Doctor Peerless

Chapter 46 Precise Cutting
can not do this?
Why can't it be done?

It wasn't just Zhou Sheng who was puzzled. Hearing his son's "tracheotomy" for the first time, Zhou Congshu was also excited and saw the hope of life, but Zhou Shouming's cold water poured from head to toe without any shame.

The old man will not target indiscriminately, let alone ignore death.

Where is the problem?
Before Zhou Congshu could inquire, Zhou Shouming didn't give a damn about the urgency of the situation: "Little tiger is too fat, the amount of fat in the neck is too high, and the airway of children is relatively narrow. Adding the two together, it is difficult to find the trachea."

"I have never used a scalpel in my life, your father, I am worried."

The old man has practiced Chinese medicine all his life, and his understanding of surgery is very one-sided. He may understand the relevant principles, but it is difficult to put it into action.In such a situation, what should the elderly do?Do?Who can do it?Can't do it at all!
As for Zhou Yisheng, grandpa didn't mention it at all. What can an intern who has not graduated from the school expect?
I don't know if Lao Zheng and his wife heard what Grandpa said, and the crying was even more heartbreaking——

"My grandson, you can't die, you can't die!"

"How can we explain to his parents..."

"If the little tiger dies, the old woman will die!"

Zhou Yi was at a loss, recalled the relevant courses, and naturally understood his grandfather's concerns. Although tracheotomy is the basic operation of ear, nose and throat, incision of the skin also requires peeling off layers of tissue. The biggest problem is to find the trachea.

Obese patients naturally increase the difficulty of surgery due to the fat content.

The teacher once said a joke. When I went abroad to study, in fact, the operation steps of the "tracheotomy" are the same for everyone. The main reason is that the patients are different.

Western countries have a large number of obese people due to dietary reasons. When domestic veterans come to the United States, they are immediately dumbfounded. Each patient has a Michelin tire hanging around their neck. We have never done this kind of patient. What comes out is all fat, where to start?
"I can't delay, Dad, let me go!" Zhou Congshu stood up, "If you don't do it, Xiaohu will definitely be gone. If you do it, you can still gamble. It's not a loss in any way!"

With a sudden word, even Sister Liu looked at him with admiration.

Sister Liu was out of breath and exhausted, but she didn't dare to stop, and she cast her eyes on the old man instantly: "You speak, I will help, maybe there is a chance if you buy time."

Dad is mud that can't support the wall?

Maybe you are usually lazy, but when you encounter a big event, you can still stand still.

The principle of tracheotomy is not difficult. It has been described in many survival books. In an emergency, survivors can even perform incision and intubation on themselves. However, this description also has a premise that there is no assistance. Use it only when you have to.

As for the effect after use, it all depends on luck, anyway, you are going to die, let's give it a go.

"Xiao Liu, prepare the equipment." Grandpa finally spoke.

Do!
Even if you can't do it, you have to do it!
Zhou Sheng immediately picked up Xiaohu, and continued to practice the Heimlich first aid without stopping.

"Do you want to ask for their consent?" The old man glanced at Lao Zheng and his wife. In fact, he was also guilty. If he stabbed him, he would either die or live.

"Wait for them, he's already dead!" Zhou Shouming looked at him coldly, without any hope for his family members.

Even looking at Xiaohu, Zhou Shouming was very angry.

Who is to blame for Xiaohu being so fat?

It's not to blame the grandparents!

Love also has weight. You have to see if the child can bear it. Is it okay to raise it white and fat?White fat also has a measure, if it exceeds the normal value, it will cause disease.

Zhou Shouming, Zhou Congshu, and Sister Liu all rushed into the infusion room that had just been cleaned, rummaging through boxes and cabinets, making a mess, and it was a mess in an instant. The surgical instruments were definitely not complete in the clinic, but the basic scalpels and retractors were all available. Yes, occasionally the clinic will encounter more serious trauma patients for consultation. During debridement, it is necessary to remove the rotten flesh. As for the ultrasound and electric knife in the hospital, don’t even think about it, this is just a clinic.

