Chapter 515 - Skillful use of three-chamber and two-capsule tubes
The three-lumen two-capsule tube was quickly retrieved. Chen Qi carefully checked it, giving people the feeling that the dean was very careful in doing things.
In fact, no one knew, Chen Qi was also panicked, and he had to familiarize himself with how to play this thing first.
Although he knew the working principle of the three-lumen two-capsule tube and knew the general way to use it, he had not been in contact with it at all, except for one operation during the medical practitioner examination.
Fortunately, Chen Qi is a professional doctor, and like an antique expert, he knows the general idea as soon as he gets started.
"Isn't that weird? Why do I need this three-lumen two-capsule tube for fish bones? Many of the doctors in the ward nodded their heads one after another.
Chen Qi smiled incomprehensibly: "Actually, it's very simple, let's open your mind and think about it, now the fish bones are stuck horizontally at both ends of the esophageal wall, and they have been pierced into the cavity wall and cannot be removed, so can we expand the esophageal lumen a little, and then let the fish bones fall off automatically, so that our doctors can take them out?" As soon as Chen Qi's voice fell, Director Jia and Director Cai both slapped their thighs and shouted excitedly: "Yes, yes, that's the idea." ”
"yes, that's what I just thought, and it seems that this line of thinking is fine." Several other directors also suddenly realized at this time, thinking that these three-chamber and two-capsule tubes can still play like this?
That's a lot more ways than hard. After all, what you are talking about is theoretical, whether it is effective or not, and whether it is helpful to the disease, which depends on practice to prove.
Didn't the old man in the circle say: practice is the only criterion for testing truth? The same applies to medicine.
After explaining the principle, Chen Qi began to prepare for this endoscopic operation, and Lan Lijuan stood up at this time and took the initiative to become Dean Chen's assistant.
I saw that she first used paraffin oil to apply lubricating oil to the three-lumen two-capsule tube, and then slowly put it into the patient's mouth.
Like the path of the gastroscope, it was poked through the esophagus all the way to the stomach, stopped at the tube mark, took the needle and suctioned, and when she found that she could extract gastric juice, Lan Lijuan nodded at Chen Qi.
Chen Qi then held the esophagoscope with his right hand and sent the tube into the patient's esophagus again. In the ward, except for the patients who retched from time to time, everyone held their breath and watched how the first endoscopic fish bone removal operation in China was completed.
On the display screen, the three-lumen two-sac tube has stretched deep along the wall of the esophagus, bypassing the fish bones. The esophagoscope stops above the fish bones.
Chen Qi said softly: "Lijuan, I'm going to clamp the fish bones now, you slowly inflate the esophageal sac, pay attention to the slow movement." Lan Lijuan nodded: "Received, ready to inflate the esophageal sac." The head nurse hurriedly handed over a 2-glass syringe, Lan Lijuan began to slowly push the air inside, and gradually, the display screen was visible to the naked eye, and the esophageal sac on the three-lumen and two-sac tube slowly bulged up like a balloon.
The wall of the esophagus is elastic, and as the air sac bulges, the wall of the esophagus slowly begins to stretch out. At this point, many doctors in the ward have fully understood the brilliance of Dean Chen's new idea, and they all admire it tightly in their hearts.
But no one spoke, and the only way to test whether this method was feasible was to succeed in surgery. Lan Lijuan was still slowly inflating, and after the esophagus expanded to a certain extent, sure enough, the fish bones fell off completely.
At the moment when the fish bones suddenly hung in the air, several directors in the ward were
"Oh oh oh" exclaimed, and the little doctors at the door and at the window were also excited: "Look, it's done, the fish bones are not stuck." ”
"This method is really feasible, Dean Chen is too powerful."
"It seems that in the future, there is no need to ask the surgeon to operate on the foreign body in the digestive tract, we can all take it." After the fish bone was clamped, Chen Qi began to slowly pull out the esophagoscope, and when it passed through the last stricture, the esophagoscope was completely pulled out of the mouth.
At the very front of the tube, a small clip shows the fish bones on the screen just now. A little nurse took a tray with a piece of white gauze on it, Chen Qi put the fish bone on it, and the directors next to him instantly gathered around.
"Wow, it's really taken out."
"It turns out that the endoscope is so simple to remove a foreign body, and if it goes well, the problem can be solved in a few minutes."
