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Chapter 515 Clever use of three-lumen and two-capsule tubes(1/2)

 The three-lumen and two-capsule tube was quickly obtained.

Chen Qi checked it carefully, giving people the feeling that the dean was doing things very carefully.

In fact, no one knew, and Chen Qi was panicking. He had to get familiar with how to play this thing first.

Although he knows the working principle of the three-lumen two-capsule tube and the general method of using it, except for operating it once during the medical practitioner examination, he has never been exposed to it at all.

Fortunately, Chen Qi is a professional doctor. Like an antique expert, he knows the basics as soon as he gets started.

"Do you think it's strange? Why do I need to use this three-lumen two-capsule tube to remove fish bones?"

Many doctors in the ward nodded repeatedly.

Chen Qi gave an inscrutable smile (actually it was a pretentious smile):

"Actually, it's very simple. Let's think about it. Now the fish bones are stuck at both ends of the esophageal wall and have penetrated into the cavity wall and cannot be removed. So can we expand the esophageal cavity and let the fish bones automatically

Does it fall off so that our doctors can take it out?"

As soon as Chen Qi finished speaking, Director Jia and Director Cai both clapped their thighs and shouted excitedly:

"Yes, yes, that's the idea."

"Yeah, that's what I thought just now. It seems like there's nothing wrong with this idea."

Several other directors also suddenly realized at this time, thinking that these three-chamber two-capsule tubes can actually be used like this? This is really more solutions than difficulties.

In the profession of a doctor, you can analyze and distinguish. It is not enough to come up with new ideas. After all, what you are talking about is theoretical. Whether it has specific effects and whether it is helpful to the disease must be proved by practice.
p>

Didn’t the old man in the circle say: Practice is the only criterion for testing truth.

This sentence is also applicable to medicine.

After explaining the principles, Chen Qi began to prepare for the endoscopic surgery. At this time, Lan Lijuan stepped forward and took the initiative to become Dean Chen's assistant.

I saw her first smearing paraffin oil on the three-lumen two-cyst tube to act as lubricant, and then slowly put it into the patient's mouth.

Just like the path of a gastroscope, it was inserted through the esophagus and into the stomach. It stopped at the mark of the tube and took a suction with the needle. When she found that the gastric juice could be extracted, Lan Lijuan nodded to Chen Qi.

Chen Qi then held the esophagoscope with his right hand and inserted the tube into the patient's esophagus again.

Except for the patient's retching from time to time, everyone in the ward held their breath and watched how the country's first endoscopic fish bone removal operation was completed.

On the display screen, the three-lumen and two-cyst tube has been stretched along the esophageal wall, bypassing the fish bone and extending deep.

The esophagoscope stopped just above the fish bone.

Chen Qi said softly: "Lijuan, I am going to clamp the fish bone and hold it still. You slowly inflate the esophageal sac, and be careful to move slowly."

Lan Lijuan nodded: "Got it, ready to inflate the esophageal sac."

The head nurse quickly handed over a 2-meter glass syringe, and Lan Lijuan began to slowly push air into it. Gradually, it was visible to the naked eye on the display screen that the esophageal sac on the three-lumen two-cavity tube slowly inflated like a balloon.

The esophageal wall is elastic, and as the air sac inflates, the esophageal wall slowly begins to expand.

At this point, many doctors in the ward have fully understood the brilliance of Dean Chen's new idea, and they all admire it deeply.

But no one opened their mouths. Successful surgery is the only way to test whether this method is feasible.

Lan Lijuan was still inflating slowly, and when her esophagus expanded to a certain extent, the fish bone fell off completely.

At the moment when the fishbone suddenly hung in the air, several directors in the ward exclaimed "Oh oh oh", and the young doctors at the door and window also whispered excitedly:

"Look, it's done, the fish bones are not stuck."

"This method is really feasible. Dean Chen is so awesome."

"It seems that foreign bodies in the digestive tract no longer need to be operated by surgeons in the future, we can all remove them."

After clamping the fishbone, Chen Qi began to slowly pull the esophagoscope out. When passing through the last stricture, the esophagoscope was completely pulled out of the mouth.

At the front end of the tube, a small clip clearly shows the fishbone on the screen.

A young nurse took a tray with a piece of white gauze on it, and Chen Qi put the fish bones on it. The directors nearby immediately gathered around.

"Wow, I really took it out."

"It turns out that it's so easy to remove foreign bodies through endoscopy. If everything goes well, the problem can be solved in a few minutes."

"Great, this really solves a big problem in our internal medicine department."

Then there was a burst of warm applause in the ward.

The directors can already imagine that this brand-new technology may eventually change the new pattern of medical treatment, which is definitely of epoch-making significance.

The happiest person in the ward is the patient himself.

Anyone who has been stuck by a fish bone knows that this level of discomfort is really ecstatic, extremely irritating, and makes the whole person very painful and anxious.

However, the effect of removing fish bones is immediate. As soon as the fish bones are removed, the patient will immediately recover and no longer feel pain.

