My medical skills add experience

Chapter 496 Evil mother-in-law, six-level grasping technique

With his diagnostic experience, he can almost tell at a glance that the baby is stuck in the throat by a foreign body.

The kind that is already very scary when breathing, making a loud pulling sound.

The chest cavity collapsed directly.

"Doctor Zhou, this child has been sucked into the airway by peanut mika. The family members have tried to get the foreign body out by patting the child's back and feeding water at home, but it didn't work. I just performed Heimlich on the child. The first aid method didn't work, can you see if there is any good way?"

Director Zhuang briefly explained the situation to Zhou Can.

When a foreign object gets stuck in a child's throat, many elderly people like to use the wrong method of patting the back and feeding water.

As everyone knows, foreign objects stuck in the throat are often stuck in the airway.

The structure of the human pharynx is very special, and food normally enters the stomach from the esophagus.Breathing gas is exhaled or inhaled through the trachea.

The esophagus has good tension, and basically the food that can pass through the pharynx can pass through it.

There is less chance of choking.

The structure of the trachea is very special. It consists of fifteen to twenty C-shaped cricoid cartilages, as well as connective tissue and smooth muscle connecting the rings.There is almost no tension.

When food enters the trachea, it usually triggers the body's instinctive self-protection-coughing.

Cough out the foreign body directly in the trachea.

However, the objects stuck in the trachea are relatively large and stuck tightly, so it is difficult to expel them with the impact of lung gas.At this time, it is very dangerous.

If it is not taken out in time, the patient will suffocate and die within a short period of time.

Feeding water when a foreign object is stuck in the throat not only does not have any benefit, but may lead to aggravated suffocation.

If water enters the trachea, it will not only make the stuck foreign body swell with water, but also make the foreign body get stuck tighter.

And it is possible to block the only ventilation gap.

In that case, the patient will not only be unable to be saved, but will die sooner.

The child is panting with his mouth open now, which just gave Zhou Can the opportunity to observe the child's pharynx.

I took a photo with a small flashlight, but I didn't see any foreign objects.

This shows that the foreign matter is stuck very deeply.

Pediatric doctors usually keep a small flashlight in a drawer when they are in consultation.It is convenient to check the throat, mouth and nasal cavity of infants and young children, and it can also test the pupil response to light of sick children if necessary.

"Have you been checked?"

"I checked a chest CT, and the situation is quite serious."

Director Zhuang showed the film to Zhou Can for inspection.

"The stuck position is not only deep, but the peanut has been stuck in it for so long, it must have started to swell, and the surface has become slippery. The only way is to do a laryngoscope to remove the foreign body. But with all due respect, it is very difficult to remove this peanut big."

After seeing the situation, Zhou Can shook his head again and again.

Generally, if a foreign body is stuck in the throat, you can find a way to remove the foreign body.The difficulty this time is too great, and the child is very young, so I can't afford this risk!
When Director Zhuang heard what Zhou Can said, he immediately said to the family members, "Why don't you take your children to the Provincial Children's Hospital to have a look! They have more experience in getting this kind of peanuts with trachea stuck."

Who says older experts are honest?
When encountering such a patient who may have an accident, even Director Zhuang couldn't help but push the patient out.

People are egoists.

There are altruistic behaviors, but they often give priority to protecting their own interests.

Doctors are human beings too.

The child's grandma was still there desperately scolding her daughter-in-law, scolding her for not caring about taking care of others, just playing with her mobile phone and so on.

The child's mother was so anxious that she shed tears.

She was even more frightened when she heard that both doctors said it was difficult to treat.

When I was discussing with my husband whether to take the child to the Provincial Children's Hospital, the child suddenly twitched his limbs, turned his eyes upwards, and made a strange "ho ho" sound from his throat.

When Zhou Can and Director Zhuang saw the situation, they became anxious.

The nurse next to her was even more frightened, her face turned pale, and she looked at the child anxiously.

"Doctor, please save my son, please!"

The child's mother panicked, mother and child connected, she could feel that her son's life was being pulled away little by little.

He knelt on the ground on the spot, begging Director Zhuang and Zhou Can to save him.

The child's father also turned to the two doctors for help.

When sickness and death come, ordinary people have nothing to do.The only person you can count on is the doctor.

"Director Zhuang, why don't you send the child to the endoscopy room immediately for laryngoscopy to remove the foreign body?"

Zhou Can still remained calm at the moment.

The more urgent the situation, the more calm you must be.

"it is good!"

Director Zhuang did not hesitate. At the critical moment of life and death for patients, Director Zhuang, like all doctors and nurses, was thinking about saving lives.

"Laryngoscopy to remove foreign bodies is risky. You have also seen the child's situation. Our doctors can only do our best to save people and dare not give any guarantees. If you are willing, sign the agreement immediately and pay the advance payment. Immediately arrange treatment for the child here."

