BXBX NOVEL Chapter 2564: 【2564】Cannot close
He blushed a little when he asked him. He must have remembered the days when he laughed at Geng Lingfei, saying that it was an idiot to follow Xie, but now he is an idiot.
"I didn't close my chest at the end of the operation." Xie Wanying is a modest person, she will not pretend to be arrogant and ignore her classmates, she will answer within the time limit.
At this moment, Dai Nanhui was suddenly moved.
The two ran to the ward next door.
Xiaohui, lying on the snow-white bed sheet, with a snow-white face, the ventilator connected to the tracheal intubation tube opened in the small throat, and other mechanical pipes connected to other parts of her body, are like a broken doll, only relying on the machine to support life, look. Heartbreaking.
Xie Wanying's hand carefully lifted the child's quilt, revealing the child's chest.
Looking at the transparent dressing on the child's chest, Dai Nanhui finally remembered the relevant knowledge points: "It's because the sternum is not closed."
Delayed chest closure. As Xie said, the surgeon did not close the chest cavity to the patient according to the routine surgical procedures at the end of the operation. The most important step in closing the ribcage is closing the sternum.
Why didn't the doctor close the sternum?
Most of the time the doctor does not close it because it is found that the chest cavity cannot be closed after surgery.
So strange? Can the sternum be pulled up? Can you pull up deadlifts?
To be precise, it is a chest cavity, and the patient's life will be lost, so it cannot be closed. This situation is embodied in the fact that after closing the sternum, it may compress the heart and cause a cardiac crisis. It may be that the bleeding of the large blood vessels in the heart needs to be closed by opening the chest gauze to compress and stop the bleeding. It may be that the pericardial tamponade needs to open the chest to open the drainage.
What are the benefits of opening the sternum without closing the median sternum incision? It can expand the volume of the patient's mediastinum, reduce the compression on the heart, mainly the external pressure on the ventricular wall, and increase the volume at the end of diastole, all of which are conducive to stabilizing the patient's blood circulation and breathing.
Delayed chest closure does not mean that the patient's sternum is not really closed, but only after the patient's critical situation has passed before closing the sternum.
What should I do if I don't close my sternum and open my exposed heart? The doctor may stitch the outer skin up. In view of the critical phenomenon that such patients may need to be rescued at any time, many doctors now choose to only cover the wound with a layer of sterile transparent surgical film protection.
If you look closely, through the transparent film, you can see that the unclosed sternum is being opened by a sternum spreader.
What should we do in this situation? Do chest compressions and defibrillation? Dai Nanhui's mind turned to this, when he suddenly saw Xie Wanying in front of him moving, he became worried and shouted, "What do you want to do?"
Xie Wanying locked her eyes on the ECG data on the ECG monitor screen, then rushed to the rescue car prepared by the nurse in the corner of the ward at the fastest speed, grabbed the sterile gloves on the upper layer, tore the outer packaging, and put on the gloves skillfully. .
"Are you trying to give her chest compressions?" Feeling that she might be doing such an operation with gloves on, Dai Nanhui was frightened and shouted anxiously.
There is no time to answer this time. The things to do may be a bit complicated and difficult to explain in a short time. Xie Wanying didn't speak, and in a blink of an eye, she returned to the bedside with gloves on, and gently lifted the film covering the incision to observe with both eyes.
(end of this chapter)