【2155】quiet auscultation
Only Nie Jiamin has this privilege. He only sees five to six patients at a special expert clinic.
The doctors present at the same hospital knew that he, a pediatrician, loved to commit pediatric occupational diseases, and did not mind his warnings.
In fact, no doctor dared to neglect the child Xie Youtian. Even a person like Tan Kelin seems to be very cold to children. At this moment, he took a stethoscope and put on his earplugs, and deliberately warmed up the cold listening head and then put it close to the child's belly.
It is to listen to the intestinal rumbling sounds in the children's stomach.
Intestinal rumbling sounds, sometimes doctors don’t need a stethoscope to listen to, and ordinary people can hear them themselves. For example, when people are hungry, they usually say that their stomachs are rumbling when they are hungry, which can be said to be a manifestation of hyperincidence of intestinal rumbling sounds.
How does this sound come out? We know that the human gastrointestinal system is the digestive system. We need to eat, eat solid food and drink liquids, and the gastrointestinal itself does not eat, and there is digestive fluid. At the same time, gas is present in the gastrointestinal tract.
When gastrointestinal peristalsis is peristaltic, physical phenomena occur when gas and fluids in the gastrointestinal region are mixed. The sound of gas passing through water. To put it figuratively, gas bubbling on the water surface, making a gurgling sound.
On weekdays, gastrointestinal motility in the human body is in a healthy state. The sound of gas bubbles in the liquid is relatively gentle, like boiling a frog in warm water, low-key and steady. It is manifested as normal intestinal rumbling sounds, with less than four or five times a minute, hidden under the belly, and no one can notice it.
When it is unhealthy, gastrointestinal peristalsis will abnormally occur, and the intestinal rumbling sound will be abnormal. This abnormality can be caused by the hyperactivity of intestinal rumbling sound, that is, the rumbling sound will accelerate; it can also be caused by the weakening or disappearing of intestinal rumbling sound, that is, the rumbling sound will become weak or disappear.
Based on the above principles, doctors can further infer what may be wrong in the patient's gastrointestinal tract by listening to intestinal rumbling sounds based on evidence of whether there is a problem with the patient's gastrointestinal tract.
Auscultation requires special concentration. Doctors wearing stethoscopes are like musicians. They keenly judge abnormal signals emitted in the human body by distinguishing the nature of sounds, which is far more than the simplest number of times.
Tan Kelin's single eyelid eyes under his long bangs had long been frozen at a certain point and he couldn't move. His attention was nothing but his ears.
How many times does a child’s intestinal rumbling sound per minute, what is the sound, is it high? Is it metal sound? Or is it a relatively normal bubble sound?
No one dared to speak when standing around him. Qiu Ruiyun and Sun Yubo, who were arguing, decisively closed their mouths. They dared to argue again, and they would be driven out of the door by the boss later.
When a doctor auscultivates, he needs quietness, and it is best to have absolute quietness around him.
Other experienced doctors do not waste time when Tan Klin listens. They raise their ears together as if they turn into stethoscopes at the same time. When the intestinal roar is very loud, there is no need for a stethoscope. You can hear it just by listening.
Now it sounds like this child's belly: Gugu, Guru, Guru... it's a little loud.
Chapter completed!