Zhou Can said to his family.

Director Zhuang is already contacting the endoscopy room.

"Agree, we agree! I just ask you to save my son quickly!"

The baby's mother cried and nodded.

"Agree? What qualifications do you have to agree? The doctor also said that the risk is very high. What if the child is gone?"

Grandma with babies is an absolute nightmare for any daughter-in-law.

Domineering, arrogant, unreasonable.

"Mom, Xiaobao is like this now, it's too late if you don't agree. Even if you want to scold me, wait until the child is saved, okay?"

"You bastard, vicious woman, you can't even look down on a child, my son married you, it's really bad luck for eight lifetimes..."

When the old lady scolded her daughter-in-law, she was even more prestigious than Lafayette.

"If the child's safety cannot be ensured, I do not agree to any surgery. Don't you have older doctors in your hospital?"

The old lady was full of distrust towards Zhou Can.

Director Zhuang invited Zhou Can over for a consultation, which made the old lady instinctively regard Director Zhuang as a 'brick' and quack doctor.

"Old man, the child's face is already purple. If you delay for another 3 minutes, there is probably no need for rescue. Now our doctors are trying their best to save him. If your family members don't trust the doctor and are unwilling to cooperate, then we really can't do anything .”

Zhou Can could only treat this old lady politely, no matter how displeased she was.

He really didn't dare to scold his family members.

"You, you... are you threatening our family members? I will complain to you immediately, believe it or not? My cousin's husband is an official, and I can tell you to dismiss get out of class with just one phone call!"

The old lady is like a hornet being provoked.

Pointing at Zhou Can is a national curse.

The patient's father kept silent, and seemed to have special respect for his mother, as well as a little fear.

"Little Treasure, Little Treasure..."

The baby's mother suddenly cried heart-piercingly.

Zhou Can found that the child's hands and feet were stretching vigorously, which was a sign of dying.

Death by suffocation is far more painful than imagined.

The baby's face and body skin has turned purple.

A clear sign of severe hypoxia.

The nurse has already filled out the consent form and handed it over to Zhou Can.

"Here is the consent form. The advice I can give is to sign and pay the fee as soon as possible. Every second of delay will increase the patient's risk of death many times."

When Zhou Can met such a vicious old lady, she lost her temper at all.

"I am the mother of the child, can I sign?"

"Of course, parents are the first guardians of their children and have the right to make this decision."

Zhou Can nodded.

The baby's mother quickly signed it, wiped away tears, and handed the consent form to the nurse.

"Doctors, nurses, please. Please don't worry about helping me. My son really has a problem. I will bear it alone. I will never rely on you."

The baby's mother seemed a different person.

Instead of blindly crying and begging for mercy, saying good things to her mother-in-law, Wei Wei, but becoming decisive and domineering.

She even felt a kind of heroic courage in order to save her son, who would regard death as home.

Women are weak, but mothers are strong.

When her son's life was in great danger, but her mother-in-law was still messing around, she broke out at this critical moment.

If you can't bear it, then you don't need to bear it anymore.

Zhou Can and the nurse immediately ran to the endoscopy room with their son.Director Zhuang also followed.

"You can't take my grandson away, I don't agree, no one can take away!"

The old lady jumped fiercely and blocked the door.

"You bastard, vicious woman, you are not qualified to make decisions for my grandson..." The old lady crazily cursed her daughter-in-law again.

The seemingly thin daughter-in-law ran over and grabbed the old lady's hair and dragged her to the side.

"Doctor, hurry up and save my son. Today, this old thing dares to stop you from saving people. I will risk my life at worst."

Hearing what this daughter-in-law said, Zhou Can felt really relieved.

This poor woman should have exploded and stood up long ago.

……

In the endoscopy room, Zhou Can quickly performed a laryngoscope on the baby to remove the foreign body while putting the life monitoring probe on the baby.

Director Zhuang watched and helped him.

It's more about helping with some coordination.

For example, contact the endoscopy room before, make preparations quickly, and so on.

Zhou Can began to concentrate on inserting the laryngoscope into the depths of the patient's mouth little by little.

"What's the blood oxygen level now?"

"76!"

"Enlarge the nasal cannula and blow oxygen."

Zhou Can gave the baby a laryngoscope while directing.

This ability to direct the overall situation is still trained in cardiothoracic surgery.

Do some major cardiothoracic surgery, the scene is much bigger than it is now.

Coordination and various rescue, surgery, drug administration, blood transfusion, etc. are required in all aspects.

"I saw the foreign body stuck in the trachea!"

Zhou Can is very clear that every second counts now, and the time left for him to save lives is at most one or two minutes.

