1349 【1349】The Pressure Is Coming

Xiao Yang said to Shao Jialiang on the phone: "She has this ability. If you don't believe me, let her try it. Some things need to be witnessed before they can be believed."

Colleagues spoke of her so magically, Shao Jialiang frowned.

The family members of the patients at the door did not go far, and the grandmother visited from time to time, holding great hopes. It was the family members who went to ask the people from the National Association. It is the duty of a doctor to respect the reasonable demands of family members.

Shao Jialiang agreed.

The anesthesiologist pushes the prepared anesthetic drug into the patient's vein, the patient falls asleep and the whole body relaxes. At this time, it is relatively easy to insert the gastroscope without resistance from the patient. The same as the bronchoscope demonstrated by Mr. Xin before, the difficulty lies in the throat, so don't insert it into the wrong lumen. The anatomical location here must be well understood. Fortunately, the entrance of the esophagus is much easier to find than the trachea. Think about it, nurses can blindly insert gastric tubes.

The operating doctor puts on a surgical gown, gloves and a surgical cap, and prepares for special digestive endoscopy including necessary endoscopic surgery.

Senior Brother Yu stood by, and Xie Wanying picked up the gastroscope.

I have tried choledochoscope and bronchoscope, and the basic structure and operating principle of endoscope seem to be little different. Light source (for lighting), operating holes (for inserting various instruments and putting them on various endoscopes, the names are different), rotation buttons (for adjusting the angle), the specific details will definitely be slightly different, but the feel will be similar , are all flexible tubes, and they all move in the patient's lumen organs. This may be the reason why Brother Yu, a master in endoscopy technology, dared to let her do it by herself.

here we go.

As mentioned before, it was very easy for her to find the entrance of the esophagus. However, just after the tube entered the esophagus, a stenosis was seen at a place about 35 cm away from the incisors. This is the anastomosis, and the indwelling nutrition tube can be seen. The anastomotic stoma was too narrow, consistent with the situation provided by the attending doctor before, and the endoscope could not pass through the anastomotic stoma. On the top of the anastomosis, I saw the tail of a titanium clip, indicating that I tried the titanium clip and estimated that the most important fistula was not clamped, resulting in continued signs of fistula.

To remove the remaining titanium clip, first pull out the nutrition tube, and then put in the guide wire to expand the anastomotic balloon. Xie Wanying kept recalling in her mind the gastroscopy techniques she had seen the teachers do before.

Yu Xuexian knew that there was no problem with her basic operation, thinking that she dared to perform the puncture on behalf of Xin Yanjun that night when she had never undergone neurosurgery. Gastroscopy is much simpler and much less risky than neurosurgery, so how could it be difficult for her. What is needed now is to teach her some experience, saying: "Pay attention to the titanium clamp, pull out the nutrition tube slowly, and don't think that the patient will be fine after being anesthetized and will not respond. The placement of the guide wire requires special attention to the position. .”

Phew, Xie Wanying internally adjusted her breathing rate, adapting to the rapidly increasing pressure. This kind of technical pressure is not given by others, but a new problem that doctors must face every day.

It can be seen that female teachers are different from male teachers. Male teachers such as Senior Brother Yu are completely different even if they are physicians like Teacher Xin.

Teacher Xin will take it step by step and will not rush. The most important thing is that Xin Yanjun believes that as a teacher, he should bear the difficult things by himself, and he will not let the students bear the burden of responsibility.

Senior Brother Yu is more similar to Senior Brother Tao. If she is to shoulder the burden of responsibility, let her do the difficult things by herself, and first stand by and watch the movement.

Teacher Xin is really gentle in his heart, no matter how easy-talking Senior Brother Tao is, no matter how nice Senior Brother Yu is, no one will be so caring.