Two years ago, a few colleagues went to Hebei to study, free time to go to Zhangjiakou, looking at the landmarks of the Dazhongmen scenic area, the superior physician smiling Mansing chanting: “the mountains and rivers are big ……” thinking about running a little, suddenly remembered N years ago to the baby girl The scene of sage advice: – baby, what is your last name ah? —Ja! —Answer! What’s my last name? –Jia! –Good! You see, my last name is Jia, and you are my girl, so your last name is Jia too, right? What about your good friend Li XX? Her last name is Li, so what’s her father’s last name? …… (the storyteller is following the path, mainly to make her understand the significant meaning of the family name heritage) — Emmm, is her father’s surname also Jia? (The girl’s face is in disbelief) (The storyteller fainted in the corner with tears ……) As a genuine social animal, the storyteller is sitting in front of a computer that is running at a slow speed and typing – the keyboard operates like a fly, and then picks up the goji berry tea and drinks it. A sip, looking at the screen one by one slowly flashing characters, quite a fantasy. Today, we are going to continue our PP series and talk about perianal abscesses. The perianal abscess is actually a serious perianal infection, but unlike “prolapse”, it is not uncommon to see babies suffering from perianal abscesses clinically, so the storyteller thought it was necessary to have a good chat. The first definition – perianal abscess refers to an acute purulent infection of the soft tissue around the anus and the formation of an abscess. (Look at this definition, it is simply the four words “perianal abscess” expanded into a sentence ……, how to say, the name of the disease is relatively straightforward) What is the pathology of perianal abscess pinch? The students …… hey, I said everyone, how one by one are down? The big brother is too much ah, carry a pillow is what operation! The actual perianal abscess often originates from the inflammation of the “anal sinus” and “anal glands” (these two are estimated to be the baby daddies). The reason is that the opening of the anal sinus is upward, which is easily blocked by feces, bruised, and infected and inflamed. The anal glands open up inside the anal sinus, so one glory and one loss, the anal sinus infection, the anal glands are often a piece of the “fall”. What’s more, the infection may spread to the surrounding area through the anal ducts connected to the anal glands, further developing into abscesses in several areas around the anus. If left untreated, the abscess will expand further and may penetrate into the tissues around the rectum, forming various “fistulas” (that is, a connection between the rectum and a part outside the anus that leaks), such as rectal perineal fistula, rectal vestibular fistula, etc. (Seeing the tears in the eyes of all the mothers, the storyteller will not list them all). After talking about the mysterious “pathology”, let’s talk about the specific causes …… ahem, you can put away your pillows …… small infants stools are not yet formed, and often diarrhea ( The baby’s perianal skin and rectal mucosa are delicate and easily scratched by dry feces, or by rough diapers or hand towels. The wound around the anus, plus here is the place to defecate, a variety of bacteria that is “application of all”, and the little baby’s defense mechanism is not yet sound, the local resistance is relatively poor (specifically, the rectal mucosa secretory immunoglobulin IgA, IgM less la). The “internal and external problems”, it is very easy to cause infection. The next step is to talk about the clinical manifestations, all the parents have to pay attention to it. The baby can appear unexplained crying and restlessness, lying on his back or crying and crying when defecating – this is easy to understand, right, the baby PP pain, naturally will cry. The body temperature sometimes rises to 38~39℃, and when examining the anus, redness, swelling, heat and pain can be found – redness, swelling, heat and pain are typical symptoms of inflammation and infection, knowledge points, notes hurry up! The baby’s elevated body temperature indicates a systemic infection. The larger child, able to take the initiative to tell the pain around the anus, walking or defecation pain aggravated, unwilling to sit, or only use one side of the PP to sit,…… hey, sins, blame the poor see. If not treated in time, eventually the baby’s anal redness will gradually become soft and dark red in color, followed by a sense of fluctuation until it breaks down and flows pus. OKok, the above is the main manifestation of perianal abscess, finished, baby mothers can wipe their tears to calm down, let’s move on to the treatment. The acute infiltration period of inflammation …… (Oh, it is the baby PP although red, but the redness of the local is still relatively hard, no sense of volatility, this is in the early stages of inflammation) to take conservative treatment – after defecation with cleaning the anus, strengthen anal care, warm water sitz bath or warm If the baby has constipation, it is necessary to take laxatives to keep the stool open; if the baby already has fever and other symptoms of systemic infection, it is necessary to promptly treat with intravenous fluids. If an abscess forms …… hey, the baby’s mother is certainly not falling again to endure …… the need for timely incision and drainage. The storyteller also knows that parents do not tolerate, but this time, in order to help babies recover quickly, long pain is better than short pain, or have to cut open ah ~ ~ ~ clinical and many parents are because they do not tolerate, so delayed treatment, and eventually not only still have to cut open to drain the pus, and lead to a longer recovery time, and even lead to anal fistula, increasing the pain of the child.