Since 1981 Health School
Chapter 611 The Zhoushan Cobra Goes Wild
The second method is to remove the snake with endoscopy.
But there is a problem with this too.
Because the snake is very slippery, especially the snake that is not dead is twisted and twisted, it is difficult to clamp it with endoscopic forceps, and it is easy to slip off with a ferrule, but it cannot be grasped and fixed.
The third method is to brainstorm with everyone to see if there is any local way to get the snake out completely?
In the emergency department, Lao Guo, Zhu Huoyan, Jin Peilin and other surgeons also came after hearing the news.
When these surgeons took a look at this film, they were all shocked:
"Oh~~~ There is really a snake in my stomach."
"This is really a crime. Let a little girl swallow a snake. It's terrible."
"We have to hurry up and do emergency surgery."
Few people are not afraid of snakes, especially when the snake is still in the stomach. Many female doctors stay away from the patients, for fear that the snake will suddenly "break out of the belly" and then fly up and bite people.
Zhu Huoyan did a physical examination, looked at the ECG monitor, and frowned:
"Chen Qi, now the patient's blood pressure has been dropping, and the person's consciousness is not clear. This is a typical shock symptom, and it is very dangerous. Give me an idea whether to perform thoracotomy or endoscopic surgery!"
Although Lao Guo is a surgeon, he knows the value of new technology, and he wants to do surgery in his heart, but he wants to see if the endoscope can handle it specifically.
"Professor Tong, do you think there is any better way to deal with it now?"
Professor Tong could only shake his head, and said with a wry smile:
"I really didn't expect you Yuezhong Hospital to encounter so many strange patients every day. Our Xijing Hospital has treated people who swallowed rice field eels, but we have never treated people who swallowed live snakes. Rice field eels and snakes look similar. It's actually quite different.
The eel is very slippery and has no scales on its body. This kind of animal is also carnivorous, so the bite force is very strong. I remember that the patient finally underwent laparotomy. Of course, I know that Comrade Xiao Chen definitely wants to have endoscopic surgery.
But snakes are different. Snakes have scales, and the scales still face backwards. If you pull it backwards, these scales will look like barbs. In other words, it is very difficult to pull it out backwards, you have to take this little Chen into consideration. "
Chen Qi nodded:
"I understand, this is Nilin, but the problem now is that the snake may not be dead yet, so it will open its stomach directly, and it will be troublesome if the surgeon is bitten."
Everyone thinks about it, doctors are human too, no one wants to be injured during the operation, what if they die?
At this time, Liang Ping An made a suggestion: "Then we have to find a way to kill the snake first, or anesthetize it first."
Someone in the crowd asked, "How to anesthetize?"
Yi Zewen's eyes lit up: "How about drinking? Drink high-strength white wine, soak it all in your stomach, and make this snake drunk."
As soon as Lao Guo heard it, he became angry:
"Idiot, this is a little girl. I don't know if the snake will be drunk after drinking this wine. This little girl will definitely be poisoned by alcohol. What kind of bad idea are you talking about?"
At this time another doctor stood up and said:
"I know a simple way, put the smoke oil in the pipe pot into the anus of the snake, and the snake will come out in reverse, so it's easy to catch, isn't it?"
Lao Guo rolled his eyes:
"The snake is in the stomach, how do you find the snake's anus? If you find it, how do you stuff the soot into it? Nonsense!"
"I also know a simple method, which is to use the trunk of the old onion to hollow out the inside, and then use an endoscope to send it down and put it on the snake, so that the snake will not move and can be pulled out."
Chen Qi coughed lightly:
"This, this, endoscopic forceps can't hold dried onions, even if they can hold them, they can't be completely sent to the stomach. After all, this thing is a plant, too brittle and too soft. Besides, it's not certain whether it will work or not. .”
In the emergency room, many doctors were discussing how to treat and remove the snake without hurting the little girl.
Xue Xiaojuan's father is in a hurry. Anyway, now that someone is willing to help with medical expenses, he also wants his daughter to survive:
"Doctors, please do me a favor and save my daughter. We are jugglers. Many people die every year because of accidents during snake swallowing performances. This is why we rarely perform this show. If we don't Save my daughter, she won't survive tomorrow~~~"
Only then did everyone notice that there was a family member waiting outside the crowd.
Lao Guo is more experienced, so he immediately asked, "Are you the father of the child? What kind of snake do you use in your performance?"
All eyes were on the parent. Just now everyone was busy coming up with ideas, but forgot the most fundamental question, what kind of snake is this?
