There are two main ways to detect anesthetic allergy, the first is to dilute the anesthetic drug and inject it subcutaneously to observe the allergic reaction of local anesthetic.

This method can cause false positives, also known as false allergies, so this method is not a routine test.

Compared to the first type, relying on the detection of histamine and trypsin in the blood is more accurate, safer, and less harmful to the patient.

When the nurse left, Yang Lei saw that Tang Yi was still sitting there holding the report, "Xiao Tang, is there anything wrong with Yanzi's inspection report?" ”

"No big deal!" Tang Yi did not choose to tell Yang Lei the truth.

Does the inability to use anaesthesia in the traditional sense mean that surgery cannot be performed? Strictly no.

There are many ways of anesthesia, such as electric shock anesthesia, neck anesthesia, alcohol anesthesia, ice cube anesthesia, and violent anesthesia in human history.

However, these are all ineffective anesthesia in the strict sense, and ineffective anesthesia will cause great harm to the patient's body and mind, violate human ethics, and will also make the surgeon unable to perform surgical operations.

Because there is no anesthetic effect, there is no muscle relaxation effect. If you have abdominal surgery, you can't stretch the muscles. Therefore, any operation needs a good anesthetic effect to be performed, and no operation can be successfully completed without anesthesia.

Of course, sometimes, life is more important than anything else, and there are so many patients in urgent cases.

Just like that car accident, in order to operate as soon as possible, Tang Yi also used the most direct and violent means to perform the operation.

But Yanzi is too young, too small, she is only six years old, and no doctor dares to do such an operation, including him Tang Yi.

A doctor is not an executioner, not a murderous butcher, unable to reverberate the patient's wail in his ears, watch the patient struggle in pain, and still perform surgery with a calm expression.

"It's okay!" Yang Lei pretended to be relaxed and looked at his daughter next to him with a smile on his face.

Through Yang Lei's facial expression, Tang Yi knew that Yang Lei saw something, but he didn't want his daughter to worry, so there was something to say, "Brother Yang, I'll go out and make a call." ”

Yang Lei didn't ask much, he could guess that Tang Yi went out to help Yanzi find a way, "Okay, if you have something, go and get busy!" ”

Walking out of the ward, just in time to see Dr. You Xia coming out of the elevator room, Tang Yi stepped forward to greet him, "Doctor You, is this going to be okay?" ”

The young man in front of him is not simple, not to mention the relationship with Yan Lao, just knowing his top boss, as long as it is not too urgent, You Xia has to give some face, stop and say a few words.

"It's nothing, Xiao Tang is looking for me about swallows, right?" You Xia shook his head and sighed, "The child can't perform injection anesthesia and inhalation anesthesia in the traditional sense, so I discussed with several deputy directors in the department to see if I can use nitrogen anesthesia to solve the problem of anesthesia." ”

Nitrogen anesthesia is not actually a state of anesthesia, but a pathological state. Normally, nitrogen is an inert gas and does not participate in the chemical processes of the individual cellular components, but when its partial pressure in the blood reaches a certain height, it produces an anesthetic effect.

The increase in the concentration of nitrogen in the blood will produce a state of first excitation and then inhibition, and then slowly enter a state of lethargy and coma as the nitrogen concentration increases. Because this state is similar to the state in which anesthetic drugs take effect, a series of pathological changes due to changes in nitrogen concentrations are referred to as nitrogen anesthesia.

Nitrous oxide, commonly known as laughing gas, is a relatively early inhalation anesthetic developed in clinical practice, which has the characteristics of fast onset and high analgesic intensity, but its biggest disadvantage is that it affects oxygen uptake, which will have an adverse effect on the supply of oxygen in the perioperative period, resulting in intraoperative hypoxia.

Modern anesthetics have changed this very well, and the inhalation of oxygen and laughing gas has a certain proportion that does not lead to a state of hypoxia.

However, laughing gas may also have other adverse reactions, such as bone marrow suppression, increased volume in closed cavities, pneumothorax patients need to be contraindicated, and there are many side effects of laughing gas, such as dizziness, loss of balance, hypoxia, etc. Because of so many limitations, nitrogen anesthesia has gradually withdrawn from the stage of history.

Tang Yi was not completely ignorant of nitrogen anesthesia, and hesitated to speak, "But there are too many things that need to be paid attention to in nitrogen anesthesia, and it may also lead to a decrease in the activity of blood cell precursors in the bone marrow." ”

"Any anesthesia may have more or less sequelae, and this regimen cannot be vetoed because of the adverse effects of laughing gas. After all, you know the patient's situation, and there is no other choice! You Xia's face was unwavering, and he said calmly.

I have been practicing medicine for more than 30 years, and I have never seen what kind of life and death I have ever seen, and I have long been a little numb.

Having said that, Tang Yi was still reluctant to accept it, "Didn't Dean Wang invite experts from Kyoto to come over for a consultation before?" Is the time confirmed? ”

You Xia was silent for a while, "Tang Yi, you are also a doctor, this is no longer a technical problem, even if you invite experts over, it is just a waste of manpower." ”

Sighing helplessly, Tang Yi said, "I'm sorry for you, Doctor You." ”

You Xia looked at the back of Tang Yi leaving and shook his head, for the sake of a strange little girl, he wasted countless energy, what is the picture? Is love overflowing? Every day, the hospital receives not a few hundred, but dozens of patients. With so much energy wasted on each one, how can there be time to treat other people?

