Chapter 613: Zhoushan Cobra Hair Biao
The second method is to use an endoscope to remove the snake.
But there is a problem with this one.
Because snakes are very slippery, especially snakes that are not dead, they are all twisting around, and it is difficult to clamp them with endoscopic forceps.
The third method is to brainstorm and see if there is any local way to get the snake out completely.
In the emergency department, Lao Guo, Zhu Huoyan, Jin Peilin and other surgeons who got the news also arrived.
When these surgeons picked up the film and looked at it, they were all shocked:
"Oh~~~ There's really a snake in the stomach."
"This is really a sin, let a little girl swallow a snake, it's terrible."
"I'm going to have to hurry up and have emergency surgery."
There are few people who are not afraid of snakes, especially when the snake is still in the stomach, and many female doctors stay away from the patient, for fear that the snake will suddenly "burst out of the belly", and then fly up and bite people.
Zhu Huoyan did a lower physical examination, looked at the ECG monitor again, and frowned:
"Chen Qi, now the patient's blood pressure has been dropping, and the person's consciousness is not clear, this is a typical shock symptom, it is very dangerous, whether it is thoracotomy and abdomen surgery, or endoscopic surgery, you can give me an idea!"
Although Lao Guo is a surgeon, he knows the value of new technologies and wants to operate in his heart, but how to do it first wants to see if the endoscope can be done?
"Professor Tong, do you think there is any better way to deal with it now?"
Professor Tong could only shake his head and said with a wry smile:
"I really didn't expect that your Vietnamese Hospital would encounter so many strange patients every day, our Xijing Hospital has treated raw yellow eel, but we really haven't treated live snakes, yellow eels and snakes look similar, but they are completely different.
The yellow eel is very slippery, there are no scales on the body, this animal is also carnivorous, so the bite force is particularly strong, I remember that this patient finally used open surgery, of course, I know that Comrade Xiao Chen must want to do endoscopic surgery.
But snakes are different, snakes have scales, and these scales are still facing backwards, and if you pull them upside down, the scales will look like this, like barbs. In other words, it is difficult to pull it out upside down, and you have to consider this Xiao Chen. ”
Chen Qi nodded:
"I know, this is the reverse scale, but now the problem is that this snake may not be dead yet, just cut open the stomach, in case the chief surgeon is bitten, it will be troublesome."
When you think about it, doctors are also human beings, and no one wants to be injured during surgery, right, what if they die?
At this time, Liang Wenwen made a suggestion: "Then we have to find a way to kill the snake first, or anesthetize it first." ”
Someone in the crowd asked, "How to anesthetize?" ”
Yi Zewen's eyes lit up: "How about drinking?" Drink the high-concentration liquor, soak it all into the stomach, and get this snake drunk. ”
Lao Guo became angry when he heard it:
"Idiot, this is a little girl, I don't know if the snake is drunk after drinking this wine, this little girl is bound to be alcoholic, what kind of bad idea do you have."
Then another doctor stood up and said:
"I know a local method, put the e-liquid in the cigarette pouch pot into the snake's anus, and the snake will come out in reverse, so it's easy to catch, isn't it?"
Lao Guo rolled his eyes:
"The snakes are all in the stomach, how do you find the anus of the snake? How do you put the soot in if you find it? ! ”
"I also know a local method, which is to use the main stem of the old onion, hollow out the inside, and then use the endoscope to send it down and put it on the snake, so that the snake will not move and can be pulled out."
Chen Qi coughed lightly:
"This one, the endoscopic forceps can't clamp the dried green onions, and even if they can, there is no way to send them to the stomach completely, after all, this thing is a plant, too brittle and too soft, besides, it is not certain whether it has an effect."
In the emergency room, many doctors were talking about how to treat the snake and get it out without hurting the little girl.
Xue Xiaojuan's father is in a hurry, anyway, now that someone is willing to help with the medical expenses, he also wants his daughter to survive:
"Doctors, you can do well, save my daughter, we are juggling, every year many people die because of accidents during the snake swallowing performance, which is why we rarely perform this show, if you don't save my daughter, she won't live tomorrow~~~"
Only then did everyone notice that there was a family member waiting outside the crowd.
Lao Guo was more experienced, and immediately asked, "Are you the father of the child?" What kind of snake do you use for your show? ”
Everyone's eyes were focused on this parent, just now everyone was busy coming up with ideas, but they forgot the most fundamental question, what kind of snake is this?
