Since 1981 Health School Chapter 611

  Chapter 611 Zhoushan Cobra Goes Wild

  The second method is to use endoscopy to remove the snake.

   But there is a problem with this one too.

  Because the snake is very slippery, especially the snake that is not dead is twisted and twisted, it is difficult to clamp it with endoscopic forceps, and it is easy to slip off with a ferrule, but it cannot be grasped and fixed.

  The third method is to brainstorm together to see if there is any local way to get the snake out completely?

  In the emergency department, Lao Guo, Zhu Huoyan, Jin Peilin and other surgeons who got the news also came.

  When these surgeons picked up this film, they were all shocked:

   "Oh~~~ There is really a snake in my stomach."

   "This is really a crime. Let a little girl swallow a snake. It's terrible."

   "I have to hurry up and do emergency surgery."

   Few people are not afraid of snakes, especially when the snake is still in the stomach. Many female doctors stay away from the patients, for fear that the snake will suddenly "break out of the belly" and then fly up and bite people.

  Zhu Huoyan did a physical examination, looked at the ECG monitor, and frowned:

   "Chen Qi, now the patient's blood pressure has been dropping, and the person's consciousness is not clear. This is a typical shock symptom, and it is very dangerous. Give me an idea whether it is a thoracotomy or an endoscopic surgery!"

  Although Lao Guo is a surgeon, he knows the value of new technology, and he wants to do surgery in his heart, but he wants to see if the endoscope can handle it specifically.

   "Professor Tong, do you think there is any better way to deal with it now?"

  Professor Tong could only shake his head, and said with a wry smile:

"I really didn't expect you Yuezhong Hospital to encounter so many strange patients every day. Our Xijing Hospital has treated people who swallowed rice field eels, but we have never treated people who swallowed live snakes. Rice field eels and snakes look similar. It's actually quite different.

  Eel is very slippery and has no scales on its body. This kind of animal is also carnivorous, so its bite force is very strong. I remember that the patient finally underwent laparotomy. Of course, I know that Comrade Xiao Chen definitely wants to have endoscopic surgery.

  But snakes are different. Snakes have scales, and the scales still face backwards. If you pull it backwards, these scales will look like barbs. In other words, it is very difficult to pull it out backwards, you have to take this little Chen into consideration. "

  Chen Qi nodded:

   "I understand, this is Nilin, but the problem now is that the snake may not be dead yet, and the stomach will be opened directly. If the surgeon is bitten, it will be troublesome."

  Everyone thinks about it, doctors are human too, no one wants to be injured during the operation, what if they die?

   At this time, Liang Wenjian made a suggestion: "Then we have to find a way to kill the snake first, or anesthetize it first."

  Someone in the crowd asked: "How to anesthetize?"

  Yi Zewen's eyes lit up: "How about drinking? Drink high-strength white wine, soak it all in your stomach, and make this snake drunk."

  Old Guo became popular when he heard it:

   "Idiot, this is a little girl. I don't know if the snake will be drunk after drinking this wine. This little girl will definitely suffer from alcohol poisoning. What kind of bad idea are you talking about?"

   At this time, another doctor stood up and said:

   "I know a local method, put the smoke oil in the pipe pot into the snake's anus, and the snake will come out in reverse, so it's easy to catch, isn't it?"

  Old Guo rolled his eyes:

   "The snake is in the stomach, how do you find the **** of the snake? If you find it, how do you stuff the soot in it? Nonsense!"

   "I also know a simple method, which is to use the trunk of the old onion to hollow out the inside, and then use an endoscope to send it down and put it on the snake, so that the snake will not move and can be pulled out."

  Chen Qi coughed lightly:

"This, this, endoscopic forceps can't hold dried onions, even if they can hold them, they can't be completely sent to the stomach. After all, this thing is a plant, too brittle and too soft. Besides, it's not certain whether it will work or not. .”

  In the emergency room, many doctors were discussing how to treat and remove the snake without hurting the little girl.

  Xue Xiaojuan's father is in a hurry. Anyway, now that someone is willing to help with medical expenses, he also wants his daughter to survive:

"Doctors, please do me a favor and save my daughter. We are jugglers. Many people die every year because of accidents during snake swallowing performances. This is why we rarely perform this show. If we don't Save my daughter, she won't survive tomorrow~~~"

  At this time, everyone noticed that there was a family member waiting outside the crowd.

  Old Guo is more experienced, and immediately asked: "Are you the father of the child? What kind of snake do you use in the performance?"

  All eyes were on the parent. Just now, everyone was busy coming up with ideas, but they forgot the most fundamental question, what kind of snake is this?

