Chen Qi took the CT film and looked at it carefully. Speaking of this CT machine, Chen Qi still had a vision and sold 2 units to the Yuezhong People's Hospital at once, which also made the Yuezhong People's Hospital the first municipal hospital in the country to have two CT machines.

It's even the number one in the country. After the People's Hospital has a CT machine, the clinical level has made a qualitative leap, and at the same time, it has also attracted patients from all over the province to come for treatment.

Now that this peach is ripe, Chen Qi, a peach planter, has picked the fruit himself, and he can be as cool as he wants. After watching the CT film, Chen Qi thought to himself that this fish bone was really a bit troublesome, the fish bone was stuck in the esophagus horizontally, which couldn't go up and down, causing the blockage of the esophagus.

Thinking of this, Chen Qi said to the head nurse next to him: "Please help me get an esophagoscope again, I'll take a look at the situation inside." As soon as he heard that Dean Chen was about to make a move again, the head nurse gave a look, and the little nurse next to him hurriedly ran over and pushed the endoscope instrument over.

Chen Qi glanced at it and shook his head: "It's not enough, take all the full set of endoscope accessories I gave you, I will choose some tools by myself, and today I will teach you a trick on the spot, using esophagoscopy to take fish bones for minor surgery." This surgery is very simple, after the endoscope is lowered, the fish bone is clamped with a special clip, and it can be removed. Instead of traditional surgery, the skin is cut open, the sternum is opened, and the esophagus is cut to remove the bones. As soon as these words came out, the little doctors next to them were excited.

Yang Caisheng hurriedly asked, "Dean Chen, is this kind of operation mature?" Is it caused from abroad? Chen Qi didn't know how to answer this question, so he had to say ambiguously: "Endoscopic technology is also just emerging abroad, and the use of endoscope to do some simple surgeries is currently only carried out in top hospitals, but you remember, this is a general direction in the future." In the future, surgery must be minimally invasive, especially in our gastroenterology surgery, which no longer has to dissect this and cut that like traditional surgery, it is to make a few holes in the abdomen and put the tube into it to complete all the surgical steps, which is also called laparoscopic technology. "In the 80s, there were also endoscopic techniques such as gastroscopy and colonoscopy in China, but they were limited to examination and not treatment.

What Chen Qi wants to do is to make the Vietnamese People's Hospital one of the first hospitals in China to carry out laparoscopic surgery.

With this step alone, the Vietnamese People's Hospital can become one of the first-class hospitals in China and one of the leading hospitals in the world, so that Chen Qi's political achievements are available, and the People's Hospital can do surgeries that others can't do, but are you afraid that there will be no business?

After a while, the nurse brought all the endoscope accessories. Although these instruments are second-hand tools, the instruments used by Mayo, the world's No. 1 Mayo, are still several years ahead of ordinary hospitals in this era.

Chen Qi picked and chose and finally found the endoscope tube he needed. After a simple pre-operative preparation, Chen Qi took the pipe and was ready to start his performance.

At this time, the ward was already full of doctors from various departments, especially the other five departments of internal medicine, and I heard that the dean was going to play with a new technology that could allow internal medicine to also play with surgery, so everyone was interested.

Surgery makes money, which physician doesn't envy? In the past, internal medicine was very aggrieved, because internal medicine was often scolded by surgeons: just can move his mouth, but will not do his own cowardice.

If an internist can also operate, it is typical to be able to move his mouth and hands, so isn't it invincible all over the world?

Therefore, when several directors and chief physicians of the Department of Internal Medicine heard that Dean Chen was doing something in the Sixth Department of Internal Medicine, they all hurriedly came to see the excitement.

This pitied the little doctors in the ward, who originally wanted to follow the dean and see for themselves how endoscopic surgery was done.

Good guys, now there are a large group of directors and deputy directors, and everyone can only stand at the door and stretch their necks very long, your little doctor is embarrassed to stand in the ward?

So the intern was first the old doctor

"Please" out of the ward. But the ward is too small and the location is still not enough, what should I do? So the little doctors, except for the doctor in charge of the bed, were all cleaned out.

When Chen Qi looked up, he found that a group of doctors had been silently changed in the ward. Just now, it was a group of young and energetic little fresh meat beauties, and suddenly the style of painting changed, and they all became a group of old bacon.

