A thick and hard fish bone about 1 cm long was stuck diagonally at the top of Tiedan's esophagus, and there was already congestion and edema around it.
Fortunately, it was inserted at an angle, and although the esophagus had been punctured, there was no perforation.
But if Tiedan eats that piece of pancake, the consequences will be dire.
Mediastinal infection, emphysema, and pyopneumothorax after esophageal perforation, coupled with the villagers' habit of not going to the hospital when there was nothing wrong, meant that the child's life was in danger.
After seeing the exact location of the fish bone, Tao Le had an even bigger headache.
If the fish bone is inserted very shallowly, you can use tweezers to remove it directly; if it enters the pear fossa of the throat, you can also use a laryngoscope and foreign body forceps to remove it.
But if the foreign body has entered the esophagus, the only option is to perform esophageal foreign body removal surgery.
Although esophageal foreign body removal is a minor operation, depending on the foreign body, it may be followed by a major surgery.
If the foreign body stuck in the esophagus is a small, regular-shaped object, such as a coin, which will not cause esophageal damage, then it is over after the foreign body is removed;
But for those like Tiedan whose esophagus was punctured by a fishbone, causing congestion and edema, most likely they would need to undergo an esophageal tear repair surgery - this is a major thoracotomy.
Tao Le's golden finger is not omnipotent. It can repair the esophagus afterwards, but it cannot do the removal of the foreign body itself.
This is the key reason why Tao Le has a headache.
She could just call Ye Chen and convince Tiedan's parents to send him to the hospital with his help, and she wouldn't have to worry about the rest of the matter.
But it certainly wasn't her first choice. Because after major thoracotomy, patients will also face two common and terrible complications: esophageal pleural fistula and empyema. Not only are they dangerous, but the cost of surgery and hospitalization is also astonishingly high. I am afraid that the Dongbao family will be depleted. Can't afford it either.
The best way is to help take out the fishbone yourself and then repair it with a gold finger. This way, it costs almost nothing and the child will not be in any danger.
The only problem is that she currently has neither an esophagoscope nor an anesthetic.
Normal esophagoscopy to remove foreign bodies requires local anesthesia in the throat area. For active children, general anesthesia may be required. Otherwise, the human laryngeal nerves will produce stress reactions such as nausea and vomiting, making the operation impossible.
Another more critical problem is that she lacks the hand that can operate the esophagoscope and foreign body forceps.
This practical operation does not fall within the scope of the practical operation examination of the regular training, and she has never practiced it before.
It seemed that no matter how many ideas he had, he could only ask Dr. Ye, who was leading the team, to come over and take a look.
If even he can't handle it, then he can only send him to the hospital.
Tao Le was about to make a call when the golden finger interface in front of him suddenly changed and a line of large characters appeared.
Tao Le looked over and was stunned.
"After testing, the current conditions support the removal of esophageal foreign bodies. Is simulation guidance practice necessary? Yes/No. Note: Simulation guidance practice does not take up real time."
Do current conditions support esophageal foreign body removal surgery? Where and what conditions were there, why didn't she notice them at all?
But simulation guided practice, this is... a new function of Goldfinger?
Tao Le was stunned and subconsciously chose "yes".
The next moment, she suddenly appeared in a spacious and bright operating room, standing next to the operating bed in the middle.
There was a boy lying on the bed, who was the Tie Zhu he had just seen.
Although he didn't speak, his eyes were wide open and his body was twisting. It was obvious that he had not undergone any anesthesia.
A male doctor in surgical clothes stood opposite the bed. Tao Le glanced at him and felt that he felt very familiar to her.
The other person was tall and tall, wearing a large mask on his face. Only his eyes were exposed, and there was a trace of inexplicable emotion hidden in his warmth.
"It's begun. Don't be distracted and watch carefully," the man said.
His voice was not high, but it was low and sweet, as if he had heard it somewhere.
"When there is no anesthetic and the patient is a child, acupuncture anesthesia is the first choice."
The man took out a 1.5-inch needle. Tao Le noticed that this pin was exactly the same model and brand as the one she carried with her.
acupuncture anesthesia! Tao Le didn't expect to see this kind of technique here.
This was a major application practice in the development of acupuncture in traditional Chinese medicine. Simply relying on acupuncture or electroacupuncture to stimulate acupuncture points can achieve the purpose of analgesia, so that the operation can be performed normally without anesthetic drugs.
This method is simple and safe, has little interference with physiological functions, and has no side effects. It has been promoted and applied in a certain range.
However, acupuncture anesthesia cannot be like medicine, which can make patients completely relaxed and pain-free during the entire operation. This makes the intraoperative experience unsatisfactory for both doctors and patients.
At the same time, it has been overly deified and even abused in a short period of time. As a result, almost no one cares about it now.
"In terms of acupoint selection, acupoints on the same nerve segment as the surgical site should be selected, and acupoints should also be selected dialectically along the meridians."
"For example, if you want to remove foreign objects from the esophagus, you need to choose acupoints such as Futu, Hegu, Neiguan, etc., and quickly twist them after gaining Qi..."
While explaining, he punctured the acupuncture points quickly and accurately, showing Tao Le the technique bit by bit.
"The anesthesia was successful." The man took out an alligator-mouth forceps, which is the most common and the same type of foreign body forceps now lying in Tao Le's medical bag:
"You can see where the fishbone is, and you don't need the cooperation of an esophagoscope. Now I'll teach you how to use foreign body forceps to go deep into the esophagus to remove the foreign body."
The man spoke seriously. The golden finger interface in Tao Le's eyes clearly showed how the alligator-jaw forceps were inserted into the piriform fossa on the right side of the hypopharynx along the right side of the mouth, and then gradually moved into the midline. After reaching the esophageal orifice, it stopped at a bulge like a line. anterior to the portal-like cricopharyngeal muscle.
"Make a swallowing motion," he instructed the boy. The child swallowed his saliva honestly, opened the esophagus, and introduced the alligator jaws.
The fish bone is about 2cm below the esophageal opening, shaped like a "T" shape. The approximately 3mm long part sticks diagonally downward on the esophageal wall, and is only a short distance away from causing esophageal perforation.
In the man's hands, the alligator jaws seemed to be alive and flexible. Clamp the rear end of the fish bone so that the tip exits the esophageal wall, then adjust the angle of the fish bone to exit when the cross section is smallest.
"Okay." The man threw the fish bones into the metal plate that Tao Le took. "It was a teaching just now, and the speed was relatively slow. I will do it again next time."
Acupuncture anesthesia, 2 minutes. Remove the foreign object for 30 seconds.
In a total of 2 minutes and 30 seconds, an esophagoscope removal operation was completed that would most likely require a stay in the hospital for several days.
"Next, it's your turn."
－－－－－－Digression－－－－－
Some readers said that if you don’t care about the male protagonist, you want the female protagonist to have a career! Some people also say that if you want to be sweet, you can just take care of your career in one go. Xiao Hai said that career and love must be grasped with both hands, and both hands must be strong! The most important thing is, I beg you all for your votes! A book written without votes has no soul! Thank you! !
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