Since 1981 Health School Chapter 589

  Chapter 589 A hole needs to be punched in the stomach

  Chen Qi found out a triangular head and poked it into the endoscope tube until the triangular head appeared on the display, which meant that the thing was already in the esophagus.

   Just when Zhang Weizhong and Lan Lijuan thought that he was going to stretch the triangular head to look like a triangular claw and forcefully take out the battery, Chen Qi caught him by surprise.

  I saw him push the joystick of the hand handle hard, and use the top of the triangular head to directly poke the battery towards the stomach.

   At this time, the button battery was already connected to the surrounding tissues, and Chen Qi had to press hard.

  Zhang Weizhong is a little confused:

   "Dean Chen, if you push the battery to the stomach like this, it won't bring all the heavy metal electrolyte to the stomach, which may cause stomach perforation, which is not worth the candle."

  Lan Lijuan also nodded and said:

   "Yes, the adhesion is so serious, even if the battery falls, it will cause wound bleeding, which is also dangerous."

  The 15 masters not far away are you looking at me and I looking at you. I can't guess why my professor wants to operate the battery in the opposite direction?

  Chen Qi nodded while explaining:

"To complete today's operation, I have to create a channel in the esophagus to allow the endoscope to reach the stomach smoothly. But you see, in the esophagus, the battery and the surrounding tissue are stuck together, basically in a blocked state , how can there be a channel to go?

  Even if I open a tunnel, you can see that the upper part of the esophagus has been corroded by heavy metal chemicals. There is no way to tunnel, so this road is also impassable, so the only way out is the battery.

  Forcibly separating the battery will definitely cause bleeding, but I have a way to stop the bleeding, and if the battery falls into the stomach, I also have another way to quickly remove it without causing damage to the stomach. But the channel vacated after the battery is separated, I can proceed to the next operation. "

   This is the same as a traffic accident on the road and all the roads were blocked. What Chen Qi did was to use violence to directly push a car in the middle out of the way to make way for the rescuers to pass.

  Chen Qi pushed hard again, the battery loosened and fell straight down.

   succeeded.

   To everyone's surprise, the wound, as expected, immediately caused heavy bleeding.

  Chen Qi played very fast, and quickly sprayed the prepared octreotide injection, recombinant human growth hormone, snake venom hemocoagulase injection and other hemostatic agents on the wound.

   Taking advantage of the short period of hemostasis, he quickly pulled out the triangular head, replaced it with an electric knife head, and began to use physical methods to stop the bleeding until the wound stopped bleeding.

  Chen Qi didn't feel anything yet, and the people watching by him were covered in cold sweat from the back.

  The most feared thing in surgery is heavy bleeding. If the bleeding cannot be stopped, the result will be hard to tell. Otherwise, why do so many patients die on the operating table?

  Zhang Weizhong swallowed, admiring Chen Qi's skills and courage.

   "Dean Chen, the passage has been reserved, what should we do next?"

   "What should I do next? Of course, repair the perforated esophagus."

   "However, needles cannot be used to suture wounds from such chemical burns. How can the perforation be repaired?"

  Chen Qi smiled, took out a small titanium clip from a small box, put it on the electron microscope tube, and sent it to the perforation at the upper end of the esophagus.

  Everyone is staring at the screen, wanting to see what the Chief Surgeon wants to do?

I saw that the titanium clip was aimed at the perforation site, and opened 4 claws, like a spider, to clamp all the tissues around the esophageal lesion at once. Chen Qi pressed the handle, and the titanium clip clamped the perforation site like this tight.

  Finally, the titanium clip remained there, and Chen Qi withdrew from the endoscopic tube, and began to look for the next medical device.

  Everyone blinks, is that all right?

  The curious baby Zhang Weizhong was the first to ask: "Dean Chen, can you just clamp it like this?"

  Chen Qi looked for the equipment he wanted, and replied casually:

   "Okay, just let the clip tighten. After a while, the clip will fall off automatically, pass through the gastrointestinal tract and finally be excreted from the body. The rest is to let the human tissue slowly repair the piercing wound by itself."

It's that simple.

   This is like someone cutting a knife on the arm. The general treatment is to sew it up with a needle and thread.

  However, a kind of "band-aid" was invented later, as long as the surgical wound is aligned and then stuck firmly, the rest is for the wound to heal itself.

  This saves the trouble of sewing needles, and also avoids the pain of patients when sewing needles, and there is no need to remove the stitches, and the curative effect is certain.

  The principle of Chen Qi's titanium clip is also the same, it's just that simple, OK.

  Everyone in the operating room almost fainted collectively. At the same time, they felt a sense of surprise in their hearts. It turns out that endoscopic surgery can still be played like this? It's simply too advanced, too time-saving, labor-saving and money-saving.

