My medical skills add experience

Chapter 274 Both Chief Physicians Failed to Unblock, God-like Operation
While they were discussing, the condition of the sick child deteriorated again.

The body bowed up, the hands began to scratch, and the feet kicked.His face had turned black, and his lips had turned dark purple.Nails and even fingertips turned a deep purple.

This is a sign of severe hypoxia.

There is no time left for doctors to discuss.

"I can perform rescue after tracheotomy, but I don't have enough clinical experience in this area. The condition of the sick child can't wait any longer, cut the trachea immediately!"

Director Dai is one of the youngest chief physicians in Tuya Hospital. He has strong comprehensive strength, but there are also some shortcomings.

For example, rescue the sick children with airway blockage.

This is not as imagined to be able to operate endoscopy, or to have a certain surgical foundation.

The younger the child, the more dangerous the operation.

Doctors need to have extremely rich experience in surgery and rescue, as well as strong enough adaptability to ensure the success of rescue.

Director Dai saw that the sick child was in critical condition, so he had no choice but to bite the bullet.

At this moment, it was obviously too late to request reinforcements from Tuya Hospital.The golden rescue time for sick children is only three to five minutes.

"Doctor Chen, please go and invite Director Zhang Bihua over immediately."

Director Dai Shan was worried about an accident, so she decided to ask Director Zhang Bihua from the Department of Obstetrics and Gynecology to help.

Director Zhang Bihua has rich clinical experience in rescuing babies.

The sick child is only one and a half years old, and his vulnerability is similar to that of a baby.

"Forget it, let me call and talk to her!"

Director Dai may consider that many family members and patients are surrounded by the expert desks in the outpatient hall, and direct face-to-face communication will cause unnecessary panic and negative effects.

Even if the child dies, from a legal perspective, the hospital is not responsible.

Because the hospital has fulfilled its duty of rescue.

But other patients and their families didn't think so after hearing it.

The first thing they thought of was that the Xinxiang Maternity and Children's Hospital had just killed a pregnant woman last year, and many patients reported that there were various problems in this hospital.

Now that another child has been put to death, who would dare to come to a hospital that specializes in killing people?
Therefore, for any hospital, reputation is extremely important.

If there is a major accident, it is equivalent to a person who has been sentenced, and there will be historical stains after he comes out.Almost a lifetime of blackness.

When there is a theft case in the jurisdiction, the first thing to check is those people who have a history of theft in the jurisdiction.

There have been accidents in the hospital, and the reputation has become extremely fragile. Even if it is just a normal death that fails to be rescued, it may be magnified thousands of times.

Director Dai called Director Zhang Bihua who was in the outpatient hall on the spot.

In fact, from the moment the nurses from Xinxiang Maternity and Children's Hospital ran to the outpatient hall to invite Director Dai to participate in the rescue, Director Zhang Bihua had been secretly paying attention to the progress of this matter.

She personally led the team to support the expert outpatient activities of Xinxiang Maternal and Children's Hospital.

She is in charge.

Something happened to her, she didn't look good, and she was also obliged to ensure that this expert outpatient activity achieved a certain positive effect.Instead of creating a negative impact on Xinxiang Women's and Children's Hospital.

"I'll go right now!"

Director Zhang Bihua was decisive and calm after listening to Director Dai's report.

He just said five words lightly, but it gave Director Dai a reassurance.

Zhang Bihua first apologized to the patients and family members who were queuing up to see her for treatment, "Patients and family members, sorry, I have to rush to the operating room to complete an emergency operation, and I can't continue to treat you. The following is from our Tuya Hospital. Other specialists continue to provide outpatient services for everyone."

After finishing speaking, she stood up and looked at Deputy Director Shi.

"Director Shi, I need to borrow Dr. Zhou from you for a while. I need his help in the operating room, is that okay?"

At this time, instead of rushing to the endoscopy room to participate in the rescue, she first asked Deputy Director Shi to borrow Zhou Can as a rescuer, which was enough to make Zhou Can famous again.

Zhou Canzheng was flustered, and when he heard that Director Zhang asked him to help in the operating room, he was more than happy.

"I'm fine, as long as Dr. Zhou agrees."

