Not all patients need surgery.
The surgeon lingers here, usually doing assisting work.
For example, when a patient is placed on a ventilator and tracheal intubation is performed, an anesthesiologist is required to come in to help when the internist cannot do it, and a surgeon may be required to change the tracheotomy.
Ye Qing did not deny it: "Change to tracheotomy."
Clinically, there are indications for changing tracheal intubation to tracheostomy. Generally speaking, it is impossible for doctors to cut open the patient's trachea casually, and tracheal intubation is the first choice if possible. Specifically, what are the indications for tracheotomy modification?
For example, in the previous rescue case of a child in the dental hospital, if there was an obstruction and tracheal intubation was performed, the patient could not breathe and had to undergo a tracheotomy.
Is Fan Yunyun’s airway obstructed? Obviously not.
Another common clinical situation for tracheostomy is that the patient is on an invasive ventilator and the doctor can predict that the patient will not be able to leave the ventilator for a while.
Here are the advantages of tracheostomy over tracheal intubation. First, tracheotomy can better maintain the patency of the patient's airway. Second, if the tracheal intubation is inserted for a long time, it is easy to damage the patient's throat and mouth. Third, most of the patients who cannot do without the ventilator for a long time have neurological symptoms. Those with brain problems will have symptoms such as coughing, phlegm, and difficulty swallowing. A tracheotomy will undoubtedly be more conducive to suctioning the patient's phlegm to prevent respiratory obstruction. .
After hearing this, people who know medicine can somewhat understand the condition of the patient.
The brain seems to be in trouble for the time being, and the patient may need to be mentally prepared for the patient to be in a coma for a long time and unable to take care of himself. The doctor had no choice but to perform a preventive tracheotomy and connect the patient to a ventilator.
Is this just the case? The damage caused by fire goes far beyond the nervous system.
"It is said that she is on the seventh floor and has not been burned by the fire for the time being." The person who said this was Ye Qing, looking at Dr. Shi Lei who had been to the scene next to him, to verify whether the news about the fire scene that he heard was correct.
Dr. Shi Lei was as quiet as a stone, so he nodded yes.
"But." Du Yeqing continued, "Her lungs are already in a very serious condition due to inhaling a large amount of carbon monoxide and other chemical irritants."
It's the burning lungs I just mentioned before.
Fire burns the lungs, and cerebral edema is unavoidable.
Du Yeqing admitted: "Dr. Cao Yong was here, and the diagnosis he made was acute cerebral edema."
This may sound strange to you? There is no injury or burn on the head, so why is there cerebral edema?
As long as you think about heart problems and lack of oxygen, it can directly cause brain death. It has long been proven that once the human body is deprived of oxygen, it has a great relationship with the brain. The lungs are severely damaged, inhalation is difficult, and it is difficult to provide nourishment to the human body. The brain, which is most sensitive to oxygen, is naturally directly implicated in "serious injuries" again.
For this kind of patients, generally, they should be sent to a hyperbaric oxygen chamber for treatment as soon as possible, which is good for brain and pulmonary rehabilitation. But now, it’s impossible to send the patient to a ventilator. It should be said that doctors are completely unable to consider the patient's future recovery stage at this stage. Whether the patient's life can be saved is a question.
"Is her heart condition unstable, Teacher Du?" Xie Wanying asked.
Myocardial damage caused by carbon monoxide poisoning is too common, especially in critically ill patients with acute cerebral edema, who will most likely have severe myocardial damage.
The heart and brain are the two most vulnerable organs of the human body.
(End of chapter)
