Since 1981 Health School Chapter 612

  Chapter 612 Anesthesia Ferrule Lubricant

  The main component of ketamine is ketamine hydrochloride, which has analgesic effect and is an intravenous general anesthetic, which can usually be used for anesthesia before minor operations.

  If it wasn't for the fear of harming the patient, Chen Qi really wanted to use poison to fight poison, and just poison the cobra to death.

   The venomous snake on the display screen didn't know whether it was uncomfortable because its head was stuck, or it was struggling with too much pain in the stomach acid environment, but it twisted very badly anyway.

  Those who are not afraid of snakes don't know, and those who are afraid of snakes are the most afraid to watch snakes wriggling. If someone touches Chen Qi's skin at this time, they will find that it is covered with goose bumps.

  The clear and calm face on his face is a **** fake, in order to maintain the demeanor of a people's teacher.

  The anesthesiologist quickly took the ketamine needle, Chen Qi put it into a special syringe, and the needle installed on the top of the gastroscope began to pierce the poisonous snake.

   Where is the cobra so easy to pierce? They are not big sows, they can get injections with their eyes closed.

  Snakes are not slippery, and there is a thick layer of scales on the body surface, and the poisonous snake is still twisting and twisting and cannot be fixed.

  So Chen Qi just kept stabbing with the needle like Mother Rong, stabbing, stabbing, but he couldn't get the poisonous snake, or the needle slipped away after hitting it.

   The person who was doing the surgery next to him was in a hurry. Everyone wanted to go forward and give the poisonous snake an injection, and they all complained in their hearts that their dean was stupid enough.

  Master student Zhu Jianwei is from the mountains of Guizhou. He has worked with snakes since he was a child. He is not afraid of playing with this cold-blooded animal. He also knows the anatomy of snakes very well.

  When he saw that his teacher couldn't catch the poisonous snake after working for a long time, he was also anxious:

   "Mr. Chen, you can't pierce the snake with such a short needle. You can either pierce the snake's mouth or the snake's anus. These two positions are the weakest."

  Snake's anus?

  The chief surgeon and the doctors next to him were confused. What the **** is the **** of the snake? where? What does it look like?

  Zhu Jianwei looked confused when he saw the big eyes, so he quickly said to the screen:

   "Look here, at the end of the snake, are there a few large scales here? Below this scale is the anus?"

  Chen Qi and other students moved closer to the display screen. The display screen in this era is a picture tube TV, and the definition is not high. In addition, the poisonous snake is twisting and turning, and everyone looks lonely.

  Zhu Jianwei was in a hurry: "That's it, that's it, you can't see such a big anus, I can see it clearly when the scales are raised just now."

   "Where? Is this it?"

   "No no no!"

"here?"

   "Ah, you are so stupid! Oh, Mr. Chen, I didn't mean you!"

  Chen Qi was about to vomit blood at this time, and directly handed over the operating handle of the gastroscope to Zhu Jianwei:

"Come on, come on, do what you want, leave professional matters to professional people, you old cousin from Guizhou knows poisonous snakes better, come and give it an **** injection, oh my god, I'm so exhausted, my eyes are blurred .”

  Zhu Jianwei did not refuse. He has been practicing endoscopic surgery for half a year, and there is absolutely no problem in primary technology.

  The doctors of later generations went to higher-level hospitals to study gastroscopy, and it took half a year or a year at most. Before students like Chen Qi, each had an endoscope and let them practice day and night, they could leave Xinshou Village long ago.

  So after Zhu Jianwei took over the handle, he immediately laughed:

   "Thank you Teacher Chen for the opportunity!"

  Guan Zelong patted his thigh: "Damn, let Jianwei get the first chance to perform surgery."

  The students all laughed, although there was a little envy, but they wouldn't be so jealous that their eyes turned red. The workplace drama is quite far away from these students.

  After Zhu Jianwei took the handle of the endoscope, his eyes were fixed on the display screen, and the needle was ready to launch at any time.

   Just as the viper twisted around and the scales lifted to expose the gap in the anus, Zhu Jianwei moved quickly and directly inserted the needle into the **** of the viper, and then quickly pushed the anesthetic into it.

   "Mr. Chen, how much should the anesthetic be pushed in?"

   "Push away everything, not a drop left."

  Zhu Jianwei saw his teacher gnashing his teeth, thinking that he was fighting for the patient, so he "violently" injected all the anesthesia into the snake's body.

   "Good~~~"

   Seeing that the anesthesia needle was finally injected, there was a burst of applause from both inside and outside the operating room.

  Zhu Jianwei complacently wanted to return the operating handle to Chen Qi, and Chen Qi waved his hand:

   "You did a good job. Today's endoscopic surgery is simple and simple. I will guide you and you will be the chief surgeon."

