Zhao Yuan rushed to the child, but there was no movement from the child.
He quickly took out the stethoscope and placed it on the child's lungs. There was almost no breath sound in the left lung.
The child's mother was devastated.
My father also looked confused.
Although the child was in low spirits just now, he did not faint suddenly.
Now how to do?
What's more, they started fighting with the doctor.
Can doctors still treat children willingly now?
Zhao Yuan didn't think so much.
No matter what happened just now, patients come first.
"Has the patient eaten anything like nuts before being sent to the hospital?" Zhao Yuan did not see such information in the case, but from his judgment, there was something in the patient's trachea.
"No! It's just a normal cough. It suddenly got cold a few days ago. First I had cold symptoms, and then I coughed." The mother shook her head.
Zhao Yuan smiled helplessly, and said seriously to the child's grandmother who was still lying on the ground, "You concealed the illness, causing us to misjudge the illness, and it will be the child who will suffer. I ask again, have you ever eaten melon seeds, peanuts, etc. of nuts.”
The child's grandmother also shook her head, "No, I definitely haven't eaten it!"
Zhao Yuan exhaled and walked towards Qin Yang, "Director Qin, although the child's relatives insist that he has never eaten nuts, I am very sure that the child has active bronchial foreign bodies."
Qin Yang also saw the difficulties of this family and said to the patient's mother, "The child's left lung is now completely atelectatic and the oxygen saturation is only 60%. He needs to be intubated and connected to a ventilator to assist breathing. Do you agree? Receive treatment? If you are worried about us, you can transfer to the hospital immediately. However, I must remind you that the child is in danger and cannot withstand the torment! "
The mother of the child fell to her knees and said, "Please save the child."
Qin Yang nodded towards Lian Hang, "Notify the emergency department and anesthesiology department to assess the risks of surgery and rule out complications of cardiogenic diseases. Issue a critical illness notice!"
The deputy chief physician from the emergency department was Ren Min. He examined the child and agreed with Zhao Yuan's judgment: foreign body obstruction.
"The child's right lung is currently severely infected, his lung function is poor, and he cannot compensate for breathing. The current anesthesia risk is extremely high, and the current surgery is very likely to cause the child's death during the operation." Ren Min spoke solemnly.
Zhao Yuan suggested, "How about giving muscle relaxants to stop spontaneous breathing and further reduce oxygen consumption?"
Anesthesiologist Hu Kai nodded in agreement, "If the child is stopped breathing spontaneously, the oxygen level can be maintained at about 90%."
Ren Min's face relaxed, "This meets the conditions for surgery."
After the plan was finalized, Ren Min had time to understand the condition of the child with Zhao Yuan. Seeing the injury on his face, he quickly asked what happened?
Zhao Yuan told him one hundred and five hundred and ten.
Ren Min was very angry. He, who had always been good-tempered, was also furious. "This family is really fucked up! I'll go meet them."
Director Ren was used to big scenes. He walked up to the family members with a chest X-ray and CT scan and a stern expression.
"The white part shown on chest X-ray and CT is the child's unopened lung. The left lung is currently blocked and no air can enter. Because of the long illness, the right lung is severely infected. Now one lung cannot guarantee normal breathing. and oxygen supply. The oxygen partial pressure in the blood gas analysis is only 28mmHg. The situation is very serious. We will do our best to rescue you, but you must be mentally prepared, we may not be able to save you!"
The arrogant father was stunned after hearing this.
The grandmother lying on the ground stiffened for a moment, then beat her chest and cried loudly.
The young mother knew the seriousness of the problem and immediately collapsed, crying and repeating: "What should I do? What should I do? Save him!"
…
Children are innocent, others are even more innocent.
Although the child is sick and the family is in a bad mood, there is no need to vent their emotions on doctors and nurses.
The child was sent to the operating room, and his family members were terrified outside.
They were very upset about the fight they had just had with doctors and nurses.
Now the child's life and death are in their hands...
Being a doctor is an anti-stress profession. Not only is the work intensive, it also requires excellent psychological quality.
Situations like today's are rare, but they still happen.
Zhao Yuan's reaction surprised Ren Min, Qin Yang and even all the medical staff present.
He puts patients first.
Although Zhao Yuan is in the pediatric rotation department, he is an emergency surgeon, so Ren Min asked him to participate in the rescue.
Zhao Yuan put on his lead clothes and walked into the emergency room.
Qin Yang was filled with emotion.
The scene where Zhao Yuan saw that he was being beaten and stepped forward to fight back angrily was still lingering in his mind.
In life, how many people can protect themselves from wind and rain without fear of risks?
Qin Yang couldn't help feeling a little distressed when he thought of the injuries on Zhao Yuan's face.
The stupid kid wiped the wound with a wet tissue dipped in alcohol and went straight into the operating room.
The anesthesia went smoothly and everything was ready.
Zhao Yuan stood in front of the operating table, preparing to perform bronchoscopy and foreign body removal.
Because the patient was relatively young, the smallest foreign body forceps were selected.
A 3.5mm×200mm pediatric bronchoscope was inserted under the guidance of a laryngoscope.
The level of surgery is not high, but the patient is a child under two years old, so it is actually very difficult.
Ren Min found that Zhao Yuan was very good at handling details.
He beveled the tip of the mirror port to the left and the handle to the right to reduce damage to the vocal cords.
When entering the left bronchus, the bevel of the tip of the scope should be turned to the right and the handle of the tube to the left to expand the field of view.
It is difficult to see the foreign body after inserting the foreign body forceps through a small bronchoscope with a diameter of 4mm. It all depends on the operator's feeling.
When the foreign body forceps reached the tip opening of the bronchoscope, Zhao Yuan took advantage of the patient's inhalation and the expansion of the bronchial lumen to extend the forceps blades to both sides of the foreign body, close the jaws, and clamp the foreign body.
It's not over yet, the bronchoscope and foreign body forceps must be withdrawn at the same time.
Five seconds, ten seconds, twenty seconds...
It's more stressful than a 100-meter race.
Finally, Zhao Yuan took out a half-sized peanut, and everyone breathed a sigh of relief.
Ren Min was about to give a reminder when Zhao Yuan took the lead and said, "Don't worry."
Ren Min nodded and secretly praised.
Zhao Yuan is like this. Not only is his surgery meticulous, but he also considers the issues carefully.
Zhao Yuan did not relax and looked under the mirror again, and then found a slightly smaller peanut.
There were exclamations all around.
"Who would have thought that there are two foreign objects hidden in the trachea."
"The child's parents are talking nonsense. It's obviously peanuts, but it must be a cold and cough."
"The key is still messing around, and Dr. Zhao's face is so stained. This has destroyed the beauty ceiling of our hospital!"
The operation is finally over.
Zhao Yuan was relieved.
Everyone performed conscientiously during the operation, perhaps holding their breath, to prove to the families of the children waiting outside:
The doctors at Tianhua Hospital are not only professional, but also excellent!
