BXBX NOVEL Chapter 1349: 【1349】The pressure is coming
Colleagues talked about her so wonderfully, Shao Jialiang frowned.
The family members of the patients at the door did not go far, and the grandmother visited from time to time, holding great hopes. It was a family member who came to ask for the National Association. It is a doctor's duty to respect the reasonable demands of family members.
Shao Jialiang agrees.
The anesthesiologist pushes the prepared anesthetic drug into the patient's vein, the patient falls asleep, and the whole body relaxes. At this time, it is relatively easy to insert a gastroscope in patients without resistance. Like the bronchoscope demonstrated by Mr. Xin before, the difficulty lies in the throat, do not insert it into the wrong lumen. The anatomical location here must be well understood. Fortunately, the entrance to the esophagus is much easier to find than the trachea. Think that nurses can blindly insert gastric tubes.
The operating doctor puts on a surgical gown, gloves and a surgical cap, and prepares for special digestive endoscopy including necessary endoscopic surgery.
Senior brother Yu stood by, Xie Wanying picked up the gastroscope.
I have tried choledochoscopy and bronchoscopy, and the basic structures and operating principles of endoscopes seem to have little difference. The light source (for lighting), the operation hole (for inserting various instruments and putting it on various endoscopes have different names), the rotary button (for adjusting the angle), the specific details will definitely be slightly different, but the feel will be similar , both are flexible tubes, and both are active in the patient's luminal organs. It may be for this reason that Senior Brother Yu, who is an expert in endoscopic technology, dares to let her operate by herself.
it has started.
As I said before, it was very easy for her to find the entrance to her esophagus. However, just after the tube was inserted into the esophagus, a stenosis was seen at a distance of about 35 cm from the incisors. This is the anastomosis, and the nutrition tube can be seen in the field. The anastomotic stoma was too narrow, which was consistent with the situation provided by the attending physician before, and the endoscope could not pass through the anastomotic stoma. Above the anastomosis, I saw the tail of a titanium clip, indicating that the titanium clip was tried and it was estimated that the most important fistula was not clipped, resulting in continued signs of fistula.
To take the remaining titanium clip, first pull out the feeding tube, and then put the guide wire into the anastomotic balloon for dilation. Xie Wanying kept reminiscing about the gastroscope techniques she had seen the teachers do before.
Yu Xuexian knew that there was no problem with her basic operation. I thought that she dared to take Xin Yanjun's puncture that night before neurosurgery. Gastroscopy is much simpler and less risky than neurosurgery. How could she be stumped. What is needed now is to impart some experience to her, saying: "Take the titanium clip and pay attention to it, and the feeding tube needs to be pulled out slowly. Don't think that the patient will not respond if the patient is anesthetized. The placement of the guide wire requires special attention to the position problem. ."
Hu, Xie Wanying adjusted her breathing rate in her heart to adapt to the rapidly increasing pressure. This technical pressure is not given by others, but a new problem that a doctor must face every day.
It can be seen that female teachers and male teachers are different. Male teachers such as Senior Brother Yu are completely different even though they are physicians like Teacher Xin.
Teacher Xin will come step by step and will not rush. The most important thing is that Xin Yanjun advocates that as a teacher, you should take responsibility for difficult things, and will not let students carry the burden of responsibility.
Senior Brother Yu and Senior Brother Tao are more like, let her carry the burden of responsibility, let her do it by herself, and stand by herself and watch the movement first.
Mr. Xin is really gentle at the bottom of his heart. No matter how good Brother Tao is to talk, no matter how good Brother Yu is, he will not be so caring.
(end of this chapter)