Chapter 1470 【1470】Experience Available
The nurse came to his senses and took a straight hemostat and handed it to the surgeon for another try.
Zhang Huayao didn't take the hemostat again.
The other doctors, Fu Xinheng and Liu Yu, knew that changing forceps was meaningless. This hemostat is definitely not good, the trachea will be too thick if you want to go deeper.
The main knife probes with forceps to try to see if it can touch the foreign object. If the foreign object is close to the tracheal branch, there is a chance. Judging from the perspective results, there is this opportunity. However, occasionally the fate of the operation does not depend on the results of the preoperative instrument inspection. When the specific doctor performs the operation, the patient's condition may differ from the instrument inspection. Today's surgery has nothing to do with the accuracy of the instrument, but with the progress of the patient's condition. The foreign bodies are falling down one after another, and the speed may be faster than the doctor expected.
"Ms. Zhang, if the foreign body continues to fall during this period, it means there is room for movement. We can try the chest impact method again." Xie Wanying said.
It will be found clinically that sometimes the doctor advocates to observe for a day or two first when the child has non-complete airway obstruction asphyxia or hemorrhage or foreign objects are very dangerous in the child's body, rather than in a hurry. Operate immediately, especially in children who have just swallowed a foreign object. The reason is that, according to the experience of doctors who have seen many cases, foreign bodies may loosen by themselves. If it is loose, it is not necessary to perform surgical rescue. When the foreign body is loose, continue to use the previous first aid method to let the child remove the foreign body by itself.
The main reason for this case was that the doctor was afraid that the patient would die from excessive bleeding, so he had to open the trachea urgently. As Xie Wanying said just now, the above experience may be used in surgery.
After the other teachers listened to her words, they thought that her mind was spinning really fast, faster than those experienced ones. At the same time, it may not be that she is faster than their brains, but that she is non-stop brain to preview the prospects of the operation when watching the operation. The latter is more likely.
As a medical student, the teacher told you to watch, not to make you a fool, but to learn to think with your brain. How to do it is the performance of an excellent medical student, and the classmate Xie in front of them has undoubtedly just given a perfect demonstration.
Several teachers sighed in their hearts.
The teacher's silence means that she is right. If you make a mistake, the teacher will yell and shut up.
Xie Wanying was ready and ready to assist the teacher to give the child chest impact.
Unexpectedly, the boss teacher suddenly gave her another important task. Zhang Huayao turned his head and instructed her: "Make a hook and measure the length for me." After speaking, Zhang Huayao added another sentence to her: "At the same time, make a hemostatic tool, you can think about it yourself."
The patient's situation is special. The doctor can't operate with his hands alone and must use tools. None of the surgical instruments on site can be used. Doctors can only create and invent on the spot with their own wisdom.
Mr. Zhang you? Xie Wanying's eyes were full of surprise at the boss.
This on-the-spot test question was too difficult, so difficult that she felt as if she wanted to bang her head against the south wall and hope to become smarter. It is conceivable that the written and operational examinations of the medical school are really just an entry-level test compared to the real guns to save people in the operating room. She, Xie Wanying, was a fast learner, walking faster than other medical students, but she was asked to make her own tools during the operation, and they belonged to the type of tools needed for on-the-spot surgery that had never been done before.