Chapter 2764 [2764] What bit
I want to take the child's life.
In children with congenital **** atresia, there is an external **** sphincter in the middle, middle, and low **** atresia. There is no difference and they are well developed. It is equivalent to saying that the developnt of it is not important, but it is good. The important internal **** sphincter is exactly the opposite. The higher the **** atresia, the worse or even absent its internal **** sphincter.
Doctor is the most fearful thing about cooking without rice. The text has said this many tis.
In the congenital diseases of children, cooking without rice is a common problem, because most of the deformities of these deford children are due to the underdevelopnt of organs. For example, the esophagus atresia we talked about last ti, the worst type, can only go to other organs of the human body to replace the missing esophagus.
Faced with this kind of child, the doctor can only search desperately in the child's body, trying to find the residual tissue of the internal **** sphincter. use.
The Pena procedure does exactly that, using the well-developed external **** sphincter and remnants of the internal rectal sphincter to form a new anus. Its accurate na is posterior sagittal anoplasty. The direction of the scalpel is the sa as that of the sphincter, which can avoid damage to the sphincter to the greatest extent, which is the highlight of this operation.
It can be seen from this that Pena operation is a traditional operation and non-new technology laparoscopy. Families definitely prefer laparoscopy, which is less harmful to the human body. We have talked about this issue in general surgery. There is no advantage in that laparoscopy is difficult to operate in this kind of low-dian rectal and **** surgery, so laparoscopy is more used in high-level **** atresia.
The first step, as Mr. Wu asked, is to determine what position.
Since Mr. Wu went to inform the operating room, it is conceivable that it is basically impossible to be low. There is usually a fistula in the lower position to defecate, and there is no need to rush the knife. After all, if the operation of such a small child is not life-threatening, the operation itself is too risky.
Students can't answer the teacher's question with the teacher's behavior, they will be looked down upon by the teacher.
To accurately determine the location of **** atresia, the most economical solution is to pass abdominal plain film. If the child's condition allows, it is more accurate to take an inverted abdominal X-ray, that is, the accompanying person grabs the child's feet and the other hand stabilizes the child's head or shoulders so that the child is taken upside down.
Today, this patient only took a simple abdominal plain film, and several classmates carefully judged the plain film around the light board.
This ti, it's classmate Pan's turn to answer this question: "This is the blind end of the inflated rectum, and this may be the pubococcygeus muscle. The two are close to each other and should belong to the dian." After saying this, classmate Pan said Look at the other two students first: Do you agree with my opinion?
"This visual asurent is a bit difficult, is it more than two centiters?" Lin Hao helped Pan with his eyes, intending to turn them into asuring rulers to asure the distance between the **** and the anus. The textbook said that generally speaking, less than two centiters is low, and more than two centiters is dium and high.
It is more difficult to judge the mid-level and low-level of this part of the film.
is difficult. Xie added: "It also depends on the child's weight and size."
So of them seem to be less than two centiters and should be low. The problem child is less than a month old and is small. Relatively speaking, this less than two centiters is actually a high distance.
It is not surprising that there are such inaccurate results.
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