"It should be the bottle cap of a drink bottle," Li Yufen said anxiously and handed the bag of films to Director Wei.
"I also heard it from the teacher. A few children were playing, but for some reason, the child was stuck by a foreign object. It was a mess at that time. The teacher came to help, but he didn't slap it out. He said that he swallowed the bottle cap. "
Under normal circumstances, it was common for children to swallow coins. The bottle cap … Although it was about the same diameter as a coin, it was much thicker. In terms of imaging, it was not as easy to spot as a coin.
After all, under normal circumstances, plastic items would not show up under X-rays.
If one looked closely, they would notice that there was a slight difference in the density of the image, but it was difficult to see it at a glance like a metal coin.
This matter was a little troublesome.
"After that … I rushed to the kindergarten as soon as I received the call. I immediately took the child to a nearby hospital." Li Yufen was a little anxious, but her recount of the medical history was clear and understandable.
"The child was quite normal at the time, but I was terrified. Go to the hospital for a checkup. The doctor touched his stomach. There was no pain or other symptoms. It looked the same as usual. At that time, I gradually calmed down and thought that it might be fine. "
"After that, we did a plain film on the abdomen. The doctor from the emergency department could not tell the location, so we went to the inpatient department to have a look."
"A bunch of department heads and professors came to look at the scans. In the end, they confirmed that the bottle cap had been emptied through the stomach and had reached the intestine."
As she spoke, Li Yufen took out a piece of radiographic film in chronological order.
This person was very organized. He was anxious but not panicked. It was very rare for him to be able to maintain his rationality.
If they were careless, it was not uncommon for them to forget to bring the films. Then, he had to go back to get the radiographic films. It would take him a few hours to go back and forth.
Chief Wei picked up the radiographic films and Zheng Ren moved closer.
This was only the patient's briefing room. To prevent the patient's family members from losing control of their emotions, the tables and chairs were embedded into the ground.
The radiographic film viewer was not installed. Director Wei took the radiographic films and looked at them under the light.
It was a thoracic and abdominal radiography. The radiologist finally ordered a radiographic film.
The radiology doctor was also very thoughtful. He must have let the child stand on the machine and looked for many angles. Finally, he found the position and ordered the scan.
After all, a plastic bottle cap was different from a metal coin. If it was a metal coin, a person could see it by standing on it.
Even so, the image was still very blurry.
Chief Wei squinted at the scan. The child's lower abdomen was white.
There were a few places where the density was slightly different. Director Wei and Zheng Ren checked them bit by bit.
No wonder Li Yufen said that the doctors in the emergency department did not dare to make a judgment. In the end, after many professors consulted, they said that the bottle cap had reached the intestine.
It was difficult to find the location of the bottle cap on this piece of film.
After looking at it for a full three minutes, Zheng Ren pointed at a spot in the lower abdomen and said, "Chief Wei, is it here?"
"I suspect it's here too," Chief Wei said in a tone of discussion. He did not treat Zheng Ren like a junior doctor.
"And then? What did they say? "Zheng Ren asked.
Li Yufen looked at Zheng Ren and Chief Wei in surprise. She then glanced at Zheng Ren and said, "After the consultation, the professor said it shouldn't be a big problem. He asked me to pay attention to the child's stool for the next few days. It might come out at any time."
"You didn't get a queue?" asked Director Wei.
"No." Li Yufen said firmly, "I checked both times very carefully. Even if there was only half a bottle cap left after it was digested, I could still find it."
Zheng Ren sighed in his heart.
How pitiful parents are!
He could even imagine the child not flushing the toilet for the past two days. Every time he finished, Li Yufen would check it bit by bit with anticipation.
It was really not easy to be a parent.
"Yesterday morning, the child had pain in the right lower abdomen," Li Yufen said. "I took the child to the hospital and took a second radiographic film. The doctor said that the position of the bottle cap did not change. They did not understand what was going on. Normally, it should have been discharged. "
As she spoke, she took out the second radiographic film and handed it to Chief Wei. Then, she took the first radiographic film, checked the date on it, and put the radiographic film back into the original radiographic film bag.
The image of this radiographic film was similar to the first radiographic film. It was just that because of the position and the doctor who did the radiographic film, there was a slight change in the position of the increased density.
However, after Zheng Ren reconstructed it, he believed that the bottle cap was indeed in place and had not moved.
However, there were still differences between the two radiographic films.
The first radiographic film showed that the small intestine was normal. The second radiographic film showed that the proximal small intestine was bloated.
"The child's stomachache worsened today. I took him to the hospital to take the third radiographic film." Li Yufen took out the last radiographic film and handed it to Chief Wei.
This radiographic film showed that the position of the bottle cap still did not change. It was still in the right lower abdomen. The difference was that the proximal small intestine was bloated, and the intestine could be seen to be more obviously dilated.
Coupled with the description of the child's mother, Zheng Ren considered that there were already signs of acute inflammation, accompanied by acute intestinal obstruction.
Strange, where was it stuck?
If it was a coin or other blunt object, Zheng Ren could understand if it was stuck in a certain position.
Although it was a small probability event, since the child's parents could find the 912, it proved that it was something that the nearby hospital could not solve.
Therefore, Zheng Ren could accept a small probability event.
However, unlike a blunt object, the edge of the bottle cap was slightly sharp.
This degree of sharpness was not enough to cut the stomach wall or intestinal wall, but the intestinal wall tissue had a self-protection function. After encountering sharp stimuli, it would respond to avoidance.
It was not a human's autonomous consciousness, but a self-protection instinct of the body.
The slightly sharp edge of the bottle cap would stimulate the intestine, avoid damage, and strengthen emptying.
Logically speaking, it should be able to be discharged in a day. Why was it stuck in the intestine?
Zheng Ren could not understand.
Just as Chief Wei was about to put down the radiographic film, Zheng Ren took it and looked at it carefully under the light.
"Did you poop yesterday and today?" Zheng Ren asked.
"Yes, but not much. It's a little thin."
At the very least, it was an incomplete intestinal obstruction that could be diagnosed. However, this was more strange.
It was not like it was a big thing. The elasticity of the intestine was still very strong. Why was it stuck?
Strange!
Zheng Ren thought of a few possibilities in succession, but they were not very likely. He could not say it as a diagnosis.
Chief Wei had already made an appointment with Li Yufen to bring the child to the hospital.
From the looks of it, there was probably an emergency surgery to remove the bottle cap.
Although Li Yufen looked distressed, there was nothing she could do. She could only call her husband and ask him to send the child over.
"Boss Zheng, what do you think?" Chief Wei asked.
Zheng Ren could not understand either. In front of Chief Wei, there was no need to say those strange and bizarre guesses.
He shook his head slightly and prepared to talk about it when the child came.
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