After raising a cat, the goddess doctor became popular in the interstellar

A thick and hard fishbone about 1 cm long was piercing obliquely at the top of Tiedan's esophagus, and congestion and edema had already appeared around it.

Fortunately, it was inserted obliquely. Although the esophagus had been punctured, it hadn't perforated yet.

But if Tie Dan ate that piece of pancake, the consequences would be hard to say.

After the perforation of the esophagus, the infection of the mediastinum, emphysema, empyema and pneumothorax, coupled with the habit of the villagers not to go to the hospital if they had nothing to do, the child's life was hanging.

After seeing the exact location of the fishbone, Tao Le felt even more headache.

If the fishbone is very shallow, you can take it out directly with tweezers; if it enters the pear nest in the throat, you can also use a laryngoscope and foreign body forceps to take it out.

However, if the foreign body has entered the esophagus, the only option is to remove the foreign body from the esophagus.

Although the removal of esophageal foreign body is a minor operation, depending on the foreign body, another major operation is likely to be performed next.

If the foreign body stuck in the esophagus is a small, regular-shaped object, such as a coin, which will not cause esophageal damage, it will be over after the foreign body is removed;
However, if the esophagus is pierced by a fishbone like Tiedan, causing congestion and edema, most of them will need to undergo another esophageal tear repair—this is a major open-chest operation.

Tao Le's gold finger is not a panacea, it can repair the esophagus afterwards, but it cannot do the removal of the foreign body itself.

This is the key to Tao Le's headache.

She can call Ye Chen directly, and with the help of the other party, persuade Tie Dan's parents to send him to the hospital, and she won't have to worry about the rest.

But it certainly wasn't her first choice.Because after the major thoracotomy, the patient will also face two common and terrible complications of esophageal pleural fistula and empyema. Not to mention the great danger, the cost of surgery and hospitalization is also astonishingly high. Can't afford it either.

The best way is to help take out the fishbone yourself, and then use gold fingers to repair it, so that there is almost no cost, and the child will not be in any danger.

The only problem is that she has neither an esophagoscope nor an anesthetic in hand.

Normal esophagoscopy requires local anesthesia of the throat, and general anesthesia is also required for active children, otherwise the laryngeal nerves will have stress reactions such as nausea and vomiting, and there is no way to operate.

There is also a more critical problem, that is, she lacks a hand that can operate the esophagoscope and foreign body forceps.

This practice does not belong to the scope of the regular training practical operation test, and she has never practiced it.

It seems that no matter how many ideas there are, I can only invite Doctor Ye, who is leading the team, to come and have a look.

If even he can't handle it, he can only be sent to the hospital.

Tao Le was about to make a phone call, but the Goldfinger interface in front of him suddenly changed, and a line of large characters appeared.

Tao Le glanced over and was stunned.

"After testing, the current conditions support the removal of esophageal foreign bodies. Do you need simulation-guided exercises? Yes/No. Note: Simulation-guided exercises do not take real time."

Current conditions support esophageal foreign body removal?Where are the conditions, what are the conditions, why didn't she see it at all?

But the simulated guided practice, this is the new function of the cheat?
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, exactly the Tie Zhu I saw just now.

Although he didn't speak, his eyes were wide open and he kept twisting his body, apparently without any anesthesia.

A male doctor in surgical gown was standing opposite the bed. Tao Le looked over and felt that he was very familiar to him.

The other party was tall and slender, with a big mask on his face, only a pair of eyes were exposed, and there was a hint of inexplicable emotion hidden in his warmth.

"It's started. Don't be distracted, just watch carefully." The man said.

His voice was not high, but it was extremely magnetic, as if he had heard it somewhere before.

"Acupuncture anesthesia is the first choice when there is no anesthetic and the other party is a child."

The man took out a plate of 1.5-inch needles.Tao Le noticed that this needle was exactly the same as the one she carried with her, both in model and brand.

acupuncture anesthesia!Tao Le did not expect to see this technique here.

This is a major application practice in the development of acupuncture and moxibustion in traditional Chinese medicine. Simply relying on acupuncture or electroacupuncture to stimulate acupoints can achieve the purpose of analgesia, so that the operation can be performed normally without anesthesia.

This method is simple and safe, has little interference with physiological functions, and has no side effects. It has also been promoted and applied within a certain range.

However, acupuncture anesthesia cannot be like medicine, which can make patients completely relaxed and pain-free throughout the operation, which makes the intraoperative experience of both doctors and patients unsatisfactory.

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, it is necessary to select acupoints on the same nerve segment as the surgical site, and at the same time follow the meridian and dialectically select acupoints."

"For example, if you want to remove foreign bodies from the esophagus, you should choose acupoints such as Futu, Hegu, and Neiguan, and twist them quickly after getting Qi."

While explaining, he pierced the acupoints quickly and accurately, showing Tao Le the technique bit by bit.

"Successful anesthesia." The man took out an alligator forceps, which is the most common and the same foreign body forceps that are now lying in Taole's medical bag:
"You can see where the fishbone is, without the cooperation of an esophagoscope. Now I will teach you how to use foreign body forceps to go deep into the esophagus to take foreign objects."

The man spoke seriously.The gold finger interface in Tao Le’s eyes clearly shows how the crocodile forceps are inserted into the pyriform fossa on the right side of the throat along the right side of the mouth, and then gradually move into the midline, and after reaching the esophageal opening, they stop at a bulge like a Anterior to the portal-like cricopharyngeus muscle.

"Make a swallow," he told the boy.The child obediently swallowed, the opening of the esophagus was opened, and the crocodile forceps were introduced.

The fishbone is about 2 cm below the esophageal opening. It is shaped like a "T" and about 3 mm long.

Under the hands of the man, the alligator pliers are as flexible as life.Clamp the back end of the fishbone so that the tip withdraws from the esophageal wall, then adjust the angle of the fishbone to withdraw when the cross section is the smallest.

"Okay." The man threw the fishbone into the metal plate that Tao Le took: "It was just a demonstration, and the speed was relatively slow. I will do it again next time."

Acupuncture anesthesia, 2 minutes.Remove the foreign body, 30 seconds.

In a total of 2 minutes and 30 seconds, an esophageal foreign body removal operation that most likely required a few days of hospital stay was completed.

"Next, it's your turn."