The middle-aged man said with an accent in the direction of Ningbo and Zhoushan:
"It's the snake from our hometown, the cobra, but it's just a little snake..."
"Zhoushan Cobra?"
There was an experienced doctor in the crowd, and he slapped his thigh when he heard it: "The Zhoushan cobra is very poisonous, even small snakes are very poisonous."
Boom~~~ There was an explosion in the emergency room, not to mention the doctors, even the common people who came to watch the excitement were dumbfounded.
"Ah, this is over!"
"Who dares to take the Zhoushan cobra? If it bites you during the operation, the doctor will die!"
"No, we have to protect ourselves too."
The doctors in Xijing Hospital are all foreigners and know about the venom of cobras, but they don’t know why everyone was so surprised when they heard the behavior of Zhoushan cobras, so some people quietly asked their colleagues.
"Excuse me, is there anything special about this Zhoushan cobra?"
"Hey, you don't know, this snake is very poisonous. It is known as the top ten poisonous snakes in Huaguo. We Haidong people are most afraid of this thing."
"Oh~~~ Miserable~~~"
At this time, another doctor stood up and analyzed:
"Don't worry, everyone. Think about it. Snakes are cold-blooded animals, and the temperature inside the human body is 37°C. It is possible that once the snake is swallowed and the temperature rises, the snake will soon become comatose and die. The principle is probably similar to the clinical death of hyperthermia. drop the same.
But I think the most dangerous thing is that snakes have many parasites, such as tapeworms and spargans with various strange names. They like to burrow everywhere in the internal organs of the human body, and especially like to parasitize into the brain to eat delicious food and spicy food. It is disgusting to think about it. "
Not only did the doctor's words disgust the doctors in the emergency department, but even the onlookers took a step back.
Parasites were terminally ill in the 1980s. Think about schistosomiasis, which kills many people every year.
After hearing so much, Chen Qi thought a lot, especially when he knew it was a Zhoushan cobra, he knew he couldn't delay.
The little girl is now in painful shock caused by severe pain, and has not yet shown any symptoms similar to poisoning.
But when chills and fever, vomiting, salivation, and difficulty breathing appear, it is really a dead end based on current medical technology.
"Everyone, stop arguing. How about this? I'll try to see if the endoscope can be taken out first. If the endoscope fails, Guo Shuji, Mr. Zhu, you can perform thoracotomy and laparotomy."
Zhu Huoyan nodded: "Yes, let's get ready first."
Lao Guo was a little worried: "Zhoushan cobra, the danger is too high. If the snake doesn't die, you won't be able to fix it with an endoscope. You'd better do traditional surgery."
Chen Qi shook his head: "I'll try endoscopy, let's talk about it, we can't let our doctors suffer possible dangers."
Lao Guo sighed: "Then, let's try endoscopy first, and send the patient to the endoscopy operating room first, and the No. 1 operating room of the surgery next door is also ready to take over at any time."
Chen Qi was busy preparing, and the other doctors here felt a sense of curiosity scratching their heads.
Everyone wants to see how the endoscope is taken out of the poisonous snake in the digestive tract. After all, this is a new thing, and it can be regarded as one of the rare diseases.
"Guo Shuji, how about I go to the endoscopy operating room to help..."
"I'll go..."
Even the doctors at Xijing Hospital couldn't sit still anymore. Professor Tong winked, and Zhou Qifa hurried over:
"Guo Shuji, can we watch the endoscopic snake removal operation?"
Lao Guo saw that everyone was so interested, and he himself was also interested as a doctor, so he waved his hand:
"Let's go, all go to the multimedia classroom, let's let Chen Qi broadcast live."
Hurrah, a large group of doctors rushed to the multimedia classroom one after another, ready to grab a front seat. Whether it was gossip or discussing the disease, people swallowed live snakes, and Dean Chen took snakes under the mirror. It is rare to see.
The gastroscopy room was prepared very quickly, Xue Xiaojuan was immediately given general anesthesia, and Chen Qi also took out the gastroscope tube as quickly as possible.
When he started down the tube, everyone didn't bat an eyelid.
When the lens reaches the lower end of the esophagus and above the cardia, a snake tail is seen, which is still shaking slightly.
Many people shouted excitedly: "There are snakes and there are snakes, I saw a snake!"
Chen Qi's camera moved forward, and when he wanted to go into his stomach, suddenly the tail of the snake swept towards the camera, and what everyone saw on the big screen was a huge snake tail fanning towards everyone.