The middle-aged man said in an accent in the direction of Ningbo Zhoushan:
"It's the snake of our hometown, the eye snake, but it's just a small snake......"
"Zhoushan Cobra?"
There was a doctor in the crowd who was more experienced, and when he heard it, he patted his thigh: "The Zhoushan eye snake is very venomous, even if it is a small snake, it is very poisonous." ”
Boom~~~ The emergency room exploded, not to mention the doctors, even the people who came to see the excitement were dumbfounded.
"Ahh
"Who dares to take the Zhoushan eye snake, if it bites you during the operation, the doctor will die!"
"No, we have to protect ourselves."
The doctors in Xijing Hospital are all outsiders and know the venom of the eye snake, but they don't know why everyone is so surprised when they hear the performance of the Zhoushan eye snake, so some people quietly asked their peers next to them.
"Excuse me, is there anything special about this Zhoushan cobra?"
"Hey, you don't know, this snake is very poisonous, known as the top ten poisonous snakes in China, and this is what we Haidong people are most afraid of."
"Oh~~~ miserable ~~~"
At this time, another doctor stood up and analyzed:
"Don't worry, you think, the snake is a cold-blooded animal, and the temperature in the human body is 37 °C, it is possible that as soon as the snake swallows it, the temperature rises, and the snake soon dies in a coma.
But I think the most dangerous thing is that snakes have a lot of parasites, such as tapeworms with various strange names, schizocephalus or something, and they like to burrow everywhere in the human internal organs, especially the parasitism that parasitizes into the brain. It's disgusting to think about. ”
The doctor's words not only disgusted the doctors in the emergency department, but even the onlookers took a step back.
Parasites were a terminal disease in the 80s, and schistosomiasis kills a lot of people every year.
Chen Qi heard so much, and he also thought a lot in his heart, especially when he knew that this was the Zhoushan eye snake, he knew that he couldn't delay it.
The little girl is now in painful shock due to severe pain, and has not yet shown symptoms similar to poisoning.
But when you have chills and fever, vomiting and salivation, and difficulty breathing, it is really a dead end with current medical technology.
"Everyone, don't quarrel, let's do it, I'll try to see if the endoscope can be taken out, if the endoscopic operation fails, Guo Shuji, Mr. Zhu, you can perform open heart and abdomen surgery."
Zhu Huoyan nodded: "Yes, let's get ready first." ”
Lao Guo was a little worried: "Zhoushan eye snake, the danger is too high, in case this snake does not die and twists around, you can't fix the endoscope, let's do traditional surgery." ”
Chen Qi shook his head: "I'll try endoscopy, we can't let our doctors also bear possible dangers." ”
Lao Guo sighed: "Then, let's try endoscopy first, send the patient to the endoscopic operating room first, and the No. 1 operating room of the surgery next door is also ready to take over at any time." ”
Chen Qi was busy preparing, and the other doctors here all had a sense of curiosity that scratched their ears and cheeks.
Everyone wants to see how the endoscope takes out the poisonous snake in the digestive tract, after all, this is a new thing, and it can be regarded as one of the rare diseases.
"Guo Shuji, why don't I go to the endoscopic operating room to help......"
"I'll go......"
Even the doctors at Xijing Hospital couldn't sit still, Professor Tong made a look, and Zhou Qiqi hurriedly ran over:
"Guo Shuji, can we observe the endoscopic snake removal operation?"
Lao Guo saw that everyone was so interested, and he himself was also interested in being a doctor, so he waved his hand:
"Let's go, let's go to the multimedia classroom, let's let Chen Qi broadcast live."
In an uproar, a large group of doctors rushed to the multimedia classroom, ready to grab a high position, whether it was gossip or discussing the disease, people swallowed live snakes, and Dean Chen took snakes under the mirror, which is rare.
The gastroscopy room was prepared quickly, Xue Xiaojuan was given general anesthesia for the first time, and Chen Qi also took out the gastroscope tube as quickly as possible.
When he started to get the tube down, everyone's eyes didn't blink.
When the camera reaches the lower end of the esophagus, above the cardia, I see a snake tail, which is still shaking slightly.
Many people excitedly shouted: "There are snakes, there are snakes, see snakes!" ”
Chen Qi's camera advanced, and when he wanted to go to his stomach, suddenly the snake tail swept towards the camera, and what everyone saw on the big screen was a huge snake tail fanning towards everyone.
"Ho~~~~"
"Scared~~~~"
Many of the female comrades screamed in shock, and even the male doctors were taken aback.
