Since 1981 Health School Chapter 512

  Chapter 512 Clever use of three-chamber two-capsule catheter

  The three-lumen two-capsule catheter was brought in soon.

  Chen Qi checked it carefully, giving people a feeling that the dean is very careful in doing things.

  In fact, no one knew, and Chen Qi panicked, so he had to familiarize himself with how this thing works.

  Although he knows the working principle of the three-chamber two-capsule catheter and the general method of use, except for one operation during the medical license exam, he has never touched it at all.

   Fortunately, Chen Qi is a professional doctor, just like an antique expert, he knows the general idea as soon as he gets started.

   "Do you think it's strange? Why do I need this three-chamber two-capsule tube to take fishbone?"

  Many doctors in the ward nodded repeatedly.

  Chen Qi smiled enigmatically (actually, it was a forced smile):

"It's actually very simple. Let's open our minds and think about it. Now that the fishbone is stuck horizontally at both ends of the esophagus wall, and has penetrated into the cavity wall and cannot be removed, can we expand the esophagus cavity and let the fishbone automatically If it falls off, it will be convenient for our doctor to take it out?"

  As soon as Chen Qi finished speaking, Director Jia and Director Cai slapped their thighs and shouted excitedly:

   "Yes, yes, that's the way of thinking."

   "Yeah, that's what I thought just now. It seems that this idea is okay."

  The other directors also suddenly realized at this time, thinking that the three-chamber and two-capsule tube can still play like this? This is really more difficult than difficult.

  In the profession of a doctor, it is not enough for you to be able to analyze, distinguish, and have new ideas. After all, what you say is all theoretical. Whether it is effective or helpful to the disease depends on practice to prove it.

  Didn't the old man in the circle say that practice is the only criterion for testing truth.

   This sentence is also applicable to medicine.

  After explaining the principle, Chen Qi began to prepare for the endoscopic surgery, and Lan Lijuan stepped forward at this time and took the initiative to become Dean Chen's assistant.

  I saw that she first used paraffin oil to lubricate the three-chamber two-capsule tube, and then slowly put it into the patient's mouth.

  The path is the same as that of a gastroscope, through the esophagus until it reaches the stomach, stops at the mark of the tube, takes a suction with the needle, and when she finds that the gastric juice can be drawn out, Lan Lijuan nods to Chen Qi.

  Chen Qi then held the esophagoscope with his right hand, and sent the tube into the patient's esophagus again.

  In the ward, except for the patient retching from time to time, everyone held their breath and watched how the first endoscopic fishbone removal operation in China was completed.

  On the display screen, the three-lumen and two-capsule tube has been stretched deep along the esophageal wall, bypassing the fishbone.

  The esophagoscope stopped above the fishbone.

  Chen Qi said softly: "Lijuan, I'm going to hold the fishbone still. Slowly inflate the esophageal sac, and be careful to move slowly."

   Lan Lijuan nodded: "Got it, ready to inflate the esophageal pouch."

  The head nurse quickly handed over a 20CC glass syringe, and Lan Lijuan began to slowly push air into it. Gradually, the esophageal sac on the three-chamber two-bag tube was slowly inflated like a balloon, visible to the naked eye on the display.

  The esophageal wall is elastic, and as the air bag bulges up, the esophageal wall slowly begins to stretch.

  At this point, many doctors in the ward have fully understood the brilliance of Dean Chen's new idea, and all of them are deeply impressed.

   But no one said anything, the success of the operation is the only way to test whether this method is feasible.

  Lan Lijuan was still inflating slowly. After the esophagus expanded to a certain extent, the fishbone completely fell off.

   At the moment when the fishbone suddenly hung in the air, several directors in the ward exclaimed "Ohhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhhh!"

   "Look, it's done, the fishbone is not stuck."

   "This method is really feasible, Dean Chen is too powerful."

   "It seems that there is no need for surgeons to operate on foreign bodies in the digestive tract in the future, we can all remove them."

  After the fishbone was caught, Chen Qi began to slowly pull out the esophagoscope. When passing through the last narrow place, the esophagoscope was completely pulled out of the mouth.

  At the very front end of the tube, a small clip clearly shows the fishbone on the screen just now.

  A little nurse took a tray with a piece of white gauze on it. Chen Qi put the fishbone on it, and the directors beside him immediately gathered around.

   "Wow, it really came out."

   "It turns out that endoscopy is so simple to remove foreign bodies. If it goes well, the problem will be solved in a few minutes."

