Hot spots | Xiangya suspected that the "tumor" was a lotus shell, and the experts involved responded!
Author:Medical newspaper Time:2022.09.13
Recently, Xiangya rushed on Weibo for the "tumor turning in lotus shell" incident. The 11 -month -old big baby's upper jaw appeared a black mass. Parents feedback 300 yuan to see the expert number at Xiangya, Zhongnan. The expert preliminary diagnosis of suspected tumors. To be checked and treated, the treatment opinion was hospitalized. A hospital found that it was not a tumor but a lotus shell.
According to several media reports, the parent found that the child was suspected of a lump in the mouth, and went to Hunan Province Children's Hospital, Xiangya Hospital, and Hunan Provincial People's Hospital. The Hunan Provincial Children's Hospital, Xiangya Hospital suspected that it was tumor. In the end, it was found at the Hunan Provincial People's Hospital.
According to the Xiangya disease calendar provided by the parents to the media, Dr. Xiangya's preliminary diagnosis in the case is "the nature of the right jaw lump is to be checked? Congenital embryo tumors to be arranged?" Direct diagnosis.
According to parental feedback, the hospital diagnosed doctors who have worked for Xiangya Stomato Hospital for more than 40 years. They have rich experienced oral experts. They are currently the second -level professor, first -level chief physician, and doctoral supervisor of Xiangya Hospital.
On September 12, the expert made the following response to the hospital diagnosis--
Dr. 做 said that at that time, 8 thoughts of hospitalization were considering a 11 -month -old baby. When consulting, the diagnosis problem must be considered and the baby's oral mucosa was not subject to secondary damage. The following considerations:
1. In the absence of the awareness of the behavior of independent dominance, I can only hold my nose gently with my hands, let the child open their mouths to check;
2. The outpatient examination of the dental department should use the three devices in the inspection plate, namely oral mirrors, cameras, and probes. However, for the baby, the two students present opened the plate and the instruments for me, but I was useless. At that time, the consideration was that the child had no autonomy. In the soft tissue of the population, it causes successful damage; in addition, the mucous membrane of the alveolar without teeth without the mandibular alveolar is not bleed, and the mucous membrane of the alveolar is damaged;
3. It was used to use the nose to make the child open the mouth to check the mouth and the palate situation when they breathe;
4. When checking the hardness and base of the high -rising object, 2 cotton cuts are used to push twice from the rear and near the rear and near -facing alveolar.
5. At that time, I wanted to insert a high -lift -based base with a probe. I was afraid that the mucous membrane damage and bleeding plus the patient's crying. It
6. At that time, I wanted to give a CT check before processed. Considering that the 11 -month -old child did CT rack too much, the time had to make an appointment;
7. Therefore, the patient's family members will be more secure and scientific after further treatment will be processed after opening a hospital hospital.
8. The preliminary diagnosis of the hospitalization certificate must be met in order to meet the conditions of admission. After using the knowledge scope of my mastery, preliminary diagnosis is given: (1) the nature of the mass to be checked; (2) According to the medical history provided by the family members of the patient It is closer to the history and test results, so these two diagnosis was taken and the hospitalization certificate was issued.
Many doctors show their attitudes to the incident online. "Lu Manman Dental" publicly apologized for the transmission incident related videos on his own Weibo. The video has been deleted), and the person who has guessed and commented on the debate, and the speech is too exciting or even uncivilized. Just as I have the wrong comments there, I must admit it, summarize the cause of mistakes, accept criticism, and remind others not to make mistakes. Not only on Weibo, but also in medical work. This apology originally wanted to wait until the official explanation to confirm that my guess was wrong, but no matter what the result was, the above summary was wrong. I learned the lesson. In the future Be more stricter than yourself. "
Yao Shanglong, the former vice president of Wuhan Union Hospital of Hubei Union Hospital, also publicly stated in the WeChat circle of friends. Do not guarantee that there is no detail in the short -term exposure to patients in the outpatient clinic for a short period of time.
Nie Shunli, the Second Affiliated Hospital of Nanhua University, stated in his personal public account that "Hunan Children's Hospital" and Xiangya Hospital were both three hospitals. In the training of doctors, they first aimed at rare diseases, rare diseases, and were severe diseases. And their daily consultation is also a "relatively serious" disease. Therefore, there is a thinking trend in the outpatient consultation. That is, first exclude severe diseases.
There is no principled error during the entire diagnosis and treatment process. In fact, the diagnosis of outpatient clinics is not confirmed. It is a type of diagnosis, a preliminary impression diagnosis. Preliminary impression diagnosis is often further amended with subsequent diagnosis and treatment.
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