The tip of the gun must be taken out as soon as possible, and the foreign body must not fall into the trachea! Director Qian hurriedly stuffed the laryngoscope into the patient's mouth and looked for the tip of the gun.

It may be due to bad luck or the patient's strong desire to die, and the tip of the gun is not in the mouth......

The moment this was confirmed, Director Qian's hands and feet were cold.

The patient ran out of oil and died of natural causes, and he was worried about medical disputes. But as long as the medical records are well written, the attitude is good, and the grandson is pretended, it is estimated that the matter will not be very big, but it will be a headache for a few days.

However, once the medical error causes serious complications and death......

Director Qian didn't dare to continue thinking about this kind of consequence at all.

It was the head of the gun that the patient bit off by himself, and he swallowed it, and it had nothing to do with him! Director Qian shouted in his heart.

But the shout is the shout, and the work that should be done still has to be done. Fortunately, after the use of anesthetic drugs, the patient was not so uncomfortable, and the endotracheal intubation went smoothly.

When the oxygen saturation rises, the patient's agitation is reduced, and he falls into a deep sleep.

The patient was quiet, but Director Qian couldn't. Where did the metal gun head go?

There are only two paths, the esophagus and the airway.

If the esophagus is okay, it will soon fall into the stomach and then move along the intestines to the anus and be excreted from the body.

But if it's an airway......

When Director Qian thought of this possibility, his scalp was numb, and he felt that his heart began to feel uncomfortable.

The patient's son was lying at the door of the ICU, and he didn't need to think about the state of the rolling. Medical Commission...... Punishment...... Money...... Even revocation of physician qualifications......

It has nothing to do with himself, Director Qian thought distressedly.

Life is not only poetry and distance, but also life is far away for you.

"Director, the patient's blood oxygen has gone up, it's okay. The hospitalized general comforted.

Director Qian glared at her, knowing what was going on in the hospital's heart. But that won't work at all, and if something goes wrong, the sin will be added to the third degree.

"Bedside chest x-ray. Director Qian said in a deep voice.

The hospitalist was stunned for a moment, and went to push the machine in frustration, instead of continuing to persuade Director Qian.

According to Murphy's Law, things will only get worse, and definitely not for the better. A bedside chest X-ray was taken on the patient, and when he looked at the film, the ironclad facts confirmed the accuracy of Murphy's Law.

The metal gun head landed steadily in the left main bronchus, and the image looked like Director Qian had a sense of despair.

Director Qian still had illusions, and he was not afraid of trouble and pushed the patient to do a lung CT. The results confirmed that the metal tip had fallen into the trachea and was accurate.

No way, take it.

Fortunately, the ICU of the First Hospital of the Medical University is well-equipped, and Director Qian's level is also high, so he can be regarded as an old intensive care doctor. What fiber brondroscope is used perfectly, not to say that it is better than respiratory and otolaryngologists, but it is not worse than their director.

Prepare the fiberscope, start the inspection, and try to remove the metal tip.

The fiber-supported mirror entered, and soon saw the "hateful" metal spear head. In the lower lobe of the left lung, he lay honestly and quietly.

Director Qian looked at it carefully for 3 minutes, but was helpless.

In the tip design, the tip is rounded, similar to a bullet. In this way, it enters the patient's mouth to avoid the patient's agitation or manipulation, and the occurrence of secondary injuries.

According to Director Qian's understanding, the head of the bullet is smooth, and even if it falls, it should go down.

But Murphy's Law once suggests that things are only going to get worse.

The smooth head of the bullet turned outward, like a demon's eye, looking at the fiberglass.

What the hell can I do?

Director Qian was numb.

The head is smooth, and when you clamp the pliers yourself, there is no force point at all, and you will only push the gun head inside.

If the force is too strong and causes the bronchial tube to rupture, it will not take long for the patient to choke directly from the bleeding.

Director Qian looked at the two films in distress and watched them for a full hour, but he still couldn't come up with a solution until the end.

He picked up the phone and called Zhang Zimo, director of the ICU of the Second Hospital of the Medical University.

"Director Zhang, come and do me a favor. Director Qian is also not polite, the two are classmates, they usually get together, and they often do things like communicating with each other if they don't understand illness.

Now that he encounters a problem, it is natural to open the mode of three stinkers to top Zhuge Liang.

The situation was not clear in a few words, and Zhang Zimo said that he would come over immediately after dealing with the matter at hand.

After an hour and a half, the numb-pawed man went from one to two.

Director Qian and Director Zhang were in a daze at the film, and no one knew what to do.

It is precisely because of the high level of theory and rich experience that the two dare not do it. The bullet is sleek, not focused at all, how to take it out?

This is not an easy task, but an impossible one.

But you can't just look at each other, you have to do something. What if? What if?

The two of them humbled a few times, but in fact, no one wanted to do it, and in the end, Director Qian had no choice but to try it head-on.

As expected, the pliers couldn't hold the bullet at all, and after two attempts, the bullet was pushed farther and farther away as expected.

Helpless, Director Qian had no choice but to take out the fiber support mirror.

"Director Zhang, do you have any good ideas?" Director Qian is really out of options.

"Nope. Director Qian sighed, thought about it and said, "The fiber mirror is a little soft, or try the hard mirror?"

The full name of rigid bronchoscope is rigid bronchoscope, which is a type of modern medical equipment. With the development of medicine, rigid endoscopes are also constantly developing and improving.

However, with the promotion of flexible fiber optical bronchoscopy (fiberoptic bronchoscope) in clinical practice, the application of rigid endoscope has been significantly reduced. Compared with rigid scopes, fiberoptic scopes need to occupy a certain amount of airway space during operation, which generally does not cause ventilatory dysfunction for healthy adults, and has more benefits, and rarely causes complications of airway rupture due to violent operation.

Therefore, in recent years, the fiberoptic scope has replaced the rigid lens as the clinical mainstream.

The hard mirror that can't be used at all, whether it is the first or second year of medical college, is not prepared, with 99A, who still uses 59? Even if it is changed 10,000 times, it is not as easy to use as 99A.

Unless there is a special situation, such as now.

The two looked at each other, their eyes full of helplessness.

"Children's Hospital?" the two said in unison.

In children or patients with narrow airways, the fiberoptic scope may affect their ventilation function and even threaten their lives. The rigid scope has the benefit of keeping the airway open and having side holes at the operating end to connect to the ventilator.

In children's hospitals, rigid endoscopes are occasionally used because of the narrowing of the child's airway.

I asked. Director Qian took out his mobile phone in frustration.

"Wait a minute. Zhang Zimo said suddenly.

"Huh?"

"Teacher Wu is in Bajingzi, ask Mr. Wu, there may be a hard mirror in Bajingzi. Zhang Zimo said.