Elder Gushan hesitantly touched his neck. When he tried to touch the old hunchback's neck, he was stopped by Gretel:
"Stop touching it. It's stuck here on the chest. It's about level with the second rib. It's very deep and you can't touch it. Use [Detection Magic] to take a look."
He knelt on one knee and pointed out the position to Elder Gushan. At the same time, he frowned and thought hard:
How to check?
How to ensure the safety of surgery?
It is not difficult to remove esophageal foreign bodies, especially those stuck in the chest. Even if Grete is not an otolaryngologist, he has a general idea of the operation:
If there is no perforation, it can be properly removed with an esophagoscope:
Even if a foreign body in the esophagus pokes a hole in the esophagus, a hole can be made in the chest for thoracoscopic surgery, and a gastroscope can be used to remove the thing;
What? The foreign body poked a hole in the aorta? The upper aortic stent graft, oh, the alien vine version, the aortic treatment! Or let the thoracoscope wait nearby, and once the esophageal foreign body is taken out, the treatment will be done here
?
It’s not impossible. However, all of these have a premise:
diagnosis.
Esophageal foreign bodies, if they are simple in shape and regular in appearance, such as coins, can be diagnosed with plain X-rays. However, as for esophageal foreign bodies with complex, irregular, and sharp shapes, especially those with the possibility of perforation, it is well known that
, the most reliable diagnostic method is:
CT.
Only CT can clearly show the size, shape, and location of the foreign body in the esophagus, and whether it has penetrated into the surrounding tissues, such as the trachea, aorta, etc., as well as whether there are any complications, where the perforation is, where there is inflammation, and where there is suppuration.
In this regard, X-rays can only see flat surfaces, barium cotton can easily hang on foreign objects and aggravate damage (by the way, Grete does not have barium cotton yet), and B-ultrasound is not suitable for the disease at all. Other examination methods, bundled together, are not as good as it can
beat.
But, where can he find a CT machine?!
Gretel was thinking hard. When he glanced sideways, he saw that Elder Gushan had stood up, his face turned pale:
"Why is it stuck here? Can you take it out? Or...let him swallow it?"
"Can't swallow!" Grete was startled. Don't give a rice ball or anything else. Let the patient chew it and try to swallow the foreign object together!
"He is stuck in a very dangerous position! Next to it is the largest blood vessel in the human body, which leads directly to the heart! If he moves even a little, the handle of the spoon will pierce the esophagus and penetrate the blood vessel, and the whole person will be dead!"
"What should we do?" Elder Gushan's forehead was dripping with cold sweat. If he encountered this situation alone, he would have to resign himself to fate. Fortunately, Grete is here now.
"Your Excellency, you must save him! There is only one healer in Hongshi Village, Old Hunchback. If he dies and his apprentice is still young, the village will be in trouble! We live in the wilderness, and without a healer, there will be casualties.
How else are you going to live?”
"Okay, okay, don't worry, I will do my best." Grete supported him and comforted him repeatedly. Then he turned his head:
"Cerella!"
"Hey! What?"
"You can help me keep an eye on the patient. If the condition suddenly worsens, I'll throw out the treatment." He pointed to the center of the old hunchback's sternum, which is at the same height as the second rib:
"Don't be stingy, lose the big one. I have something to think about."
"Okay!" The silver dragon girl responded. She wanted to squat down, then raised her head and glared at the white wolf opposite:
Don't come over!
[White Wolf] Wolfgen snorted coldly. He wanted to raise his fist to demonstrate, but when he moved his arm, he hesitated:
The person opposite is also an elf girl. Even if she has strange strength and can easily throw him away, she is still a petite and slender elf girl. She directly shows off her strength and looks like she is bullying someone...
As soon as he hesitated, a person came running towards him with a loud noise and the earth was shaking. Bernard arranged the carriage and ran over to stand next to Gretel, taking the place of the silver dragon girl. He looked at the opposite side and stood up with all his strength.
chest:
The boss said to clear the place, then no one can disturb his treatment!
In the tense silence, Grete thought quickly. He couldn't do a CT scan of the entire chest. The amount of calculations was too large and beyond his capabilities; but what about doing only one layer?
The principle of CT is just to divide a flat layer into 64 grids or more grids. Then, according to the ability of different parts of the body to absorb X-rays, they are marked into high absorption areas, medium absorption areas and low absorption areas.
.
Then, use the radioactive source to circle around the patient. Combine the received information and superimpose all points into a plane map...
I don’t need a lot of images, I only need two, three, or at most four images, no more than 10×10m. So, for the sake of the patient’s life, can I manually record, manually calculate, and try it once?
Walk the path traveled by our predecessors... After all, the earliest CT images were nothing more than this...
He gritted his teeth and made up his mind. The situation was not serious, so he might as well give it a try. Even if the diagnosis was wrong, he was confident that he would be able to save him. Even if he missed, there would be someone with Cerela by his side.
Powerful healing...
"Serila, keep an eye on him." Grete whispered, rustling, and began to take out a pen and notebook:
"I want to try a new diagnostic method. If successful, it should be able to save many more people."
Is there a new diagnostic method?
The silver dragon girl's eyes were bright. She nodded vigorously, squatted on the spot, and stared at the hunchbacked barbarian without blinking. Not long after, [Hunchback] Whitefen moved and let out a painful groan:
"Well……"
"Don't move! Don't move!" Grete immediately jumped down nervously. The foreign body in the esophagus is close to the aortic arch. Clinically, this situation requires lying absolutely flat to prevent the foreign body from directly piercing the aorta with a little more force.
.But now, I have no choice but to make some changes:
"Bernard! Bring me a chair! One with a backrest!"
"Come on, come on!" Before Bernard could search all over the place, Elder Gushan gave the order. A young man had already carried a wooden stool over and tied the wooden planks to the legs of the stool. He also carefully adjusted the wooden planks according to Gretel's requirements.
The height does not hinder the swelling on the old man’s back:
"Pick him up! Try to be as gentle as possible, don't let him exert any force, not even a little bit! Put him on the chair and let him sit upright! Sit firmly, back straight, good! Cerela, confinement technique
!”
Although spiral CT scans were performed while lying down, Grete thought to himself that since the [Endless Ink Pen] could rotate around the old man, he couldn't lie down and spin facing the old man. As for lying under the old man and using magic power
Control the patient to lie down and turn...
Just think about it, I really don’t care about the beauty of the painting. Forget it, let’s just follow the method of the first generation CT experiment and just let the patient sit down!
****
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