   Well, it's not necessary to save money. The cost of a titanium clip is estimated to be more expensive than sewing it with a needle and thread.

  Chen Qi didn't care what others said, and quickly fixed a small hollow barrel with an endoscope, and then sent it into the gastroscope tube.

  Jin Meng couldn't help asking at this time:

   "Mr. Chen, what are you doing?"

"Oh, this one is temporarily installed in the original battery. You can see that the tissue corroded by the heavy metal chemical solution is already very fragile. I will perform endoscopic surgery on the stomach later. It is very easy for the tube to come in and out. Wear this wound.

Now I have managed to stop the bleeding, and I must not cause heavy bleeding due to friction again, and the operation will be troublesome, so I fixed this small drum here, and then the gastroscope enters and exits through this channel to avoid damage to the tissues around the esophagus. harm. "

   Oh~~~~

  Xiaomeng nods again and again, and lowers their heads to write down this clinical experience in their notebooks.

  Masters couldn't understand it, but Lan Lijuan and Zhang Weizhong understood it. They had never seen this set of endoscopes and matching accessories before, and they didn't know where Chen Qi got them?

  But one of them is Chen Qi's wife, and the other is Chen Qi's confidant. They knew that some things should be kept secret, so they didn't ask more questions.

  Chen Qi also breathed a sigh of relief after establishing the esophageal passage, and the next operation will be done easily.

  He first sent the net bag of foreign matter into the stomach, then put the harmful battery and the unlucky coin into the net bag, and quickly took it out of the body through the mouth.

   At this point, the operation is half successful.

  The head nurse ran out of the operating room under Chen Qi's signal.

  Outside the door, Sheikh Abdullah and his wife, as well as the leaders of relevant departments in China, were all waiting anxiously. The Arab foreign guests even spread a carpet and began to pray on the spot.

  After the head nurse came out, everyone gathered around. The chief and his wife held hands tightly, thinking that something happened during the operation.

   "I want to tell you some good news. Dean Chen has successfully taken out the battery and coins."

   After finishing speaking, the head nurse directly handed over a sterile plate to everyone. At the bottom of the white plate, one could see a commemorative coin and a damaged button coin.

  Seeing that the battery was taken out, everyone jumped up excitedly, and the chief and his wife hugged each other excitedly.

   "Great, great, the operation was successful."

  The head nurse knew that everyone had misunderstood as soon as she heard it, so she quickly explained one more sentence:

"Dean Chen said that the operation is only half successful. I'm afraid you'll have to wait until I inform you. Later, he will make a tunnel in the stomach and abdomen so that the external nutrients can be directly transported to the stomach to maintain nutrition. This Surgery is still very troublesome."

  The scene was silent.

   What the head nurse said was the main difficulty of Japanese doctors' reluctance to operate on the little prince.

   Either cut the stomach open, but the mortality rate is "as high as" 3%; or watch the little prince starve to death, and don't know how many days the infusion can last.

  Now when he heard that Doctor Hua Guo was going to make holes in his stomach and stomach, Chief Abdullah suddenly became anxious:

   "Why do you have to cut your stomach open again? Isn't this a huge wound? Isn't this too dangerous?"

  Faced with the chief's question, the head nurse had no choice but to go back to the operating room and invite Chen Qi to answer.

  Chen Qi was upset.

  Thinking that the chief had a lot of things to do, he was in a hurry to call for help, but the plane didn't stop and he wanted to jump off.

   Now it's really time for the operation, but they are unwilling to take any risks. The operation must be successful, but they can't take risks, and there can't be a large wound. This is a typical "need... and... and..."

   This good thing has been taken by their family?

   Displeased, Chen Qi decided to make his illness more serious, so as not to scare the bearded chief to death.

  At the door of the operating room, Chen Qi heard the chief chattering about a lot of requirements, so he could only nod repeatedly, and then said embarrassingly:

   "Mr. Chief, I understand your request, and I also understand your care and love for the little prince. I am deeply moved."

  The young chief felt very comfortable hearing this, and his affection for Chen Qi increased a bit.

   "But Mr. Chief, if I follow your request, then I will change the surgical strategy and adopt a brand new treatment plan. Then the cost of this operation and the surgical instruments used will be very expensive."

  Chen Qi was crazy about money in order to build a new endoscopy center.

  Who knew that as soon as the words fell, the chief showed a contemptuous expression, and an attendant of the chief next to him hurriedly said for the master:

   "Doctor Chen, you only need to consider the effect of the operation. We have no problem with the cost of the operation. Even if it is a golden mountain, our great Chief His Highness will not blink."

  Chen Qi showed a surprised expression.

