BXBX NOVEL Chapter 1202: 【1202】Multiple attempts
For example, we all know that the cardiothoracic and respiratory patients will be called over with a bronchoscope, so why call a cardiologist over? Brother Jin is a well-known cardiovascular interventional expert. Teacher Nie called Senior Brother Jin, and he must have wanted to use cardiovascular intervention to solve the problem of the sick child.
This is a cold knowledge. In addition to bronchoscopy and cardiothoracic surgery, which are often heard, the interventional method of cardiovascular department should be used to remove bronchial foreign bodies.
As for how to do cardiovascular interventional technology, it can be said that foreign bodies are all taken, and the principles are similar.
Fiberoptic bronchoscope uses a lens body with a micro-instrument to go in to take out foreign bodies, and uses a lamp and a camera to shoot to guide the doctor\'s operation.
Similarly, the catheter used in cardiovascular interventional technology enters the bronchus with a guide wire. It can also be used with micro-instruments such as catcher forceps to grasp foreign bodies. There is no camera, and X-ray guidance can be used.
Since it seems to be similar to bronchoscopy, why should we consider interventional surgery?
The reason is that the bronchial position of some foreign body cards is too deep, but the length of the fiberoptic bronchoscope cannot be used for the inspection and treatment of the third or fourth airway, unlike the interventional guide wire that can be placed longer.
Children\'s fiberoptic bronchoscopes range in diameter from 2.2 to 4.9mm. According to the diameter of the children\'s fiberoptic bronchoscope as a reference, clinicians can easily select the catheter size required for intervention.
Now, from the X-ray film of the affected child, this foreign body is in the left lower lobe of the child, with signs of bronchiectasis and inflammation, and the location of the caton is relatively deep.
According to the routine, let the person in the breath come down to try the bronchoscopy first. If it fails, go to the cardiovascular interventional department. If it fails, let the cardiothoracic surgery to remove the lung lobes. Basically, there is only one possibility for a foreign body that cannot be removed by bronchoscopy or intervention. This thing is afraid that it will stick to the trachea and can only be cut with a scalpel.
Nie Jiamin\'s decision to call the doctors of these several departments together is not wrong. How can we call the doctors from one department to another in the case of a child? Let\'s discuss together and contribute all the technical magic.
Saving children\'s lives is critical.
Doctors from several departments put their heads together and began to analyze specific cases.
"It\'s better to let people outside your heart try fiberoptic bronchoscopy by themselves. They have this feeling. If they go down to test if it is tight, we don\'t need to try it from the interventional department, and they can directly operate." Jin Tianyu looked at the film on the light board , pondered for a long time, and expressed his opinion.
His words are truth-seeking.
Everyone in the hospital knows that doing this operation outside the heart is better than breathing inside the cow. It\'s not clear why Nie Jiamin called Breathe to come over. It may be that Nie Jiamin has just arrived and has insufficient information about the various departments of this hospital. In this case, the people around him should remind him.
Being glanced at by the cardiologist, Luo Jing, who followed Nie Jiamin, was obviously very silent. People guessed right. As people around Nie Jiamin, they would definitely remind the professor of some precautions, but in the end, the only one who made the decision was the professor himself. Therefore, it\'s not that he didn\'t mention to Nie Jiamin that there is no heart and heart in the breath.
(end of this chapter)