I saw that Chen Qi first found a triangular head and poked it into the endoscope tube, until this triangular head appeared on the display screen, which means that this thing is already in the esophagus.

Just when Zhang Weizhong and Lan Lijuan thought that he was going to stretch the triangular head apart and turn it into a triangular claw and forcibly take out the battery, Chen Qi was surprised.

I saw him push the lever of the handle in his hand hard, and use the top of the triangular head to poke the battery directly in the direction of the stomach.

At this time, the button battery was already connected to the surrounding tissues, and Chen Qi had to push hard.

Zhang Weizhong was a little incomprehensible:

"Dean Chen, if you push the battery to the stomach like this, don't you bring all the heavy metal electrolyte to the stomach, it may cause perforation of the stomach, which is more than worth the loss."

Lan Lijuan also nodded:

"Yes, the adhesion is so serious, even if the battery falls, it will cause bleeding from the wound, which is also dangerous."

The 15 masters not far away are also you look at me, I look at you, I can't guess why my professor wants to operate the battery in the opposite direction?

Chen Qi explained:

"To do today's surgery, I had to create a passage in my esophagus that would allow the endoscope to reach my stomach. But you see, in the esophagus now, the battery and the tissues around the esophagus are adhered together, and they are basically in a state of blockage, so how can there be a passage?

Even if I hit the tunnel, you can see that the upper section of the esophagus is all corroded by heavy metal chemicals, and there is no way to make a tunnel, so this road is also impassable, so the only way out is on the battery.

The battery will definitely bleed if it is forcibly separated, but I have a way to stop this bleeding, and the battery falls into the stomach, and I also have another way to quickly remove it without causing harm to the stomach. But the passage that was vacated after the battery was separated, I was able to proceed to the next step of surgery. ”

This is the same as the road traffic accident was all blocked, Chen Qi's method is to use violent methods to directly push the middle car away, forcibly give way to a road to facilitate the passage of rescuers.

Chen Qi pushed hard again, the battery loosened, and it fell down directly.

It worked.

Before everyone could be surprised, the wound was as expected, and it caused massive bleeding all of a sudden.

Chen Qi's hand was fast, and he quickly sprayed the hemostatic agents such as octreotide injection, recombinant human growth hormone, and snake venom hemocoagulase injection prepared in advance on the wound.

Taking advantage of the short time to stop bleeding, he quickly pulled out the triangular head, replaced it with an electric knife head, and began to use physical methods to stop the bleeding until the wound was no longer bleeding.

Chen Qi didn't feel anything yet, and the people watching next to him were scared into a cold sweat behind their backs.

If the bleeding can't be stopped, then the result is difficult to say, otherwise why do so many patients die on the operating table?

Zhang Weizhong swallowed his saliva, admiring Chen Qi's skills and courage.

"Dean Chen, the passage has been set aside, what should I do next?"

"What's next? Of course, the perforated esophagus should be repaired. ”

"However, the wound of such a chemical burn cannot be sewn with a needle, so how can this perforation be repaired?"

Chen Qi smiled, took out a small titanium clip from a small box, loaded it on the electron microscope tube, and sent it to the perforated upper end of the esophagus.

Everyone stared at the display, wanting to see what the chief dean wanted to do?

I saw that the titanium clip was aimed at the perforated part, opened 4 claws, like a spider, and clamped up the tissues around the esophageal lesion at once.

In the end, the titanium clip was left there, and Chen Qi withdrew from the endoscope tube and began to look for the next medical device.

Everyone blinks, so that's it?

Still curious baby Zhang Weizhong was the first to ask: "Dean Chen, it's good to clamp it like this?" ”

While looking for the equipment he wanted, Chen Qi replied casually:

"Okay, just let the clamp tighten, and after a while, the clip will automatically fall off, and finally be discharged from the body through the gastrointestinal tract, and the rest is to let the human body organize itself to slowly repair the piercing wound."

It's as simple as that.

It's like someone slashing your arm, and the general treatment is to sew it up with a needle and thread.

However, a "band-aid" was later invented, as long as the surgical wound was aligned and then firmly attached, the rest was for the wound to recover by itself.

This saves the trouble of stitches, avoids the pain of stitches for patients, and does not require stitches to be removed, and the effect is certain.

The same is true of Chen Qi's titanium clamp principle, it's as simple as that, OK.

Everyone in the operating room almost fainted collectively, and at the same time, there was a sense of surprise in their hearts. It's just too advanced, too time-saving, labor-saving and money-saving.

Well, saving money is not necessarily, the cost of a titanium clip is estimated to be more expensive than sewing it with a needle and thread.

