Chapter 274 The Two Chief Physicians Failed to Clear Up, Godlike(2/2)
Seeing that the child's physical signs were getting worse and worse, many physical signs such as blood pressure, respiration, and heart rate sounded alarms.
This also means that the God of Death is coming and will soon take away this child's life.
"A large amount of sticky purulent secretions are especially attached to the glottis, bronchial walls, etc., and there are stubborn scabs that are wedged tightly on them like nails and cannot be sucked. This is really fatal!"
Director Zhang Bihua began to become more and more anxious.
The formation of scabs is actually due to the failure of purulent secretions to be drained out in time, which slowly dries up and forms scabs.
This phenomenon rarely occurs in adults, because when adults feel uncomfortable in the throat, they will cough hard or use other methods to spit out the purulent secretions in the bronchus.
Young children who do not know how to master these self-clearing respiratory tract skills are most likely to form scabs.
This can also further block the airway.
The doctors at Xinxiang Women's and Children's Hospital were even more anxious. This child could not die.
Once a death occurs, it will be worse for Xinxiang Maternity and Children's Hospital.
Many ignorant patients think that fish bone stuck in the throat, diphtheria, or acute bronchial inflammation can save their lives by simply cutting the trachea. This is too naive.
From the larynx to the trachea, there is an elastic tube. It is very tough and has the same elasticity as a rubber tube. It cannot be blocked by ordinary pressure or minor problems.
This can also ensure that patients will not easily die from airway suffocation.
But when the trachea, which is not easily deformed or blocked, becomes diseased, it becomes extremely difficult to clear it and is full of uncertainties.
Also, the structure of the bronchi is actually tree-shaped.
The main air inlet duct is thick, and when it leads to the lungs, it first splits into two, leading to the left lung and the right lung.
After being divided into two, it will spread out like branches after entering the lungs, forming many thin bronchial branches of different sizes. Then it will become thinner layer by layer and spread wider until it spreads throughout the lungs.
Let’s talk about the breathing principle of the lungs.
It consists of countless alveoli, like balloons, that expand when you inhale and shrink when you exhale, thereby completing the exchange of gases.
During gas exchange, the only passage to the outside world is the bronchi.
It's like a highway system.
Countless rural roads connect to county roads, and then the county roads converge to provincial highways, and finally the provincial roads converge to national highways, forming a highway transportation system that can lead to the whole country.
Problems with the main bronchial route, or problems with the secondary 'provincial routes', can lead to serious damage to the patient's lung function, or even stop breathing.
At this moment, the main bronchial tract and secondary main tracts of the sick child were severely blocked, causing breathing to be almost completely suspended.
The body cannot exchange oxygen, fresh oxygen cannot enter the body, and waste gas cannot be discharged from the body, and the patient's major organs will shut down quickly. The first to be affected, and the symptoms are extremely obvious, are the heart and brain.
If the airway cannot be cleared quickly and the sick child can resume breathing, in just a few minutes, the heart will stop beating due to hypoxia, myocardial necrosis, brain necrosis, and the entire body will stop functioning due to lack of oxygen, leading to rapid death.
Precisely because they knew the danger involved, Director Zhang Bihua and the doctors at Xinxiang Women's and Children's Hospital were as anxious as ants on a hot pot.
At this time, Dean Tian also rushed to the operating room after hearing the news.
Looking at the sick child whose life was hanging by a thread, Dean Tian almost collapsed.
We used all available human resources, spent huge amounts of money and energy, and finally invited the experts from Tuya Hospital.
I thought I could use the fame and superb medical skills of these experts to revive the reputation of Xinxiang Women's and Children's Hospital.
I never imagined that something like this would happen to the experts on the first day of their consultation.
Dean Tian simply cannot imagine the consequences of the sick child's death.
In short, she will become the eternal sinner of Xinxiang Maternity and Children's Hospital. During the time she was in charge of the hospital, she destroyed this unique hospital with a history of seventy years.
"Director Zhang, this child cannot die! Hundreds of employees of our Xinxiang Women's and Children's Hospital, as well as generations of efforts and efforts, are all tied to this child. Once he dies, this hospital will completely collapse and it will be difficult to stand any longer.
Get up. Please give us a chance to breathe."
Dean Tian was almost begging.
Although she also saw the situation in front of her, she was afraid that it would be difficult to save the sick child.
"I will try my best!"
Director Zhang Bihua could only reply like this. Everyone could tell that her tone was full of unconfidence and uncertainty.
Just when everyone thought that the worst result was about to come, Zhou Can, who had been watching for a long time, stood up.
"Director Zhang, Dean Tian, can you let me try? I have just seen the condition of the sick child from the side. If you want to remove the scab in the trachea in the shortest time, clamping is the best way."
