命悬一线,手术还是不手术?——一个儿科医生的左右为难

• 作 者: 裴洪岗
• 机 构: 深圳儿童医院新生儿外科,
• 出 处: 家庭之友(爱侣)
• 发表日期: 2014年06期
• 关键词: 儿科医生 儿童常见病 迟发性肠坏死 短肠综合征 新生儿外科 外科医生 命悬一线 幸运之神 术后并发症 系膜血管

切或者不切,可以影响一个孩子的命运,一个家庭的命运,甚至医生自己的命运。2013年7月的一天,半夜从外院转来一个小女孩,被父母抱到病房时脸色苍白。门诊超声考虑肠套叠,这是一种儿童常见病。这个孩子发病时间很久了,肚子胀,脸色苍白,肚子可以摸到长条的包块,不哭也不闹。看过孩子后,我觉得病情已很危重,完成手术准备后就马上进了手术室。手术开进去,里面的情况和术前判断一样,肠套叠,而且是小肠套叠,一种更少见、更难复位的类型。套入的肠管长

Cut or not, can affect the fate of a child, the fate of a family, and even the doctor’s own destiny. One day in July 2013, a young girl was transferred from the outer court in the middle of the night and was pale when her parents took them to the ward. Out-patient ultrasound consider intussusception, which is a common childhood disease. The child onset time is long, belly bulge, pale, stomach can touch a long piece of mass, do not cry nor trouble. After seeing the child, I think the condition has been very critical, immediately after the completion of the operation into the operating room. Surgery went inside, the situation inside and preoperative judgment, intussusception, but also intussusception, a more rare type of more difficult to reset. Into the intestinal long