Chapter 469 Airway obstruction, all diagnoses are correct

Author: Jiangbian Yuweng

Chapter 469 Airway obstruction, all diagnoses are correct

After checking the room, he was still somewhat worried about Director Tang Fei's current situation.

After getting into trouble, you should always ask about the other person's situation.

The relationship with Director Tang Fei is basically a superior-subordinate relationship, and there is a certain degree of friendship, but it is far from the sister-brother relationship with Director Xue Yan.

Just a good excuse to make a phone call.

He will soon enter the emergency operating room and start his day's work. You can ask how the child diagnosed yesterday is doing.

I called and was quickly connected.

It means the situation is fine.

"Director Tang, I'm sorry to bother you so early!"

Zhou Can spoke first.

"What's the matter? I've already gone to work in the hospital." She seemed to be in a good mood.

Zhou Can took courage and asked tentatively, "I'm sorry for causing conflict in your family yesterday! If you need my help to clarify the misunderstanding, just ask."

"Haha, I didn't expect that my car overturned because I was careless yesterday. I am the one who should apologize. Fortunately, after I explained it clearly to my husband, he didn't get angry anymore. He even got up early this morning and made breakfast for me.

I’m eating it!”

She also felt funny when she mentioned what happened yesterday.

Zhou Can also specifically reminded her not to close the door to avoid misunderstanding. As a result, she was so busy working that she forgot about her wedding anniversary. Her husband came to the hospital with gifts to find her, and happened to find her and Zhou Can in the office.

I stayed with the door closed for a long time.

"It's good that everything is fine. Has the patient had a checkup?"

Zhou Can was slightly relieved when he heard that everything was okay.

"Many departments were closed yesterday and there was no way to arrange it. However, I communicated with the family members and they agreed to do those examinations. They should be completed this morning."

It was almost eight o'clock in the evening when Zhou Can came out of her office.

Most of the hospital's laboratory staff are already off work. In the capsule endoscopy department, unless there are special circumstances, appointments are generally required in advance.

"Doctor Zhou, Doctor Zhou, a patient came over there for rescue, and his face is purple!"

A nurse is looking for a superior doctor to come and direct the rescue, but it’s not the time to hand over the shift yet. The doctor on duty is the strongest at the attending level.

She saw Zhou Can talking on the phone by the window at the end of the corridor and quickly asked him for help.

"Okay, I'll be there right away!"

After Zhou Can finished speaking, he explained to Director Tang Fei on the other end of the phone, "Director Tang, this is the first step. I have patients here who need to be rescued."

"you busy!"

The two ended the call.

Yesterday's misunderstanding did not cause much trouble to her marriage, and Zhou Can was relieved.

I followed the nurse towards the emergency hall and soon saw an older patient lying on a movable flat bed. Two family members gathered around nervously. Dr. Xie was still on night shift today, and the shift had not yet been handed over.

He was holding it on the triage table.

At this moment, the patient fell into a coma, and Dr. Xie was working hard to perform cardiopulmonary resuscitation on the patient.

It's just that the patient's face is cyanotic with a bit of grayish white, which is a sign that there is a problem with blood oxygen exchange and that life is about to end.

Dr. Xie acted very professionally during the rescue. He compressed the chest with just the right strength. After 30 compressions, he gave the patient artificial respiration.

When performing artificial respiration, Dr. Xie chose mouth-to-nose artificial respiration.

In this case, the patient's mouth is usually difficult to open, the patient has severe trauma, or is in water, or the doctor's mouth is smaller than the patient's mouth.

In movies and TV series, it often happens that the heroine is drowning, and the hero kisses the heroine's mouth and performs artificial respiration. That's really what the plot requires, and it's not professional at all.

The correct approach should be mouth-to-nose artificial respiration.

Also, when female doctors or nurses encounter patients who suddenly become unconscious and need cardiopulmonary resuscitation on the road, women's mouths are usually smaller than men's. If their psychological quality is strong enough, they may choose mouth-to-nose artificial respiration.

This is because when a female doctor or nurse performs artificial respiration on a patient, her mouth is too small and cannot completely seal the patient's mouth. When blowing air, the air will escape from the unblocked part and cannot enter the patient's lungs.