  The middle-aged man said with an accent in the direction of Ningbo and Zhoushan:

   "It's the snake from our hometown, the cobra, but it's just a little snake..."

   "Zhoushan Cobra?"

  A doctor in the crowd was more experienced, and he slapped his thigh when he heard it: "The Zhoushan cobra is very poisonous, even a small snake is very poisonous."

  Boom~~~ There was an explosion in the emergency room, not to mention the doctors, even the common people who came to watch the excitement were dumbfounded.

   "Ah, this is the end!"

   "Who dares to take the Zhoushan cobra? If it bites you during the operation, the doctor will die!"

   "No, we have to protect ourselves too."

  The doctors in Xijing Hospital are all foreigners. They know about the venom of cobras, but they don't know why everyone is so surprised when they hear the behavior of Zhoushan cobras, so some people quietly asked the colleagues next to them.

   "Excuse me, is there anything special about this Zhoushan cobra?"

   "Hey, you don't know, this snake is very poisonous. It is known as the top ten poisonous snakes in Huaguo. We Haidong people are most afraid of this thing."

   "Oh~~~ so miserable~~~"

   At this time, another doctor stood up and analyzed:

"Don't worry, everyone. Think about it. Snakes are cold-blooded animals, and the temperature inside the human body is 37°C. It is possible that once the snake is swallowed and the temperature rises, the snake will soon become comatose and die. The principle is probably similar to the clinical death of hyperthermia. drop the same.

   But I think the most dangerous thing is that snakes have a lot of parasites, such as tapeworms and sparganisms with various strange names. They like to burrow everywhere in the internal organs of the human body, especially parasitic in the brain to eat delicious food. It's disgusting to think about. "

  The doctor's words disgusted not only the doctors in the emergency department, but even the onlookers took a step back.

   Parasites were terminally ill in the 1980s. Think about schistosomiasis, which kills many people every year.

  Chen Qi heard so much, and thought a lot in his heart, especially when he knew it was a Zhoushan cobra, he knew he couldn't delay.

  The little girl is now in painful shock caused by severe pain, and has not yet shown any symptoms similar to poisoning.

   But when chills, fever, vomiting, salivation, and difficulty breathing appear, it is really a dead end based on current medical technology.

   "Everyone stop arguing, how about this, I will try to see if the endoscope can be removed first, if the endoscopic operation fails, Guo Shuji, Mr. Zhu, you can perform thoracotomy and laparotomy."

  Zhu Huoyan nodded: "Yes, let's get ready first."

  Lao Guo was a little worried: "Zhoushan cobra, the danger is too high. If the snake doesn't die, you won't be able to fix it with an endoscope. It's better to do traditional surgery."

  Chen Qi shook his head: "I'll try endoscopy, let's talk about it, we can't let our doctors also suffer possible dangers."

  Old Guo sighed: "Then, let's try endoscopy first, and send the patient to the endoscopy operating room first, and the No. 1 operating room of the next-door surgery is also ready to take over at any time."

  Chen Qi is busy preparing, and the other doctors here have a sense of curiosity scratching their heads.

  Everyone wants to see how the endoscope is taken out of the poisonous snake in the digestive tract. After all, this is a new thing, and it can be regarded as one of the rare diseases.

   "Guo Shuji, how about I go to the endoscopy operating room to help..."

   "I'll go..."

  Even the doctors of Xijing Hospital couldn't sit still anymore. Professor Tong winked, and Zhou Qifa hurried over:

   "Guo Shuji, can we watch the endoscopic snake removal operation?"

   Lao Guo saw that everyone was so interested, and he himself was also interested as a doctor, so he waved his hand:

   "Let's go, all go to the multimedia classroom, let's let Chen Qi broadcast live."

Hurrah, a large group of doctors rushed to the multimedia classroom one after another, ready to grab a front seat. Whether it was gossip or discussing the disease, people swallowed live snakes, and Dean Chen took snakes under the mirror. It is rare to see.

  The gastroscope room was prepared very quickly, Xue Xiaojuan was immediately given general anesthesia, and Chen Qi also took out the gastroscope tube as quickly as possible.

   When he started down the tube, everyone didn't blink.

  When the lens reached the lower end of the esophagus and above the cardia, a snake tail was seen, and the snake tail was still shaking slightly there.

  Many people shouted excitedly: "There are snakes, there are snakes, I saw a snake!"

  Chen Qi's camera moved forward, and when he wanted to go to his stomach, suddenly the tail of the snake swept towards the camera, and what everyone saw on the big screen was a huge snake tail fanning towards everyone.

