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Chapter 416 Neonatal chylothorax

 In the pediatric ward.

Shen Lifen was looking at the child in her arms with tears in her eyes. When she saw her son's breathing sound like a bellows and his face that was flushed due to difficulty in breathing, he felt very distressed and burst into tears again.
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"Baby, baby, don't scare mom. Get better soon. Mom, please, woo woo woo~~~"

The child's mother is crying, and the child's grandmother, aunts, and aunts are also wiping tears beside her.

The child’s grandmother just sat on the ground and howled:

"My poor grandson~~Why are you so seriously ill~~How should I explain to your father~~Why am I so miserable~~"

The child's grandfather became even more upset after hearing this: "Why are you howling? If you want to howl, go out and howl, it's bad luck!"

In the ward, nurses were coming in and out, suctioning the child's sputum, changing medicines, and observing the condition. They were all very nervous.

Outside the ward, many people gathered around the door and pointed.

Hospitals in this era were unable to keep up with treatment due to their limited capabilities. Deaths in hospitals were a common occurrence, and many were sent to the morgue every day.

Now the patient is a 2-month-old baby, and his father is a soldier, which makes many family members watching feel sad.

"It's over, it's over, this child can't be saved..."

"Yes, the condition is getting worse day by day, and the doctors can't do anything. I heard that they are now going to call in experts from other hospitals..."

"It's pitiful. This child's father probably doesn't even know that his son is about to die. If he knew, he would be so distressed..."

"I heard that dad is still an officer guarding the border, but he is a great hero of our country..."

"It's true that good people don't get rewarded..."

Whether it's Shen Lifen in the ward, the family members, or the crowd watching, everyone already knows that this little baby may not be saved.

Judging from the old experience of ordinary people, if there is less air coming in and more air coming out, it is almost a dying state.

It was in this low-pressure atmosphere that Chen Qi came to the ward.

Dean Gai personally accompanied Chen Qi in the front, chatting about his condition while walking into the ward, followed by a lot of directors, and finally a young doctor like Qi Zhiyi.

The people watching outside the ward were full of questions. We had agreed to hire an expert, but why did a young man come in?

Expert, shouldn’t someone have white hair and a white beard?

Also in doubt are Shen Lifen and other family members. They never dreamed that such a young doctor would come to participate in the consultation?

It seems that he is not even 30 years old, he is about the same as an intern doctor.

"Dean Gai, this, this is..."

Dean Gai immediately realized what was going on and hurriedly introduced:

"Teacher Shen, this is Comrade Chen Qi, the dean of the Fourth Hospital of Vietnam and China. He is a double director of the International Medical Association and the only international expert in our country. He sacrificed his personal rest time to come here for consultation."

Dean Gai also played a word game, and did not say what double directors are, nor what kind of professional directors they are.

Older people may not know it, but young people like Shen Lifen who often read newspapers immediately realized who Chen Qi was. After all, he was a typical figure who was widely publicized back then, so he immediately became excited.

"So you are Comrade Chen Qi, great, please save my child, wuwuwu~~~"

The family members nearby also showed their sincerity. Only the child's grandmother and grandmother were a little dissatisfied with Chen Qi's age. They didn't say anything, but felt guilty in their hearts.

Chen Qi quickly consoled him:

"Don't be anxious, don't be anxious. Look, everyone is trying to find a way to help your child. Don't lose confidence first. I'll check first. Now that medicine is so advanced, there are definitely more solutions than difficulties."

Time was running out, and Chen Qi had no time to say anything more and started to unzip the baby's clothes.

The premature baby, who is only 2 months old, is as weak as a kitten and makes people feel pitiful just looking at it.

As soon as he opened his clothes, Chen Qi keenly discovered that the child had obvious depressions in the suprasternal fossa, supraclavicular fossa, and intercostal space. An experienced doctor knew at a glance that this was due to inspiratory inhalation due to partial obstruction of the upper airway.

Difficulty breathing.

Because children have shallow and fast breathing, the three-fold sign will be more obvious, which is also an important criterion for diagnosing severe disease.

It also indicates that the child is already suffering from respiratory failure, and the situation is more serious than he imagined.

Chen Qi tapped his chest again with his fingers, and the sound was obviously dull. Combined with the chest X-ray, it was possible to determine the pleural effusion. The most troublesome thing now is what is the nature of the effusion? Where is the tissue fluid coming from?

Is this exudate and leakage? Is it infectious, tumorous or traumatic?

If in future generations, CT films can provide doctors with very valuable evidence, the problem is that they don’t exist now, which gives Chen Qi a bit of a headache.

"Dean Gai, let's do an ultrasound on the baby first."

