Chapter 1467 【1467】If Carved Ivory
It's muddled, so I can only ask someone to send it again. As a result, it was too late for her to have lunch, so she hurried into the operating room to study. Thinking of this, Cao Yong glanced at the person not far away.
Others seemed to sense who he was looking at.
Xie Wanying's eyes were tracking the movements of the chief surgeon.
What Mr. Zhang touched should be the thyroid cartilage and the suprasternal notch, which are the conventional locations for tracheotomy.
The thyroid cartilage is most prominent at the midline of the neck exposed after head extension. Several tracheal rings can be felt along the underside of the thyroid cartilage. The child is not fat, and the doctor can touch it easily.
While observing, Xie Wanying adjusted the parameters in the brain based on her feeling of groping inside the child's trachea with forceps before, to see if there was any change in the end. She also needs to judge whether she is right or wrong.
"Do you have any ideas?" Zhang Huayao asked her, thinking that something seemed to pop up when she was concentrating on this.
Clinically, teachers like to have academic collisions with talented students, whether they are big guys or not.
"If you cut from here, the blockage is in the right bronchus, which is about parallel to the fifth and sixth thoracic vertebrae. There is a certain distance, and you may need to use self-made tools to grab it." Xie Wanying expressed her thoughts, "The most fearful thing now is not whether the clipping will fail. come out, but—"
"When it comes out, it will bleed profusely. When the time comes, the place where we will perform the operation will not be where the bleeding is, so it will be difficult to stop the bleeding." Zhang Huayao didn't need her to say a word, because this issue is also a concern of their teachers.
The reason why hemorrhage in the trachea will cause suffocation is because the human body has a blood clotting mechanism. Bleeding, then condensed into blood clots, directly suffocated again and stuck the trachea.
Fu Xinheng took precautions in his hand as a first aid, holding an aspirator.
Liu Yu and the anesthesiologist sighed a few times in their hearts. This is the operating room of the Department of Stomatology, no cardiothoracic surgery has been performed, and there is no corresponding professional equipment for support. The whole operation is actually a bit risky.
The equipment nurse first reported to the bosses: "We don't have cardiothoracic surgery kits here."
The bosses are well aware of the risks. If you don't do it, the patient will die, but it is a big adventure for the doctor, and you will bear unlimited responsibility. The family members waiting outside are a group of hard-to-talk people who will not understand the doctor. If it weren't for this innocent young life in front of him, the doctor who had nothing to do with this matter could just clap his hands and leave.
"Start." Zhang Huayao extended his hand to the nurse to order.
The nurse hands over the scalpel.
The surgical field is in the anterior triangle of the neck, an inverted triangle with the upper boundary being the jawbone, the lower boundary being the suprasternal, and the sternocleidomastoid muscles on both sides. The incision can be either a longitudinal incision or a transverse incision. Considering the removal of foreign bodies, the chief surgeon chose the longitudinal incision.
The first cut is from the lower edge of the thyroid cartilage that the doctor positioned just now to the suprasternal fossa.
Like other surgical operations, the skin is cut first, and then the subcutaneous tissue is cut, layer by layer. There are many tissues in the neck, so we must be very careful and not too fast. This is also the reason why the minor surgery takes a long time.
Xie Wanying thought of Mrs. Nie, a chronic pediatrician.
Treat children slowly and meticulously. Performing surgery on the body of a child is equivalent to carving ivory, embroidering small flowers, small insects, and small bees. General surgeons are not very comfortable. Fortunately, it was a cardiothoracic surgeon who performed the operation today. For example, the cardiothoracic surgeons of the National Association of China are not pediatricians, but because the pediatric surgery in the top three general hospitals in China is general pediatric surgery, there is no such fund to subdivide it into cardiothoracic pediatric surgery and other pediatric surgery specialties like specialized pediatric hospitals, so they have done many patients. surgery. As for Zhang Huayao, the big boss among the big bosses, he definitely does enough pediatric surgery.