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Deng Yue'e was very nervous, her body kept trembling, and her tears were falling drop by drop, if her husband really had three long and two short, what should she do with her children? Thinking of this, Deng Yue'e didn't dare to think about it, and now he kept praying to God in his heart, so that he could open his eyes and not take her husband away.

"You must hold him down, and you must not let him move, especially his head." Now Su Hongwen doesn't have narcotic drugs like lidocaine in his hands, and if he cuts directly with a knife, the patient will definitely hurt, and now he is too nervous, and the patient will definitely struggle at first, which is not a good thing for surgery, in case he moves badly and hurts the thyroid gland and innominate artery, it will be troublesome.

Su Hongwen saw that Deng Yue'e and Wang Manzhu were pressing Xiao Er's head and his feet, this method could not ensure that the patient would not move during the operation, thinking of this, Su Hongwen asked Deng Yue'e to pull Xiao Er's two hands up and clamp his head.

This posture is used on the child, in order to prevent the child from moving during the operation, as long as the head is clamped with both hands, as long as the child's two arms are clamped and the head is clamped, it can ensure that the child cannot move if he wants to.

Adults generally don't use this posture, but it's a pity that Xiao Er at this time was completely frightened by death, it can be said that he is not very conscious, once the operation starts, and there is no narcotic drugs, he will definitely have to move when it hurts, so he can only take this posture.

Deng Yue'e pulled up her husband's two arms and clamped her head according to what Su Hongwen said, and then opened her mouth and said, "Is this okay?" ”

"Okay, remember to hold it down, don't let him move." Su Hongwen was uneasy and instructed again. A tracheostomy was initiated.

In the hospital, tracheostomy is performed first under local anesthesia, that is, lidocaine. The skin and subcutaneous tissue are then cut from the inferior border of the thyroid cartilage to the proximal fossa close to the suprasternal fossa.

The sternohyoid muscles and sternal thyroid muscles are separated along the midline with vascular clamps. Expose the isthmus of the thyroid gland, and if the isthmus is too wide, it can be slightly separated at its lower edge, and the isthmus can be pulled upward with a small hook, and if necessary, the isthmus can be clamped and cut off to expose the trachea.

During the separation process, the assistant should use the two retractors to exert even force so that the surgical field is always kept in the midline, and the surgeon must often use his fingers to explore the cricoid cartilage and trachea. Whether or not it remains in the center position.

After the trachea is determined, generally at the 2nd ~ 4th tracheal ring, pick up 2 tracheal rings from the bottom to the top with a sharp blade, and the tip of the knife should not be inserted too deeply, so as not to puncture the posterior wall of the trachea and the anterior wall of the esophagus, causing tracheoesophageal fistula.

Finally, the tracheal cannula is inserted, and the tracheal incision is opened with curved forceps or tracheostomy dilator, and the size of the tracheal intomy is appropriate. The tracheal cannula with the tube stamen, immediately after inserting the outer tube, remove the stamens and put them into the inner tube. Aspirate secretions.

This is a routine procedure for tracheostomy, and it can only be performed in the hospital, and now Su Hongwen is at a barbecue restaurant. Not to mention the assistant, I don't even have the equipment to use.

So he doesn't follow the usual steps either. The cortex is cut directly with a knife at the lower edge of the thyroid cartilage to the vicinity of the suprasternal fossa, along the anterior midline of the neck.

Now there's gauze on it. Therefore, Su Hongwen didn't care about the bleeding of the cortex, and directly cut the lower tissue, as for the separation of the sternohyoid muscle and sternal thyroid muscle, there was no hemostat, so Su Hongwen simply put the knife to the side and directly stuffed his hand into it, touched the muscle, found the weak point, and directly knocked it open with his fingers.

Su Hongwen's operation method is very rough, but there is no way to do it, the most important thing now is to save people from the newly established respiratory tract, and everything else is secondary.

Su Hongwen didn't feel anything about these rough and bloody steps, but she could see Deng Yue'e and Wang Manzhu's hearts tremble, especially Deng Yue'e, if it weren't for the belief in saving her husband to support him, she would have fainted when she saw this scene.

As soon as the muscles were torn apart, Su Hongwen gently pushed the thyroid gland with one hand, and stretched out his fingers with the other hand to touch the trachea below.

Immediately, the painful expression on Xiao Er's face was immediately relieved.

Today, Su Hongwen is lucky, Xiao Er's neck structure is relatively normal, if there is a mutation between the thyroid gland and the innominate artery, he is really not sure that he can complete the tracheotomy in such a short time.

Now Xiao Er's life is not in danger, but this matter is not over, the things Su Hongwen used for surgery are not sterilized surgical instruments, there are too many bacteria on it, now Xiao Er must be sent to the hospital immediately to prevent infection with antibiotics, and a broken pen is inserted in his trachea, but it is not a serious tracheal intubation, and he has to go to the hospital to change to a special intubation.

Thinking of this, Su Hongwen didn't have time to wipe the blood on his hands and said directly: "Hurry up and send him to the hospital." After speaking, Su Hongwen walked over and squatted down and said, "Let him lie down." ”

Xiao Er's symptoms of suffocation were alleviated, and he also regained his consciousness at this time, but he couldn't speak when his trachea was cut, he could only gesture his hand, and he didn't know what he meant.

