Chapter 384
There is another one
"Keep looking." Lu Gang interrupted the director of the Department of Respiratory Medicine.
"Lao Lu." The director of the Department of Respiratory Medicine did not continue, but made a mouth gesture to communicate silently with Lu Gang.
Judging from the shape of the mouth, the director of the Department of Respiratory Medicine should have meant to stop as soon as possible.
Because the bronchoscope has reached the end of the main airway, the risk of going further down is very high. Once airway spasm occurs, a good and fruitful operation will become a rescue.
In addition, the director of the Department of Respiratory Medicine did not believe that the two casings of the same kind were in the patient's airway, so she still firmly suggested that they should be put away as soon as possible.
"Teacher, can I take a look?" Ji Xiang asked in a low voice.
"Dr. Xiaoji has never seen a bronchoscope?" the director of the Department of Respiratory Medicine said with a smile.
Because the outer shell of Bai Xintong was taken out, the patient's "root cause" of the disease was found, so she was in a good mood.
“I saw the teacher operating it during my internship, but I have never done it myself.”
"Come and take a look. The operation on this patient is difficult, so I won't let you try it." The director of the Department of Respiratory Medicine acted in a measured manner, and she blocked Ji Xiang's escape route in advance.
"Thank you, teacher." Ji Xiang took the bronchoscope and said, "Teacher, the patient still has a lot of phlegm."
"I'm sucking." Chun Chun, director of the Department of Respiratory Medicine, taught, "A similar patient's sputum blockage will cause severe pneumonia. It's the last fracture in your life, you know."
"Know."
"Most of them are caused by long-term bed rest, concurrent pneumonia and decreased immunity of the patient. You have many similar patients in the orthopedics and neurosurgery departments."
"What should you do if you encounter this situation, teacher?" Ji Xiang did not move the bronchoscope in his hand much, but operated the suction tube to clean the patient's sputum.
When the director of the Department of Respiratory Medicine saw that Ji Xiang understood the rules, she nodded secretly and her favorable impression of this young man greatly increased.
"First of all, it depends on whether the patient's family is careful or not." The director of the Department of Respiratory Medicine stared at Ji Xiang's hand. She was not careless. She was worried about the big problem Ji Xiang was messing with. As long as the bronchoscope in Ji Xiang's hand moved down a little.
, she will take over.
"Careful care of the patient's family members can extend the patient's life for a long time and improve the quality of life. I have seen a patient who has been bedridden for ten years, but under the careful care of his family members, he has no pneumonia, no bedsores, and his face is glowing."
"But to be honest, this is quite difficult. I have only seen one case. The vast majority of patients are very...sloppy."
The director of the Department of Respiratory Medicine used the word "scrawl" to describe it, which sounded inappropriate, but the doctors and nurses present felt that it was too vivid.
Sloppy, long-term bedridden patients can indeed be accurately described with this word.
"But there are relatively few family members of this kind of patients." Ji Xiang said lightly, "Teacher, the sputum is almost sucked, please take a look."
The director of the Department of Respiratory Medicine took the bronchoscope, and when her eyes fell on the surgical area, she was suddenly startled.
Another Baixintong shell appeared in the magic area!
What's going on!
The director of the Department of Respiratory Medicine stared blankly at the shell of the newbie, feeling a little at a loss.
"Director Tang, what are you doing?" Lu Gang saw the director of the Department of Respiratory Medicine standing there stunned. His heart moved, and he had a premonition that something was going on.
"Lu...Old Lu...really still has a Bixin Tong...shell." The director of the Department of Respiratory Medicine stammered in reply.
really!
Lu Gang was not happy, but glanced at Ji Xiang with the corner of his eyes.
But he didn't see Ji Xiang out of the corner of his eye.
The director of the Department of Respiratory Medicine hesitated for a moment, then immediately started to operate, using pliers to take out the other shell of the new one.
Until the shell was clipped out and the director of the Department of Respiratory Medicine saw the shell being clipped out of the body with her own eyes, she still couldn't believe it.
It is very rare for the baixintong to enter the trachea and cause respiratory tract obstruction. It is even more rare for there to be two baixintong shells in one side of the airway.
"Dr. Xiaoji, how did you see it?"
"What did you see?" Ji Xiang asked.
The director of the Department of Respiratory Medicine was speechless for a moment.
Is it just a coincidence? Ji Xiang happened to find another Baixintong shell while suctioning.
No, I couldn't. Although there was sputum blocking my vision when I used the bronchoscope just now, I couldn't see such a big shell.
However, Ji Xiang denied it and was speechless for a moment.
The director of the Department of Respiratory Medicine was stunned for a few seconds without thinking about what was going on. Seeing that the patient's blood oxygen saturation had risen again, he began to operate the bronchoscope and turned back to thoroughly suction sputum to look for any foreign matter left behind.
After a few minutes, the sputum was completely sucked out, and the patient's condition improved significantly. Although the blood oxygen saturation was less than 100%, it was because the patient had pneumonia.
After the foreign body is removed, the patient will definitely get better little by little. The director of the Department of Respiratory Medicine is confident about this.
She picked up the new shell with gauze and prepared to explain it to the patient's family.
The director of the Department of Respiratory Medicine glanced at Ji Xiang, smiled and said to Lu Gang, "Lao Lu, go talk to the patient's family."
"Patients in your department, let me tell you what to say." Lu Gang rejected Director Tang's kindness, waved his hand, smoothed the strand of hair on his head, turned around and left.
“Don’t forget to write in for consultation!” the director of the Department of Respiratory Medicine reminded.
Lu Gang didn't say anything. After he and Ji Xiang came out of the Department of Respiratory Medicine, he asked doubtfully, "Xiao Ji, I didn't see you operating the bronchoscope. How did you find the other shell of Baixintong?"
"I don't know, I just sucked the phlegm." Ji Xiang replied calmly.
Do you have to tell Lu Gang that he tried more than 20 times in the system operating room before he could find the Baixintong shell with the smallest movement? Just kidding.
So pretending to be confused is the best option.
Lu Gang knew something about Ji Xiang's temper, but seeing that he refused to tell him, he didn't ask any more questions.
As he was about to return to the department, Lu just remembered that Director Liu was still waiting for him and Ji Xiang.
"Xiaoji, don't worry if you failed the provincial self-study review today. You are still young and there will be plenty of opportunities in the future." Lu Gang consoled him.
He knew about the change in the provincial self-study evaluation standards, and felt a little regretful about it, but he didn't think it was very important.
Youth is capital. In this regard, Jixiang's capital is very rich.
I'm not lucky this time, but in one year or at most two years, I will definitely be rated as a provincial self-study student.
"Teacher Lu, the provincial self-study exam has been passed, don't you know?" Ji Xiang replied.
Lu Gang was not happy, but his face tightened. He frowned and asked, "Did Director Bai force you to pass? If you don't reach the national red line, you will definitely have hidden dangers even if you pass the provincial self-education school. Director Bai has been cautious all his life.
How could you be so ridiculous!"
"No, I have met the review qualifications. Just this morning, The Lancet published a supplement containing the article I submitted. According to the selection rules, Brother Zhao's hard work is enough, so."
Ji Xiang said, shrugging his shoulders, as if he was talking about what he had eaten for lunch, and his tone was calm.
"!!!"
Chapter completed!