  Zhu Jianwei was stunned for a moment, then exulted: "Thank you, Teacher Chen, thank you, Teacher Chen."

  The other students in the master's class are really a little jealous. This is a great thing to show their faces in front of professors and doctors, and they are also the first among their classmates to perform endoscopic surgery.

  Who remembers the second highest mountain in the world?

   In the end it was a snake. An adult's dose of anesthesia injection went in, and it stopped moving after a while. I don't know if it was dead or drunk.

  Master students didn't dare to talk too much when the teacher was doing the surgery. Now, it's not the classmates who are doing the surgery, so they all started to chatter, urging:

   "Old Zhu, hurry up, the snake is no longer moving, pull it out quickly!"

   "I can't get it out, this snake house is too fragile, and the endoscopic forceps can't hold it!"

   "Cut it into pieces, you still have to take it out piece by piece."

  The classmates chattered, making Zhu Jianwei's head hurt from the noise. After all, he is a rookie and he has no experience.

   At this time, Chen Qi silently took out a special ferrule for endoscopy, "Use this!"

   There is a condom, but it does not mean that this operation can be easily solved, and now I have another headache.

  The snake did not move, and the ferrule was inserted through the tail of the snake. However, due to the limitations of the endoscope, the ferrule could not be tightened. Therefore, if the surgeon applied a little force, the ferrule would loosen and the snake could not be pulled out.

   What is more important is that the snake head is stuck by the pylorus, and the snake head cannot be pulled out.

what to do?

  Master students, you look at me, I look at you, and then look at the great professor Chen Qi together.

  There are also discussions in the multimedia classroom, especially after seeing the ferrule keeps slipping, they have lost confidence in endoscopic surgery.

  Zhu Huoyan also signaled his assistants to hurry up and prepare the operating room. The doctor will carry out disinfection work in advance and take over the operation at any time.

  Chen Qi blinked: "Why are you all looking at me? Go ahead!"

  Zhu Jianwei's face was as red as a monkey's butt: "Mr. Chen, I, I can't pull it out. The snake's head is stuck to death by the pylorus."

  Chen Qi seductively said: "The pyloric circular muscle spasms and contracted rigidly. What would you do if you were a doctor?"

  Jin Meng was the first to answer: "First, you should relieve the spasm and relieve muscle tension."

  Chen Qi asked back: "Then how can I relieve the spasm?"

  Teng Yuqin raised her hand: "I know, I know, you can use 654-2 needles first."

  Chen Qi shook his eyebrows: "It seems that you all know it, why can't you use it flexibly? Hurry up and take medicine."

  654-2, also known as anisodamine, has obvious peripheral anticholinergic effect, can resist acetylcholine-induced intestinal and bladder smooth muscle contraction and blood pressure drop, and can reduce intestinal tension in vivo, and the strength of action is similar to that of atropine.

  The nurse quickly took the 654-2 needle, and Zhu Jianwei quickly hit the circular muscle next to the pylorus, and the effect came out very quickly.

  In less than 10 minutes, the pyloric muscle relaxes.

  Chen Qi reminded again: "Just put the ferrule in the direction of the snake's head, yes, put it a little bit, move it back a little bit, move it a little bit..."

  Zhu Jianwei has been doing it for a long time, and the cold sweat that is visible to the naked eye has come down:

   "Mr. Chen, it can't be done. The snake's scales are all along the line. Now I want to reverse the car, and the scales have turned into reverse scales. I can't pull them out."

  Many doctors in the multimedia classroom are discussing:

   "Look, I said that there are snake scales, and you can't pull them out if you pull them upside down."

   "The head of the snake is also thicker, and the muscles are not completely relaxed yet, so it is a bit difficult to pull it out."

   "The endoscope is still limited. You can see the snake, but you can't get it out."

  Chen Qi walked around the operating room, and then said to a glass bottle on the shelf:

   "Bring that brown bottle here."

  Jin Meng reacted quickly, ran over immediately, and looked at the label, his eyes lit up instantly.

  Chen Qi wanted to say something at first, but when he saw Jin Meng's appearance, he knew that the little girl had guessed her intentions, so he smiled and nodded.

  Jin Meng gave the brown bottle to Zhu Jianwei:

"Zhu Jianwei, you are so stupid. You don't know how to adapt it. The snake's head is thick and big, and its neck is narrow here, which makes it stuck there and cannot move. Adding the barbs on the snake scales increases the friction, so we want to There is a way to reduce the friction force, here, this is a lubricant, after using it, you can enter and exit freely.”

   Oh~~~~

  The master students suddenly realized: "Ah, why didn't we think of it, it has to be Teacher Chen."

  Chen Qi raised his hands, smiling brighter than a chrysanthemum: "How else can I be your teacher, haha."

  The application of lubricant and 654-2 needle quickly solved the two biggest problems.

