【2333】weight loss
It is safe to use air enema to reduce intestinal intussusception. It is very mature in clinical practice. However, it has time requirements for the patient's conditions. For example, myocardial infarction should be treated within a few hours, otherwise the effect will be greatly reduced or even ineffective.
Specifically, clinical cases have been counted. Data show that this method has the highest success rate within 24 hours of the onset of the child, which can reach more than 90%. If it exceeds 24 hours, it will have certain effects within 48 hours. If it exceeds 48 hours, the intestinal crack will be almost necrotic. If it is exerted, there will be no effect. So she Xie Wanying said that she should seize the time to seize the last window period within 48 hours.
The problem is that your time is close to 48 hours, the probability of intestinal necrosis is high, and the success rate of air enema is low. It is a big adventure to try it for the child to do this.
It’s not that air enema is not dangerous. I think it’s the most dangerous part of air enema. It’s like swelling rubber. Whether to swelling or not can only be filled with gas or increased atmospheric pressure. After the pressure increases, the tube may be burst in the lumen. The necrotic intestine is more likely to be difficult to swell in the intestine. In the human body, the intestine is perforated and the abdominal cavity is bleeding.
Well, the doctor knows this terrible complication, how about lowering the stress? There is also a tricky complication waiting for you, or intussusception.
Eighty percent of laymen find this incredible: You are using this method to solve intussusception, so why can intussusception cause intussusception?
The intestines are much more complicated than rubber tubes. The rubber tube has only one layer of skin and is flat, so the intestines are not.
By the branch histology in anatomy, the structure of the intestine can be divided into the mucosal muscular serosa. The most complex mucosal layer has an annular wrinkle wall structure. Simply put, it is called wrinkle, which is a normal physiological phenomenon.
The wrinkle wall of the intestinal mucosa is a physiological structure that naturally evolved from the human body to allow the intestine to absorb the nutrients of the food.
You think, if food slips like it in a smooth rubber tube and the food liquid passes through the intestines too quickly, it is difficult for the human body to absorb the nutrients of these foods and absorb water.
When examining the digestive tract in clinical practice, if you pay attention to the partial examination report, you can see the doctor's description of the intestinal wrinkle wall. If there is a problem with the circular wrinkle wall, it means that part of the cause of the patient's indigestion is this.
Because the intestines have these special physiological structures, if the intestinal duct cannot be pushed back and inserted into the intestine after the intestinal vent is stimulated, it may cause functional disorders in other intestinal duct segments and cause intestinal inspillation in other parts. Whoever makes the wrinkles of the intestinal walls more likely to cause intestinal inspillation is another potential factor that causes intestinal inspillation.
In a word, as long as the probability of intestinal necrosis is high and the invigoration cannot be pushed, let alone cure it, there are many complications. The probability of intestinal necrosis is proportional to the onset time of the child.
In this way, the success rate of this child in making air enema is not very high, and the doctor's focus must be on complications. He is not a pediatric general surgeon, and has few cases to handle, so he has no experience in handling such cases. Knowing that there is this method, he is not sure about the problems that arise during the treatment process, so he can only choose to give up.
Chapter completed!