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    Dr. Yang¡¯s words fell to the ground.

    Student Wei was the first to stare: What?  no?  Why doesn't it work?

    How could it suddenly not work?  If it doesn't work, the child will have to be taken to the operating room for surgery.

    What did classmate Xie say?

    You should first listen to what experienced Dr. Yang has to say.

    The schematic diagram of the pathological anatomy of intussusception is as follows.  As mentioned before, intussusception is when the head of one section of intestine is folded into the inner diameter of another section of intestine. Accordingly, the structure of intussusception can be divided into:

    The outer layer is the outer tube, which is called the sheath, which is the outer diameter of the inserted intestine. The head of the sheath is the neck, which is like the mouth of a bag holding the folded intestine inside.  The middle layer is the middle tube, and the folded intestine section enters the part of the neck. The front end here is called the head of the intussusception.  The innermost layer is the inner tube. After the intestines are folded and inserted into the opposite pocket, they have to be folded back again.

    According to the intestinal segment of intussusception, intussusception can be divided into various types: jejunum within jejunum, ileum within ileum, ileum within cecum, ileum within colon, colon within colon, etc.

    The most common one is the ileum-caecum in this child today.

    Do you think everything will be over after the ileum is folded into the cecum?  no.  The mechanism of intussusception is said to be caused by intestinal dysfunction and unhealthy movement of the intestines.  Until this unhealthy movement is corrected, the intestines will continue to move and may swing more violently in an attempt to break free after intussusception.

    The intestines want to live rather than die. This is the body¡¯s self-protection mechanism.

    The problem is that the intestines are not like human hands and feet. They cannot move wherever the brain tells them to move. The swinging movements are like random movements without a brain.  What is the result of moving around? It's like a drowning person who doesn't know how to survive. The result of moving around is sinking into the sea. The harder you move, the faster you sink and die.

    It¡¯s the same as intussusception.  The turbulent intestines prevent the head of the intussusception from retracting on its own, and the intestines will continue to move forward, which means that the intussusception may become deeper and deeper.  The outside of the intestine is the mesentery. The deeper the sleeve is, the more the mesentery is pulled into the interlayer between the outer tube and the middle tube and between the middle tube and the inner tube.  In addition to tying up the intestines, the mesentery also contains blood vessels and other important structures that nourish the intestines.  After the cannulation is deep, the blood vessels are stuck in the middle layer, and the intestine without nutritional supply is more likely to suffer from necrosis.

    According to the principle mentioned above, during the B-ultrasound examination, the doctor specifically instructs the B-ultrasound doctor to scan the appendix again.  One is fear of appendicitis.  Second, the surgeon was afraid of inserting the appendix.

    This situation is not uncommon in clinical practice.  These body parts are in close proximity to each other.  After the ileum encases the cecum, the ileocecal valve becomes the head of the intussusception, bringing the end of the ileum into the ascending colon, and the cecum and part of the appendix are turned into the colon together.

    Do you think this situation is very difficult just thinking about it?

    Under fluoroscopy, the injected gas reaches the head of the diagnostic site.  Gas entering the inner and outer tubes can present a cup-shaped image, which is a unique X-ray sign of intussusception.  If too many things are turned in, the gas will spread in the messy intestinal tube, and the overall appearance will look like a light ball, with a somewhat unclear sense of layering.

    Dr. Yang is now observing the condition of the child's intestines under fluoroscopy. It does not seem to be cup-shaped or clamp-shaped at first.

    As you can imagine from the name, the inserted intestinal tube structure is relatively clear and layered like the cup mouth shape, and the depth of the inserted intestine may be deeper like a pair of pliers.

    ? 7017k (remember this website address: www.hlnovel.com
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