Can't do it?

Why can't it be done?

It's not just that Zhou Shengsheng was puzzled, the first time he heard his son's 'tracheotomy', Zhou Congshu was also full of excitement and saw the hope of life, but Zhou Shouming's basin of cold water didn't give him face at all from head to toe.

The old man will not be untargeted, let alone die without help.

What's the problem?

Without waiting for Zhou Congshu to ask, the situation was urgent, and Zhou Shouming did not sell it: "Xiaohu is too fat, the amount of neck fat is too high, and the child's airway is relatively narrow. ”

"I've never used a scalpel in my life, your dad, I'm not at ease. ”

The old man has practiced traditional Chinese medicine all his life, and his understanding of surgery is very one-sided, and he may understand the relevant principles, but it is difficult to put it into action. In such a situation, what should the elderly do? Who can do it? Can't do it at all!

As for Monday, Grandpa didn't mention it at all, what can interns who have not graduated from school expect?

I don't know if Lao Zheng and his wife heard Grandpa's words, and the crying was even more heartbreaking-

"My grandson, you can't die, you can't die!"

"How do we explain this to his parents......"

"If Xiaohu dies, the old woman won't live!"

Zhou Yi was at a loss, recalling the relevant courses, and naturally understood his grandfather's concerns, although tracheostomy is the basic operation of ENT, but cutting the skin, it also requires layers of peeling tissue, and the biggest problem is to find the trachea.

Obese patients naturally increase the difficulty of surgery because of their fat content.

The teacher once said a joke that when I went abroad to study, in fact, the operation steps of the operation of 'tracheostomy' were the same for everyone, mainly because of the difference in patients.

Western countries have a large number of obese people because of diet, when the domestic veterans come to the United States, they are dumbfounded, one by one patients with a Michelin tire around their necks, this kind of patient we have not done, cut the cortex, all the fat that comes out, where to start?

"Can't delay, Dad, I'll go on!" Zhou Congshu stood up, "If you don't do it, Xiaohu will definitely be gone, and you can still gamble if you do it, no matter how you look at it, you won't lose!"

Suddenly, even Sister Liu was impressed by him.

Sister Liu was panting and tired, but she didn't dare to pause, and her eyes instantly turned to the old man: "You speak, I'll do it, and maybe there will be a chance to gain time." ”

Daddy can't hold up the wall with mud?

Maybe you are usually lazy, but when you really encounter a big event, you can stand still.

The principle of tracheostomy is not difficult, it has been described in many survival books, and in an emergency, survivors can even invert themselves by themselves, but this description also has a premise, there is no help, and it is really used when it is forced to do so.

And the effect after using it, it's all up to luck, anyway, if you want to die, let it go.

"Koyanagi, prepare the equipment. "Grandpa finally spoke.

Do!

Even if you can't do it, you have to do it!

Monday immediately took over Xiaohu and continued to perform the Heimlich maneuver non-stop.

"Do you want to ask for their consent?" Dad glanced at Lao Zheng and his wife, he was actually weak-hearted, and if he went down with a knife, he would either die or live, and if he didn't make a good scene, he would have to bear the lawsuit.

"Wait for them, people will die early!" Zhou Shouming looked coldly, not holding out any hope for his family at all.

Even when he looked at Xiaohu, Zhou Shouming was so angry.

Who is to blame for Xiaohu being so fat?

It's not that this grandpa is to blame!

Love also has weight, you have to see if the child can bear it, is it good to raise white fat? white fat also has to have a measure, if it exceeds the normal value, it will cause disease.

Zhou Shouming, Zhou Congshu, and Sister Liu all rushed into the infusion room that had just been cleaned, rummaging through the boxes and cabinets to make a 'ding' noise, and it was a mess in an instant, and the surgical instruments were definitely not fully equipped in the clinic, but the basic scalpels and retractors were available, and occasionally the clinic would encounter more serious trauma patients, and the rotten flesh must be removed during debridement.