"Great, this is really a big solution to our internal medicine problems." So there was a round of applause in the ward.
The directors have already imagined that this new technology may eventually change the new landscape of internal medicine treatment, which is definitely of epoch-making significance.
The happiest thing in the ward is the patient himself. Anyone who has been stuck by a fish bone knows that this level of discomfort is really nerve-wracking, irritable, and the whole person will be very painful and anxious.
However, the effect of removing the fish bones is immediate, as soon as the fish bones are removed, the patient will immediately feel restored, and there will be no more pain.
The old man in front of him was the same, just now Chen Qi and Lan Lijuan stretched two tubes into his esophagus and stomach, and by stimulating the throat with the greatest amount, even if he sprayed anesthetic, the old man still felt very uncomfortable and very painful.
This pain made him break out in a cold sweat, and it became difficult for him to breathe. How uncomfortable it was just now, now that the fish bones are removed, how comfortable it is after the tube is removed.
Although his throat was still sore, the old man couldn't wait to clench his fists with both hands, arched his hands at Chen Qi again and again, and said again and again in a hoarse voice: "Thank you, thank you~~~" The patient's son was also excited, originally thinking that his father would be troubled if he really had surgery, and it was not a joke for an old man in his 70s to have a thoracotomy, and it was possible to die on this end.
Now, it's just a matter of simply dealing with it, and the fish bones in the stomach are actually taken out, which is also a magical medical skill for the family.
"Dean Chen, thank you so much, thank you so much, you saved my father's life." Chen Qi smiled and waved his hand: "No matter how high the level of the doctor is, you must cooperate with the patient and his family, you are very good, we work together to make this endoscopic operation successful." However, through this lesson, I still have to remind you that you need to be cautious and cautious when eating fish: for example, eat a bite of fish, chew it slowly before eating, and avoid mixing the fish with other foods, otherwise the fish bones are wrapped in the food and it is difficult to distinguish them. In addition, when eating fish, you should concentrate and talk as little as possible during meals, most of the cases of fish bones stuck in the throat occur when you are in a hurry to eat, listen to the radio, chat, etc. Also, you must check carefully when you eat fish for children, even if it is our fish balls in Yuezhong, there may be fish bones in them, and if the child is stuck, it will be a big sin. At this time, a family member of a patient on the bed next to him couldn't help but ask: "Dean, you just said that what they induced vomiting and vinegar were all wrong, so can you tell us what to do if the fish bones are stuck in our house?" "Obviously, the common people are pragmatists, and you talk a lot about medical principles, so you might as well tell them how to deal with them and use it to be useful.
Chen Qi was also in a good mood, and thought that it would be good to take the opportunity to do popular science, so he said patiently: "It depends on the situation, for example, the shallow fish bones can be tried to be taken out by yourself, let's ask the family to shine a flashlight on the throat, if the fish bones are stuck in a shallow position visible to the naked eye, you can try to clip them out with tweezers." But if you can't take out the fish bones, don't take them hard, let alone keep buttoning them with your fingers, because if you can't take them out, they will only make the fish bones deeper and deeper. So at this time, we have to hurry to the hospital and find the ENT department. Remember, I'll repeat it again, don't engage in those earthwork operations, what to swallow rice, drink vinegar, stuff steamed buns, eat youth, these methods are not only ineffective, but also add fuel to the fire, pain and pain, this old man is the best lesson. There was another chuckle in the room, and the old man on the bed laughed awkwardly.
Only Qi Damin took a deep breath, and the feeling in his heart was very complicated. One way, he is Vice President Wu's person, and he has been labeled, and he is naturally the opposite of Chen Qi, whether he wants it or not.
Another way, as a doctor, he really admires Chen Qi's medical skills now, and really wants to give him a thumbs up.
At the same time, he Qi Damin also knew in his heart that Chen Qi had probably conquered these directors of internal medicine by using this new technology through this endoscopic operation.
Thinking about it, surgery has always been Zhu Huoyan's territory, and when the time comes, the most important departments of internal medicine and surgery, these two hospitals will be the new director
"Basic disk" too. Qi Damin is worried that in the future, I am afraid that doctors will only listen to the dean, and will no longer listen to him, the head of the medical department.
Originally, I wanted to make a stumbling block for the new dean, and get off the horse, good guy, but it turned out that someone copied his lair, where is this reasonable?