"Can it be taken out?"

"I'll try my best! Report blood oxygen!"

"74!"

Blood oxygen dropped by two points.

Under normal circumstances, when the blood oxygen index is lower than 95%, the body will have an obvious hypoxic response.

He knew very well that the time left for his rescue was running out.

The first attempt to pull the foreign body out from the catheter of the endoscope failed.

Tried a second time and failed again.

Sweat came out of Zhou Can's forehead, and he didn't dare to ask the nurse to help wipe the sweat.Because the time now is the life of the baby.

"Okay, clamp it!"

After several consecutive failures, I finally found a suitable gripping point and successfully clamped the peanuts.

[The experience value of grasping technique +1, complete the difficult grasp, reward experience value +1000.]

Even with such a generous reward, he didn't dare to be distracted.

Didn't even pay attention.

He tried his best to hold his breath, and even his heartbeat stopped in an instant.

Carefully pull it out.

"Snapped!"

A small piece was broken.

Only take out this small piece of peanut meat.

The rescue process is always so thrilling, and it is very prone to various accidents.

"How much blood oxygen?"

"68!"

Zhou Can took a deep breath, in his heart and eyes, there was only the peanut stuck in the trachea.

Trying to clamp that peanut again,
This time, he had a little more choices when choosing the clipping site.Because the peanuts were pulled out some.

When he picked it up, he only had the peanut in his eyes.

Because after the last clamping, the peanuts were broken when pulled out.This time, he wanted to choose a better pinch point.

[Emergency life wisdom experience value +1, +1...]

【Experience value of benevolence +1.】

The experience value of special medical skills is quietly increasing.

Zhou Can didn't pay any attention to these, he only had peanuts in his eyes, and only wanted to find the most suitable clamping point.

When the baby's blood oxygen levels dropped to 52, his mind went dead silent.

Director Zhuang and others nearby saw that he was slow to pick it up, but the baby's blood oxygen kept dropping, and they stomped their feet anxiously.But no one dared to urge.

Because everyone understands that Zhou Can is working hard to save him.

The laryngoscope is facing many difficulties in picking up such difficult peanuts.

They believed that Zhou Can wanted to save the child more than anyone else.

Sweat kept gushing from his forehead.

Finally, when the baby's blood oxygen level fell below the 50 mark, Zhou Can successfully found a clamping point under the extremely terrifying pressure of life and death.

As if it was a matter of course, he manipulated the endoscopic forceps to clamp to that point.

[Gripping experience +1, bonus experience +10000.]

[Congratulations on your promotion to the sixth level of grasping technique, the current experience value is 1/100000.]

This medical skill is usually practiced at home, and the experience value is only increased by 0.1 once, and the maximum is 0.2 once.In surgery, grasping is used rather sparingly.

So its upgrades are slow.

I didn't expect to get such a rich experience reward for giving the baby a peanut this time.

Directly pushed the grasping technique to level six.

Now is not the time to be happy, Zhou Can didn't even notice it.At most, it seems to be a little easier to hold this peanut.

The clamping method of the pliers mouth is heavy at the bottom and light at the top.

Then carefully pull it out.

It was literally pulled out millimeter by millimeter.

"Come out, come out!"

When Director Zhuang saw the peanuts being pulled out of the baby's throat, he couldn't help but cheered happily.The same goes for everyone else.

"Come on, take this peanut out of your mouth!"

Zhou Can said to the nurse.

The nurse next to her is in her early 30s, and her technique is very steady. When standing beside her, she has always been extremely calm.

She squeezed the peanuts out of the baby's mouth and put them on a plate.

"Blood oxygen is rising, 52, 54..."

Zhou Can breathed a sigh of relief, but he didn't dare to be careless.Instead, the laryngoscope was manipulated again, and the baby's trachea was checked to see if there were any peanut fragments or other foreign objects.

After examination, a small piece of peanut was found in the left bronchus.

But if you stay in it, if the baby can't expel it, it is easy to cause bronchitis.It can even cause neonatal pneumonia.

He tried to grab the peanut crumb.

One clip is accurate, neither light nor heavy, just right.

[Gripping experience +1.]

"awesome!"

Zhou Can felt that the grasping technique had improved significantly, and he was a little surprised.Because I was only focused on saving people just now, I didn't realize that the grasping technique had been promoted to level six.

"Okay, there is no foreign object in the baby's trachea. What is the blood oxygen level now?"

"87."

"Wait and see, it's safe to return to above 95. Reduce oxygen blowing."

Zhou Can has rich experience in handling.

After the foreign matter is removed, concentrated oxygen cannot be blown at this time.The human body is very easy to form dependence, and only letting the patient breathe spontaneously is the best way to recover.

(End of this chapter)