"Oh~~~~"
"Scared~~~~"
Many female comrades screamed, and even the male doctors were taken aback.
This little snake in reality is actually thicker than when the white lady appeared in front of the camera. Not only is it thick, but it is also very big and long...
Chen Qi's gastroscope didn't stop, and continued to probe into the stomach while rubbing the snake's body.
As the snake's body writhed in the stomach, everyone in the operating room and the multimedia classroom felt chills and had goosebumps all over their bodies.
No one knew that at this time there was another person who was suffering from general discomfort and was doing a gastroscopy with his teeth gritted.
Chen Qi is actually the most afraid of snakes. Now he is the chief surgeon, manipulating the gastroscope to investigate, and his eyes are closest to the display screen.
He had a feeling that next to his hand was this "thick and big" poisonous snake with scales all over its body, twisting and twisting, it might touch his hand at any time, wrap around his arm, and even bite him severely.
So don't look at his calm face, but anyone who is familiar with Chen Qi can tell that this guy is silent, which means that he is under a lot of psychological pressure.
This is also a disease, a mental illness.
The snake is twisting, which means the snake is still alive, which brings great trouble to the operation.
Lao Guo said to Zhu Huoyan beside him:
"This surgery is best done endoscopically. If you really need to open the chest cavity and abdominal cavity to take the snake, if the poisonous snake bites the doctor, it will be troublesome. Even if it doesn't bite, it will burrow into other parts of the intestinal cavity. The patient is also dead."
A live snake must have bitten its intestines and burrowed back and forth. In addition, the space in the stomach and intestinal cavity is closed, and the temperature is high. Obviously, the poisonous snake has become impatient and will struggle before dying.
Zhu Huoyan is not afraid of death:
"I'm afraid that the gastroscope can't be taken out. Someone will have to go to the stage to perform the operation. You can't watch the patient die. I'll be the surgeon. I'll wear a few more gloves then."
Lao Guo smacked his lips: "Yes, we are doctors, and saving lives is the first priority."
At this moment someone exclaimed:
"Look, everyone, the snake's head seems to be stuck."
The people in the front row leaned forward, and the people in the back row stood up. Only the patient's father was confused and couldn't understand what the doctors were saying.
Professor Tong was also discussing with his students at this time:
"The snake head seems to be stuck in the pylorus. The muscles in the pylorus are very prone to spasm after being stimulated. This consequence is pyloric obstruction. The severe pain is the cause of the patient's shock."
Professor Tong's words caused many doctors beside him to nod repeatedly.
The pyloric spasm obstructs the snake's head like a rubber band, making it impossible for the cobra to enter, retreat, or even open its mouth, let alone release poison.
It is estimated that this is also the reason. The patient has not shown symptoms of poisoning so far, which is really a blessing in misfortune.
In the operating room, Yang Yibing, as the first assistant, was also sweating profusely at this time:
"Mr. Chen, what should we do now?"
"Kill the snake first!"
Among the students, Xie Danyang, the only girl from Sichuan, was more courageous, and directly suggested:
"Yes, kill the poisonous snake first. Mr. Chen, you can use an electric knife to divide the snake into sections, and then use a net to take it out."
Hu Chuanying on one side objected:
"You can't cut it into pieces. The snake is still intact now. If you really want to cut it into pieces, all the parasites in the snake's body will come out, and then spread rapidly. At that time, it will still be a dead end."
Zhong Shuai suggested: "Aren't poisonous snakes most afraid of realgar? Why don't you try sprinkling it into your stomach?"
Wu Jiping quickly vetoed:
"No, realgar's component is arsenic disulfide. It has a close relative. Do you know who it is? Arsenic trioxide, you guessed it right, it is highly poisonous arsenic. I'm afraid the snake will not die by then, but the patient will die first."
"Zhong Shuai, where did you learn chemistry?"
"That's right, quack doctors are harmful, you can wash all the socks for next week!"
The students were talking and criticizing their classmates. Anyway, young people are not afraid of snakes, but "old guy" Chen Qi doesn't even have the mood to joke now.
"Prepare the ketamine injection immediately."
Yang Xiuxiu repeated the doctor's order: "Prepare the ketamine injection!"
Yang Yibing asked on behalf of the students: "Mr. Chen, what are you going to use the ketamine injection for?"
"Anesthesia, I'm going to give the cobra a few injections first, turn it over before I say it, I saw the twisting and turning disgusting, the disgusting mother opened the door for the disgusting, the nausea is at home!"
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