The same goes for the old man in front of him. Just now, Chen Qi and Lan Lijuan stretched two tubes into his esophagus and stomach, and also stimulated the largest part of his throat. Even after spraying anesthetic, the old man still felt very uncomfortable and painful.<

/p>

This kind of pain made him break out in cold sweat and made it difficult to breathe.

I felt so uncomfortable just now, but now that the fish bones are removed and the tubes are removed, I feel so relieved.

Although his throat was still sore, the old man couldn't wait to clasp his fists, cupped his hands at Chen Qi, and said in a hoarse voice:

"Thank you, thank you~~~"

The patient's son was also excited. He originally thought that his father would be worried if he really had to undergo an operation. It is no joke for a 70-year-old man to have a thoracotomy, and he might die from it.

It's fine now. I just took this simple treatment and actually took out the fish bones in my stomach. This is also a miraculous medical skill for the family members.

"Dean Chen, thank you so much, thank you so much, you saved my father's life."

Chen Qi smiled and waved:

"No matter how high the doctor's level is, he still needs the cooperation of the patient and his family. You are very good. Only through our joint efforts can this endoscopic surgery be successful. However, through this lesson, I still want to remind you that you need to be careful when eating fish.

Be cautious again:

For example, take a bite of fish and chew it carefully before eating. Avoid mixing the fish with other foods, otherwise the fish bones will be wrapped in the food and it will be difficult to distinguish.

In addition, when eating fish, you must concentrate and talk as little as possible while eating. Fish bone stuck in the throat mostly occurs when you are in a hurry to eat, listening to the radio, chatting, etc. and when you are distracted.

Also, you must check carefully when feeding fish to children. Even the fish balls in our Yuezhong may have fish bones in them. If a child gets stuck, he will suffer a serious crime."

At this time, a patient's family member in the bed next to him couldn't help but ask:

"Dean, what you just said about them inducing vomiting and filling them with vinegar is wrong. Then can you tell us what to do if there is a fish bone stuck in our house?"

Obviously people are all pragmatists. You talk a lot about medical principles, so why not tell them how to deal with it that will be useful to them?

Chen Qi was in a good mood and thought it would be good to take the opportunity to do some popular science, so he patiently said:

"It depends on the situation. For example, you can try to take out the shallow fish bones by yourself. Let's ask family members to shine a flashlight on the throat. If the fish bones are stuck in a shallow position visible to the naked eye, you can try to use tweezers to pick them out.

But if you can’t remove the fish bone, don’t remove it by force, let alone use your fingers to pull it out. If you can’t pull it out, the fish bone will only get deeper and deeper. So at this time, we have to go to the hospital quickly and find an ENT department.<

/p>

Remember, I'll reiterate it again, never engage in those earthy tricks, such as swallowing rice, drinking vinegar, stuffing steamed buns, and eating youth. Not only are these methods ineffective, they will also add fuel to the fire and increase the pain.

It hurts, this old man has the best experience and lessons."

There was another burst of chuckles in the ward, and the old man on the bed also smiled awkwardly.

Only Qi Damin took a deep breath, feeling very complicated inside.

In one way, he is a member of Vice President Wu, and has been labeled. He is naturally the opposite of Chen Qi, whether he likes it or not.

On the other hand, as a doctor, he now really admires Chen Qi's medical skills and really wants to give him a thumbs up.

At the same time, Qi Damin also knew in his heart that Chen Qi might have conquered these internal medicine directors through this endoscopic surgery and this new technology.

Thinking again, surgery has always been Zhu Huoyan’s territory. By then, internal medicine and surgery, the two most important departments of the hospital, will be the “basic base” for the new president.

Qi Damin is worried that in the future, doctors may only listen to the dean and no longer listen to him, the chief of the medical department.

Originally, he wanted to give the new dean a stumbling block and show off his power, good guy, but in the end, his old home was raided. Where is the logic in this?

At this time, Director Cai suddenly thought of something, looked at the new dean and asked:

"Dean Chen, in addition to removing foreign objects, can this endoscope be used for other minor surgeries?"

"Director Cai asked this question well. In fact, endoscopy, oh, for example, gastrointestinal endoscopy for gastroenterology, is only a small part of removing foreign bodies. In addition, it can also perform many surgeries.

For example, if you have stomach bleeding, you can inject some drugs through a gastroscope to stop the bleeding, or even use electric cautery to stop the bleeding, so you don't need to do surgery like before.

In addition, gastrointestinal polyps, high-grade intraepithelial neoplasia, early cancer, submucosal tumors such as ectopic pancreatic metastasis, leiomyoma, stromal tumors, etc. can also be removed.

When the technology becomes more mature in the future, you can also perform a type of surgery called "laparoscopic" surgery, which involves making a few holes in the stomach, and then the doctor can perform most operations through several tube-like surgical handles while looking at the screen.

Surgery."

The director and junior doctors in the ward were as if they were listening to heavenly scriptures, and all of them opened their mouths in surprise.

It is really hard for everyone to imagine that in the future, there will be no need to open the stomach for surgery? Just use this kind of endoscopic tube to complete it?
To be continued...
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