Zhou Sheng was flustered, after all, he was just a medical monk who had not yet graduated.

Even after so many days in the emergency department, he couldn't intervene in an emergency, so he could think of tracheostomy, which was not easy, and the university was not in vain.

Soon, Sister Liu arrived with the equipment.

Zhou Congshu rolled up his sleeves and put on rubber gloves.

At this time, where can you pay attention to the open environment, life hangs by a thread, and the disinfection procedure is also simple, as long as the person can be saved, the postoperative infection can still be found.

The incision is disinfected, and Sister Liu is very skillful.

Dad took a deep breath and looked at his father beside him: "Dad, then I cut it?"

Zhou Shouming glanced at Lao Zheng and his wife again, crying and shouting, how can they be human?

Without the consent of his family, something happened later, and the responsibility lies with the Zhou family clinic, but if you want to say that you can't save yourself when you die, he can't do it, 10,000 can't do it!

"Cut!"

"Something happened, I'll bring you food. ”

Grandpa's words were tragic, but that's exactly what happened.

Although Lao Zheng and his wife are acquaintances, except for the usual medical treatment, they really have no deep friendship, and when it comes to the lives of their children, no one knows what their attitude will be afterwards.

Even if he made trouble, grandpa admitted it.

And Sister Liu also said: "I will also send you food, don't worry!"

Zhou Congshu's mouth was crooked, and he was amused: "What do you send in the prison cell?" ”

With a chuckle, the pressure was much less, and Daddy's expression was straight, and he was finally about to start.

The child's Adam's apple is not obvious, but the position can be found by groping, and there is a slight bulge under the Adam's apple, which is the thyroid cartilage, which is below the thyroid cartilage to the opening of the suprasternal fossa, and the basic position will not be wrong.

The sharp scalpel cut through the skin, and a thin line-like wound spread in an instant, and blood seeped out instantly.

Sister Liu cooperated very well and immediately wiped the blood.

Continue to dig deeper......

"Forever!"

Monday was prepared, and two retractors stretched the skin on both sides and exposed the wound.

But at this moment, just as the grandfather said, the fat layer turned out as the skin stretched out, and the yellowed fat in the white was like a marshmallow in a semi-melted state, rolling over the flocculent tissue, which made people feel dark and disgusting.

Zhou Congshu hadn't seen this kind of battle for more than ten years, his brows frowned, and he was stunned for a while.

Sister Liu's appearance is not very good, but her grandfather said: "Hurry up." ”

The excess fat around the incision must be removed to avoid affecting the intraoperative vision......

It's a reason to be too fat, the child is still young, the neck is so big, so much fat gushes out, and it is really a meticulous job to move the knife in a narrow incision, and a little carelessness will cause a big problem.

After all, Daddy is the second knife.

As the layers of fat were peeled off, Daddy was sweating profusely, and Grandpa kept wiping his cold sweat, and his face became more and more gloomy......

It's too slow, and if it slows down, the child will really be gone.

Zhou Zhou was also anxious, but he didn't think he could do it better than his father.

The contact amount of the resident doctor in the otolaryngology department is also very low, and when it is time to stay in the hospital, there is always a chance to get started, and twenty or thirty units can be called proficient.

What to do?

What now?

Watching the time pass minute by minute, a child's life is decaying, Zhou Zhou is really in a hurry.

"Cut, cut!"

"Just cut it open, and the child will live!!"

Zhou Sheng's heart was roaring, and he didn't dare to make a sound, for fear of affecting his father's state.

But at this moment, he was stunned, and his hands with the hook also paused.

Daddy glared: "What are you doing, don't move!"

Zhou Sheng didn't say anything, but his heart turned upside down: "Cut, cut ...... accurately"

"System, system!!"

"Does a precise incision help with a tracheostomy?"

System: "Auxiliary precise incision, efficient improvement of intraoperative incision completion!"

The answer hasn't changed, but Monday wants to take a gamble.

5 medical achievement points only.

Give it a try!