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Case 1 of small disease numbers in gynecological clinics: small silver hammer adhesions case 2: silver road foreign body case 3: guided trauma

author:Nurses' Net

In gynecological clinics, it is common for parents to bring babies that are a few months old or a few years old. Then everyone is a little curious, gynecological clinics are not all adults to see the doctor? What is the situation of these children coming to the gynecological clinic?

Case 1 of small disease numbers in gynecological clinics: small silver hammer adhesions case 2: silver road foreign body case 3: guided trauma

<h1 class="pgc-h-arrow-right" data-track="3" > Case 1: Small silver hammer adhesion</h1>

On this day, Xiaofang, who was 5 months after childbirth, held the baby and waited at the door of the gynecological Chinese medicine clinic, and the baby was also staring intently at the aunt next to her, and others teased her, and she laughed happily. Hearing that the check-in machine had called the child's name, Xiaofang stood up and entered the consultation room, and everyone looked at each other and whispered.

Director Xia, who is often affectionately called "Grandma Xia" by patients, asked about the medical history, and it turned out that when the child's grandmother changed the diaper, she found that the baby girl's print cloth was congested and her urine was not smooth, so she urged Xiaofang to bring the child to the hospital for examination. The director told Xiaofang to open the diaper and set the position, and the nurse helped fix the crying and active child, at this time only two small silver hammers were adhesions in the shape of a membrane. After the director moved gently, skillfully disinfecting the silver hammer with an iodine cotton ball, the sticky small silver hammer instantly separated. She asked Xiaofang to look at the situation of separation and carefully explained that she went home to pay attention to keeping the outer silver clean, changing the damp diaper in time, opening the diaper if necessary, keeping the outer silver dry, applying ointment, and using traditional Chinese medicine anti-inflammatory treatment with inflammation to prevent re-adhesion.

Small silver hammer adhesions are common in children who use diapers for a long time within 1 year of age, with the popularity of diapers, some parents dare not wash the outer silver or try to save trouble and fail to change the diaper in time, causing the inflammation of the outer silver, resulting in the small silver hammer is membranous adhesions. Parents will find that the baby girl has poor urination, dripping urine oozing or abnormal direction of the urine line, the diaper is wet behind, and some young parents will even nervously think that the baby is congenitally unguided. There are also some careless parents who fail to detect abnormal conditions in time and are informed of their condition by experienced doctors during the pediatric medical examination. If you do not see a doctor in time, severe patients cannot urinate, and if necessary, you can use small curved forceps to gently insert along the small hole to separate.

Case 1 of small disease numbers in gynecological clinics: small silver hammer adhesions case 2: silver road foreign body case 3: guided trauma

<h1 class="pgc-h-arrow-right" data-track="29" > Case 2: A silver road foreign body</h1>

Children in early childhood are in the stage of exploring new things, and often do something dangerous that catches parents off guard and does not expect out of curiosity. Director Xia's office has encountered many children with foreign bodies stuffed into the silver channel. Once I met a parent with a three-year-old lively and beautiful little girl, the parents described the condition on behalf of the patient said: "The child always touches the bottom with his hands, and he will smell a foul smell, and there is a lot of purulent secretions on the panties." The parent has taken his child to many hospitals, all of which have been diagnosed with silver doloritis, which has not been cured repeatedly. After careful examination by Director Xia, he planned to diagnose a foreign body in the silver channel, so he was admitted to the gynecological ward, and after hysteroscopy, he was diagnosed as a guiding foreign body, and a plastic toy was removed under the hysteroscopy.

Director Zhang of the Gynecology Clinic said that she has been practicing medicine for nearly twenty years, and has encountered many similar situations, and the young girl's silver road inflammation is often a small guide to foreign bodies, and there are various things that are taken out, such as small buttons, pen caps, small toys, small bells, batteries and so on. Director Zhang stressed that if the battery is not removed in time in the body, it will corrode the guide wall and cause the risk of perforation of the guide wall.

A few years ago, a good friend of mine also said that her daughter was playing in the sand, and an ear of wheat poked into the silver channel, and the little girl was afraid in her heart, and at first she did not dare to say it, and the pain was unbearable before telling her mother.

Children over the age of 1 can sit and walk to wear full pants; children over the age of 2 can better understand the language of their parents, and they must strengthen the health and safety education of young children, strengthen care, put away dangerous items, and avoid contact with young children.

Case 1 of small disease numbers in gynecological clinics: small silver hammer adhesions case 2: silver road foreign body case 3: guided trauma

<h1 class="pgc-h-arrow-right" data-track="30" > Case Three: Guided Trauma</h1>

In the morning, a young mother led a little girl who was about 2 years old, hurriedly and directly into the Chinese medicine clinic, the guide nurse asked the girl the reason for the treatment, after the parents explained the situation, the nurse let the anxious parent wait for a while, and entered the clinic to explain the situation to Director Xia and let the small patient see the doctor first. It turned out that the little girl was playing with her companions when she touched a stone sharp corner on the ground. The girl complained of local pain, which was exacerbated when urinating, and the parents spoke in a trembling voice and looked nervous, worried about hurting the hymen. The director said gently: "I'll talk about it after I check it out, don't worry too much." "During the inspection, it was found that there were small lacerations on the outside of the big silver hammer, and the director told the parents to pay attention to keeping the girl's print cloth dry after returning home, changing the panties frequently, applying anti-inflammatory plaster, and recovering quickly."

In the outpatient clinic, I have the privilege of contacting many obstetrics and gynecology experts, some of whom are experts in the studios of famous doctors, and I will ask the experts for advice in time when I encounter specialized knowledge that I do not understand, and absorb knowledge like a sponge every day, gaining a lot. I also organize the professional knowledge I have learned into courseware, explain it in the weekly small classes of the pregnant women's school, and use interactive teaching, which is very popular with patients, and some of them are already my old fans.

Watching the endless flow of people in the obstetrics and gynecology clinic every day, I couldn't help but say to the director: "The obstetrics and gynecology clinic sees a variety of people in the world, and the cases in the clinic are also the best textbooks." "The obstetrics and gynecology medical staff use your benevolent heart and exquisite technology to accompany and care for every big patient and cute little patient."