   "Great, this really solves our internal medicine problem."

  So there was a burst of warm applause in the ward.

  The directors can already imagine that this brand-new technology may eventually change the new pattern of medical treatment, and it definitely has epoch-making significance.

  The happiest person in the ward is the patient himself.

   Anyone who has been stuck by a fishbone knows that this degree of discomfort is really ecstatic, extremely irritable, and the whole person will be in pain and anxiety.

  However, the effect of removing the fishbone is immediate. As soon as the fishbone is removed, the patient will immediately recover and no longer feel pain.

  The same is true for the old man in front of him. Just now Chen Qi and Lan Lijuan inserted two tubes into his esophagus and stomach, and also stimulated the largest throat. Even after spraying anesthetics, the old man still felt very uncomfortable and painful.

  The pain made him break out in a cold sweat, and even breathing became difficult.

  How uncomfortable it was just now, now that the fishbone is removed and the tube is removed, it feels so comfortable.

  Even though his throat still hurt, the old man couldn't wait to cup his hands into fists, cupped his hands at Chen Qi, and said in a hoarse voice:

   "Thank you, thank you~~~"

  The patient's son was also excited. He originally thought that his father would be troubled if he really wanted to have an operation. It is not a joke for an old man in his 70s to have a thoracotomy, and he might die.

  It's all right now, it's just a simple treatment, and the fish bone in the stomach is actually taken out, which is also a kind of miraculous medical skill for the family members.

   "Dean Chen, thank you so much, thank you so much, you saved my father's life."

  Chen Qi smiled and waved:

"No matter how high the level of the doctor is, the cooperation of the patient and his family is needed. You are very good. We work together to make this endoscopic surgery successful. But after this lesson, I still want to remind you that you need to be cautious when eating fish. Be more cautious:

  For example, take a bite of fish, chew it slowly before eating, and avoid mixing fish with other foods, otherwise it will be difficult to distinguish fish bones wrapped in food.

  In addition, when eating fish, you should concentrate and try to talk as little as possible while eating. Most of the fish bone stuck in the throat occurs when you are in a hurry to eat, listen to the radio, chat, etc. when you are not concentrating.

  Also, you must check carefully when feeding fish to children. Even the fish **** in Etsuchu may have fishbone in them. "

  At this time, a family member of a patient on the next bed couldn't help asking:

   "Dean, you just said that they were wrong for inducing vomiting and injecting vinegar, so can you tell us what to do if the fishbone is stuck in our house?"

  Obviously ordinary people are pragmatists. You have a lot of medical principles, so why not tell them how to deal with them is useful to them.

  Chen Qi was also in a good mood, thinking that it would be good to take the opportunity to do science popularization, so he said patiently:

   "It depends on the situation. For example, you can try to remove the fishbone at a shallower position by yourself. Let the family members use a flashlight to shine on the throat. If the fishbone is stuck in a shallower position visible to the naked eye, you can try to use tweezers to remove it.

  But if you can't get the fishbone out, don't take it out forcibly, let alone use your fingers to buckle it continuously. If you can't get it out, it will only make the fishbone deeper and deeper. So at this time we have to go to the hospital and find the ENT department.

Remember, I'll repeat it again, don't engage in those local recipes, such as swallowing rice, drinking vinegar, stuffing steamed buns, and eating youth, these methods are not only ineffective, but will add fuel to the fire and make the pain worse Pain, this old man is the best lesson learned. "

   There was another chuckle in the ward, and the old man on the hospital bed also smiled awkwardly.

   Only Qi Damin took a deep breath, feeling very complicated in his heart.

  One method, he is the person of Vice President Wu, and he has been labeled. He is naturally the opposite of Chen Qi, whether he wants it or not.

  Another way, as a doctor, he really admires Chen Qi's medical skills now, and really wants to give him a thumbs up.

  At the same time, Qi Damin also knew in his heart that through this endoscopic surgery, Chen Qi might have conquered these medical directors by using this new technology.

  Thinking that surgery has always been Zhu Huoyan's turf. By then, internal medicine and surgery, the most important departments of these two hospitals, will be the "basic base" of the new dean.

   What Qi Damin is worried about is that in the future, doctors will only listen to the dean, and will no longer listen to him, the chief of the medical department.

   Originally, he wanted to trip up the new dean, to show him off, good guy, but in the end, he copied his lair, how can this be reasonable?

