It was blurred, so she had to ask someone to send it again. As a result, there was no time for her to have lunch, so she hurried into the operating room to study. Thinking of this, Cao Yong glanced at the person not far away.
Others seemed to be able to sense the way he was looking at someone.
Xie Wanying's eyes were following the surgeon's movements.
What Teacher Zhang touched should be the thyroid cartilage and the suprasternal notch, which are the conventional locations for tracheotomy.
The thyroid cartilage is the most prominent part of the midline of the neck exposed when the head is extended. Several tracheal rings can be felt along the underside of the thyroid cartilage. The child is not fat and can be easily felt by the doctor.
While observing, Xie Wanying adjusted the parameters in her brain based on her previous experience of groping the patient's trachea with forceps to see if there was any final change. She also needed to judge whether she was right or wrong.
"Do you have any ideas?" Zhang Huayao asked her, thinking that she seemed to have some ideas as she was focusing on this.
Clinical teachers like to have academic ideological collisions with talented students, whether they are big bosses or not.
"If we cut it from here, the blockage will be in the right bronchus, about parallel to the fifth and sixth thoracic vertebrae. There is a certain distance. You may need to make a homemade tool to clamp it." Xie Wanying expressed her thoughts, "The biggest fear now is probably not that it cannot be clamped.
Come out, but——"
"Once the clamp is removed, there will be heavy bleeding. When the time comes, the place where we perform the surgery will not be at the bleeding location, so it will be difficult to stop the bleeding." Zhang Huayao didn't need her to say a word, because this issue was also a concern for teachers like them.
The reason why massive bleeding in the trachea causes suffocation is because the human body has a blood coagulation mechanism. Bleeding, and then coagulation into blood clots, directly suffocates and blocks the trachea again.
Fu Xinheng held a suction device in his hand as a first aid.
Liu Yuhe, the anesthesiologist, sighed inwardly. This is the operating room of the Department of Stomatology. No cardiothoracic surgeries have been performed, and there are no corresponding professional equipment for support. The entire operation is actually a bit risky.
The instrument nurse first reported to the bosses: "We don't have a cardiothoracic surgery kit here."
The bosses are well aware of the risks. If you don't do it, the patient will die. If you don't do it, it will be a big risk for the doctor and he will bear unlimited liability. The family members waiting outside are a group of people who are hard to talk to and will not understand the doctor. If it weren't for this.
This is an innocent and young life, and the doctor who has nothing to do with it can just clap his hands and leave.
"Start." Zhang Huayao stretched out his hand to the nurse and ordered.
The nurse handed over the scalpel.
The surgical field is in the anterior triangle of the neck, an inverted triangle, with the upper boundary being the mandible, the lower boundary being the sternum, and the sternocleidomastoid muscles on both sides. The incision can be a longitudinal incision or a transverse incision. Consider removing foreign objects.
The surgeon chose a longitudinal incision.
The first cut is from the lower edge of the thyroid cartilage where the doctor just positioned to the suprasternal fossa.
Like other surgical operations, you first incise the skin and then the subcutaneous tissue, layer by layer. There are many tissues in the neck, so you need to be very careful and not too fast. This is also the reason why minor operations take a long time.
Xie Wanying thought of Mr. Nie, a chronic pediatrician.
Treat children slowly and carefully. Performing surgery on a child is equivalent to treating ivory flowers, bugs, and bees. General surgeons are not used to it. Fortunately, the person who performed the surgery today was a cardiothoracic surgeon. Like the National Association of
The cardiothoracic surgeons are not pediatricians, but because the pediatric surgery in domestic tertiary general hospitals is general pediatric surgery, they do not have the funds to subdivide into cardiothoracic pediatric surgery and other pediatric surgery specialties like specialized pediatric hospitals, so they have performed many operations on children.
As for Zhang Huayao, the boss among the bosses, he has definitely done enough pediatric surgeries.