   "Oh~~~~"

   "Scared~~~~"

  Many female comrades screamed, and even the male doctors were shocked.

  The real little snake in front of the camera is really thicker than the white lady when she appeared. Not only is it thick, but it is also very big and long...

  Chen Qi's gastroscope didn't stop, and continued to probe into the stomach by rubbing the snake's body.

  As the body of the snake writhed in the stomach, everyone in the operating room and the multimedia classroom felt chills and had goosebumps all over their bodies.

  No one knows that there is another person who is suffering from general discomfort at this time, gritting his teeth and doing a gastroscopy.

  Chen Qi is actually the most afraid of snakes. Now, as the chief surgeon, he is manipulating the gastroscope to investigate, and his eyes are closest to the display screen.

  He had a feeling that next to his hand was this "thick and big" poisonous snake with scales all over its body twisting and twisting, and it might touch his hand at any time, wrap around his arm, and even bite him severely.

  So don't look at his calm face, but anyone who is familiar with Chen Qi can tell that this guy is silent, which means that he is under great psychological pressure.

   This is also a disease, a mental illness.

  The snake is twisting, which means the snake is still alive, which brings great trouble to the operation.

  Old Guo said to Zhu Huoyan beside him:

"This surgery is best done endoscopically. If you really need to open the chest cavity and abdominal cavity to take the snake, if the poisonous snake bites the doctor, it will be troublesome. Even if it doesn't bite, it will burrow into other parts of the intestinal cavity. The patient is also dead."

  A live snake must bite through the intestines and drill around. In addition, the space in the stomach and intestinal cavity is closed, and the temperature is high. Obviously, the poisonous snake has become impatient and will struggle before dying.

  Zhu Huoyan is not afraid of death:

   "I'm afraid that the gastroscope can't be taken out. Someone will have to go to the stage to perform the operation. I can't just watch the patient die. I'll be the surgeon, and I'll wear a few more gloves when the time comes."

  Old Guo smacked his lips: "Yes, we are doctors, and saving lives is the first priority."

   At this moment someone exclaimed:

   "Look, everyone, the snake head seems to be stuck."

  The people in the front row leaned forward, and the people in the back row stood up. Only the patient's father was confused and couldn't understand what the doctors were saying.

  Professor Tong is also discussing with his students at this time:

   "The snake head seems to be stuck in the pylorus. The muscles in the pylorus are very prone to spasm after being stimulated. This consequence is pyloric obstruction. The severe pain is the cause of the patient's shock."

  Professor Tong's words caused many doctors nearby to nod repeatedly.

  Pyloric spasm and obstruction, this is like a rubber band that tightly binds the snake's head, making it impossible for the cobra to advance, retreat, and even open its mouth, let alone release poison.

   It is probably also the reason. The patient has not shown symptoms of poisoning so far, which is really a blessing in misfortune.

  In the operating room, Yang Yibing, as the first assistant, was also sweating profusely at this time:

   "Teacher Chen, what should we do now?"

   "Kill the snake first!"

   Among the students, the only girl from Sichuan, Xie Danyang, was more courageous, and directly suggested:

   "Yes, kill the poisonous snake first, Mr. Chen, you can use an electric knife to divide the snake into sections, and then use a net bag to take it out."

  Hu Chuanying on one side objected:

   "It can't be cut into sections. The snake is still intact now. If you really want to cut it into sections, all the parasites in the snake's body will come out, and then spread rapidly. At that time, it will still be a dead end."

  Zhong Shuai suggested: "Aren't poisonous snakes most afraid of realgar? Why don't you try sprinkling it into your stomach?"

  Wu Jiping quickly vetoed:

   "No, realgar is composed of arsenic disulfide. It has a close relative. Do you know who it is? Arsenic trioxide, you guessed it right, it is highly poisonous arsenic. I'm afraid the snake will not die by then, but the patient will die first."

   "Zhong Shuai, where did you learn chemistry?"

   "That's right, quack doctors are harmful, you can wash all the socks for next week!"

  The students were criticizing their classmates in a hurry. Anyway, they are young and not afraid of snakes, but the "old guy" Chen Qi doesn't even have the mood to joke now.

   "Prepare the ketamine shot immediately."

  Yang Xiuxiu repeated the doctor's order: "Prepare the ketamine injection!"

  Yang Yibing asked on behalf of the students: "Mr. Chen, what are you going to use the ketamine injection for?"

   "Anesthesia, I'm going to give the cobra a few injections first, and turn it over before I say it. I saw the twisting and turning disgusting, and the disgusting mother opened the door for nausea. It's so disgusting!"

  (end of this chapter)

Chapter end