It was fuzzy, so she had to ask someone to send it back. As a result, she didn't have time to eat lunch, and she hurried into the operating room to study. Thinking of this, Cao Yong glanced at the person not far away.
The others seemed to be able to sense who he was looking at.
Xie Wanying's eyes were following the surgeon's movements.
What Teacher Zhang touched should be the thyroid cartilage and the suprasternal notch, which are the conventional incision locations for tracheotomy.
The thyroid cartilage is the most prominent part of the midline of the neck when the head is extended. Several tracheal rings can be felt along the underside of the thyroid cartilage. This child is not fat, so it is easy for the doctor to feel it.
While observing, Xie Wanying combined the feeling she had felt when she used forceps to feel inside the child's trachea to adjust the parameters in her brain to see if there were any changes in the end. She also needed to judge whether she was right or wrong.
"Do you have any ideas?" Zhang Huayao asked her, thinking that she was concentrating on this and some ideas seemed to have popped up.
Teacher Lin** likes to have academic exchanges with talented students, regardless of whether they are big names or not.
"If we cut it open from here, the obstruction is in the right bronchus, approximately parallel to the fifth and sixth thoracic vertebrae, at a certain distance, and we may need homemade tools to clamp it out." Xie Wanying expressed her thoughts, "The most worrying thing now is probably not that we can't clamp it out, but -"
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"Once the clip is taken out, there will be heavy bleeding. And when the time comes, the place where we perform the operation will not be at the bleeding location, so it will be difficult to stop the bleeding." Zhang Huayao didn't need her to say a word, because this problem was also what the teachers were worried about.
The reason why heavy bleeding in the trachea causes suffocation is that the human body has a coagulation mechanism. Bleeding, then coagulation into blood clots, directly suffocates again and blocks the trachea.
Fu Xinheng took a precautionary measure by holding a suction device in his hand.
Liu Yu and the anesthesiologist sighed several times. This was the operating room of the Department of Dentistry. They had never performed cardiothoracic surgery before and did not have the corresponding professional equipment to support them. The whole operation was actually a bit risky.
The equipment nurse first reported to the bosses: "We don't have any cardiothoracic surgery kits here."
The big guys are well aware of the risks. If they don't do it, the patient will die. If they do it, it's a big risk for the doctors and they will bear unlimited responsibility. The family members waiting outside are a group of people who are difficult to talk to and don't understand the doctors. If it weren't for the innocent young life in front of them, the doctors who have nothing to do with this matter could clap their hands and leave.
"Start." Zhang Huayao stretched out his hand and ordered the nurse.
The nurse handed over the scalpel.
The surgical field is in the anterior cervical triangle, an inverted triangle, with the upper boundary being the jawbone, the lower boundary being the sternum, and the two sides being the sternocleidomastoid muscles. The incision can be either a longitudinal incision or a transverse incision. Considering the need to remove foreign bodies, the surgeon chose a longitudinal incision.
The first cut was made from the lower edge of the thyroid cartilage located by the doctor just now to the suprasternal fossa.
Just like other surgical operations, the skin is cut first, then the subcutaneous tissue, layer by layer. There are a lot of tissues in the neck, so you have to be very careful and not too fast, which is also why minor operations take a long time.
Xie Wanying thought of Dr. Nie, the pediatrician with a chronic temper.
Treating children needs to be slow and meticulous. Performing surgery on a child is like carving ivory and embroidering small flowers, insects, and bees. General surgeons are not very comfortable with this. Fortunately, the surgeon who performed the surgery today was a cardiothoracic surgeon. The cardiothoracic surgeon at the National Association is not a pediatrician, but because the pediatric surgery department in the top three general hospitals in China is general pediatric surgery, there is no funding to subdivide it into pediatric surgery and other pediatric surgery departments like specialized pediatric hospitals, so many surgeries have been performed on children. As for Zhang Huayao, the boss among the bosses, he has definitely performed a lot of pediatric surgeries.
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