At this time, Director Cai suddenly thought of something, looked at the new dean and asked, "Dean Chen, can this endoscope do any other minor surgery besides taking foreign bodies?" ”
"Director Cai's question is a good question, in fact, endoscopy, oh, for example, gastrointestinal endoscopy for gastroenterology, taking foreign bodies is only a small aspect, and there are many surgeries. For example, if you have stomach bleeding, you can inject some drugs through the gastroscope to stop the bleeding, or even electrocauterize to stop the bleeding, so that you don't have to do surgery as before. In addition, gastrointestinal polyps, high-grade intraepithelial neoplasia, early cancer, submucosal tumors such as ectopic pancreatic metastasis, leiomyomas, stromal tumors, etc. can also be removed. In the future, when the technology is more mature, it can also be called
"Laparoscopic" surgery involves making several holes in the stomach, and then the doctor can perform most surgeries through several tube-like surgical handles with his eyes on the screen. The director and the little doctors in the ward, as if listening to a book from heaven, opened their mouths wide in surprise.
It's really hard for everyone to imagine that you won't have to open your stomach after surgery? Just use this endoscope tube to do it?
"Minimally invasive surgery" is actually the latest medical revolution, and there are not many doctors who can see this layer at present, especially domestic doctors, who are still in the traditional concept of surgery.
This is not to say that the traditional surgical methods are outdated, but that the vast majority of elective surgeries, in fact, are completed by minimally invasive new surgical methods, which is also the general trend.
Director Jia quipped at this time: "Okay, surgeons will be unemployed in the future, and that is the world of our internal physicians. Hahaha~~~~~ Chen Qi smiled embarrassedly: "This Director Jia, I'm also a surgeon, didn't you scold me too." Director Jia almost choked to death with saliva, and apologized again and again: "Ah, I'm sorry, I'm sorry, I'm so excited that I can't speak, joking, joking, hehehe." Director Xia of the third department of internal medicine is also a woman, and the character of being a strong woman is very arrogant, so I saw her comforting: "Lao Jia, don't be afraid, the dean also has to listen to our internal medicine doctors, there is no way to get rid of it." At first, everyone couldn't react, but suddenly saw Lan Lijuan beside her, and everyone immediately burst into laughter.
made Lan Lijuan's face start to turn red again, no matter how she said, she was only a 26-year-old girl, even if the Yuezhong people liked to use the virtual age to indicate that she was only 27.
At the age of 27, if in the next life, he has just obtained a master's degree in medicine, he can still pretend to be tender on Douyin and call himself up
"People's Girl Paper" ...... After the morning rounds, Chen Qi had already had a hot fight with several directors of internal medicine.
One side is intentionally soliciting, the other side is intentionally taking refuge, and both parties have interests and needs, which is naturally a hit-off.
Liu Huichun was naturally optimistic about his success, originally thinking that Lao Guo would let her help more, but now it seems that the new dean has enough ability.
And Qi Damin felt deeply uncomfortable, and looked back to think about how to report to his master, how to deal with this new dean, at least from a strategic adjustment.
After checking the room, when Chen Qi went out from the Sixth Division, he deliberately let the others leave first, leaving Qi Damin alone.
This made Qi Damin chuckle in his heart. Chen Qi slowly walked to the depths of the flower bed, and said slowly to the chief of the medical department who followed him: "Section Chief Qi, we are also old acquaintances, when I interned in 81, you were the chief of the medical department at that time, and you helped arrange our internship position, and it has been 8 years in the blink of an eye." Qi Damin couldn't figure out what kind of medicine was sold in the gourd of the new dean, so he could only flatter him at will: "Dean Chen is young and promising, he has become an international double director in just 8 years, the president of the People's Hospital, a deputy director-level cadre, and he is definitely the youngest president of a tertiary hospital in China, and he is an example for all of us to learn, hehehe." ”
"Section Chief Qi, there is an opportunity in front of you now, and now the director of the Vietnamese-Central ENT Hospital is vacant, are you interested?" Facing Chen Qi's single-handed straight entry, Qi Damin's heart jumped.
Although the Vietnamese Central ENT Hospital is a specialized hospital, the scale of the hospital is not large, and the level is only at the department level, but this is the president, who has the final say.
This had to make Qi Damin very excited, and he was shocked for a while, what kind of trick is this Chen Qi playing?