I Can See Health

Remember [new] in one second! When Lu Chen returned to the first ward of the Department of Respiratory Medicine, it was not yet ten o'clock in the morning.

Seeing Lu Chen come back, Fan Yujing was also slightly startled.

"Lu Chen, didn't you go to the cardiology cath lab for surgery today? No?"

"Teacher Fan, I've finished it." Lu Chen smiled.

Fan Yujing looked up at the clock on the wall. It was not even ten o'clock, "Are you so fast? What kind of surgery are you doing?"

"Electrophysiology surgery, ICD puncture implantation." Lu Chen said softly.

When Fan Yujing heard this, her eyes showed a trace of doubt.

She also knows a lot about cardiology surgery. Can the ICD surgery be completed so quickly?

impossible!

She glanced at Lu Chen suspiciously again, was he lying?

Lu Chen naturally didn't know what Fan Yujing was thinking, so he asked, "Teacher, when will your bronchoscopy surgery start?"

"About half past ten." Fan Yujing said, "There's still half an hour."

"Can I go take a look?" Lu Chen asked.

"As long as you have written down all the disease courses for today, you can go." Fan Yujing frowned.

"Okay!" Lu Chen immediately turned on the computer and started writing a record of the disease.

Fan Yujing glanced at Lu Chen and ignored him.

…

Half past ten.

Lu Chen typed the last word on the computer.

"Phew! I'm finally done!" A smile appeared on Lu Chen's lips. He could go and observe the interventional bronchial endoscopic surgery.

The bronchial endoscopic operating room at this time.

Fan Yujing is communicating with the patient again about the risks of interventional surgery.

"Auntie, are you aware of these risks? Some may cause bleeding, infection, or even shock, etc."

"Don't worry, I understand." The patient nodded slightly, "That Dr. Lu of yours told me many times. I have listened to it four or five times."

"That's fine." Fan Yujing said.

Doctors should not be afraid of trouble, especially when communicating with patients about their condition.

More communication is an important way to protect yourself.

At this time, Lu Chen quietly pushed the door open and entered.

Fan Yujing looked back.

"Have you finished writing the disease history record?"

"Well, it's done." Lu Chen nodded, and then walked to Fan Yujing's side.

During his internship, Lu Chen saw fiberoptic bronchoscopy surgery.

But at the time, he was just confused. No matter how many surgeries he performed, he still couldn't figure out why.

However, Lu Chen has always been interested in this kind of interventional surgery.

Taking advantage of today's opportunity, he wanted to observe and learn from it.

"Lu Chen, just stand by and help me get a bottle of anesthetic first."

"good."

This fiberoptic bronchoscope is different from the electrophysiological interventional surgery just now.

Lu Chen had just been the first assistant in the operation, and he almost completed the entire operation alone.

But now, he has become a little follower who delivers things.

The role change was so big that Lu Chen couldn't help but shake his head slightly.

…

At this time, Fan Yujing had completed preoperative anesthesia preparations and began the operation.

The patient lies supine, and Fan Yujing stands at the head of the patient, holding the operating part of the scope with her left hand and controlling the adjustment knob with her thumb.

Use your right hand to insert the lens into the nasal cavity to reach the larynx or through the perforated dental pad in the oral cavity and along the posterior pharyngeal wall to the larynx.

"Generally, when the depth of the microscope is about 15cm, the epiglottis can be seen. If the epiglottis cannot be seen, do not blindly insert it forward, otherwise it may be mistakenly inserted into the esophagus."

Fan Yujing said to Lu Chen while doing it.

"Yes." Lu Chen nodded and watched Fan Yujing's operation carefully.

At this time, Fan Yujing said to the patient again: "Take a calm breath."

The patient followed Fan Yujing's words and took a calm breath.

Fan Yujing took advantage of the glottis to open and quickly inserted the end of the scope into the trachea from the back of the glottis.

"Add a small amount of anesthetic!" Fan Yujing said in a deep voice.

"Got it." Lu Chen understood immediately and added a small amount of medicine into the trachea.

At this time, Fan Yujing adjusted the distal end of the scope to a natural beauty, aimed her field of view at the tube, and checked the shape of the trachea, mucous membrane color, mobility, etc. from top to bottom.

Of course, the most important thing is to pay attention to the patient’s “narrow spot”!

During the chest CT scan, both Lu Chen and Fan Yujing saw a very small stenosis at the opening of the bronchus.

As Fan Yujing continued to go deeper, Lu Chen stood aside and looked at the operation screen, staring unblinkingly for fear of missing any picture.

At this moment, Fan Yujing spoke up.

"found it!"

Lu Chen quickly looked at it, and sure enough, there was an oval-shaped foreign object within his field of vision!

Its color and size were completely inconsistent with the surrounding bronchial tissue.

Is it this "foreign body" that causes the patient to continue to cough and expectorate?

Foreign bodies in the airways are common in the elderly and children.

Loose teeth of elderly patients may fall into the airway during sleep at night, eating too fast or laughing while eating may also cause food to be choked into the airway.

Children are very curious and will stuff foreign objects into their mouths and then inhale them into their airways... This is related to the insufficiency of laryngeal protection and weak cough reflexes in the elderly and children.

At this time, Fan Yujing began to try to take it out.

Then, she frowned: "It's not easy to take it out. The foreign body and bronchial tissue are wrapped in granulation tissue!"

Large airway foreign bodies can cause acute airway obstruction and be life-threatening. In children, foreign bodies in the airways are the leading cause of death from suffocation.

Small airway foreign bodies can irritate the tracheal wall and cause coughing, wheezing and discomfort. Secondary infection can lead to fever, difficulty breathing, etc.

Foreign bodies in the airway with rough edges and sharp edges can also puncture the tracheal mucosa capillaries or surrounding large blood vessels, causing hemoptysis!

Fan Yujing was quite nervous.

I thought it was just a small foreign object and I could just take it out.

Unexpectedly, the foreign body stayed in the bronchus for a long time and granulation tissue had grown. It was not easy to remove it smoothly.

"I need to use electrodes to cauterize this piece of tissue to remove the foreign object!" Fan Yujing said.

Lu Chen understood, put on gloves, and helped Fan Yujing get the electrode.

…

On the surgical screen. UU reading www.uukaｎshu.net

Lu Chen saw Fan Yujing's electrode deep inside.

After the electrode is energized, it comes into close contact with the bronchial tissue and electrically cauterizes the tissue.

As the electrocautery continued, the "foreign object" became obviously loose.

Fan Yujing looked happy, it worked!

As long as the foreign body in the patient's bronchus is removed, her persistent cough and coughing symptoms should be resolved.

"Lu Chen, watch it." Fan Yujing slowly took out the "foreign object" and prepared to remove the electrode.

But at this moment, Lu Chen felt a flash of bright red blood appear in the field of vision of the surgical screen!

In an instant, this blood color infected the entire surgical area.

"It's bleeding!" Lu Chen was shocked, "And it's heavy bleeding!"

The smile on Fan Yujing's face had disappeared.