"Oh, I just had a B-ultrasound, and the report only said there was effusion, and couldn't provide any more useful information."

The B-ultrasound machine of the Second Hospital is the same as that of the Fourth Hospital. It is black and white, and the screen resolution is not high enough, which also affects the doctor’s judgment.

Doctors in this era are so helpless when treating patients. They need examinations but not examinations, and they need medicines but not medicines. Therefore, the mortality rate of patients is much higher than that of later generations. Fortunately, medical troubles are not popular these days, otherwise they would not be able to see doctors.

Chen Qi thought of the most advanced laptop color ultrasound machine in his space. He had never taken this thing out in front of others and only used it secretly in Huangtan.

The situation is critical now. Seeing that the child cannot survive and may die at any time, he cannot remain indifferent.

Having made up his mind, Chen Qi said to the doctors around him:

"Wait a minute, my friend abroad gave me a color B-ultrasound machine, which happened to be at my house. I'll go get it."

Upon hearing this, Qi Zhiyi shouted from behind: "Chen Qi, let's go faster by bicycle."

The two returned within 15 minutes. Chen Qi said anxiously: "Dean Gai, now I need a room with curtains and preferably no light."

Yao Qingjue, the director of pediatrics next to him, shouted: "Let's go to our small warehouse, there are no windows there."

When they heard that Chen Qi had brought out advanced foreign gadgets, everyone wanted to see them. Chen Qi thought to himself that it was lucky that he could take the lead in foreign countries now, otherwise it would be difficult to explain.

But he is someone who doesn’t want a large crowd of people to watch, and it’s hard to explain some “black technologies” if they are publicized.

"Sorry, sorry, because this machine is still in the experimental stage and has confidentiality requirements, so please forgive me for not being able to watch, but don't worry, I will tell everyone the results as soon as possible."

Everyone was disappointed when they heard it, but when they thought about Chen Qi's identity, they couldn't force him, so they could only shake their heads and wait outside the house.

Chen Qi put the baby on the hospital bed and locked the door. Then he opened the color Doppler ultrasound machine and started applying coupling agent to the probe.

"Teacher Shen, please hold the child's hands and feet later and try not to move. I will check as soon as possible."

The examination of young babies is the most troublesome because they will keep swiping, which will cause image distortion and make it difficult to locate.

B-ultrasound is okay, but for examinations such as CT, the patient cannot move, so some sedatives have to be used to make the child fall asleep.

Shen Lifen looked at the thin machine in front of him, which looked strange like a TV screen. He was filled with curiosity, thinking that foreign things were good, and maybe his child could be saved.

Chen Qi quickly put the probe on the baby's chest, close to the skin, and stared at the screen carefully while swiping.

It didn’t take long to see that something was wrong.

Originally, pleural effusion is generally relatively clear, so under B-ultrasound, it shows a liquid dark area with good light transmittance.

However, in this child's pleural effusion, small point-like echoes can clearly be seen, which indicates that there is sediment in the pleural effusion, which in layman's terms is relatively turbid.

The pleural effusion is not only turbid, but there is still pleural effusion even when the probe reaches the sixth rib. This is a large amount of pleural effusion, and the situation is more serious than imagined.

Seeing that the doctor remained silent, Shen Lifen became more and more nervous, "Dr. Chen, what's going on with my son? Is it serious?"

While packing up the machine, Chen Qi replied: "It's quite serious. I have a guess and further inspection is needed."

"Okay, I'll listen to you. I'll do whatever inspections you say."

"We went out and said that this needs the consent of your family members before we can proceed."

In the ward.

The child’s grandmother became anxious when she heard this:

"What? You said you were going to take such a long needle and stab it into my grandson's chest? Aren't you going to stab him to death? No, no, no."

The child’s grandmother also shook her head like a rattle:

"Our baby is less than 2 months old, how can he endure this suffering? Sui Guning, this will cost someone's life."

Chen Qi was also speechless and explained:

"I'm not stabbing him with a needle. I'm going to send the needle to the place where the pleural effusion is, and draw out the pleural effusion and test it. Only if we know the nature of the effusion inside can we prescribe the right medicine."

"No, no, I've never heard of such a cure."

"That's right, it's scary to hear it."

The family members objected one after another, and even Dean Gai was unsure.

"Chen Qi, pumping out pleural effusion is also a relatively painful thing for adults. This little baby is so thin and his vital signs are unstable. Is it too dangerous to pump out pleural effusion?"

Lu Yue, director of the Department of Surgery, also advised: "Even if you ask me to do a chest puncture at such a young age, I would not dare to do it. By the way, what was your judgment on the B-ultrasound just now?"

Chen Qi replied without hesitation:
Chapter completed!
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