   At this time, Director Cai suddenly thought of something, looked at the new director and asked:

   "Dean Chen, besides removing foreign bodies, can this endoscope be used for other minor operations?"

   "Director Cai asked a good question. In fact, endoscopy, oh, for example, gastroenteroscopy for gastroenterology, foreign body removal is only a small aspect, and many other operations can be performed.

  For example, if the stomach is bleeding, some drugs can be injected through the gastroscope to stop the bleeding, and even electric heating can be used to stop the bleeding, so that there is no need for surgery like before.

  In addition, it can also remove gastrointestinal polyps, high-grade intraepithelial neoplasia, early cancer, submucosal tumors such as ectopic pancreatic metastasis, leiomyoma, stromal tumor, etc.

When the technology becomes more mature in the future, a kind of surgery called "laparoscopy" can be done, which is to make a few holes in the stomach, and then the doctor can operate through several surgical handles like tubes, and most of the surgery can be done by looking at the screen. Operation. "

  The director and the little doctors in the ward opened their mouths in surprise as if they were listening to a bible.

   It's hard for everyone to imagine that in the future, there will be no need to cut the stomach open for surgery? Can it be done with just this endoscopic tube?

   "Minimally invasive surgery" is actually the latest medical revolution. At present, not many doctors can see this level, especially domestic doctors, who are still in the traditional concept of surgery.

   It's not that the traditional surgical methods are wrong and outdated, but that most of the elective surgeries are done by minimally invasive new surgeries, which is the trend of the times.

   Director Jia joked at this time:

   "Okay, surgeons will lose their jobs in the future, and that will be the world of our physicians. Let's see if these rough surgeons dare to get scared in front of our physicians in the future."

  hahaha~~~~~

  Chen Qi laughed embarrassingly: "This, Director Jia, I am also a surgeon. You are scolding me too."

  Director Jia almost choked to death on saliva, and apologized again and again:

   "Ah, I'm sorry, I'm so excited to talk, I'm just kidding, just kidding, hehehe."

   Director Xia of the three internal departments is also a woman, and she has a carefree personality to be a strong woman. I saw her comforting:

   "Old Jia, don't be afraid, the dean also has to listen to our physicians, and there is no way to get away with it."

   At first, everyone couldn't react, but when they suddenly saw Lan Lijuan beside her, everyone immediately burst into laughter.

   Lan Lijuan's face started to turn red again. After all, she was only a 26-year-old girl, even if Yuezhong people like to use false age to indicate that she is only 27.

  27 years old, if in later generations, just got a master's degree in medicine, you can still pretend to be tender on Douyin, calling yourself a "girl girl"...

   After rounds in the morning, Chen Qi had already had a heated fight with several directors of internal medicine.

  One side intends to solicit, the other side intends to seek refuge, and both parties have interests and needs, which naturally hit it off.

  Liu Huichun was naturally optimistic when he saw it. He originally thought that Lao Guo would ask her to help more, but now it seems that the new dean is capable enough.

   Qi Damin, on the other hand, felt bad. He turned around and thought about how to report to his master, how to deal with the new dean, at least a strategic adjustment was needed.

  After checking the room, when Chen Qi left the Sixth Internal Medicine Department, he intentionally let the others leave first, leaving only Qi Damin behind.

   This made Qi Damin's heart skip a beat.

  Chen Qi slowly walked to the depths of the flower bed, and said slowly to the chief of the medical department following behind:

   "Chief Qi, we are also old acquaintances. During my internship in 1981, you were the chief of the medical department at that time. You helped arrange the assignment of our internship positions. Eight years have passed in a blink of an eye."

  Qi Damin couldn't figure out what kind of medicine the new dean sold in the gourd, the original intern, so he could only flatter him at will:

"President Chen is young and promising. He became an international dual director in just 8 years. The president of the People's Hospital and a deputy director-level cadre is definitely the youngest president of a tertiary hospital in China. This is what all of us learned from. A role model, hehehe."

   "Chief Naqi, there is an opportunity in front of you now. There is a vacancy for the director of Yuezhong ENT Hospital. Are you interested?"

   Facing Chen Qi's direct attack, Qi Damin's heart skipped a beat.

   Although the Yuezhong ENT Hospital is a specialized hospital, the scale of the hospital is small, and the level is only at the department level, but it is the director, the leader who has the final say.

   This had to make Qi Damin very excited, and was in shock for a while, what kind of tricks was this Chen Qi playing?

  (end of this chapter)

Chapter end