Chapter 134: Revenge with Virtue!
Zhao Yuan rushed in front of the child, and the child had no movement.
He quickly took out the stethoscope and placed it in the child's lungs, and the left lung could barely hear breath sounds.
The child's mother was devastated and depressed.
My father was also at a loss.
Although the child is in poor spirits, he will not faint suddenly.
What now?
What's more, they and the doctor also got their hands dirty.
Can doctors still treat children willingly?
Zhao Yuan didn't think about it that much.
No matter what happens, it's the patient first.
"Did the patient eat anything like nuts before he was taken to the hospital?" Zhao Yuan did not see this kind of information in the case, but from his judgment, there was something in the patient's trachea.
"Nope! It's just a normal cough, a few days ago it suddenly became cold, first there were cold symptoms, and then there was a cough. Mother shook her head.
Zhao Yuan smiled helplessly, and said with a serious expression towards the child's grandmother, who was still lying on the ground, "You concealed your illness, causing us to misjudge the condition, and it will be the child who will suffer at that time." I asked again if I had ever eaten nuts such as melon seeds and peanuts. ”
The child's grandmother was also shaking her head, "No, I have never eaten it!" ”
Zhao Yuan exhaled a turbid breath and walked towards Qin Yang, "Director Qin, although the child's relatives firmly emphasize that they have not eaten nuts, I am very sure that the child has an active bronchial foreign body. ”
Qin Yang also saw the family's difficulties, and said to the child's mother, "The child is now completely atelectasis in his left lung, and his oxygen saturation is only 60%, and he needs to be intubated and connected to a ventilator to assist breathing, do you agree to receive treatment?" If you don't feel at ease with us, you can transfer to the hospital immediately. However, I must warn you that the child is at stake and cannot withstand the toss! ”
The mother of the child fell to her knees, "Please save the child." ”
Qin Yang nodded towards Lian Hang, "Notify the emergency department and anesthesiology department, assess the risk of surgery, and pay attention to ruling out combined cardiogenic diseases." Get a critical illness notice! ”
The deputy chief physician from the emergency department was Ren Min, who examined the child and was consistent with Zhao Yuan's judgment: a foreign body was blocked.
"The child is currently seriously infected in the right lung, has poor lung function, and cannot compensate for breathing, and the current anesthesia risk is extremely high, and now the operation is very likely to lead to the child's death during the operation." Ren Min's tone was solemn.
Zhao Yuan proposed, "Should you give muscle relaxant drugs to beat spontaneous breathing and further reduce oxygen consumption?" ”
Anesthesiologist Hu Kai nodded in agreement, "After the child breathes spontaneously, the oxygen and energy can be maintained at about 90%. ”
Ren Min's face relaxed, "This will meet the conditions for surgery." ”
The plan was determined, and Ren Min had time to learn about the child's situation with Zhao Yuan, and seeing that he had a wound on his face, he hurriedly asked what happened?
Zhao Yuan told each other in 1510.
Ren Min was very angry, he had always had a good temper, but he was also angry, "This family is really fucked!" I'll meet them. ”
Director Ren was accustomed to seeing big scenes, holding chest X-rays and CT, and walked in front of the family with a stern expression.
"Chest X-ray and CT showed that the white part was the child's unopened lung, the left lung is currently blocked and there is no air entering, because of the long illness, the right lung is seriously infected, and now one lung cannot ensure normal breathing and oxygen supply. The blood gas analysis only has an oxygen partial pressure of 28mmHg, the situation is very serious, we will do our best to rescue it, but you must be mentally prepared, it may not be able to save life! ”
The arrogant father was dumbfounded after hearing this.
The grandmother lying on the ground stiffened for a moment, then beat her chest and cried.
The young mother knew the seriousness of the problem, and instantly collapsed, crying and repeating, "What should I do? What to do? Save him! ”
……
Children are innocent, others are more innocent.
Although the child is sick and the family is in a bad mood, there is no need to vent emotions on doctors and nurses.
The child was taken to the operating room, and the family was terrified outside.
They were annoyed by the big fight they had just had with the doctors and nurses.
Now the life and death of children are in their hands......
Being a doctor is a profession that is resistant to pressure, not only with high work intensity, but also with excellent psychological quality.
It's not often like today, but it's still happening.
Zhao Yuan's reaction surprised Ren Min, Qin Yang, and even all the medical staff present.
He did the principle of putting the patient first.
Although Zhao Yuan is in the pediatric rotation department, he is an emergency surgeon, so Ren Min asked him to participate in the rescue together.
Zhao Yuan put on a lead suit and walked into the rescue room.
Qin Yang sighed a lot.
When Zhao Yuan saw that he was beaten, the scene of Zhao Yuan stepping forward to fight back at the other party with anger always surrounded his mind.
In their lives, there are a few people who can not be afraid of risks and help themselves shelter from the wind and rain.
Qin Yang thought of the injury on Zhao Yuan's face, and couldn't help but feel a little distressed.
The stupid kid wiped the wound with a wet tissue dipped in alcohol a few times, and then went straight to the operating room.
The anesthesia went smoothly and everything was ready.
Zhao Yuan stood in front of the operating table, preparing to perform bronchoscopy and foreign body removal.
Because the patient is young, the smallest foreign body forceps are chosen.
A 3.5mm×200mm pediatric bronchoscope is inserted under laryngoscopic guidance.
The level of surgery is not high, but the patient is a two-year-old child, so it is actually very difficult.
Ren Min found that Zhao Yuan was very good at handling the details.
He beveled the tip of the lens to the left and the stem to the right to reduce damage to the vocal cords.
When entering the left bronchus, the tip bevel should be turned to the right and the stem should be left to expand the field of view.
It is difficult to see a foreign body after inserting a small bronchoscope with a diameter of 4 mm into a foreign body forceps, and it depends on the operator's feelings.
When the foreign body forceps reached the opening of the bronchoscope tip, Zhao Yuan took advantage of the child's inhalation and the bronchial lumen expanded, and the forceps blades stretched out to both sides of the foreign body, closed the jaws, and clamped the foreign body.
This is not the end of the moment, the bronchoscope and foreign body forceps must be withdrawn at the same time.
Five, ten, twenty seconds......
It's more intense than a 100-meter race.
Finally, Zhao Yuan took out a half-sized peanut, and everyone suddenly breathed a sigh of relief.
Ren Min was about to remind Zhao Yuan to take the lead, "Don't worry. ”
Ren Min nodded and praised secretly.
Zhao Yuan is like this, not only the operation is meticulous, but also the problem is very thoughtful.
Zhao Yuan did not relax, probed under the mirror again, and then found a slightly smaller peanut grain.
Exclamations were heard all around.
"Who would have thought that there were two foreign objects hidden in the trachea."
"The parents of the children are also talking nonsense. It's obviously a peanut, but it's not a cold and cough. ”
"The key is still messing around, Dr. Xiao Zhao's face has been scratched, which has destroyed the ceiling of our hospital's appearance!"
The operation is finally over.
Zhao Yuan was relieved.
Everyone behaved conscientiously during the operation, and perhaps they all held their breath to prove to the families of the children waiting outside:
The doctors at Tianhua Hospital are not only professional, but also excellent!