Deputy Director Shi didn't dare to be Zhou Can's master.

He and Zhou Can seem to be several grades behind in professional titles. On the surface, Zhou Can is his subordinate doctor and wants to listen to him.

In fact, in the Department of Gastroenterology, Deputy Director Shi often asked Zhou Can for help.

Zhou Can saved him a lot of times.

Therefore, he has extra respect for Zhou Canna.

"Doctor Zhou, what's your opinion?"

Director Zhang looked at Zhou Can.

"I am always waiting for Director Zhang's orders and instructions."

Zhou Can's half-joking compliment made Zhang Bihua amused for a while.When she looked at Zhou Can, she also found it more pleasing to the eye.

Zhang Bihua quickly rushed to the endoscopic operating room with Zhou Can and Yang Chan.

The child's trachea has been cut, but the symptoms have not changed much.

The atmosphere in the operating room was tense and solemn.

The medical staff were busy.

Director Dai was sweating on his forehead, trying to suck out the thick and purulent secretions in the sick child's trachea.

It's just that this viscous purulent secretion is not easy to suck.

Moreover, the sick child is very young, and the organs and tissues are very immature, which is even more difficult to operate.

Standing by the side, Chen Jiaojiao couldn't hold hands at all, and could only watch Director Dai operate anxiously.

"Director Zhang is here!"

Someone uttered a cry of joy.

Zhang Bihua has a great reputation in the field of obstetrics and gynecology, not only a living sign of Tuya Hospital, but also famous in other hospitals.There are countless obstetricians and gynecologists who asked her to save the day, or studied under her.

Her students are located in large and small hospitals across the province, and they are all engaged in medical work in obstetrics and gynecology.

The essence of Xinxiang Maternity and Children's Hospital is actually a combination of obstetrics and gynecology and pediatrics.

It specializes in the diagnosis and treatment of maternity, gynecology, infertility, and pediatrics.

Therefore, there are many doctors in this hospital who know Zhang Bihua well.

"How is the sick child?"

Zhang Bihua nodded kindly to the doctors involved in the rescue, and then looked at the sick child.

"The situation is very bad, the breathing is almost gone, the heartbeat is also weakening, and the blood pressure is also dropping..."

This is a precursor to being suffocated to death.

Often the time is very short, maybe three to five minutes, and people will be completely gone.

"Can't the purulent mucus be sucked out?"

Zhang Bihua watched Director Dai suck the bronchial secretions with worry in his eyes.

To be honest, Director Dai's operation is not particularly good, it can only be regarded as quite satisfactory.

"The secretion in the trachea is too viscous, and the amount is huge, it can't be sucked at all."

Director Dai looked distressed.

"Director Zhang, you are familiar with the operation in this area, can you do it?"

She probably wanted to resign long ago.

I was also forced to do nothing just now, so I was here to help the sick child clean the bronchi.

"Okay, let me try it!"

Director Zhang didn't give in.

After being operated by her, it is indeed a living sign of Tuya Hospital. The aura is much stronger than that of Director Dai, and the operation of all aspects is much more proficient.

"It seems that there are scabs inside, no wonder it is so blocked!"

After Director Zhang sucked out some purulent secretions, he couldn't suck it anymore.

On closer inspection, it was found that there were scabs inside.

She tried many ways, but to no avail.

Seeing that the child's physical signs are getting worse and worse, multiple signs such as blood pressure, respiration, and heart rate will send out alarms.

This also means that the god of death has come, and the child's life will be reaped immediately.

"A large amount of viscous purulent secretion is attached to the glottis, bronchial wall, etc., and there are stubborn scabs that are firmly wedged on it like nails and cannot be sucked. This is really terrible!"

Director Zhang Bihua became more and more anxious.

The formation of scabs is actually the fact that the purulent secretions are not discharged in time, and they slowly dry up and form scabs.

This phenomenon rarely occurs in adults, because when adults feel uncomfortable in their throats, they will cough hard or use other methods to spit out the purulent secretions in the bronchi.

Young children who do not know how to master these self-clearing airway skills are most likely to form scabs.

This can also further block the airway.

The doctors at Xinxiang Women's and Children's Hospital were even more anxious, the child must not die.