Cai Fengyao, director of the first department of internal medicine, Zhang Yuanming, director of the second department of internal medicine, Xia Hua, director of the third department of internal medicine, Peng Xingli, director of the fourth department of internal medicine, and Song Xuewen, director of the fifth department of internal medicine, all of the five directors of the internal medicine department appeared.

Even Jia Liangcai, the director of the Department of Internal Medicine, who was originally in the outpatient department, rushed over. The ward was already crowded like canned sardines, and even Lan Lijuan and the head nurse had to stand against the wall.

Not to mention the corridors, even the windows are full of little doctors, there is no way, who told them to be squeezed out.

Fortunately, the doctor at this time was still a bungalow, and it was safe to squeeze into the window.

"Hey, Director Jia, Director Cai, Director Zhang, Director Xia, Director Peng, Director Song, why are you all here?" Fortunately, Chen Qi is an intern doctor in the People's Hospital, and he knows all these bigwig-level department directors, otherwise he really wouldn't be able to recognize all the subordinate employees on the first day of work.

Director Jia said with a smile: "Didn't I hear that Dean Chen is going to make an international new technology, we all want to come and see, who doesn't know that with Dean Chen, there is meat to eat, and the best technology can be learned." ”

"Director Jia is right, Dean Chen, you can't hide your secrets."

"That's it, when you and Lijuan came to the Department of Internal Medicine for internship, I didn't bully you, and today you can't patronize the Sixth Department of Internal Medicine, forget about our Second Department of Internal Medicine."

"What's two inside and six inside, our internal medicine is a family, learning technology together, and surpassing surgery together, everyone says right."

"Director Song is right~~~~" The atmosphere in the ward is obviously much more lively than just now, but the patient is a little nervous.

Good guy, I'm stuck in a fishbone, is it necessary for all the internal medicine experts in the hospital to gather together?

What is this hiding from him? So the old man grabbed his son's hand, and asked earnestly with the last bit of strength: "Son, you, you tell me, is Lao Tzu going to die?" ”

"Dad, what nonsense are you talking about, that is, the dean of the people is going to perform a minor operation on you to take out the fish bones."

"Fart, take a fish bone for so many deans? It's over, it looks like this fish meal is the last meal of my life. "Oh yes, there is another person at the scene who is particularly nervous right now, and that is Wang Fang, the doctor in charge of the bed.

The little girl is going to cry again now, and now not only the dean is here, but the head of the medical department, and so many directors of the internal medicine department are there, and then she is asked to report the medical records to a little doctor.

She really wanted to shout: The concubine can't do it. It seems that the misdiagnosis of just 1 bed has had a great impact on her.

Lan Lijuan gently patted Wang Fang's shoulder after seeing it, and encouraged: "It's okay, don't worry about reporting, it's normal to have pressure, but this is also an opportunity to show your face in front of everyone." And what you represent now is not you personally, but the face of our six internal departments, come on. As soon as Wang Fang heard that the honor of the department was tied to her, it was like being injected with chicken blood in an instant, and she immediately became energetic.

This year, the collective honor is above all else, and Wang Fang is also ready to fight. While the deans and directors were still noisy, she hurriedly and quietly opened the medical records, carefully read the conditions of the patients in the back beds, and made sure that she knew the bottom of her heart.

Director Jia saw the tube in Chen Qi's hand at this time and asked, "Dean Chen, are you going to use this endoscope for surgery?" Chen Qi was wearing an isolation gown at this time, put on a hat and mask again, and said confidently: "Okay, since everyone is here, let's take a look at this minor operation, esophageal foreign body removal, of course, this involves gastroenterology, if you want to learn, I will set a learning direction and goal for you in other departments in the future, now we hurry up." "Several directors are the same as interns, although they can be Chen Qi's parents in terms of age, but they are not very motivated to learn.

As Chen Qi's esophagoscope slowly entered his mouth, he reached the esophagus along the base of his tongue and throat, and everyone's eyes were focused on the TV screen.

After a while, a thick fish bone that was yellowish-white on the screen appeared in front of everyone. I saw that this fish bone was like a sharp blade, and the two ends were particularly sharp, and the fish bone was deeply pierced into the patient's esophagus, and one end had pierced the wall of the esophagus, almost passing through the mediastinum.

In addition, the patient has been coughing vigorously and wants to vomit from time to time, which causes the esophagus to keep constricting, and the fish bones tend to pierce deeper and deeper.