This situation is considered ineffective artificial respiration.

When blowing air into the patient's mouth, do not hold the patient's nose. This kind of unprofessional rescue is generally done by ordinary people. It is a common sense mistake.

"There seems to be something wrong with the patient's airway."

Zhou Can has rich rescue experience and can see that the patient's chest can rise and fall significantly during artificial respiration.

This means that the air blown in reaches the lungs.

Help the patient complete the relaxation of the lungs.

As we all know, breathing of the lungs is accomplished through the relaxation and contraction of the alveoli. Intuitively, it can be understood that when the left and right lungs expand like balloons, they are inhaling. When they shrink, they are exhausting.

Changes in the lungs can be seen very clearly when dissecting mice.

As for teachers in general, there is no need to think about it.

The remains used for medical research are all human beings whose lives have ended. Only little devils can be so cruel and anti-human when using living people for medical research.

Zhou Can stepped forward and tried to raise the patient's head to a wider angle. He put his hand against the patient's chin and lifted it up.

This is the most commonly used method of raising your head and cheeks.

The patient's teeth are clenched and the mouth is closed tightly.

He pinched open the patient's mouth with a little force, revealing a gap two to three centimeters wide, and then observed the situation inside the mouth.

"It turns out that the base of his tongue fell back and blocked the airway!"

At first, I thought it was because food got stuck in the trachea while eating, causing me to suffocate.

This situation often occurs when the patient is mentally disturbed, and the pharyngeal muscles relax, causing the base of the tongue to fall backward, thus blocking the airway.

The tongue and epiglottis of the human body are both connected to the lower jaw. At this time, just like Zhou Can, push the lower jaw upward to force the tongue and epiglottis to lift away from the posterior pharyngeal wall, and the patient's airway can be restored to smoothness.

After Zhou Can's help, the patient's airway became unobstructed, the cyanosis on his face disappeared little by little, and he gradually returned to normal.

"How did he fall into coma?"

The patient is now in a state of complete loss of consciousness.

This is also the main reason why the base of the tongue falls back and blocks the airway.

"My dad has always had high blood pressure and loves to drink. The doctor told him not to drink, and we were very careful not to let him drink. This morning he went out very early, bought a bottle of wine outside, and drank some. No.

After a while, symptoms such as slurred speech and inability to stand up appeared. We quickly sent the person over. On the road, the person was still conscious and able to speak, but he immediately fell into a coma later on."

The family members are a middle-aged couple in their forties.

The answer should be my son.

The daughter-in-law stood aside and said nothing, but looked anxiously at the unconscious patient.

"Teacher Lu, have you measured his blood pressure?"

If you have high blood pressure, you should try not to drink alcohol, because no one knows what the consequences will be if you take a sip of alcohol.

Especially for such elderly people, the consequences are often serious.

"Systolic blood pressure 180, diastolic blood pressure 120."

Nurse Lu is an experienced nurse in the emergency department and often has strong professional predictability when rescuing patients.

She can figure out exactly what kind of patient needs support from a superior doctor.

"Hurry up and get your cardiovascular and cerebrovascular tests checked! I think his condition is very bad."

Zhou Can concluded from some of the patient's symptoms that it was probably a cerebral hemorrhage.

Hypertension must be well controlled. Once cerebral hemorrhage occurs, the probability of stroke is extremely high. It is also very dangerous and the prognosis is often very bad. It is considered good to have hemiplegia.

…

He went into the operating room to perform the operation and paid no attention to the things outside.

When he went out to eat at noon, he heard that the patient had indeed suffered a ruptured cerebral blood vessel and intracranial hemorrhage. He had now been transferred to neurosurgery for treatment.

The neurosurgery department of Tuya Hospital actually includes brain surgery.

Some hospitals have specialized brain surgeries.

Many ordinary patients think that neurosurgery belongs to the brain, which is completely contrary. The field of neurosurgery is much wider than that of the brain.

Human nerves are distributed throughout all parts of the human body.

The most studied outside the nervous system are the nerves of the head and the spinal nerves.

The head can be regarded as the nerve center, and the spinal nerves are the main roads leading to the body.
To be continued...