A thick hard fish bone about 1 cm long is stuck obliquely at the top of the esophagus of the iron egg, and there is congestion and edema around it.

Fortunately, it was inserted diagonally, and although the esophagus had been punctured, it had not been perforated.

But if Tie Dan eats that piece of cake, the consequences are not easy to say.

After esophageal perforation, mediastinal infection, emphysema, pneumothorax, and the habit of people in the village not going to the hospital if they have nothing to do, the child's life is hanging in the balance.

saw the exact location of the fish bones, but Tao Le had even more headaches.

If the fish bones are very shallow, they can be removed directly with tweezers; If you enter the pear socket of the throat, you can also use a laryngoscope and foreign body forceps to remove it.

However, if the foreign body has entered the esophagus, the only way to remove the foreign body from the esophagus is to do sophageal foreign body removal.

Esophageal foreign body removal is a minor operation, but depending on the foreign body, it is likely to be followed by a major surgery.

If the foreign body stuck in the esophagus is a small, regular-shaped object, such as a coin, that does not cause damage to the esophagus, then the foreign body is removed and it is over;

However, if an iron egg is punctured out of the esophagus by a fish bone and causes congestion and edema, most of the time it will require a repair of the esophageal fissure - this is a major thoracotomy surgery.

Tao Le's golden finger is not a panacea, it can repair the esophagus after the fact, but it can't do the removal of the foreign body itself.

The reason why Tao Le has a headache is here.

She could have called Ye Chen directly, and with the help of the other party, she persuaded Tiedan's parents to send him to the hospital, and she didn't have to worry about the rest of the matter.

But it certainly wasn't her first choice. Because after major thoracotomy surgery, patients will also face two common and terrible complications of esophageal pleural fistula and empyema, not to mention the great risk, the cost of surgery and hospitalization is also surprisingly high, and even if it is hollowed out, Dongbao's family will not be able to pay it.

The best thing to do is to help take out the fish bones yourself and repair a wave with a golden finger, so that there is almost no cost and there is no danger to the child.

The only problem was that she did not have an esophagoscope or anesthetic in her hand.

Normal esophagoscopy to remove foreign bodies requires local numbness to wake up the throat, and general anesthesia is also required for children who love to move, otherwise the laryngeal nerves of the human body will produce stress reactions such as nausea and vomiting, and there is no way to operate at all.

An even more critical problem was that she lacked the hand that could operate the esophagoscope and foreign body forceps.

This practical operation does not belong to the scope of the regular training practical operation exam, and she really hasn't practiced it.

It seems that no matter how many ideas you have, you can only ask Dr. Ye, who is leading the team, to come over and take a look.

If even he can't handle it, he will have to be sent to the hospital.

Tao Le was about to make a phone call, but the golden finger interface in front of him suddenly changed, and a line of big characters appeared.

Tao Le looked at it and was stunned.

"The current conditions have been tested to support esophageal foreign body removal. Do you need simulation instruction exercises? Yes/No. Note: Simulated guided exercises do not take up real-world time. ”

What are the current conditions that allow for esophageal foreign body removal? Where are the conditions, what are the conditions, why didn't she see it at all?

However, the simulation guided exercises, this is ...... What's new in Goldfinger?

Tao Le was stunned and subconsciously chose "yes".

In the next moment, she suddenly appeared in a spacious and bright operating room, standing next to the operating table in the middle.

There was a boy lying on the bed, the same iron pillar he had just seen.

Although he did not speak, his eyes were wide open and he kept twisting and turning, apparently not under any anesthesia.

A male doctor in a surgical gown stood across the bed, and Tao Le felt familiar to him as soon as he looked at it.

The other party was long, wearing a big mask on his face, only revealing a pair of eyes, and there was a trace of inexplicable emotion in his warmth.

"Here we go. Don't get distracted, just watch well. The man said.

His voice was not high, but it was deep and pleasant, as if he had heard it somewhere.

"In the absence of anesthetics and the other party is a child, acupuncture anesthesia is preferred."

The man took out a plate of 1.5-inch millineedles. Tao Le noticed that the needle was exactly the same as the one she was carrying, both in terms of model and brand.

Acupuncture anesthesia! Tao Le didn't expect to see this technique here.

This is a major application practice in the development of acupuncture and moxibustion in traditional Chinese medicine, relying solely on acupuncture or electroacupuncture to stimulate acupuncture points, the purpose of analgesia can be achieved, so that the operation can be carried out normally without anesthetic drugs.

This method is simple and safe, has little interference with physiological functions, and has no side effects, and has been popularized and applied within a certain range.

However, acupuncture anesthesia cannot be like a drug, which can make the patient completely relaxed and painless during the whole operation, which makes the intraoperative experience of both doctors and patients unsatisfactory.

At the same time, it has been over-deified and even abused in a short period of time, with the result that it is now almost uncared for.

"In terms of acupoint selection, it is necessary to select acupuncture points with the same nerve segments as the surgical site, and at the same time, it is also necessary to follow the meridians and dialectically take acupoints."

"For example, if you want to take a foreign body from the esophagus, you must choose acupoints such as Futu, Hegu, Neiguan and other acupoints, and quickly twist and turn ....... after gaining qi."

While explaining, he stabbed the acupoints quickly and accurately, and showed Tao Le the technique little by little.

"The anesthesia was successful." The man took out an alligator forceps, which is the most common and the same foreign body forceps that is now lying in the Taole medical kit:

"You can see where the bones are and you don't need an esophagoscope. Now I will teach you how to use foreign body forceps to go deep into the esophagus to remove the foreign body. ”

The man spoke seriously. The golden finger interface in Tao Le's eyes clearly shows how the alligator forceps are inserted into the piriform fossa on the right side of the laryngopharynx along the right side of the mouth, and then gradually move into the midline, reach the esophageal orifice, and stop in front of the bulging cricopharyngeal muscle.

"Make a swallowing motion." He instructed the boy. The child swallowed honestly, the opening of the esophagus opened, and the crocodile tongs were introduced.

The fish bone is about 2 cm below the esophageal opening, shaped like a "D", and about 3 mm long part is stabbed obliquely downward on the wall of the esophagus, almost causing a perforation of the esophagus.

Under the man's hands, the crocodile pliers were as flexible as if they had come to life. Clamp the posterior end of the fish bone so that the tip exits the esophageal wall, and then adjust the angle of the fish bone to exit when the cross-section is minimal.

"Alright." The man threw the fish bone into the metal plate that Tao Le had taken: "It was a teaching just now, and the speed is relatively slow." I'll do it again. ”

Acupuncture anesthesia, 2 min. Remove the foreign body for 30 seconds.

In a total of 2 minutes and 30 seconds, an esophagoscope removal operation was completed that most likely required a few days in the hospital.

"Now, it's your turn."

------Off topic------

Some readers said that if you don't look at the male protagonist, you want the female protagonist to have a career! Some people also say that if you want to be sweet and sweet, it is good to have a career with one stroke. Xiaohai said, career and love should be grasped with both hands, and both hands should be hard! The most important point is to cry for the tickets in the hands of the big guys! A book written without a ticket is soulless! Thank you!!

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