In fact, from his beginning to the end, it took only three and a half minutes in total.

If Lin Yi didn't teach Wang Qiaoya, he would do this operation by himself, and it would only take two minutes to complete it.

After all, this kind of tracheostomy, which is called surgery, is really not a surgery.

At best, it's a slightly more complex operation.

But looking at Lin Yi's operation, Wang Qiaoya was very surprised.

She was amazed at how Lin Yi could have completed the tracheotomy so quickly?

She remembers that if the surgeon did a tracheostomy, it usually took at least two people and it would take half an hour to complete.

She never imagined that this modified percutaneous tracheostomy would be so fast.

And the patient has less bleeding and less trauma, which is really convenient.

"I have participated in this kind of surgery before, but it takes more than half an hour, and it is a longitudinal long incision, this kind of percutaneous tracheostomy is really good for patients."

A smile appeared on the corner of Lin Yi's mouth.

"In fact, this operation is very simple, much simpler than conventional tracheostomy, and it takes a short time."

"Then you study hard and learn this technology."

Wang Qiaoya nodded and looked at Lin Yi with admiration:

"Well, Brother Yi, I will definitely study hard."

"If you have this kind of patient in the future, you can continue to participate with it. Practice this surgery a few times and you will become proficient. ”

Lin Yi paused, pointed to the incision and said:

"It's okay to make an incision about 1.5 centimeters, not too short, not too long."

"If the incision is too long, the wound will not heal well after extubation, and it will be easy to become infected."

"If the incision is too short, let's say less than a centimeter, firstly, it is not easy for you to insert the endotracheal tube, and secondly, it is easy to cause subcutaneous gas, which has happened before."

"And when you put the guide wire, don't go in the opposite direction."

"If you put the guidewire towards the head, when you put the endotracheal cannula, the guidewire won't come out. So be sure to figure out the direction, these are the details of the operation. ”

"Also, when using dilators to expand the subcutaneous tissue, you only need to dilate it twice, and the incision can be expanded, not repeated dilation, as long as the tracheal cannula can be placed into the trachea."

I saw Wang Qiaoya listening to the lecture in detail and taking notes.

Lin Yi asked:

"If there's anything else you want to ask, feel free to ask."

Wang Qiaoya thought for a while and asked:

"Brother Yi, a tracheostomy like this, do we need to sew it up for him after extubation?"

Lin Yi waved his hand.

"No stitches required!"

"No stitches?"

Wang Qiaoya's eyes widened in surprise, as if she had seen something incredible. m.jújíá?y.?? m

There is a cut of nearly two centimeters on the neck, and there is no need for stitches?!

How is this possible!

Looking at Wang Qiaoya's suspicious eyes, Lin Yi smiled and said:

"This simple percutaneous tracheostomy is generally not more than 1.5 centimeters, and after extubation, there is no need for sutures."

Wang Qiaoya was surprised: "After extubation, there is a finger-thick hole in the neck that is not stitched, and the patient's breathing does not leak?" ”

Lin Yi replied:

"After extubation, we only need to use a wide tape and glue the incision on."

"But within three days, let the patient talk less, and when coughing, just cover the incision, and it can generally grow in three days, so there is no need for stitches."

Looking at Wang Qiaoya's reaction, Lin Yi smiled and said:

"Now just by telling you, you don't have any impression, and when this patient is cured and extubated, you can see it with your own eyes."

"Well, good!"

………………

After dealing with the patient, Lin Yigang returned to the consultation room.

An old couple walked in and looked like they were in their sixties.

At this time, Wang Qiaoya was discussing with Lin Yi, and when she saw the patient coming in, she hurriedly gave up her position and let the two of them sit down.

Looking at the two old men who looked nervous, Lin Yi immediately asked:

"Who are you two who are uncomfortable?"

The old lady hurriedly said, "It's my wife." ”

Lin Yi took a look at the old man.

He was found to be breathing normally, with no chest tightness and no difficulty breathing.

And there was no painful look on his face, as if nothing was wrong.

Not like a patient at all.

On the contrary, the most nervous is the old lady.