  The chief and the chief's wife have a haughty look on their faces, and they like to see the expressions of other people's country bumpkins who have nothing to do with the world.

money? Petroleum still short of money? People are so poor that all they have left is money, and the toilets are all made of gold, okay?

  In fact, Chen Qi also despises these big dogs in his heart, is it amazing to be rich? Today I will let you bleed hard and contribute to the China National Mirror Center.

  What he is most afraid of is that the relevant departments say that for the sake of the friendship between the two countries, all medical expenses will be waived, so Chen Qi will really faint on the side of the road crying.

  So he deliberately used this method to guide the chief of the big dog family to make a promise of not bad money. In the style of the big dog family, how dare he give tens of thousands?

   "Okay, the chief's love for the little prince is so touching. I assure you, I will give you back a healthy little prince."

   "Okay, okay, Doctor Chen, don't worry about the operation, no matter how much it costs, the people of our great God will never let your friends suffer."

  If it wasn't for the fear of being beaten to death on the spot, Chen Qi really wanted to make a gesture of the cross and call for the blessing of the Buddha.

   Back in the operating room, Lan Lijuan and Zhang Weizhong were very nervous:

   "How is it? Is there anything dissatisfied by the foreign guests?"

  Chen Qi said indifferently while preparing the tools:

   "It's okay, I'm not afraid that they ask too much, but I'm afraid they don't ask. I have already set a trap for them. It is estimated that the gap for us to build the endoscopy center building has been settled."

   There was a burst of laughter in the operating room.

  Chen Qi's reputation of "death for money" is well-known internationally. His medical skills are really superb, and the fees are really expensive.

   "Dean Chen, what shall we do for the next surgery?"

  Chen Qi seriously said to the 15 master students:

"Next, I'm going to do a brand new PEG surgery, which is also called percutaneous endoscopic-guided gastrostomy. I believe you all know about gastrostomy when you are studying "Surgery". Today we will use endoscopy way to perform the operation.”

  The 15 Xiaomengxin nodded repeatedly and took out their notebooks one after another, looking like good students.

   is a really good student, unlike the students of later generations, who seem to be serious, but in fact may draw the pig's head of the tutor on the notebook.

  Chen Qi casually introduced while packing up the tools he needed:

  “PEG has a wide range of uses, and is suitable for coma caused by neurological diseases such as cerebral infarction, cerebral hemorrhage, intracranial tumor or traumatic brain injury, unable to actively eat, and acute respiratory failure and confusion caused by cardiopulmonary diseases.

It is also suitable for patients who cannot eat due to surgery on the mouth, neck, and larynx. Like the little prince today, you have seen the upper part of the esophagus. It is corroded so that it is not blocked, and food is not allowed to pass through. ? Watching the little prince starve to death?

In the past, the traditional method was to make an incision in the abdomen and stomach, and then perform a ostomy, but there is a problem in it. If the condition is good, you can live in the hospital, and if the condition is poor, you can go home without disinfection conditions, infection and other complications. Unavoidable, mortality exists.

Everyone already knows the advantages of endoscopy, so I will teach you how to do this PEG technique. In fact, the process is very simple and you can learn it once you learn it. People copied it. "

   There was another chuckle in the operating room.

The 15 master students were so touched, they thought that they had accumulated virtue in their previous life following Mr. Chen, and one innovative operation after another not only opened their eyes, but also made them the first batch of people in the world to learn these new surgical techniques doctor.

  It will be hard for them not to be famous in the future.

  Chen Qi no matter how excited the students are, he has already started the operation.

  I saw that he first poked the gastroscope into the stomach to **** out all the gastric juice.

   Then one hand touched the little prince's abdominal wall, and a bulge on the front wall of the stomach body could be clearly seen on the monitor.

   Then Chen Qi took a needle and stabbed it directly at the pressed abdomen, making everyone beside him feel goosebumps. Originally, this process required local anesthesia, but now the little prince is under general anesthesia, which saves time and effort, no wonder pediatric surgeons like general anesthesia at every turn.

A needle appeared in the stomach soon on the display screen, and the function of this needle was only to "position". Then Chen Qishuang took a trocar and continued to pierce the gastric cavity next to the needle, and then passed the guide wire through the trocar. The needle hole of the tube is sent into the gastric cavity.

  The blue guide wire can already be seen entering the abdominal cavity on the display screen. Chen Qi quickly clamps it with special forceps and starts to pull it back. Pass through the cardia, esophagus, and finally pull the guide wire out of the mouth.

  Lan Lijuan and Zhang Weizhong remained silent, wanting to see how the operation would proceed.

  Only master student Tang Macheng was operating the camera, taking pictures of the whole process.

  (end of this chapter)

Chapter end