Chapter 273 Ignorant mother, Director Dai is a little flustered(1/2)
Chapter 273 Ignorant Bao Ma, Director Dai is a bit panicked
Author: Jiangbianyu Weng
Chapter 273 Ignorant Bao Ma, Director Dai is a bit panicked
Zhou Can had nothing to do, secretly thinking about the cause of this obese female patient?
There are many causes of sudden suspension of breathing during sleep during sleep. For example, genetic factors.
If people in the family have this disease, then the probability of future generations is very high. Such patients can generally see some through looking at the diagnosis. For example, the tongue is huge, which is often called big tongue disease.
Then, then
This is the most typical inheritance.
Almost all patients with large tongue have the risk of breathing during sleep. Their tongue is hypertrophy, and it is easy to shrink back and block the throat.
There is also the mandibular deformity, the dangling of Yongyong, the lofty nail hypertrophy, etc., all have the risk of breathing in the dream.
Such people belong to the high -risk group of this disease.
Experienced doctors can come out through the naked eye.
In addition to genetic factors, there are people who like to drink and smoke, and this disease is also prone to occur.
Excessive drinking is very easy to increase sleep and breathing symptoms.
Some people lie on the ground after being drunk. When they are discovered the next day, they have died. There are more than one example of this tragedy, but many examples have happened.
The image of the obese female patient and her parents flashed one by one in Zhou Can's mind, and there was no obvious appearance defect.
The sound of their family's speaking is clear, and there is no huge tongue or the like.
At the time of the consultation, the parents of the female patient did not mention that other family members had this disease.
Then the family inheritance can basically be ruled out.
Smoking and drinking for a long time, it doesn't look like a woman like that.
Obesity caused the airway to narrow, and it can basically be ruled out. Because she has undergone surgery in this area, the family members clearly stated that the patient's symptoms still exist after surgery.
This means that it is likely that the airway is not caused by narrowing.
Or her situation is very special. In addition to the reasons for the narrowing of the airway, there are other lesions.
What is the cause? Endocrine disorders?
This possibility is really available, and the probability is quite high.
Metabolic diseases can also cause sudden suspension of breathing during sleep.
Zhou Can's diagnostic ideas are basically stuck in this place. To further diagnose, she must wait for her to finish the bronchial mirror and enhance the CT before she can continue.
At this time, a woman who was clinicing at the table caught Zhou Can's attention.
The woman is holding a young child who is only one or two years old and is telling the doctor about the child's symptoms.
"Doctor, please help it. My son seems to have a cold in the past two days. A strange voice will be made during breathing, as if something blocked his nose. And his forehead was a bit hot."
Women look twenty -three years old, and they are slightly old -fashioned, and their skin is dull and rough. Whenever this dress, the family's economic conditions are mostly not very good.
And the cultural level is generally low.
The living conditions of this type of people are not good in themselves. In addition, they do n’t pay much attention to health, the cultural level is low, and there is no concept of medical knowledge. Even some people ’s thoughts are extremely stubborn and conservative.
If you are sick, you do n’t find a regular doctor for treatment, but like to ask God to worship the Buddha, or superstitize some earthwork, remedy.
If she is sick by herself, then there is nothing.
Anyway, no matter how she tosss, it is her herself.
The most afraid of is that the child is sick, and she will toss like this. It is the child who suffers.
Zhou Can can see at a glance that the child's complexion is already a little bit embarrassed, indicating that the disease is quite serious. At this time, she brought the child to see a doctor. The mother's heart was really big.
The person sitting next to Zhou Chan was Director Dai Shan of Tuya Pediatrics.
Her age is estimated to be around forty -one.
Short hair, ordinary looks, make her look capable and ordinary.
Being able to be the chief physician at the age of forty years old at Tuya Hospital is already a very young chief physician.
Although the deputy high school title is uniformly reviewed by the municipal authority, the title of the high school is judged by the provincial authority. It seems that it does not have much to do with the hospital. In fact, there are many subtle things in it!
The chief physician of the BR county -level three -level hospital and the provincial three hospitals seem to be reviewed by the province.
The level may be different.
Take Tuya as an example. When recruiting doctors, it will start to get stuck from the rules and cultivation. The recruitment requirements are extremely harsh. Every victory is competitive through layers.
The group was killed.
The foundation itself is much stronger than the rules of the three hospitals in the county seat.
In the later training, county -level hospitals cannot be compared.
Whether it is the level of teaching teachers, or the hospital's scientific research, teaching, software and hardware, diagnosis flow, and the treatment experience of incurable diseases, etc., almost every aspect of provincial hospitals must far exceed county hospitals.
It is conceivable to know how the level gap between doctors of the same level of county -level hospitals and provincial hospitals will be.
But this kind of thing is not absolute.
Some county -level hospitals also have very strong chief physicians.
Conversely, the provincial three hospitals also have a level chief physician.
In short, Dai Shan was promoted to the chief physician of pediatrics at such a young age. The strength must not be worse.
The young female doctor sitting next to her, Zhou Can was a little impressed.
Chen Jiaojiao, the same regulations with him.
The girl's results in the recruitment test are extremely dazzling, and the surgical ability is quite powerful.
After nearly two years of regulation, their batch of rules have gradually begun to participate in formal diagnosis and treatment.
With the chief physician, this is the prelude to the beginning of medicine.
Director Dai stared at the child carefully, and there was not much expression on his face.
"How old is the child?"
"One year and seven months."
"Are weanable?"
"I was weaned long ago, the child now eats with adults now."
The children of poor people rarely eat milk, basically weaning about one year old, and then eating with adults. Children who have rich people in the city use milk as a staple food before three years old.
Another phenomenon is particularly interesting.
After giving birth to a child in the city, they rarely feed their children with breastfeeding. On the one hand, they have to work and have no way to bring their children at home. On the other hand, they pay great attention to their body and shape, and they are worried that breastfeeding will bring chest sagging, dry, etc.
The problem affects the beautiful shape.
Therefore, they are more willing to spend thousands of yuan a month to buy milk to feed their children.
Until in recent years, milk on the market has always had problems. In addition, scientific research has shown that children who grow up with breast milk are healthier and smarter. Women's white -collar workers in the city choose breastfeeding children gradually increase.
There is also the extension of maternity leave, and it has created favorable conditions for female white -collar breastfeeding children.
This child did not drink breast milk anymore, which means that he must rely on his immunity to resist the invasion of the virus relying on his own immunity.
Zhou Chan faintly hear that the child will make a sharp sound when he breathe.
It is like a strange sound when blowing the tube, and it is like a puppy barking.
"Bad, the child's throat must have inflammation, and it is likely to be acute inflammation."
From the child's face and lips, it can be inferred that the child is likely to be high fever at this time. There is also a problem with breathing, and blood oxygen exchange may be serious.
"Dr. Chen, give your child a lot of body temperature and do a physical examination."
Director Dai said to Chen Jiaojiao.
"OK!"
Chen Jiaojiao, who is petite, looks sweet, looks particularly quiet.
Who can think of this seemingly tender young girl, not only a graduate student at an emperor Medical University, but also has a strong surgical strength?
She got up and walked in front of the sick child, showing her children with a smile, and her voice was extremely soft.
I saw her skillfully clamped the thermometer under the armpit of the sick child.
Then began to measure the key basic signs of heart rate, pulse, blood pressure, and breathing for sick children.
It can be seen that the child's body is still quite strong.
Small arms and necks are all meat.
The face looks fat.
To be continued...