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Chapter 59 Pre-match training

The disposal room configuration of the endoscopic room is still very high. Although it is not comparable to the operating room, it is enough to perform a pneumatic cutting.

Wang Chen began to explain and arranged the next job and things to Zhao Lei. Everything was tense and orderly.

Wang Chen's mature performance made Zhao Jingrun have to be curious. This doctor is so young, but how this style and atmosphere are the same as those big directors.

This young man is really unusual.

In fact, there are often many critical situations in endoscopy rooms, such as bleeding, perforation, etc. After these situations, they will find emergency department to help handle.

However, Zhao Jingrun felt like he had never seen this young man who came to help.

Is it new?

Everything explained clearly, Wang Chen asked Zhao Lei: "Do you understand?"

"Understood."

Wang Chen nodded and said, "Start!"

Then, he said to Zhao Jingrun: "Director Zhao, you help me to correct the child's head."

Zhao Jingrun nodded in response. He understood that Wang Chen's meaning was to let the air pipe stand in the middle.

Wang Chen began conventional disinfection towels.

"Lidcarin and adrenaline!"

Nursing nodded, these have been prepared in advance.

At this time, the anesthesia used was local influencing anesthesia. Wang Chen slowly under the cartilage to the upper nest of the sternum start to get slowly.

If this child is sober, then this kind of territorial hemp can not be used, and varicose anesthesia is needed, but now the child is close to a coma, so the tutor is okay, the child will not move.

Wang Chen took the surgical knife and started operation!

(The following paragraphs are popular science content. If you do n’t like it, you can skip it. The above of the trachea and esophagus are connected to the cartilage of the pharynx. When breathing, the cartilage will open the airway upwards.

Occupible suction.

Therefore, when we clinically do nasal feeding gastric tubes or gastroscopy, we often tell patients to cooperate with swallowing to prevent the tube from inserting the tube into the trachea.

When eating in daily life, avoid shouting and laughing.

Also, when doing artificial breathing, you need to lift your lower jaw and raise your neck to open the airway to facilitate the gas that the savior will blow into the patient's lungs.)

Wang Chen started the knife from the bottom of the ring cartilage to the middle of the upper nest in the upper nest of the sternum, cut the undercar tissue, cut the width muscle, and separated the cervical front of the cervical muscle along the incision direction.

Pull the lower pole of the thyroid gorge, expose the 2 to 4 ring of the trachea.

Wang Chen took the pliers and bluntly cut the front of the tracheal fascia to expose the trachea. At this time, Wang Chen gently felt that the obstructive foreign body was located at 2 to 3 rings.

Without hesitation, Wang Chen cut a mouth with a knife on the trachea under the foreign body. At this time, a piece of magazine with blood was successfully taken out.

The next step is to suture.

The suture of the trachea is actually the same as other tissues, and Wang Chen soon sew.

After surgery.

The suffocation of the little boy gradually relieved, and his breathing was smooth.

Seeing the situation, it should not be long before you can wake up.

Zhao Jingrun looked at Wang Chen and couldn't help but thumbs up: "It's good, Doctor Wang! You are really good!"

The operation is not difficult. In Wang Chen's opinion, there is no technical content. Hearing Zhao Jingrun praised himself, he smiled modesty: "Director Zhao has been awarded, the operation itself is not difficult."

Zhao Jingrun smiled, and secretly said: This young man is very good.

"Doctor Wang, let's leave a contact information. In the future, our endoscopic room will definitely bother you the emergency department. With you, I also run less." Zhao Jingrun looked at Wang Chen and said.

Wang Chen nodded, changed the contact information, and pushed the little boy with Zhao Lei to leave the endoscopic room.

After coming out, the child's parents had long been waiting anxious. When they saw the child were pushed out, they quickly ran over.

"Doctor Wang, my son is okay?"

Wang Chen nodded: "It's okay, the surgery is smooth, and you should wake up after a while, but stay in the emergency department for a day, observe and observe the child's situation, so that you can rest assured."

The child's parents nodded again and again that it was the doctor's life to save his son. His words must be right!

After returning to the emergency department, Wang Chen asked his father to settle the costs, and let the nurse count the cost and endoscopic room by the way.

The patient is an emergency. The place where the surgery is performed and the things are used in the endoscopic room, and the surgery people are their emergency department. Therefore, the cost in it is still more troublesome.

However, the nurses have long been used to it. Their emergency department usually deal with various departments. The cost is always "messy".

After about an hour, the child's father hurried to Wang Chen's clinic: "Doctor Wang, my son wakes up!"

Wang Chen smiled, got up and said, "Go, look at the child."

The man smiled and quickly led the way in front. Now he is really grateful to Wang Chen, and he has an endless gratitude.

In the room, the face and lips of the little boy have become rosy, and there is a smile on his face. When he saw Wang Chen coming, he knew that the uncle saved himself. The little boy looked at Tang Mo and wanted to speak: "

Thank you ... Uncle ... Keke ... "

Wang Chen smiled, walked to the bed, and said to the child: "Don't talk these days, be careful of his throat, remember, you can no longer put things into his nose, hear it?"

The little boy just wanted to answer, and suddenly thought of Wang Chen again. He didn't let him talk, so he nodded hard.

Nympho

In the afternoon, Wang Chen came to the hospital's skill training center.

At this time, all the players who participated in the Surgical Young Physician Skills Competition have all been present.

Because it was the first training, the deputy dean Xin Fuze and the director of the Medical Department Sui Zhijie also came to the scene.

There were twelve members of this training member, but in the end, there were only three people on behalf of the hospital to participate in the preliminaries in the province. With the captain of a leader, there were four people.

Xin Fuze means that the three people were selected from the twelve people to participate in the preliminaries from twelve people.

Seeing that the person had arrived, Xin Fuze smiled, and said to everyone: "First of all, welcome everyone to join the preparation of the preliminary selection team of the Surgical Young Doctor's Business Skills Competition. Although a group of people will leave behind, you don't need to question yourself.

Ability. You are an excellent young doctor in the surgical surgery of our Dongchang Hospital, which represents the highest level of the youth team of our hospital. "

"For a long time, the Youth Championship is a glory and a mission. The four -year competition is the stage for you to show your strength and the channel for our Dongchang First Hospital to prove your own. So you have to be in the next training activities.

In the middle, strive to improve the level and strive to stand out in the preliminaries. "

Then, Xin Fuze raised his arm again, pointed at the person next to him, and introduced: "Let me introduce it to you, Zhang Hui, the captain of the Youth Championship, the deputy chief physician of the gastrointestinal surgery, he is the youngest gastrointestinal surgery.

Deputy Chief Physician, Dr. Zhang has rich practical experience and theoretical reserves. "

[Author's Title]: Wang Chen has something to say: Generally speaking, when foreign body stalks block the airway, the most commonly used is Heimlck emergency method.

It is to use the impact of the abdomen and the soft tissue under the diaphragm muscle, which is suddenly impacted to cause upward pressure to compress the lower part of the two lungs, thereby driving the lung residue air to form a airflow, allowing this airflow to launch the foreign body.

However, similarly, Himrich's first aid method is easy to appear complications, and the efficiency is not very high.
Chapter completed!
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