Deng Yue'e and Wang Manzhu hurriedly pulled him up and lay on Su Hongwen's back, and the three of them ran all the way to the health center.

Su Hongwen thought that Deng Yue'e would let her husband live in the town-level health center, Xiao Er's problem was not big, but it was urgent, and the follow-up treatment was not difficult to treat here, but who would have thought that Deng Yue'e would ask to be transferred to the city hospital after arriving at the hospital, although it was Su Hongwen, the doctor from the town hospital, who saved her husband, but she still didn't believe in the town hospital.

Hearing these words, Su Hongwen smiled bitterly, how much do the local people not believe in the doctors here? But he can't say anything, it's their right to go there for treatment, and he has no right to stop it.

If you want to go to the city hospital, you have to use a car, this is not a difficult thing, Zhao Dahai, who is on night duty today, called Lao Wang over with a phone call, Lao Wang, this unprofitable guy who can't afford to be early, it stands to reason that he shouted him to drive to the city in the middle of the night, he should be unhappy, and he will definitely rub it off, but who would think that this guy would arrive in a few minutes, and he was very enthusiastic to help Deng Yue'e put Xiao Er in the car and lie down.

At this meeting, Zhao Dahai called Deng Yue'e over and said: "Sister-in-law, our hospital has rules for sending patients by ambulance, and you have to give money, the cost of using an ambulance is six hundred, and then the driver gives two hundred, if you need to talk to the doctor, you have to give five hundred, and if you need a nurse, it is four hundred, you see?" ”

When Deng Yue'e heard that there was so much money, she was a little embarrassed, she thought for a while and said: "Then let's use the car and the driver, the doctors and nurses don't need it, and I don't think he's fine." ”

Zhao Dahai persuaded a few more words and wanted Deng Yue'e to bring a doctor over, but Deng Yue'e felt that her husband was fine, and he could leave, so there was really no need to spend that money, so he refused, gave 800 quick money and got in the car and left.

Only then did Su Hongwen understand why Lao Wang was so enthusiastic and could make money, he was really a guy who couldn't afford to make money.

Zhao Dahai walked over and patted Su Hongwen's shoulder and said: "You kid Niu, you can do tracheostomy without using things in the hospital, amazing, after all, you have been in a big hospital, our hospital can't even do tracheal opening with Liu Yongqiang, let alone the guy who didn't take advantage of you, you are amazing." ”

Speaking of this, Zhao Dahai didn't wait for Su Hongwen to speak, and first sighed and said: "It's a pity, Deng Yue, they don't have to bring a doctor in order to save money, otherwise you kid can still earn five hundred yuan." ”

Hearing this, Su Hongwen knew something again, it turned out that there was a charge for sending patients to other hospitals in the town, and he thought that they were all sent for free.

"It's nothing, if that Brother Zhao is okay, I'll go back." Su Hongwen felt a little tired and wanted to go back to sleep.

Zhao Dahai grabbed him and said, "What are you going to do, go in and have a drink with me, I wanted to have a good drink with you at noon, but I was disturbed by Zheng Guowang's guy, it's really unlucky." Speaking of this, Zhao Dahai spit on the ground with a mouthful of saliva.

"You still drink at night?" Su Hongwen really can't understand the current situation of the health center, it's okay if the doctor goes out to drink at noon, why dare to drink on the night shift, Liu Yongqiang doesn't care?

"Why can't you drink it? I can't even see a ghost in the courtyard, why don't I drink? What can I do even if I have something to do? Anyway, we don't need to treat any emergencies, we all go to big hospitals, so it's not bad to drink some to relieve boredom. Zhao Dahai looked like he didn't care.

"I can't drink it, I drank too much at noon, Brother Zhao will go back another day, I'm really sleepy and go back first." After Su Hongwen finished speaking, he walked away.

Wang Manzhu, who had been standing on the side and had not spoken, waved his hand at Zhao Dahai and hurriedly followed.

Zhao Dahai saw the two of them walking fast, and he didn't say anything when he came to his mouth, and put down his hand helplessly, muttering in his mouth: "This kid must be busy making villains, so he has the heart to accompany me, this old bachelor, really." ”

Su Hongwen wanted to go back to the guest house directly, but Wang Manzhu grabbed him and said: "Let's go and help Brother Xiao collect the stall, their family conditions are not good, otherwise they wouldn't have returned the stall in the cold, if they lose something, it will be a big loss for them." “

Su Hongwen said: "Okay, then let's go over and help collect the stall." ”

The two of them came to the barbecue stall again, and as soon as they came in, they saw Xiaomei lying on the table sleeping soundly, looking at her sleeping posture Su Hongwen and Wang Manzhu couldn't help but feel a burst of amusement, and the two of them didn't call Xiaomei, and directly helped Xiao Er move everything outside.

Don't look at Xiao Er's stall, it's not big, but if it's really a stall, there will be a lot of chores, and the two of them have been busy for more than half an hour to get it done, and then they called Xiaomei up and walked to the guest house.

On the other side, Lao Wang drove Xiao Er and Deng Yue'e all the way to the city hospital, and as soon as he arrived at the emergency department, Lao Wang ran in to call someone, and it happened that it was Su Hongwen's acquaintance Sun Dong who was on duty today. (To be continued......)