This little snake in reality is in front of the camera, it is really thicker than when the white lady appeared, not only thick but also very big and long......
Chen Qi's gastroscope did not stop, and continued to explore the stomach by rubbing the snake's body.
As the snake's body writhed in its stomach, both the people in the operating room and the people in the multimedia classroom were all chilled, and there were a lot of goosebumps all over the body.
No one knew that at this time there was another person who was now enduring general discomfort and gritting his teeth to do a gastroscopy.
Chen Qi is actually the most afraid of snakes, and now he is the chief surgeon, manipulating the gastroscope to probe, and his eyes are closest to the display screen.
He had a feeling that next to his hand was this "thick and large" poisonous snake with scales all over his body, twisting and twisting, and could touch his hand at any time, wrap around his arm, and even bite him hard.
So don't look at his calm face, but as long as anyone who is familiar with Chen Qi can see that this guy is silent, which means that his psychological pressure is very great.
It's also a disease, a mental illness.
The snake is writhing, which means that the snake is still alive, which brings a lot of trouble to the operation.
Lao Guo said to Zhu Huoyan beside him:
"This operation is best endoscopy, if you really have to open the chest and abdominal cavity to remove the snake, in case this poisonous snake bites the doctor, it will be troublesome, even if it does not bite, then it will swish and burrow into other parts of the intestinal cavity, and the patient will die."
The live snake must bite through the intestines and drill around, coupled with the closed space in the stomach and intestinal cavity, and the high temperature, it is obvious that the poisonous snake has become impatient and has to struggle before dying.
Zhu Huoyan is not afraid of death:
"I'm afraid that the gastroscope can't be taken out, and someone will have to go to the stage for surgery, and I can't watch the patient die. I'll do the surgery, and I'll wear a few more gloves then. ”
Lao Guo smacked his lips: "Yes, we are doctors, and saving people must be put first." ”
It was at this time that someone exclaimed:
"Look, everyone, the snake's head seems to be stuck."
The people in the front row leaned forward, and the people in the back row stood up, only the patient's father was confused and could not understand what the doctors were saying.
At this time, Professor Tong was also discussing with his students:
"The head of the snake looks like it is stuck in the pylorus, and the muscles in the pylorus are very prone to spasm after being stimulated, and this consequence is pyloric obstruction, and the intense pain is the cause of the patient's shock."
Professor Tong's words caused many doctors next to him to nod their heads again and again.
pyloric spasm obstruction, which is like a rubber band that binds the snake's head, so that the cobra can't enter, can't retreat, can't even open its mouth, let alone release poison.
It is estimated that for this reason, the patient has not shown symptoms of poisoning so far, which is really a blessing in misfortune.
In the operating room, Yang Yibing, as the first assistant, was also sweating profusely at this time:
"Teacher Chen, what should we do now?"
"Kill this snake first!"
Among the students, Xie Danyang, the only Sichuan girl, was more courageous, and directly suggested:
"Yes, kill this poisonous snake first, and Mr. Chen, you can use an electric knife to divide the snake into sections, and then take it out with a net."
Hu Chuanying on one side objected:
"It can't be cut into sections, now the snake is still intact, if you really have to cut it into sections, all the parasites in the snake's body will run out, and then spread rapidly, and then it will still be a dead end."
Zhong Shuai proposed: "Isn't the poisonous snake the most afraid of realgar? Why don't you try to put a handful in your stomach often? ”
Wu Jiping hurriedly vetoed:
"No, the ingredient of realgar is arsenic disulfide, and it has a close relative who it is not? Arsenic trioxide, you guessed it right, that is the highly poisonous arsenic, and I am afraid that the snake will not die at that time, but the patient will die first. ”
"Zhong Shuai, where did you learn chemistry!"
"That's it, quacks hurt people, you can wash all your socks next week!"
The students are criticizing their classmates with gossip, anyway, they are young and not afraid of snakes, but the "old guy" Chen Qi has no intention of joking now.
"Prepare ketamine shots right away."
Yang Xiuxiu repeated the doctor's instructions: "Prepare ketamine injections!" ”
Yang Yibing asked on behalf of his classmates: "Teacher Chen, what are you going to do with ketamine injection?" ”
"Anesthesia, I'm going to give the cobra a few stitches first, turn it over and then say, this twisting and turning I look disgusting, disgusting open the door to disgusting, disgusting to home!"
(End of chapter)