Zhou Sheng was flustered, after all, he was just a medical monk who had not yet graduated.

Even after so many days in the emergency department, he couldn't intervene in emergencies before he could think of tracheotomy.

Soon, Sister Liu arrived with the equipment.

Zhou Congshu rolled up his sleeves and put on rubber gloves.

At this time, how can we care about the open environment, where life is hanging by a thread, and the disinfection procedure is simple and simple. As long as the person can be rescued, there is still a way to deal with postoperative infection.

Sister Liu was very skilled in disinfecting the incision.

Dad took a deep breath, looked at the father beside him: "Dad, then I cut it?"

Zhou Shouming glanced at the old Zheng and his wife again, crying and yelling, how can they be human?

If something happened without the consent of the family members, Zhou's clinic was all responsible, so why not save him?He can't do it, 1 people can't do it!

"cut!"

"If something goes wrong, I'll bring you food."

Grandpa's words are tragic, but the truth is so.

Although Lao Zheng and his wife are acquaintances, they have never had a close relationship except for their usual doctor visits. As the child's life is involved, no one knows what their attitude will be afterwards.

Even if there is trouble, grandpa will admit it.

And Sister Liu also said: "I will also deliver food to you, don't worry!"

Zhou Congshu's mouth twitched, amused: "The prison is in charge of food, what are you giving?"

With a chuckle, the pressure was much less, and the old man looked upright, and finally he was about to make a move.

The Adam's apple is not obvious in children, but it can be found by groping. There is a slight protrusion under the Adam's apple, which is the thyroid cartilage. It is from the lower part of the thyroid cartilage to the opening of the suprasternal fossa. The basic position will not go wrong.

The sharp scalpel cut through the skin, and a thin line of wounds appeared instantly, and blood seeped out instantly.

Sister Liu cooperated very well and immediately wiped away the blood.

Continue to dig deeper...

"lifetime!"

Zhou Sheng had already made preparations, and the two retractors stretched the skin on both sides, exposing the wound.

But at this moment, as Grandpa said, the thick fat layer was pulled out as the skin stretched, and the white and yellow fat was like cotton candy in a semi-melted state, rolling flocculent tissue , It makes people feel dark and cool, but also disgusting.

Zhou Congshu hadn't seen this kind of battle in more than ten years, and frowning, he froze for a moment.

Sister Liu didn't look too good, but it was Grandpa who said, "Hurry up."

The excess fat around the incision must be removed to avoid affecting the vision during the operation. My father understood this truth and started to move immediately, but the speed could not be increased...

Too fat is one reason, the child is still young, the neck is so big, there is so much fat gushing out, it is really a delicate job to move the knife in the narrow incision, and a little carelessness will cause big troubles.

In the final analysis, Dad is two knives.

As the layers of fat were peeled off, the old man was dripping with sweat, and the grandfather kept wiping his cold sweat away, his complexion became more and more gloomy...

Too slow, if it slows down, the child will really be gone.

Zhou Sheng was also anxious, but he didn't think he could do better than his father.

Residents in the Department of Otorhinolaryngology have very little exposure to this type of surgery. When they are in the hospital, they will always have a chance to get started. Only [-] or [-] sets can be called proficiency.

How to do?
Now how to do?
Watching the time go by, a child's life is declining, Zhou Sheng is really in a hurry.

"Cut, cut quickly!"

"Just cut it open, and the child will live!!"

Zhou Sheng was roaring in his heart, he didn't dare to speak out, for fear of affecting his father's state.

But at this moment, he was taken aback for a moment, and the hands accompanying the hook also paused.

The old man glared: "What are you doing? Don't move!"

Zhou Sheng didn't say a word, but his heart was full of turmoil: "cut, cut precisely..."

"System, system!!"

"Do precise incisions help with tracheostomy?"

System: "Auxiliary precise incision, effectively improving the completion of incision during operation!"

The answer has not changed, but Zhou Sheng wants to take a gamble.

5 medical achievement points only.

You can give it a try!
(End of this chapter)