BXBX NOVEL Chapter 1467: 【1467】Ivory
The others seemed to be able to sense who he was looking at.
Xie Wanying\'s eyes were tracking the movements of the main knife.
Mr. Zhang should have touched the thyroid cartilage and the suprasternal notch, which is the conventional knife position for tracheotomy.
The thyroid cartilage is the most prominent place on the midline of the neck exposed after the head is extended. Several tracheal rings can be felt along the underside of the thyroid cartilage. The child is not fat, and the doctor can feel it easily.
While observing, Xie Wanying adjusted the parameters in the brain based on her feeling of groping in the child\'s trachea with forceps to see if there was any change in the end. She also needs to judge whether she is right or wrong.
"Any ideas?" Zhang Huayao asked her, thinking that she was focusing on this as if some idea came up.
Clinically, teachers like to collide academic ideas with talented students, whether they are big brothers or not.
"If you cut it from here, the blockage is in the right bronchus, about parallel to the fifth and sixth thoracic vertebrae, and there is a certain distance. You may need a homemade tool to pick it up." Xie Wanying expressed her thoughts, "I\'m afraid it\'s not that it can\'t be clipped now. out, but—"
"When the clip comes out, it will bleed a lot. When we do the surgery, it will not be at the location of the bleeding, so it will be difficult to stop the bleeding." Zhang Huayao doesn\'t need to say more, because this problem is also the concern of their teachers.
The reason for suffocation due to massive bleeding in the trachea is due to the human body\'s coagulation mechanism. Bleeding, then condensed into blood clots, and directly suffocated the trachea again.
Fu Xinheng held an attractor in his hand as a first aid.
Liu Yuhe and the anesthesiologist sighed inwardly. This is the operating room of the stomatology department. No cardiothoracic surgery has been performed, and there is no corresponding professional equipment to assist. 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 big guys are well aware of the risks. If you don\'t do the patient, you will die. If you do it, it is a big risk for the doctor and it will bear unlimited responsibility. The family members waiting outside are a group of hard-to-speak people who will not understand the doctor. If it weren\'t for the innocent young life in front of him, the doctor who had nothing to do with this matter could clap his hands and leave.
"Start." Zhang Huayao reached out to the nurse and ordered.
The nurse handed over the scalpel.
The operative field is in the anterior triangle of the neck, an inverted triangle with the upper border of the jawbone, the lower border of the suprasternal border, and the sternocleidomastoid muscle on both sides. The incision can be either a longitudinal incision or a transverse incision. Considering the need to remove foreign bodies, the main knife chose a longitudinal incision.
The first incision is from the lower edge of the thyroid cartilage located by the doctor just now to the suprasternal fossa.
Like other surgical operations, the skin is first incised, and then the subcutaneous tissue is incised, layer by layer. There is a lot of tissue in the neck, so be very careful and not too fast, which is also the reason why minor operations take a long time.
Xie Wanying thought of Mr. Nie, a pediatrician who was chronically ill.
Treat children slowly and carefully. Performing surgery on a child\'s body is equivalent to carving ivory, embroidering flowers, bugs, and bees. General surgeons are not very comfortable. Fortunately, today\'s surgery is a cardiothoracic surgeon. Cardiothoracic surgeons like the National Association are not paediatricians, but since the paediatrics in the top three general hospitals in China are general paediatrics, there is no such funding as specialized paediatric hospitals are subdivided into cardiothoracic paediatrics and other specialized paediatrics, so they have done many patients. child surgery. As for Zhang Huayao, the big boss among the bosses, he has done enough pediatric surgery.
(end of this chapter)