Sleepless Doctor

Be sure to take out the tip of the gun as soon as possible, and don't let foreign objects fall into the trachea! Director Qian hurriedly put the laryngoscope into the patient's mouth, looking for the tip of the gun.

　　 may be bad luck, or it may be caused by the patient’s strong desire to die, and the tip of the gun is not in the mouth...

　　 The moment he confirmed this, Director Qian's hands and feet were cold.

　　The patient ran out of oil and died naturally, and he was worried about medical disputes. But as long as the medical records are well written, the attitude is good, and the grandson is pretended, it is estimated that the matter will not be big, it will be a headache for a few days.

　　 Once a medical error causes serious complications for the patient, resulting in death...

　　 Director Qian didn't dare to continue thinking about the consequences.

　　 is the tip of the gun that the patient bit off, and swallowed it, it has nothing to do with him! Director Qian shouted in his heart.

　　 But a shout is a shout, and the work that should be done still has to be done. Fortunately, after using anesthetics, the patient was not so uncomfortable and the tracheal intubation was smooth.

　　 Blood oxygen saturation rises, the patient's restlessness is reduced, and he falls asleep.

　　 The patient was quiet, but Director Qian could not go quiet. Where did the metal spear head go?

　　 There are only two roads, the esophagus and the airway.

　　If the esophagus is okay, it will fall into the stomach soon, and then follow the intestinal peristalsis to reach the **** and be discharged from the body.

　　 But if it's airway...

　　 Director Qian thought of this possibility, his scalp numb, and his heart began to feel uncomfortable.

　　 The patient's son is lying in the doorway of ICU, and he can know the state of snarling and rolling without even thinking about it. The Medical Commission... Sanctions... Loss money... Even revokes the qualifications of physicians...

　　 It has nothing to do with me, Director Qian thought in distress.

　　Life is not only about poetry and distant places, but also about life's definite punishment even though it is far away from oneself.

　　 "Director, the patient's blood oxygen has gone up, it's okay." The hospital manager comforted.

　　 Director Qian glared at her, knowing what the hospital manager was thinking. But it doesn't work at all. If something goes wrong, the crime will be added to the third class.

　　 "Bedside chest radiograph." Director Qian said in a deep voice.

　　 The hospital was always taken aback, and went to push the machine dejectedly, instead of continuing to persuade Director Qian.

　　According to Murphy's law, things will only get worse, never get better. A bedside chest radiograph was taken to the patient. When watching the film, the iron-clad facts confirmed the accuracy of Murphy's law.

　　 The metal tip of the gun fell steadily in the left main bronchus, and the image seemed to give Director Qian a feeling of despair.

　　 Director Qian still has illusions, and he is not afraid of trouble pushing the patient to get a lung CT. The result confirmed that the metal spear tip fell into the trachea and was accurate.

　　 No rut, take it.

　　 Fortunately, the ICU of the First Hospital of the Medical University is well-equipped, and Director Qian is also highly qualified, so he is an old critically ill doctor. What kind of bronchoscopy is so perfect, not to mention better than respiratory and ENT doctors, but no worse than their directors.

　　Prepare the bronchoscope, start the inspection, and try to take out the metal pipette tip.

　　Fiber bronchoscope went in, and soon saw the "hateful" metal spear head. In the lower lobe of the left lung, lie down honestly and quietly.

　　 Director Qian looked carefully for 3 minutes, but was helpless.

In the 　　 spear head design, the front end is arc-shaped, similar to a bullet head. In this way, it enters the patient's mouth to avoid the patient's restlessness or operation, resulting in side injuries.

　　 According to Director Qian’s understanding, the head of the bullet is smooth, and even if it falls, it should be downward.

　　 But Murphy's Law once showed that things will only get worse.

　　 The smooth bullet head turned out, like the eyes of a demon, looking at each other with a bronchoscope.

　　What can I do with this!

　　 Director Qian is stubborn.

　　 The head is smooth, and he puts the pliers down by himself. There is no point of force at all, only the tip of the gun is pushed in.

　　If the force is too great and the bronchus ruptures, the patient will be choked to death by bleeding in a short time.

　　 Director Qian looked at the two films in distress and watched them for a full hour, but in the end he still couldn't figure out a solution.

　　 He picked up the phone and called Zhang Zimo, the director of ICU of the Second Hospital of Medical University.

　　 "Director Zhang, come and do me a favor." Director Qian is also very welcome. The two are classmates. They usually get together and often do things like communicating with each other if they don't understand diseases.

　　 Now that I have encountered a problem, it is natural to start the mode of three heads and one Zhuge Liang.

　　 The situation is not clear in a few words, and Zhang Zimo said that he will come over immediately after handling the matter at hand.

　　 One and a half hours later, the number of paws changed from one to two.

　　 Director Qian and Director Zhang were in a daze at the film, and no one knew what to do.

　　Because of the high theoretical level and rich experience, the two talents dare not do it. The bullet is sleek and doesn't work hard at all. How to take it out?

　　 This is not a simple task, but an impossible task.

　　 But the light aspect is not good, you have to do something. What if? What if?

　　 The two gave a few humility, but in fact, no one wanted to do it. In the end, Director Qian had no choice but to bite the bullet and try.

　　 As expected, the pliers couldn't hold the bullet at all. After trying it twice, the bullet was pushed farther and farther as expected.

　　 Helpless, Director Qian had to take out the bronchoscope.

　　 "Director Zhang, do you have any good ideas?" Director Qian is really out of the question.

　　 "No." Director Qian sighed and thought about it, "The bronchoscope is a bit soft, or try a hard one?"

　　 The full name of the hard mirror is hard bronchoscope~www.wuxiaspot.com~ which is a kind of modern medical equipment. With the development of medicine, hard mirrors are constantly developing and improving.

　　 But with the promotion of soft fiber optic bronchoscopy (bronchoscopy) in clinical practice, the application of rigid mirrors has been significantly reduced. Compared with a rigid lens, a bronchoscopy needs to occupy a certain amount of airway space during the operation, which generally does not cause ventilatory dysfunction for healthy adults, and has more benefits, and it rarely causes airway damage due to violent operations. Complications.

　　 So in recent years, bronchoscopy has replaced rigid mirrors and become the mainstream of clinical practice.

　　 Hard mirrors that are not needed at all, no matter whether it is a freshman or a sophomore, I have not prepared for it. With 99A, who still uses 59? Even if you change it again and change it 10,000 times, it will not be as easy to use as 99A.

　　 Unless there is a special situation, such as now.

　　 The two looked at each other, their eyes full of helplessness.

　　 "Children's Hospital?" the two said in unison.

　　 In children or people with narrow airways, bronchoscopy may affect their ventilation function and even threaten their lives. The rigid scope can keep the airway unobstructed, and the side hole at the operating end is connected to the ventilator, which has its advantages.

　　 General children’s hospitals occasionally use rigid scopes because of the narrow airway of the child.

　　 "Let me ask." Director Qian took out his cell phone dejectedly.

　　 "Wait a minute." Zhang Zimo said suddenly.

"Um?"

　　 "Teacher Wu is in Bajingzi, and ask Teacher Wu that there may be hard mirrors in Bajingzi." Zhang Zimo said.