Chen Qi didn't care about others, and quickly fixed a small round barrel with a hollow middle with an endoscope, and then sent it into the gastroscope tube.

Jin Meng couldn't help but ask at this time:

"Teacher Chen, what are you doing here?"

"Oh, this is the part that is temporarily installed in the original battery, you see that the local tissues corroded by the heavy metal chemical liquid are already very fragile, and I will have to perform endoscopic surgery on the stomach later, and it is very easy to wear out this wound when the tube goes in and out.

Now I finally stopped the bleeding, and I must not cause heavy bleeding due to friction, then the operation will be troublesome, so I fixed this small barrel here, and then the gastroscope went in and out of this channel to avoid damage to the tissues around the esophagus. ”

Oh~~~~

The little newcomers nodded again and again, and lowered their heads to write down this clinical experience in their notebooks.

The masters can't understand it, but Lan Lijuan and Zhang Weizhong are people who understand, this set of endoscopes and supporting accessories is something they have never seen before, and they don't know where Chen Qi got it?

But one of them is Chen Qi's wife, and the other is Chen Qi's confidant, and they know that there are some things to learn to keep secret, so they don't ask too much.

Chen Qi was also relieved after establishing the esophageal passage, and the next surgery was easy to do.

He first sent the foreign object to the net pocket in his stomach, then put the harmful battery and the unlucky coin into the net pocket, and then quickly removed it through his mouth.

By this point, the surgery is already halfway there.

Under Chen Qi's signal, the head nurse ran outside the operating room.

Outside the door, Sheikh Abdullah and his wife, as well as the leaders of the relevant departments of China, were all anxiously waiting, and the Arab foreign guests even spread out the carpet and began to pray directly on the spot.

When the head nurse came out, everyone gathered around, and the chief's and the chief's wife clasped their hands tightly, thinking that there had been some accident during the operation.

"I'll tell you good news, Dean Chen has successfully taken out the batteries and coins."

After speaking, the head nurse directly handed a sterile tray to everyone, and at the bottom of the white plate, a commemorative coin could be seen, as well as a broken button coin.

As soon as the battery was taken out, everyone jumped up excitedly, and the chief and the chief's wife hugged each other excitedly.

"Great, great, the operation was successful."

When the head nurse heard it, she knew that everyone had misunderstood, and quickly explained:

"Dean Chen said, the operation is only half the success, I'm afraid that you will wait until you are in a hurry to let me know, and then he will make a passage in the stomach and abdomen, so that the nutrients from the outside can be directly transported to the stomach to maintain nutrition, this operation is still very troublesome."

There was silence.

What the head nurse said was the main difficulty of Dr. Ben's reluctance to operate on the little prince.

Either the stomach is dissected, but the mortality rate is "as high" as 3%; Either or watching the little prince starve to death, I don't know how many days the infusion can last.

Now hearing that the Hua Guo doctor was going to make a hole in his stomach and stomach, Sheikh Abdullah suddenly became anxious:

"Why do you have to open your stomach again? Isn't that a big wound? That's too dangerous, isn't it? ”

Faced with the chief's question, the head nurse had no way to answer, so she had to go back to the operating room and invite Chen Qi out to answer.

Chen Qi was unhappy in his heart.

Thinking that this chief had a lot of things to do, he was in a hurry to shout for help for a while, but the plane didn't stop and couldn't wait to jump down.

Now it's time for surgery, but I don't want to take any risks, and I want the operation to be successful, but I can't take risks, and I can't have a big wound, which is a typical "both...... Again...... And ......"

All these good things have been taken advantage of by their family?

Chen Qi, who was unhappy, decided to make the condition more serious and not scare the bearded chief to death.

At the door of the operating room, Chen Qi heard the chieftain chattering a lot of requirements, so he could only nod again and again, and then said in embarrassment:

"Mr. Chief, I understand your request, and I understand your care and love for the little prince, which is deeply touching."

The young chief was very comfortable listening to this, and his favorability towards Chen Qi increased a little in his heart.

"But Mr. Chief, if I do what you ask, then I will have to change the surgical strategy and adopt a completely new treatment plan, and the cost of the operation and the surgical instruments used will be very expensive."

In order to build a new endoscopy center, Chen Qi wanted to go crazy for money.

Who knew that as soon as the words fell, the chief showed a contemptuous expression, and a chieftain's entourage next to him hurriedly said for the master:

"Doctor Chen, you only need to consider the effect of the operation, for the cost of the operation, we have no problem at all, even if it is a mountain of gold, our great chief His Highness will not blink an eye."

Chen Qi showed a surprised expression.

The chief and the chief's wife have a proud face, and they like to see other people's expressions of dirt buns that have not passed the world.