The old lady took a breath and continued:

"My wife has something in her stomach, doctor, what do you think should be done?"

"Auntie, don't be nervous, tell me clearly, what is your wife eating in your stomach?"

The old lady took out a box of medicine from her handbag.

It is an aspirin enteric-coated tablet.

Then, with trembling hands, he pulled out the medicine board inside.

It's just that this medicine board is incomplete, and a corner is missing, which should have been cut off by scissors.

And the missing place is exactly an aspirin tablet.

The old lady handed the medicine board to Lin Yi and said nervously: "My wife has mild Alzheimer's, but he has high blood pressure and cerebral arteriosclerosis. ”

"So the doctor prescribed us aspirin enteric-coated tablets, but when my wife took the medicine, she cut off a piece of medicinal scissors, didn't open it, and ate it directly with the tin foil."

The old lady gasped again, her face full of nervousness.

"My wife cut that medicine into a square with tin foil, the four corners are very piercing, very sharp, he ate it into his stomach, will it puncture his stomach?"

Aspirin enteric-coated tablets are commonly used drugs for the prevention of cardiovascular and cerebrovascular diseases and atherosclerosis.

It is common for older people to take this medicine.

But this old man, eating it with tin foil, Lin Yi saw it for the first time.

And looking at the missing corner of the entire medicine board, cut squarely, it can be seen how sharp the tin foil that the old man ate.

If the tin foil cuts the stomach wall, or even the gastric arterioles, or enters the intestines, it can easily cause massive bleeding in the digestive tract.

If it's serious, this old man will die.

A small piece of tin foil with medicinal particles in it can also kill people.

Because the old man suffers from mild Alzheimer's disease, he has no idea about the harm of eating tin foil into his stomach.

Instead, he sat there indifferently, unhurried, and looked natural.

The most nervous is the old lady.

Of course, she could imagine what would happen if she ate a sharp piece of tin foil into her stomach.

So when she found out that her wife had eaten this piece of tin foil, she immediately took him to the hospital.

Lin Yi hurriedly comforted the extremely nervous old lady.

"Auntie, don't worry too much about it yet. After a while, take an X-ray of the old man to see where this tin foil is, and then we can proceed to the next treatment. ”

"Brother Shen!"

"Hmm!"

Shen Changqing walked on the road, and when he met someone he knew well, he would say hello to each other or nod his head.

But it doesn't matter who it is.

There was no superfluous expression on everyone's face, as if they were very indifferent to everything.

on this.

Shen Changqing is used to it.

Because this is the Demon Suppression Division, it is an institution that maintains the stability of Great Qin, and its main responsibility is to kill demons and monsters, and of course there are some other side jobs.

Arguably.

In the Demon Suppression Division, everyone has a lot of blood on their hands.

When a person is accustomed to seeing life and death, then he will become indifferent to many things.

When he first came to this world, Shen Changqing was a little uncomfortable, but over time he got used to it.

The Demon Suppression Division is huge.

The people who can stay in the Demon Suppression Division are all powerful masters, or people who have the potential to become masters.

Shen Changqing belongs to the latter.

Among them, the Demon Suppression Division is divided into two professions, one is the town guard and the other is the demon exterminator.

Anyone who enters the Demon Suppression Division starts with the lowest level of demon slayer.

Then step by step, he is expected to become a town guard.

Shen Changqing's predecessor was a trainee demon slayer in the Demon Suppression Division, and he was also the lowest level of the demon slayer envoys.

Have memories of the predecessor.

He is also very familiar with the environment of the Demon Suppression Division.

It didn't take long for Shen Changqing to stop in front of an attic.

Unlike other places full of slaughter, the attic here seems to stand out from the crowd, and in the bloody Demon Suppression Division, it presents a different tranquility.

At this time, the attic door is open, and there are occasional people entering and exiting.

Shen Changqing only hesitated for a moment, and then stepped in.

Access to the attic.

The environment has changed in vain.

A burst of ink fragrance mixed with the faint smell of blood came to his face, making his brow furrow instinctively, but quickly stretched.

The smell of blood on everyone's body in the Demon Suppression Division is almost impossible to clean.

.jujiazy.