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    How many prenatal checkups did you do and how much did you spend to end up like this?  !

    In the thoughts of family members, we often hear that a pregnant woman¡¯s prenatal check-up found something wrong with her fetus, and the doctor recommended an abortion. Prenatal check-up should fully detect the unhealthy fetus.

    This is the reason for Dr. Peng¡¯s sad sigh.  If I go out and talk to the patient's family about this now, there will probably be a fight.  The child's father had previously questioned the negligence of their medical staff.

    It is expected that the family will not only complain about the obstetrician's failure to detect the disease in the fetus in advance, but also complain about the neonatologist who actually took 20 hours to realize that my child was sick.

    Dr. Wang¡¯s mood is not much better than that of Dr. Peng, but as a doctor, he needs to admit the actual situation: ¡°This disease in children is not easy to detect.¡±

    "Is this esophageal atresia?" Dr. Peng asked his colleague.

    The common tracheal fistula in neonatology is not bronchopleural fistula, but a relatively rare disease called esophageal atresia.

    The "big belly" in children is actually pneumoperitoneum, which is abdominal distension caused by gas entering the gastrointestinal tract.

    Where does this gastrointestinal gas come from?

    The amount of gas inhaled by a normal person entering the human digestive tract is small and not enough to cause abdominal distension.  The gas inhaled by the human body mainly travels through the nose and goes to the lungs for gas exchange.

    Some abnormal clinical symptoms are caused by anatomical differences between the patient's human body and the normal human body.  If the gas does not take the normal path to the lungs, but takes an abnormal path to the digestive tract, it may cause pneumoperitoneum.

    The abnormal path is what classmate Xie calls a fistula.  A fistula forms between the child's trachea and digestive tract, and the gas that the child should have inhaled into the lungs escapes into the digestive tract.  It can be seen from human anatomy that the organ of the digestive tract next to the trachea is the esophagus, where abnormal fistulas are most likely to occur.  This is also true and is called an esophagotracheal fistula.

    Esophagotracheal fistula can be said to be a symptom of a result, and the cause can be trauma, infection, etc.  In the neonatal department, doctors should pay attention to checking whether there are congenital diseases.

    For a child who is just born and has a good score at birth, the possibility of factors such as trauma and external infection is indeed lower, and the possibility of congenital causes is higher.  Among neonatal esophagotracheal fistulas caused by congenital diseases, congenital esophageal atresia, said Dr. Peng, is the most common cause.

    Dr. Peng continued: "If you have esophageal atresia, you probably won't be able to breastfeed."

    The finger is pointed at the previous feeding in the neonatology department, but no abnormalities were found?

    Esophageal atresia, as the name suggests, means that the esophagus is closed, that is, one end of the esophagus, which is the digestive tract tube, terminates.  To put it more generally and more concretely, the esophagus is like the terminal port of a water pipe that is not connected to the water tank (stomach).  If you cut open some of the bodies of children with this disease, you can clearly see that the esophagus and stomach are not connected, and that section of the esophagus is closed by itself.  The digestive tract that should have been unobstructed was partially empty here.

    It¡¯s so strange, why does the esophagus close on its own?  To say that this disease is congenital means that it is caused by poor development of the fetus in the mother's body.  Looking back at the various causes of congenital diseases in children, there are many factors. It may be that the mother encountered a polluted environment during pregnancy, or the father and mother's own chromosomal abnormalities caused the child to develop abnormally.  For these reasons, it is difficult to get to the bottom of things medically.  (Remember the website address: www.hlnovel.com
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