Chapter 21 What to do if there is a foreign body in the esophageal trap
Zhang Gu was very happy.
The editor-in-chief of the magazine, Qiu, called him with an excited tone.
He told Zhang Gu that the article would be published in the latest issue in three days, and said that the manuscript fee had been paid to his account. If you have a practical article in the future, remember to submit it to him.
Editor-in-Chief Qiu's original words were: "My mobile phone number will not be turned off for 24 hours, you can call me at any time!"
I can hear the importance that Editor-in-Chief Qiu attaches to these two articles of Zhang Gu.
After this matter was settled, Zhang Gu felt a lot more relaxed.
When the article is published, the mission of the medical association should be able to be completed. ”
"Refresh the main quest tomorrow night. ”
"Then today to tomorrow during the day, it's a holiday. ”
In the past month, Zhang Gu has been busy trying to become a regular and join the medical association.
This sudden idleness, Zhang Gu has a feeling of vacation.
At nine o'clock in the morning, after the shift was handed over, Zhang Gu was even more relaxed.
"Where are you going to have a little vacation for a day and a half?"
Zhang Gu took off his white clothes, walked around casually, and walked outside the courtyard.
When passing by the endoscopy room, Zhang Gu saw Dr. Liu Quan hurrying with sweat on his forehead.
Zhang Gu and Liu Quan met in Xiang Jianhua's thirteen-person team.
"Director Liu, what's wrong?"
Liu Quan also recognized Zhang Gu at once, and hurriedly said: "There is an emergency patient." ”
After speaking, he hurried into the endoscopy room, looking very anxious.
Zhang Gu also followed in with the intention of helping.
There was a family of three inside, and the two adults were anxiously spinning in place, and the little boy looked very painful and cried loudly.
Liu Quan quickly said to the female patriarch: "Mr. Fang, the results of the barium swallow are out, your son should have swallowed a foreign body and got stuck in the first stricture of the esophagus." Think about it, what did he swallow?"
Zhang Gu observed this family of three and found that the woman was always a strong woman with a strong aura. The man is a bit submissive, the appearance of a little family man. And it seems that Director Liu knows this woman.
The woman glared at the man and said anxiously: "Let you watch the child at home, what did the child swallow and you said you didn't see it?
The man was a little afraid of women, and he was a little anxious and anxious, so he kept grabbing his hair and recalling: "It should be ...... It was supposed to be the kind of throwing ball he played, with two round pieces of iron on it, probably eating it. ”
Liu Quan looked at the film, and his expression was a little solemn: "It's a bit like." ”
"The diameter of the two pieces of iron is about three centimeters, so it is a bit difficult to take out. ”
The woman grabbed Liu Quan's arm: "Director Liu, you have to help my son take it out, as long as you can save my son, I will give you a 20% discount on your medical equipment next time!"
When Zhang Gu heard this, no wonder he felt that this woman was a little familiar.
This is Fang Qiong, the marketing manager of a medical device company. Many of the medical devices in the Third Hospital, from millions of expensive instruments to disposable consumables, are basically purchased from this medical device company.
Liu Quan said seriously: "Don't worry, I will do my best." ”
"Let the child come over and take a 10ml of lidocaine hydrochloride glue first. ”
The little nurse in the endoscopy room hurriedly came up to help.
"What kind of instrument is used to remove the iron piece? rat clamps, or snares?"
Liu Quan was also a little nervous.
One is that these two foreign bodies are too large, and I am worried that they will scratch the esophagus when they are removed, and it is very difficult to take them out.
The second is that this Fang Qiong and the Third Hospital are important partners, this medical record is extraordinary, just now Vice President Liu Wenzhuan and Medical Chief Lu Wei have already called to take care of it.
At this time, Zhang Gu suddenly said: "Use biopsy forceps and foreign body forceps." ”
Last time, the random blank skill card, the foreign body removal technique under the gastroscope that was prescribed came in handy.
Liu Quan nodded subconsciously, he also thought so.
Fang Qiong frowned slightly when she heard this person in civilian clothes speak: "Are you?"
A person who comes to see a doctor can also point fingers at will?
"This is Dr. Zhang Gu from our Department of General Surgery. ”
"Oh. Fang Qiong nodded at Zhang Gu, her son was sick at the moment, and she didn't have the heart to communicate and talk too much.
Liu Quanxin was still a little surprised, Zhang Gu was also so familiar with endoscopes? It seems that Zhang Gu also helped Xiang Jianhua to cross the border before, maybe he also had in-depth research on endoscopes!
didn't have time to think about this, Liu Quan asked his assistant to cooperate with him in the gastroscope.
Zhang Gu also stepped forward to help, letting the child lie on his left side and bend his legs forward to facilitate the depth of the gastroscope.
Liu Quan tried to move as gently as possible, for fear that the angle would be wrong, touch the iron piece, and scratch the child's esophagus.
After the gastroscope entered, Liu Quan operated the biopsy forceps and foreign body forceps, approaching the iron piece little by little, and forceps.
"Clamped!"
The assistant looked at the gastroscope monitor and was suddenly happy.
But in the next second, the iron slipped off.
Apparently, the piece of iron was slippery than expected.
Liu Quan frowned, and tried to use the foreign body pliers to pick it up again.
The result slipped again.
These two pieces of toy iron were particularly smooth, and they failed to be removed several times.
As the number of failures increased, the more fine sweat appeared on Liu's head.
Zhang Gu's brows also frowned: "Director Liu, it is too difficult to take two pieces of iron at a time, and every time it will cause the pieces of iron to be pushed deeper. ”
Liu Quan's face was full of sadness.
Zhang Gu came up with an idea: "It may be easier to simply use biopsy forceps to push the iron pieces into the stomach and take them out separately." ”
Liu Quan thought about it for a moment, "That's right. ”
The assistant looked at Zhang Gu curiously.
Where did this young man come from, Director Liu was willing to listen to his opinion.
Liu Quan carefully used biopsy forceps to push two pieces of iron into his stomach.
Then I tried to take it out, but the result was still not satisfactory.
The diameter of the iron sheet is too large, and it is already small from the stomach to the esophageal opening, and it is impossible to pull it forcefully.
Every time I pull, I feel that no matter how hard I pull, I will hurt the stomach wall and esophageal wall, and this force is very difficult to control.
In addition, Liu Quan has never been able to find a good angle.
The further back, Liu Quan became a little anxious.
This patient must be cured!
Zhang Gu judged it with the surgical skills in his mind, and shook his head slightly.
It's not that Liu Quan's skills are not good, but if he is replaced, he may not be as good as Liu Quan.
"Director Liu, I only use a gastroscope, I'm afraid I can't take it out. ”
Liu Quan also nodded helplessly: "Is it possible to have open heart surgery?"
Thoracotomy surgery requires the opening of the sternum and a lot of action, which is not conducive to the growth and development of the child.
Zhang Gu suddenly had an idea and said, "Otherwise, let him eat leeks and try it, the next three meals are all leeks." ”
Liu Quan thought about it, and his eyes lit up slightly: "Yes, let's see if you can use leeks to help drain them!"
Zhang Gu said: "Let's try to see if it can be discharged, if not, this leek is also very useful." ”
Liu Quan was stunned: "It's also useful, what's the use?"