Chapter 1202 【1202】Try Multiple Subjects

Surgery teachers love to joke around. Xie Wanying listened, knowing that it was impossible for Teacher Nie to call other doctors over casually, and there must be a basis for doing so. After all, colleagues in other departments also need their own busy work.

For example, everyone knows that bronchoscopy is used for both cardiothoracic and respiratory patients, so why are doctors from the cardiology department called? Brother Jin is a well-known cardiovascular interventional expert. Teacher Nie called Senior Brother Jin to come here, he must want to use cardiovascular intervention to solve the problem of the child.

This is a bit of cold knowledge. Except for bronchofiberscope and cardiothoracic surgery, which are often heard in bronchial foreign body removal, the intervention method of cardiovascular department should be used to remove bronchial foreign body.

As for how to do cardiovascular interventional technology, it can be said that it is all about taking foreign objects, and the principle is similar.

The bronchoscope uses micro-instruments on the mirror body to take out foreign objects, and the light and camera are used to take pictures to guide the doctor's operation.

In the same way, the catheter used in cardiovascular interventional technology enters the bronchi with a guide wire, and can also be equipped with micro-instruments such as a catcher and forceps to grab foreign objects. There is no camera, and X-ray guidance can be used.

Since it seems to be similar to bronchoscopy, why should we consider interventional surgery?

The reason is that the bronchial position of some foreign bodies is too deep, but the length of the bronchofiberscope cannot be used for the inspection and treatment of the third and fourth airways, unlike the interventional guide wire, which can be placed longer.

The diameter of children's bronchoscope is 2.2 to 4.9mm. According to the diameter of the children's bronchoscope as a reference, clinicians can easily choose the catheter size required for intervention.

Now judging from the X-ray of the patient, the foreign body is in the child's left lower lobe, showing signs of bronchiectasis and inflammation, and the stuck position is relatively deep.

According to the routine, first ask the respiratory department to come down and try the bronchofiberscope. If it fails, then go to the cardiovascular interventional department. Basically, there is only one possibility for a foreign body that cannot be removed by bronchoscopy and intervention. This thing may be stuck to the trachea and can only be cut with a scalpel.

Nie Jiamin’s decision to ask doctors from these departments to work together was not wrong. In this case, how can we call doctors from different departments one by one? Hurry up and discuss together and contribute all the technical magic weapons.

It's important to save the child's life.

Doctors from several departments put their heads together and began to analyze specific cases.

"It's better to let people who don't have a heart to try the bronchoscope by themselves. They have this feeling. If they go down and test it, if it is sticky, there is no need for us to try it in the interventional department, and they can directly operate." Jin Tianyu looked at the film on the light board. , pondered for a long time, and expressed his own opinion.

What he said was seeking truth from facts.

Everyone in the hospital knows that it is better to perform this operation outside the heart than inside. It's not clear why Nie Jiamin called the breather over. It may be that Nie Jiamin just came here not long ago, so he doesn't know enough information about the various departments of this hospital. In this case, the people around him should remind him.

After being glanced at by the cardiologist, Luo Jing who followed Nie Jiamin was obviously very silent. People guessed right, as people around Nie Jiamin, they would definitely remind the professor of some precautions, but the final decision can only be made by the professor himself. Therefore, it's really not that he didn't mention to Nie Jiamin that there is no strong heart in the breath.