Money? The oil country is still short of money? People are so poor that they only have money left, and the toilets are all made of gold.

In fact, Chen Qi also despises these big dogs in his heart, relying on being rich and amazing? Today, I want you to let you bleed hard and contribute to the Chinese Domestic Mirror Center.

What he was most afraid of was that the relevant departments said that for the sake of friendship between the two countries, all medical expenses and medical expenses would be waived, and Chen Qi would really cry and faint on the side of the road.

So he deliberately used this way to guide the chief of the big dog to say that he would not be bad for money, and in the style of the big dog, he was embarrassed to give tens of thousands?

"Well, the chief's love for the little prince is so touching, I promise you, I will definitely give you back a healthy little prince."

"Well, Dr. Chen, although you are bold and assured of the operation, no matter how much it costs, our people of Allah will never let our friends suffer."

If it weren't for the fear of being killed on the spot, Chen Qi really wanted to draw a cross and shout the blessing of the Bodhisattva.

Back in the operating room, Lan Lijuan and Zhang Weizhong were very nervous:

"How? Is there anything you don't like about the foreign guests? ”

While preparing the tools, Chen Qi said indifferently:

"It's okay, I'm not afraid that they will ask for more, I'm afraid that they don't ask for it, I have already given them a set, and it is estimated that the gap in our endoscopy center building has fallen."

There was a chuckle in the operating room.

Chen Qi's reputation for "dying for money" is well-known in the world, his medical skills are really clever, and the fees are really expensive.

"Dean Chen, what are we going to do with the next surgery?"

Chen Qi said earnestly to the 15 master's students:

"Next, I'm going to have a brand new PEG procedure, which stands for Percutaneous Endoscopic Gastrostomy. I believe that you all knew about ostomy when you studied "Surgery", and today we are going to perform this operation endoscopically. ”

The 15 little mengxin nodded again and again, and took out their notebooks one after another, looking like good students.

is a really good student, unlike the students of later generations, who seem to be serious, but it is actually possible to draw the tutor's pig head portrait in the notebook.

While packing up the tools he needed, Chen Qi casually introduced:

"PEG is very versatile and is suitable for coma caused by neurological diseases such as cerebral infarction, cerebral hemorrhage, intracranial tumor or head trauma, inability to actively eat, as well as acute respiratory failure and confusion caused by heart and lung diseases.

It is also suitable for patients who cannot eat due to oral, neck, and laryngeal surgery, like today's little prince, you have also seen the situation of the upper esophagus, which is so corroded that it is not blocked, and food is not allowed to pass through at all, so what do you think? Watching the little prince starve to death?

In the past, the traditional way was to make an incision in the abdomen and stomach, and then do a fistula, but there is a problem in this, you can live in the hospital if you are in good conditions, and there is no disinfection for those who are in poor conditions, and complications such as infection are difficult to avoid, and mortality is there.

Everyone already knows the advantages of endoscopy, so I will teach you how to do this PEG surgery, in fact, the process is very simple, you will learn it, but you must remember to keep it secret, I haven't written this paper yet, and I can't let people plagiarize it. ”

There was another chuckle in the operating room.

The 15 master's students were simply moved, thinking that following Mr. Chen was really their last life's accumulation, one innovative operation after another, which not only opened their eyes, but also made them the first doctors in the world to learn these new procedures.

It's hard for them to be famous in the future.

No matter how excited the students were, Chen Qi had already started the operation.

I saw that he first poked the gastroscope into his stomach and sucked up all the gastric juice.

Then one hand is connected to the abdominal wall of the little prince, and a bag bulging up in the front wall of the stomach can be clearly seen in the display, which is the part where the finger presses down, and it is also the puncture point.

Then Chen Qi took a needle and stabbed it directly into the abdomen, which made the people next to him goosebumps. Originally, this process was to do local anesthesia, but now the little prince has been under general anesthesia, saving time and effort, no wonder pediatric surgeons like to move under general anesthesia.

A needle soon appeared in the stomach on the display screen, and the role of this needle was only to "position", and then Chen Qishuang took a trocar, continued to pierce the gastric cavity next to the needle, and then sent the guide wire into the gastric cavity through the cannula needle hole.

The blue guide line could already be seen on the display screen entering the abdominal cavity, and Chen Qi quickly clamped it with special forceps and began to pull it back. It passes through the cardia and esophagus, and finally the guide wire is dragged out of the mouth.

Lan Lijuan and Zhang Weizhong were silent, wanting to see how the operation continued.

Only Tang Macheng, a master's student, was operating the camera and filming the whole process.

(End of chapter)