Director Xia of the Third Department of Internal Medicine was a little anxious when he saw this: "Yo, this position is too dangerous, look at the head of this fish bone, if it goes deeper, it will pierce the thoracic aorta, and then it will be life-threatening, and it will be too late to rescue." "How dangerous is this?

There are three strictures in the esophagus: the first narrowing is located at the entrance to the esophagus, which is painful near the esophagus when swallowing, causing difficulty swallowing.

The second narrow, about 7 cm behind the entrance. This is the most dangerous place because there is a thoracic aorta outside the esophagus.

The third stricture, which is also the esophageal outlet, is where there are fewer problems. Now the patient's fish bone is in the second stenosis, which can easily injure the thoracic aorta.

Note that this is true

"Aorta", as long as these three words appear, it means critical, red alert. The thoracic aorta is the thickest artery in the human body, and the pressure of the blood vessels is very high, and if a breach is formed, the bleeding will be in the form of a spurt, like a fountain, and there is no chance of rescue.

It's like a fight with a gangster, you were stabbed in the stomach a few times, and you can be rescued by rushing to the hospital, it's not at all that you were stabbed and died as shown on TV.

But if you're unlucky, someone will be stabbed into the femoral artery or carotid artery with a random knife, and the blood will swish out and soar out five or six meters away.

Then it is very unfortunate that the one who was pierced wanted to see the king of Hades, and the person who was stabbed ate ate the gun. This shows the importance and lethality of the aorta.

Director Cai of the First Department of Internal Medicine also shook his head when he saw it: "There is no way to do this fish bone in our internal medicine, it can't move, if it is forcibly removed, the two ends of this fish bone are the same as a knife, and the esophageal wall will definitely be cut, and the operation will be more complicated." ”

"Yes, this situation should be sent to surgery, and the drug treatment will definitely not work."

"It seems that this knife can't be avoided, Dean Chen, what good way do you have?" Everyone's eyes were once again focused on the young dean.

Chen Qi was actually complaining in his heart again, and his luck was really bad. Just 1 bed almost overturned, originally thought that 2 bed fish bones would be simpler, and then pretended to be a force, and used an endoscope to take fish bones, which won the applause of the house.

Good guys, the fish bone of No. 2 is more complicated, which is basically not the category that can be removed by the endoscope.

But I've just blown the bull out, and now I'm saying that I can't do it in front of so many directors?

Doesn't the dean want to lose face? And true clinicians are adored

"Strong", whether Dean Chen Qi's position can be held firm, the support of all directors of the clinical department is very important.

If you are despised by these old directors and feel that you are not able to do things well, not only will the prestige of the dean be damaged, but in the future, the orders he issues and the relevant reforms he makes, people will also act in a way that makes it difficult for you to move forward.

So today, this endoscope takes fish bones, do it, and do it, and you have to do it if you don't do it! Lan Lijuan saw her husband looking at the display screen with a serious look at the fish bones, and knew that this was a problem for her husband.

The other doctors' eyes widened one by one, and they were full of confidence in the dean, who often traveled abroad, and wanted to see how he could use the endoscope to remove the fish bones.

As the minutes ticked by, the room was quiet again. Suddenly, Chen Qi's eyes lit up, and he ordered the head nurse beside him again: "Head nurse, please help me get a three-chamber and two-capsule tube." "The three-lumen two-cyst tube is composed of three lumen tubes, a gastric balloon and an esophageal balloon.

The main function is to compress and stop bleeding in patients with esophageal and gastric variceal rupture and massive bleeding. The specific method of use is to poke the tube through the mouth to the stomach and esophagus like a gastroscope, and then see where the bleeding site is, and then inflate the gastric balloon or esophageal balloon.

After the cyst cavity is inflated, it will bulge like a balloon, and clinically it is a physical method of air pressure compression to stop bleeding.

This thing is actually rare in later hospitals, even in the eighties, the three-lumen two-capsule tube was not used much in clinical practice, and it is generally only available in gastroenterology.

Seeing that the young dean used this unpopular tool, question marks flashed in the minds of several directors in the ward.

Because in their cognition, there is no way to equate the three-chamber two-capsule tube and the fish bone. Only Jia Liangcai, director of the Department of Internal Medicine, and Cai Fengyao, director of the First Department of Internal Medicine, were thoughtful and seemed to have grasped a little idea.

Although Qi Damin, the head of the medical department, didn't say a word, he belonged to the section chief of the doctor in charge, so he stood very close to Chen Qi, and at this time he was also full of curiosity, wanting to see what the new dean could play.