Inside the stairwell, smoke fills the air.

Tang Yi thought for a long time, and finally took out the phone to Yan Nanbei, "Old Yan, I'm really going to trouble you this time!" ”

"Is it still for the little girl's sake?"

Tang Yi said, "Well, the allergy test results of Yanzi have come out, and all the anesthetics that are known to be allergic are allergic. The hospital considered using laughing gas instead of anesthesia, but this anesthesia method has great side effects after all. ”

Yan Nanbei on the other end of the phone also sighed for the little girl's misfortune, "The little girl is in the Affiliated Hospital of Mizuki University, right?" I'm going over now. ”

Half an hour later, Tang Yi picked up Yan Nanbei and his assistant downstairs and came to the ward together.

Yan Lao looked at the thin little girl in front of him, and said with a smile, "This will be a swallow, right?" The little girl looks pretty. ”

Yanzi, who was sitting on the bed, looked at Yan Nanbei and then at Tang Yi, "Brother Tang Yi, who is this grandfather?" ”

Tang Yi said with a smile, "He is the Yan Lao I just told you about." ”

In the ward, the patients and their family members, who were still laughing, felt as if something was stuck in their throats, and they couldn't make any sound.

Is it Yan Lao who is standing there with a cane in front of him? The young guy wasn't joking, was he?

Hearing the introduction, Yang Lei hurriedly moved a chair, "Yan, Yan Lao, you sit, you sit!" ”

Yan Nanbei nodded with a smile and sat on the edge of the bed, "Thank you!" ”

"Grandpa, are you really the national player with very good medical skills that Brother Tang Yi said?" Yanzi didn't believe it, the old man in front of him was exactly the same as the uncle next door, nothing special.

Yan Nanbei laughed, "Isn't it like? What kind of national player should be in Yanzi's heart? ”

Swallow's little face furrowed, and she thought for a while, "I don't know." ”

After a brief chat, he narrowed the distance with Yanzi, Yan Nanbei beckoned, "Xiao Zhang, pull out the needle, I'll give Yanzi a pulse first!" ”

The swallow cried with a sad face, "Grandpa, can you not pull out the needle?" After a while, I have to prick the needle again, and it hurts. ”

"Swallow is good, the needle is in the blood vessels, which will affect the circulation of blood, affect the beating of the pulse, and lead to misdiagnosis." Tang Yi squatted down and patiently explained.

Yang Lei looked at his daughter's appearance and gritted his teeth, "Yanzi is obedient." ”

Swallow's eyes were full of grievances, "Okay, okay!" ”

"I'll pull out the needle!" Tang Yi reached out and grabbed Yanzi's hand, and looked at the few obvious needles on the back of his thin hand, and he felt a heartache.

Long-term malnutrition, coupled with the cause of the disease, the swallow's blood vessels are very thin, hidden under the skin, and it is difficult to see without careful identification.

When the indwelling needle was pulled out, Yan Lao handed the crutches in his hand to the assistant, "Yanzi, you are so brave, come, stretch out your hand and let grandpa give you a pulse first!" ”

After taking the pulse, Yan Lao asked Yan Zi and Yang Lei a few more questions, and his eyes finally fell on Tang Yi, "Have you done it before?" Tell me, what did you diagnose? And how to use medicine? ”

"The situation of the swallow is a typical liver and kidney yin deficiency, kidney yin deficiency, yin deficiency and internal heat, red tongue and little moss, and thin pulse are signs of yin deficiency and fire. What about medication? Tang Yi dragged his chin and hesitated, "Zhimu, cork, rehman, dogwood, yam, fresh dendrobium, smallpox pollen, northern sand ginseng, soil poria." ”

Yan Nanbei looked playful, "That's all?" ”

Tang Yi frowned and thought for a long time, "That's all." ”

Yan Nanbei shook his head and sighed, "The addition and subtraction of medicine based on Zhibodihuang Pill is indeed very good for the child's symptoms, but these medicines alone are not enough, and aconite is also needed to achieve the ideal treatment effect." ”

"Isn't aconite a fire and yang, dissipating cold and relieving pain? Contrary to the disease of yin deficiency. Tang Yi asked puzzled.

Yan Nanbei said, "To treat diseases and save people, it is not just about reading basic medical books, but also about reality." After modern research, aconite has the effect of anti-tumor and improving immunity in addition to it. Because of long-term chemotherapy and old diseases, the child's body is deficient and yang energy is insufficient, and aconite has the effect of raising yang and helping fire. ”

Tang Yi suddenly realized, a little ashamed, "It's me who is too rigid." ”

Listening to the conversation between the two, the rest of the people in the ward were confused.

Seeing that neither of them spoke, Yang Lei hesitated for a while before saying, "Sorry to interrupt, Xiao Tang, is it that Yanzi can't have surgery?" ”

Tang Yi sighed and said truthfully, "Yanzi's situation is special, and the existing anesthesia has different degrees of allergies, and it is impossible to perform the operation normally, so I can only choose traditional Chinese medicine treatment." ”

Even if he was mentally prepared, Yang Lei was still as if he had been struck by lightning, his brain was blank, and he didn't turn his head until a while, his face full of pleading, "Yan, Yan Lao, please, please save my daughter, I kowtow to you." ”

Yan Lao grabbed Yang Lei's hand, "What are you kowtowing, you are really, didn't I come here today to treat Yanzi's child?" You've got your heart in your stomach. ”