What to do if you have uneven chest

Hemiplegia is usually caused by congenital reasons. If you want to completely cure this condition, the best way is to undergo surgery. However, this type of surgery involves great risks. A comprehensive physical examination must be done to determine whether the patient is suitable for the surgery to avoid causing more serious conditions. In addition, strenuous exercise should not be performed for one year after the surgery.

1. Guide the child to eat a high-protein, high-calorie, high-vitamin diet, such as meat, eggs, milk, fresh fruits and vegetables.

2. When necessary, give intravenous infusion, supplement energy and vitamins, and use antibiotics and hemostatic drugs.

3. Add more high-calcium foods to your diet, such as dried shrimps, kelp, sesame paste, etc. While supplementing calcium, pay attention to adequate exercise and vitamin D supplementation.

4. Children are forbidden to eat or drink water on the day of surgery. Those without abdominal distension, nausea and vomiting can eat on the second day after surgery. Generally, they should first eat liquid or semi-liquid food and gradually transition to a normal diet.

5. Since you will have to stay in bed for a long time after surgery, you should pay attention to eating fiber-rich vegetables, bananas, etc. to prevent constipation.

6. Avoid strenuous physical exercise within one year after surgery.

This disease is a familial dominant genetic disease and there is no effective preventive measure

It is very easy to diagnose clinically, as the deformity is obvious at a glance and no differentiation is required. The difference between it and another common chest deformity - pigeon chest is that pigeon chest is a wedge-shaped protrusion on the front chest wall, which looks like the sternum of a bird, hence the name. Pectus excavatum is a funnel-shaped concave deformity of the anterior chest wall.

Cardiac X-ray and electrocardiogram: The heart is often displaced to the left and rotates clockwise. X-ray chest section shows that the lower sternum is sunken backwards and the distance between it and the spine is shortened. The concave CT images are more accurate and clear. Pectus excavatum is very easy to diagnose clinically, and the deformity is obvious at a glance. However, it is relatively difficult to determine the severity of pectus excavatum, and there are many description methods in clinical practice.

X-ray examination shows that the back of the ribs is straight, the front part is steeply inclined and downward, and the heart shadow is mostly shifted to the left side of the chest cavity. There is a distinct radiolucent area in the middle of the cardiac shadow, and the right cardiac border often overlaps with the spine. In some severely ill patients, the heart shadow may be completely located in the left chest cavity, and older patients often have scoliosis of the spine. A lateral chest X-ray shows that the sternum is obviously bent backwards, and in some cases the lower end of the sternum can reach the front edge of the spine.

Posteroanterior photograph: transparent area in the cardiac shadow of pectus excavatum.

Chest CT scans can more clearly show the severity of chest deformity and the degree of heart compression and displacement.

The electrocardiogram may show an inverted or bidirectional P wave in V1. There may also be right bundle branch block, and cardiac catheterization may demonstrate diastolic slopes and plateaus similar to those seen in constrictive pericarditis. Cardiovascular angiography showed right heart compression deformity and right ventricular outflow tract obstruction.