Once a death occurs, it will be worse for Xinxiang Maternity and Children's Hospital.

Many ignorant patients think that fishbone throat, diphtheria, and acute bronchial inflammation can save their lives by cutting the trachea.This is too naive.

From the larynx to the trachea, it is an elastic tube, which has strong toughness and has the same strong elasticity as a rubber tube.Ordinary oppression, or minor problems, cannot block them.

This can also ensure that patients will not easily die from airway suffocation.

But when the trachea, which is not easy to be deformed and blocked, becomes diseased, it will become extremely difficult to unblock it.and full of uncertainties.

Also, the structure of the bronchi is actually a tree.

The main air intake duct is thick, and when it leads to the lungs, it is first divided into two, leading to the left and right lungs.

After being divided into two, it will spread out like a tree branch after entering the lungs, forming many fine branched trachea of ​​different sizes.Then it becomes thinner layer by layer and spreads wider until it spreads throughout the lungs.

Let's talk about the principle of lung breathing.

It is composed of countless alveoli, like a balloon, which expands when inhaled and shrinks when exhaled, thereby completing the exchange of gases.

The only access to the outside world during gas exchange is the bronchi.

It's like a highway system.

Numerous rural roads connect to county roads, and then county-level roads converge on provincial roads, and finally provincial roads converge on national roads, forming a road transportation system that can lead to the whole country.

If there is a problem with the main bronchus or the secondary 'dart', it can lead to severe damage to the patient's lung function and even stop breathing.

At this moment, the main bronchus and the secondary main bronchus of the sick child were severely blocked, which made breathing almost completely suspended.

The body cannot exchange oxygen, fresh oxygen cannot enter the body, and exhaust gas cannot be discharged from the body, and the patient's major organs will quickly shut down.The first to be affected and the symptoms are extremely obvious are the heart and brain.

If the airway cannot be cleared quickly to help the sick child resume breathing, the heart will stop beating due to hypoxia and myocardial necrosis in just a few minutes.The brain is necrotic, the whole body stops functioning due to lack of oxygen, and dies quickly.

Just because they knew the danger, Director Zhang Bihua and the doctors of Xinxiang Women's and Children's Hospital were as anxious as ants on a hot pot.

At this time, Dean Tian also rushed to the operating room after hearing the news.

Looking at the sick child whose life was hanging by a thread, Dean Tian almost collapsed.

Using all available human resources and spending a lot of money and energy, they finally invited the experts from Tuya Hospital.

It was thought that the reputation and superb medical skills of these experts could be used to revive the prestige of Xinxiang Maternity and Children's Hospital.

I never dreamed that such a thing would happen on the first day of the consultation with the experts.

Dean Tian couldn't even imagine the consequences of the sick child's death.

In short, she will become the eternal sinner of Xinxiang Women's and Children's Hospital.It was also during the period when she presided over the hospital that Shengsheng destroyed this characteristic hospital with a history of 70 years.

"Director Zhang, this child can't die! Hundreds of employees of our Xinxiang Women's and Children's Hospital, and the hard work of several generations, are all tied to this child. Once he dies, the hospital will collapse completely. No matter how hard it is to stand Get up. Please do give us a chance to breathe."

Dean Tian was almost begging.

Although she also saw the situation in front of her, it might be difficult for the sick child to be rescued again.

"I'll try my best!"

Director Zhang Bihua could only answer in this way.Anyone could hear that her tone was full of unconfidence and uncertainty.

Just when everyone thought that the worst outcome would come soon, Zhou Can, who stood by and watched for a long time, stood up.

"Director Zhang, Director Tian, ​​can you let me try? I have seen the situation of the sick child just now. If you want to remove the scab in the trachea in the shortest time, forceps is the best way."

Zhou Can's grasping technique is currently level [-], and the attending physician is at an intermediate level.

It is not a small challenge to remove the scab in the airway of young children.

The main reason is that time is urgent, and at most one or two minutes must be successfully taken out.Otherwise, the child will die directly.

"Give you 20 seconds to try, if you can successfully pinch out a scab, then you will be in charge of the rescue work."

Zhang Bihua was very decisive at this critical juncture.

