you just need to deal with the necrotic part and remove the intussusception of the intestine.

If it is a structural abnormality or an intestinal segment occupying space, then further surgery is necessary to directly adjust the patient's duodenal structure, which can be shortened or extended, mainly according to the patient's condition.

"Has the family members come?" Qin Feng asked.

"I've already contacted her, and it's estimated that I won't be there in half an hour." The nurse replied.

"Another half an hour?" Qin Feng frowned, and contacted the family members from the moment the patient entered the hospital. It has been an hour and a half now, why does it take half an hour to arrive?
"Doctor, I don't have a car at home. It takes more than two hours to get to the hospital from home. My parents should have ordered a car." Zhang Kai said embarrassedly.

Qin Feng nodded. There is still a big gap between the rich and the poor in Shanghai.

Moreover, being able to accept Li Wei's study is not a good study. It's not that Li Wei is not good enough, but those good schools have better students. They don't need Li Wei to add to their brilliant resume, because they You are the student's calling card, not the students being their calling card.

As for Li Wei's school, it can be said that the family environment of most students is only a little bit better than Li Wei's, just over the food and clothing line.

"Okay, the operation is not in a hurry, first decompress the patient's stomach and intestines, correct the water and electrolyte disorders in his body, as well as the acid-base imbalance, and prepare for surgery at any time." Qin Feng ordered.

The nurse quickly made arrangements, and before Qin Feng left, the nurse outside the door notified Qin Feng that Zhang Kai's parents had come.

Zhang Kai's parents are completely different from Zhang Kai. His parents are thin and thin. The tallest father should be only 1.6 meters, and his mother is a little shorter.

Both of them were wearing very simple clothes, and their foreheads were still sweating. They probably ran over after getting out of the car.

"Mom and Dad!" Zhang Kai couldn't help crying.

For the two-hour drive, Zhang Kai was talking about the taxi situation. For such a long distance, there is not a few hundred yuan that cannot be landed.

The patient's mother went to comfort the patient, while the patient's father came to Qin Feng cautiously.

"Doctor, does my baby need surgery?" Zhang Kai's father asked.

"Yes, according to the current situation, your child should undergo surgery as soon as possible, the further down the development, the more unfavorable it will be for his body." Qin Feng said.

"Okay, doctor, we agree to the operation." Zhang Kai's father said without hesitation.

It's just that Qin Feng still found something unnatural in Zhang Kai's father's eyes. In this place of the hospital, everyone would have a little bit of an operation.

After all, there were a lot of bankruptcies due to treatment, and Zhang Kai's family was just an ordinary family, but for the sake of their son, Zhang Kai's parents were ready to sell everything on the way here.

"Don't worry, the surgery is just a minor operation and the cost won't be very expensive." Qin Feng said proactively.

The eyes of the two fathers lit up all of a sudden. Although they didn't care about money compared to their son's life, it was a great thing to be able to spend less and be able to bear it.

Soon after the surgery consent was signed, the patient was sent directly to the operating room.

Qin Feng stood at the position of the surgeon, went to the training room to familiarize himself with the surgical procedures, and determined the surgical technique to reduce intussusception.

This is not technically difficult, but the precision is relatively high. Pediatricians who specialize in dealing with intussusception generally have more knowledge.

After waiting for the anesthetic to take effect, Qin Feng adjusted the patient to a supine position, and then the scalpel passed through the rectus abdominus incision in the right middle, and entered the abdominal cavity paramedianly.

After the incision, Qin Feng carefully inserted his right hand into the incision made in the abdominal cavity, and then used his index finger and middle finger to explore inside, and soon found the intussusceptible intestine.

This is also a very important step. If the intussusception can be found, the operation can be performed directly. If not, the incision can only be enlarged.

In surgery, the larger the incision, the better, but the greater the harm to the patient, so try to avoid too large an incision.

Feeling the intussusceptive intestinal segment, Qin Feng immediately reset it.

The reset procedure is also relatively simple. Put your hand into the abdominal cavity, hold the top of the sleeve, and gradually squeeze it from the distal end to the proximal end to squeeze out the sleeved bowel tube. In order to prevent the reset difficulty, Qin Feng The fingers were lubricated with some sterile paraffin oil.

Then the operation is inserted into the intussusception sheath, and the intestinal segment at the end of the routine is carefully squeezed proximally to lift out the cecum, and the intestinal segment is carefully pushed out with fingers.

Qin Feng took a closer look and confirmed that the intussusception was caused by an accident.

It is normal for Zhang Kai's intestines to have no obvious structural abnormalities and tissue defects, and the duodenum, cecum and other organs are very healthy.

Qin Feng suddenly thought of what Li Wei said, that Zhang Kai seemed to be on their school basketball team, could it be because of the violent collision caused by playing basketball, resulting in intussusception.

Basketball is a good sport, but there are many cases of illness due to violent collisions. After all, the human body is very fragile, and a small fight will cause big problems.

After the reset was successful, Qin Feng pulled out his hand with a serious expression.

Because Zhang Kai's intussusception lasted too long, part of the overlapping intestinal tubes were necrotic. These necrotic intestinal tubes could not be kept and had to be removed!

(End of this chapter)