【1467】if carved ivory
It was a mess, so I had to ask someone to send it again. As a result, before she could have lunch, she hurried into the operation room to study. Cao Yong, who thought of this, looked at the person not far away.
Others seemed to feel the look he looked at.
Xie Wanying's eyes were tracking the operation of the main surgeon.
Teacher Zhang should have touched the thyroid cartilage and suprasterectomy, which are the routine position of the tracheotomy.
Thyroid cartilage is the most prominent part of the midline of the neck exposed after the head is stretched. Several tracheal rings can be felt along the thyroid cartilage. This child is not fat, and it is easy for doctors to touch it.
While observing, Xie Wanying adjusted the parameters in her brain based on the feeling of using forceps to explore the child's trachea to see if there were any changes in the end. She also needed to determine whether she was right or wrong.
"Do you have any ideas?" Zhang Huayao asked her, thinking that she was focusing on it, as if something had come up.
In clinical practice, teachers like to collide academic thoughts with talented students, whether they are big shots or not.
"If you cut from here, the blockage is on the right bronchus, about parallel to the fifth and sixth thoracic vertebra, and at a certain distance, you may need to make a homemade tool to pick it up." Xie Wanying said her thoughts, "What I fear most now is that it is not that it cannot pick it up, but-"
"As soon as we clip out, we will have heavy bleeding. At that time, the place where we perform the surgery is not in the bleeding position, and it will be difficult to stop the bleeding." Zhang Huayao didn't need her to say anything, because this problem was also the concerns of these teachers.
The reason why heavy bleeding in the trachea causes suffocation is because the human body has a coagulation mechanism. The bleeding will then coagulate into a blood clot, which will directly suffocate and stagnate the trachea.
Fu Xinheng took the first step to prevent it as a helper and took a suction device.
Liu Yu and the anesthesiologist sighed a few times. This is the operating room of the oral department. There has been no external cardiothoracic surgery, and there is no corresponding professional equipment for support. The entire operation is actually a bit risky.
The instrument nurse first reported it to the bosses: "We don't have extrathoracic surgery kits here."
The big guys are aware of the risks. If they don’t act as patients, they will die. If they do it, it will be a big risk for the doctor. 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 the innocent and young life in front of them, the doctor who has nothing to do with this matter can clap and leave.
"Start." Zhang Huayao extended his hand to the nurse and ordered.
The nurse handed the scalpel.
The surgical field is in the anterior cervical triangle area, an inverted triangle, the upper boundary is the jaw, the lower boundary is the upper sternum, and both sides are the sternocleidomastoid muscle. The incision can be a longitudinal incision or a transverse incision. Considering taking foreign objects, the longitudinal incision was chosen for the main surgery.
The first slash was from the lower edge of the thyroid cartilage located by the doctor just now to the supraster fossa.
Like other surgical procedures, first cut the skin, then cut the subcutaneous tissue, layer by layer. There is a lot of tissue in the neck, so you should be very careful and not too fast. This is also the reason why the minor surgery takes a long time.
Xie Wanying remembers the chronic pediatrician Mr. Nie.
Chapter completed!