   I saw that Zhu Jianwei really pulled the poisonous snake out of the pylorus centimeter by centimeter.

   Just when everyone was watching anxiously, Zhu Jianwei felt that the resistance in his hand suddenly disappeared, and the snake head was completely pulled out of the pylorus.

   "Wow, it's out, it's out~~~"

   "Pull it out~~~"

   "It's so tight, you must use lubricating oil, and I learned another trick~~~"

   "It's soft when you dial it out~~~"

   "It seems that you can't do without medicine, no wonder Zhu Jianwei is useless~~~"

  Chen Qi was shocked, his back was soaked: You **** better talk about surgery!

  The people in the operating room and multimedia classroom also breathed a sigh of relief.

  Only the surgeons all looked annoyed: "Oh, there is no room for our surgery, what a pity."

   Seeing the excited faces of the master students, Chen Qi also followed suit. Being with young people is a happy mood:

   "Okay, now pull out the ferrule, put it on the snake's head, and then pull it out from the cardia, esophagus, and mouth. By the way, take this and keep the lower throat."

   After finishing speaking, Chen Qi took out another hollow cylindrical instrument made of plastic.

   "This is the pharynx protector. After a while, a snake of this length has to pass through the throat, and there are scales. If it doesn't scratch the throat, it will be a big problem."

  The master students nodded repeatedly, and really felt that their teachers were all-round and careful.

  Five minutes later, the Zhoushan cobra that Xue Xiaojuan swallowed was successfully taken out of her mouth.

  When the snake was taken out, Chen Qi had already jumped away, pretending to watch the ECG monitor, but in fact he was afraid of snakes to the core.

   "Teacher Chen, come and see, come and see, the poisonous snake has been taken out!"

  Zhu Jianwei's first endoscopic surgery was successful. At this time, he was very excited, and he took the cobra that had been dead for a long time and threw it at Chen Qi.

  Chen Qi was almost scared out of his wits:

   "Don't come here, don't come here, take it away quickly, Amitabha Buddha~~~~"

   At this time, the live broadcast in the multimedia classroom was not over yet. When everyone saw that Chen Qi was scared by a snake and hid away X speaking incoherently in Tibetan, there was a burst of laughter immediately.

   Then there was a burst of warm applause. Undoubtedly, Yuezhong People's Hospital created another miracle.

   Only Xue Xiaojuan's father didn't laugh, he just watched the screen and kept crying:

   "My daughter doesn't have to die, Xiaojuan survived, you are really Bodhisattvas who save suffering~~~~"

  The doctors in Xijing Hospital are always looking at me and you at this time. The "arrogance" of visiting local hospitals in the top hospitals before coming to Yuezhong has completely disappeared.

  This time in Yuezhong, they have really seen what it means to have people beyond people, and there is a sky beyond the sky.

   also really understood how big the gap is between the top doctors in China and the top doctors in the world. Chen Qi almost hit Xijing Hospital in all directions.

  The only thing that saves them some face is that there is only one doctor in Yuezhong Hospital, Chen Qi, who is strong, while Xijing Hospital is strong in all departments.

   But with Chen Qi as a freak, how long can Xijing Hospital maintain this leading edge? At least the discipline of gastroenterology has been completely beaten.

  The next day, the Xijing Hospital team and the patient Yu Sisi's family were also preparing to return to Xi'an.

  At the farewell station, Professor Tong patted Chen Qi on the shoulder heavily, and said with a smile:

"Xiao Chen, not bad, I hope that in the days to come, you will continue to win glory for our country's medical and health sector in the world, and let them see that it is not developed countries in Europe and the United States that can train top doctors and break their monopoly !"

  Chen Qi patted his chest: "Professor Tong, don't worry, I will not only take the lead in gastroenterology, but also do things in other disciplines if I have the opportunity in the future."

   Zhou Qifa and Liang Jingwen also came to shake hands with Chen Qi before boarding the train:

   "Dean Chen, we are right to come to Yuezhong this time. No, we took two subjects with us before we left. We are also in your favor."

   "It's easy to say, I hope you will take care of my employees."

  Chen Qi decided to send 10 young doctors from various departments to Xijing Hospital for a one-year study.

  At the same time, the two sides are also planning to carry out cooperation on two subjects in Xijing Hospital, "Abdominal Pain of Epilepsy" and "Abdominal Pain of Myocardial Infarction".

   This is also a part of Chen Qi's plan, to send doctors from Yuezhong Hospital to major top hospitals across the country for advanced studies as much as possible to learn their advanced clinical techniques.

  If it weren't for the fact that most of the employees in Yuezhong Hospital graduated from technical secondary schools and couldn't pass the English test, he would like to send the employees abroad for further study.

  (end of this chapter)

Chapter end