She brought Zhou Can here because she knew that he was very skilled in surgery.Many chief physicians have reported to her that Zhou Can not only performs traditional surgery smoothly, but also has outstanding endoscopic surgery skills.

Before she came to participate in the rescue of sick children, she was thinking that Zhou Can might be able to help if she needed endoscopic surgery.

That's why Zhou Can was seconded here on purpose.

Since she has never seen Zhou Can's specific surgical ability, and the scab of the trachea of ​​the sick child in front of her is extremely difficult and risky, the technical requirements for the operator are very high.That's why she didn't take the initiative to ask Zhou Can for help.

Now that Zhou Can took the initiative to invite Ying, her demeanor and tone were full of confidence. She couldn't help but look forward to Zhou Can a little more.

"Will this... be a little risky?"

Dean Tian was worried that he would go to the doctor in a hurry and cause more trouble.

Now even if the sick child fails to be rescued, the hospital will not be subject to a lawsuit.Because everything is operating in strict accordance with the rules and regulations.The hospital and the doctors are not at fault, at most they put people to death and have a bad reputation.

If it were replaced by this young and ridiculously young doctor, in case the child's trachea was punctured, after the child died, the family members would ask the higher authorities to intervene in the investigation.That would be a big problem.

The yellow mud fell into the crotch, and the shit turned into shit.

Even if Dean Tian has eight mouths, he still can't tell.

"Dean Tian, ​​don't worry, Dr. Zhou Can is the youngest and most promising Pearson resident in our Tuya Hospital."

Zhang Bihua's comforting words not only failed to reassure Dean Tian, ​​but almost scared him to death.

"What... he, he is just a live-in companion, how can he operate it?"

If Dean Tian hadn't seen Zhang Bihua's noble status, she would have wanted to scold him.

This director Zhang is too nonsense, the sick child is already on the verge of death, and it is a critical illness.In this case, even an ordinary chief physician would have to weigh it, but she actually asked a resident Pearson to operate the core rescue project.

So irresponsible.

Zhou Can didn't care about Dean Tian's doubts, saving people was like putting out a fire.After obtaining Director Zhang Bihua's approval, he has already taken the special long-arm forceps, carefully probed into the airway of the sick child, aimed at the largest scab, and firmly clamped one of its force-bearing points. After peeling it off the trachea by hand and foot, it was finally clipped out.

The surface of this scab is all highly viscous viscous purulent secretions.

Wherever it touches, it will stick there.

It's not the hardest.

It is not a hard scab as imagined, but like rice paste.

Clamp it a little harder and it will break into two pieces.Clamp it lightly, and it will also crack.

The grasping technique must be extremely ingenious in order to be able to peel it off from the airway.

In addition to the above-mentioned difficulties, it must be ensured that in the curved and narrow airway, the forceps cannot injure the airway, and at the same time, it must be ensured that the scab does not adhere to or touch the inner wall of the airway.

All the difficulties added up are definitely hell level.

"Director Zhang, a scab has come out."

Zhou Can's total operating time is 11 seconds, which is a full nine seconds shorter than the 20 seconds given by Director Zhang.And it was the largest scab.

"Ah...so fast!"

Director Zhang Bihua had been talking to Dean Tian just now, but Zhou Can had successfully pinched out a scab in just a few words.

Looking closely at the scab pinched out by Zhou Can again, she suddenly became a little restless.

He was dumbfounded and said, "This, this... which scab is caught? Why is it so big?"

"The child's breathing seems to have recovered a bit, and the blood oxygen index is also rising."

Director Dai shouted in surprise.

She, the chief physician of pediatrics, witnessed what is called a divine operation today.

It was almost time to take a breath, and Zhou Can had already completed the operation that neither she nor Director Zhang Bihua had succeeded in.A very large scab was clipped from the airway of the sick child.

The sick child's airway, which was almost completely blocked, can only be dredged so that there will be such a big turnaround.

"Oh my God, it only took you more than ten seconds to pinch out the largest scab blocking the bronchus. How did you do it?" Director Zhang Bihua, who is usually as stable as a mountain, was startled at this moment, and from time to time exclaimed.

(End of this chapter)