I can see health

Chapter 453 An Accident During the Surgery

When Lu Chen returned to the first ward of the Department of Respiratory Medicine, it was not yet ten o'clock in the morning.

Seeing Lu Chen come back, Fan Yujing was also slightly taken aback.

"Lu Chen, didn't you go to the catheterization lab of the Cardiology Department for surgery today? Didn't you do it?"

"Teacher Fan, I'm done." Lu Chen smiled.

Fan Yujing looked up at the clock on the wall, it was less than ten o'clock, "Are you so fast? What kind of surgery?"

"Electrophysiological surgery, ICD puncture implantation." Lu Chen said softly.

When Fan Yujing heard this, there was a trace of doubt in her eyes.

She is also very familiar with cardiology operations. Can the ICD operation be completed so quickly?
impossible!

She looked at Lu Chen suspiciously again. Could it be that he is lying?
Naturally, Lu Chen didn't know what Fan Yujing was thinking. He asked, "Teacher, when will your bronchoscopic surgery start?"

"About 10:30." Fan Yujing said, "There is still half an hour."

"Can I go and have a look?" Lu Chen asked.

"As long as you finish writing all the medical history today, then you can go." Fan Yujing frowned.

"Okay!" Lu Chen immediately turned on the computer and began to write the medical record.

Fan Yujing glanced at Lu Chen and ignored him.

She was still skeptical that Lu Chen's cardiology surgery was just a pretense of asking for leave.

……

10: 30.

Lu Chen typed the last word on the computer.

"Huh! Finally finished writing!" Lu Chen smiled slightly, and he could go to observe the interventional operation of bronchial endoscopy.

The bronchial endoscopy operating room at this time.

Fan Yujing is re-communicating the risks of interventional surgery to the patient.

"Auntie, are you aware of these risks? It may lead to bleeding, infection, or even shock."

"Don't worry, I understand." The patient nodded slightly, "Your Doctor Lu has told me many times, and I have listened to it four or five times, and my ears are covered with calluses!"

"That's fine." Fan Yujing said.

Doctors should not be afraid of trouble, especially when communicating with patients about their condition.

More communication is an important way to protect yourself.

At this time, Lu Chen quietly opened the door and entered.

Fan Yujing looked back.

"Did you finish writing the course record?"

"Well, I'm done." Lu Chen nodded and walked to Fan Yujing's side.

During the internship, Lu Chen saw the fiberoptic bronchoscopic surgery.

But at that time, he was just ignorant, no matter how many operations he saw, he couldn't see why.

However, Lu Chen has always been interested in this kind of interventional surgery.

Taking advantage of today's opportunity, he wants to observe and learn.

"Lu Chen, just stand by and help me get a bottle of anesthetic first."

"it is good."

This fiberoptic bronchoscope is different from the electrophysiological intervention just now.

Lu Chen was the first assistant in the operation just now, and he almost completed the entire operation by himself.

But now, he has become a little follower handing things.

Lu Chen couldn't help but shake his head slightly due to the change in roles.

……

At this time, Fan Yujing had finished preoperative anesthesia preparations and began the operation.

The patient lies supine, Fan Yujing stands at the patient's head, holds the operating part of the mirror body with his left hand, and controls the adjustment button with his thumb.

The right hand sends the lens into the nasal cavity to the larynx or through the porous dental pad of the oral cavity, along the posterior pharyngeal wall to the larynx.

"Generally, the epiglottis can be seen when the depth of the lens is about 15cm. If the epiglottis cannot be seen, do not blindly insert it forward, otherwise it is easy to insert it into the esophagus by mistake."

While doing this, Fan Yujing said to Lu Chen.

"Yes." Lu Chen nodded, watching Fan Yujing's operation carefully.

At this time, Fan Yujing said to the patient again: "Take a calm breath."

The patient obeyed Fan Yujing's words and took a calm breath.

Taking advantage of the opening of the glottis, Fan Yujing quickly inserted the end of the mirror into the trachea from the back of the glottis.

"Add a small amount of anesthetic!" Fan Yujing said in a deep voice

"Received." Lu Chen immediately understood, and added a small amount of medicine into the trachea.

At this time, Fan Yujing adjusted the distal end of the mirror body to natural beauty, aimed at the tube, and checked the shape of the trachea, the color of the mucous membrane, the degree of mobility, etc. from top to bottom.

Of course, the most important thing is to pay attention to the "narrow spot" of the patient!
On the chest CT back then, both Lu Chen and Fan Yujing saw a very small narrowing at the opening of the bronchi.

As Fan Yujing continued to deepen, Lu Chen stood aside, looking at the operation screen, staring at it without blinking, for fear of missing any screen.

At this moment, Fan Yujing spoke up.

"found it!"

Lu Chen quickly looked intently, and sure enough, there was an oval-shaped foreign object in his field of vision!
Its color and size are completely inconsistent with the surrounding bronchial tissue.

Is it this "foreign body" that causes the patient to cough and expectorate continuously?
Airway foreign bodies are common in the elderly and children.

Elderly patients have loose teeth that can fall into the airway during nighttime sleep, and eating too fast or laughing while eating can also cause food to choke the airway.

Children are very curious, and foreign objects are stuffed into the mouth and then inhaled into the airway... This is related to the insufficiency of laryngeal protection and weak cough reflex in the elderly and children.

At this time, Fan Yujing began to try to take it out.

Immediately, she frowned: "It's not easy to take it out, the foreign body and bronchial tissue are wrapped by granulation tissue!"

Large airway foreign bodies can cause acute, life-threatening airway obstruction.For children, foreign bodies in the airway are the leading cause of suffocation death in children.

Small airway foreign bodies can irritate the tracheal wall and cause coughing and wheezing discomfort, and secondary infection can cause fever and dyspnea.

Unsmooth and sharp foreign bodies in the airway can also cause puncture of tracheal mucosa capillaries or peripheral large blood vessels, causing hemoptysis!

Fan Yujing was quite nervous.

I thought it was just a small foreign body, just take it out.

Unexpectedly, the foreign body has stayed in the bronchi for a long time, and granulation tissue has grown. It is not easy to remove it smoothly.

"I need to use electrodes to cauterize this piece of tissue to remove the foreign body!" Fan Yujing said.

Lu Chen understood, put on his gloves, and helped Fan Yujing get the electrodes.

……

Surgical screen.

Lu Chen saw the electrode that Fan Yujing penetrated into it.

After the electrodes are energized, they come into close contact with the bronchial tissue, and the tissue is electrocauterated.

As the electrocautery continued, the "foreign body" was visibly loosened.

Fan Yujing looked happy, it worked!

As long as the foreign body in the patient's bronchus is removed, her persistent coughing and coughing symptoms should be resolved.

"Lu Chen, take care." Fan Yujing slowly took out the "foreign object", and then prepared to remove the electrode.

But at this moment, Lu Chen felt a bright red blood appear in the field of vision of the surgical screen!
In an instant, this blood color infected the entire operation area.

"It's bleeding!" Lu Chen was shocked, "And it's bleeding!"

And the smile on Fan Yujing's face has disappeared.

(End of this chapter)