Dai Yunyang smiled: "They have all been diagnosed with viral pneumonia, do you still need to ponder?" ”

"It's because I judged it to be viral pneumonia, but I always felt that something was wrong, I have been a doctor for so many years, and I have seen countless viral pneumonia, but I have never had such a full and diffuse condition, which is too abnormal."

"Wouldn't you know if you did a pathogen test?"

"I've arranged it, and the results will come out tomorrow."

"Okay." Dai Yunyang thought for a while, and then said: "I went to the observation room just now to see the old man, and found that his son was also coughing, do you think this disease is contagious?" ”

"Contagion? It's normal to have a flu infection, right? How can it be called the flu if it is not contagious? Wu Hao replied naturally, then stretched, stood up and put away the film, "There have been a lot of flu recently, everyone has to pay attention." ”

"yes, okay."

As he was talking, a nurse ran over: "Oh no, director, Director Ma can't take out the tracheal foreign body for a child, and the child's blood oxygen saturation has dropped to 84%, Director Ma asks you to come over and help!" ”

The two hurriedly ran to the emergency room, where a pair of parents were anxiously waiting outside the door, but were stopped by the nurse and not allowed to enter.

Chen Guangxu and Dai Yunyang rushed into the house, only to see a ten-year-old boy lying on a hospital bed, wearing a breathing mask on his mouth and nose, while Ma Feng, deputy director of the emergency center and anesthesiologist, was busy with a bronchoscope in his hand, his bare head was covered with cold sweat, and nurse Wang Bingbing kept wiping him with gauze.

At first glance, I knew that the removal of foreign objects was not smooth.

Wu Hao asked urgently, "What's the matter?" ”

Ma Feng said anxiously: "This child inhaled a plastic pen cap two days ago, and the treatment in the community hospital was unsuccessful, just transferred to our hospital, I found that his right lung breath sound disappeared, indicating that the pen cap may be blocked in the right lung bronchi, resulting in airflow can not enter the right lung." I asked the child to do a chest X-ray of the lungs, focusing on the right lung, and sure enough, the right lung was atelectasis. The left lung is normal. So I prepared for emergency surgery to remove the foreign body stuck in the bronchial tube of my right lung. ”

"After anesthetizing and oxygenating the child, I used a bronchoscope to remove the foreign body and found the cap at the opening of the right bronchi next to the carina. I clamped it with a foreign body forceps and pulled it out, but when I passed the glottis, the plastic cap was too big and was blocked by the vocal cords and fell off. And the child's blood oxygen saturation has been dropping, and now it has dropped to 84%, I have to ask for help, what should I do? ”

Wu Hao said calmly: "It should be that after the plastic pen cap falls off at the glottis, it blocks the trachea and makes it difficult to ventilate on both sides, so that the blood oxygen saturation will drop rapidly, and now immediately push the pen cap in the trachea back into the right bronchus, so that the trachea and the left lung can be ventilated, and the oxygen supply to one side of the lung can ensure the basic needs of the body, and then the tracheotomy will be carried out!" ”

"Good!" Ma Feng held the bronchoscope, but the plastic pen cap was pointed, very smooth and not easy to focus, and he was too nervous to fail in a row just now, his hand began to tremble, and he tried twice to cross the plastic pen cap, unable to push it to the right bronchi.

Seeing that the child's oxygen saturation continued to decline, Dai Yunyang didn't say a word, took the bronchoscope in his hand, and personally operated it, only once, and pushed the plastic pen cap back to the right bronchi.

Everyone turned their heads to look at the monitor screen, the blood oxygen saturation stopped dropping, but it did not rise, and everyone's hanging hearts tightened.

Looking at the child again, with the inspiratory disorder, there are obvious depressions in the suprasternal fossa, supraclavicular fossa and intercostal space, which is very scary to look at.

The screen of the detector shows that the child's blood oxygen saturation has reached the danger of 80%. Inspiratory dyspnea, cyanosis of the lips, and increased heart rate due to airway obstruction indicate left-sided heart failure and cardiac arrest at any time!

The situation was very dangerous, but Wu Hao calmly instructed the nurse, "Prepare for tracheotomy to take the foreign body!" ——Wang Bingbing is an assistant, and Nurse Xiong is preparing for cardiopulmonary resuscitation! ”

Although Wu Hao is the director, he often lets the doctors make their own decisions every day, so Dai Yunyang has no ideological baggage at this time, and he calmly and quickly orders everything, and then turns to the operating room.

Everyone began to move nervously and methodically, Wang Bingbing laid out the sterile towel and prepared the surgical instruments, Dai Yunyang changed into a surgical gown and walked in, put on sterile gloves, and used a sterile knife to make a small incision two centimeters below the Adam's apple above the membrane, quickly and skillfully separated the underlying tissue, exposed the cricothyroid membrane, and then cut the membrane horizontally with a knife.

Wang Bingbing immediately used vascular forceps to open the incision.

Dai Yunyang pulled the plastic cap down the tracheostomy under the bronchi, and used vascular forceps to remove the plastic cap from the incision steadily and quickly. It is a plastic pen cap the size of a little finger, with blood streaks and mucus.

Dai Yunyang immediately stitched up the wound, and then looked at the blood oxygen saturation, which quickly rose back to 98%. Seeing that the child was finally out of danger, everyone breathed a sigh of relief.

…………

It's been late at night.

Dai Yunyang took off his mask and threw it into the orange medical waste trash can, carefully washed his hands, put on his casual clothes, and walked out of the consultation room.

There were only a few people in the hall, it was very quiet, and Xiao Juan, the nurse at the medical guidance desk, was napping on the table.

Dai Yunyang walked over the apparatus and looked at the counter gently, Xiao Juan woke up suddenly, and stood up with a red face: "Doctor Dai, are you off work?" I'm sorry, I'm ...... I didn't sleep, I just squinted ......"

"I'm napping on duty, fortunately, I saw it, it was Nurse Xiong who saw it, and you were miserable!" Dai Yunyang said with a smile.

Xiao Juan smiled mischievously and stuck out her tongue: "Doctor Dai in our hospital has the best heart!" Everyone is recognized. ”

Dai Yunyang glanced at the empty waiting hall and said, "It's so quiet today, there is no one." ”

In his memory, such quiet moments in the emergency center are not uncommon, but relatively rare.

Xiao Juan said: "It's a New Year's Day holiday." Besides, it's late at night now, and it's such a cold day, as long as you can persevere, who wants to drill out of the hot quilt in the cold winter to see the emergency? ”

"That's right, okay, you're busy, I'm leaving."

Dai Yunyang drove his second-hand Santana back home abruptly.

Opening the door, Ai Fenfei was sitting in the living room watching a hit palace fighting drama. Seeing this, Dai Yunyang automatically walked over and sat beside her, and the whole person slipped down and lay comfortably on the sofa.

"Who's the bad guy?"

"Concubine Niangniang!"

"Which one?"

"It's the one in green."

"Didn't Concubine Shu do it last time?"

"Concubine Shu died last week, this one is new."

"Oh."

The couple chatted about the TV series. I was tired from work in the hospital, and I didn't dare to relax for a moment, so my brain was wooden after work. In this way, when I go home, I don't want to think about anything, I would rather watch two episodes of hit dramas that don't cost much brains, and guess who is the "bad guy".

………………