Zhou Can's grasping skills are currently level 4, and the attending physician is at an average level.
It is quite a challenge to remove scabs from the airways of young children.
The main reason is that time is urgent, and it only takes one or two minutes at most to successfully remove it. Otherwise, the child will die directly.
"Give you twenty seconds to try. If you can successfully pinch out a scab, you will be responsible for the rescue work."
Zhang Bihua appeared very decisive at this critical moment.
She brought Zhou Can here because she knew that he was very good at surgery. Many chief doctors had told her that Zhou Can was not only good at traditional surgeries, but also had outstanding endoscopic surgery skills.
Before coming to participate in the rescue of the sick child, she had considered that Zhou Can might be able to help if endoscopic surgery was needed.
That's why Zhou Can was seconded here specially.
Since she had never seen Zhou Can's specific surgical ability, and the patient's tracheal scab removal was extremely difficult and risky, the technical requirements for the operator were very high. She did not take the initiative to find him.
Zhou Can lends a hand.
Now that Zhou Can took the initiative to ask for help, his demeanor and tone were full of strong confidence, and she couldn't help but look forward to Zhou Can.
"Is this... going to be a bit risky?"
Dean Tian was worried that he would seek medical treatment in a hurry and cause even greater trouble.
Now even if the sick child cannot be rescued, the hospital will not be involved in a lawsuit because everything is strictly operated in accordance with the rules and regulations. The hospital and the doctors are not at fault. At most, they just treated people to death and have a bad reputation.
If this shamelessly young doctor were to take over the operation, if the patient's trachea was punctured and the patient died, and the family asked the higher authorities to intervene in the investigation, it would be a big trouble.
When yellow mud falls into your crotch, it turns into shit.
Even if Dean Tian has eight mouths, he still can't explain it clearly.
"Don't worry, Director Tian, Dr. Zhou Can is the youngest and most promising resident in our Tuya Hospital."
Zhang Bihua's comforting words not only failed to reassure Dean Tian, but almost scared him to death.
"What...he, he is just a live-in escort, how can you let him operate?"
If Dean Tian hadn't seen Zhang Bihua's noble status, she would have wanted to curse him.
This Director Zhang is too ridiculous. The sick child is already on the verge of death and is in a critical condition. In this case, even an ordinary chief physician would have to consider the operation, but she actually asked a resident Pearson to operate the core rescue projects.
So irresponsible.
Zhou Can ignored Dean Tian's doubts and saved people like putting out fires. After receiving Director Zhang Bihua's approval, he had already received the special long-arm forceps, carefully inserted into the sick child's airway, and aimed at the largest scab.
Firmly clamp one of its stress-bearing points, and after a lot of effort, peel it off the trachea, and finally clamp it out.
The surface of this scab is filled with extremely sticky, thick purulent secretions.
Wherever it touches, it will stick.
This is not the most difficult thing.
It is not a hard scab as imagined, but like rice paste.
If you clamp it a little harder, it will break into two pieces. If you clamp it lightly, it will also break.
The grasping technique must be extremely good to be able to peel it off the airway.
In addition to the above difficulties, it is also necessary to ensure that the forceps cannot damage the airway in the curved and narrow airway, and at the same time, it is also necessary to ensure that the scab does not adhere to or touch the inner wall of the airway.
All the difficulties added up are definitely hellish.
"Director Zhang, a scab has been pinched out."
Zhou Can's total operation time was eleven seconds, which was a full nine seconds shorter than the twenty seconds given by Director Zhang. Moreover, the largest scab was removed.
"Ah... so fast!"
Director Zhang Bihua had been talking to Dean Tian just now. Unexpectedly, in just one sentence, Zhou Can had successfully picked out a scab.
When she looked closely at the scab that Zhou Can pinched out, she suddenly became a little uneasy.
He was stunned and said, "This, this...which scab is it? Why is it so big?"
"The child's breathing seems to have recovered a little, and the blood oxygen index is also rising."
Director Dai shouted in great surprise.
As the chief physician of pediatrics, she had witnessed with her own eyes what a god-like operation was today.
In almost the time it took to take a breath, Zhou Can had already completed the operation that neither she nor Director Zhang Bihua had succeeded in. He had pinched out a very large scab from the sick child's airway.
The patient's airway, which had been almost completely blocked, had such a dramatic improvement after it could be unblocked.
"Oh my God, it only took you more than ten seconds to pinch out the largest scab blocking the bronchus. How did you do it?" Director Zhang Bihua, who is usually as steady as a rock, was startled at this moment.
Make an exclamation.
Chapter completed!