Surgical teachers love to joke. Listening to Xie Wanying, she knew that Teacher Nie could not just ask other doctors to come over casually. He must have a basis for doing so. After all, colleagues in other departments also need to be busy with their own work.
For example, everyone knows that bronchoscopes are used for extracardiothoracic and respiratory diseases, so why are doctors from the cardiology department called here? Senior Brother Jin is a well-known cardiovascular interventional expert. Teacher Nie called Senior Brother Jin to come.
He must be trying to use cardiovascular intervention to solve the problem of the child.
This is a little bit of trivia. In addition to the often-heard fiberoptic bronchoscopy and cardiothoracic surgery, which are often heard of, the interventional methods of cardiovascular departments should be used to remove bronchial foreign bodies.
As for how cardiovascular interventional technology is performed, it can be said that it is all about removing foreign bodies, and the principles are similar.
Fiberoptic bronchoscopes use micro-instruments on the mirror body to remove foreign objects, and use special lights and cameras to take pictures and guide the doctor's operation.
In the same way, the catheter used in cardiovascular interventional technology enters the bronchus with a guide wire, and can also be equipped with micro-instruments such as harvesters and forceps to capture foreign objects. If there is no camera, X-ray guidance can be used.
Since it seems to be similar to fiberoptic bronchoscopy, why should we consider interventional surgery?
The reason is that some foreign bodies are stuck in the bronchus too deep, but the length of the fiberoptic bronchoscope cannot inspect and treat third- and fourth-level airways, unlike the interventional guidewire that can be placed longer.
The diameter of children's fiberoptic bronchoscope is between 2.2 and 4.9mm. Based on the diameter of children's fiberoptic bronchoscope as a reference, clinicians can easily choose the catheter size required for intervention.
Now from the X-ray of the child, it can be seen that the foreign body is in the child's left lower lung lobe, with signs of bronchiectasis and inflammation, and the stuck position is relatively deep.
According to the routine, we first ask the person inside the respiratory department to come down and try fiberoptic bronchoscopy. If it doesn't work, we can then go to the cardiovascular interventional department. If it doesn't work, let the cardiothoracic surgeon remove the lung lobes. Basically, foreign bodies cannot be removed by fiberoptic bronchoscopy and interventional surgery.
, there is only one possibility, this thing is probably stuck to the trachea and can only be cut with a scalpel.
Nie Jiamin's decision to ask doctors from these departments to come together was not wrong. With a child with this kind of condition, there is no way to call doctors from one department after another. Let's discuss it together and contribute all the technical magic weapons.
It's important to save the child's life.
Doctors from several departments put their heads together and began to analyze specific cases.
"It's better to let people with heart failure try fiberoptic bronchoscopy on their own. They have this feel. If they go in and try it out, if it's tight, we don't need to try it in the interventional department. They can just do the surgery directly." Jin Tianyu looked at the film on the light board.
, pondered for a long time and expressed his opinion.
What he said was to seek truth from facts.
Everyone in the hospital knows that doing this operation outside the heart and chest is worse than inside the respiratory system. It is not clear why Nie Jiamin called the respiratory specialist over. It may be that Nie Jiamin has just arrived and does not know enough about the information of each department in this hospital.
.In this case, people around him should remind him.
When someone from the cardiology department looked at him, it was obvious that Luo Jing, who was following Nie Jiamin, was very silent. They guessed right that as people around Nie Jiamin, they would definitely remind the professor of some things to pay attention to, but the final decision could only be made by the professor himself. Therefore, really
It’s not that he hasn’t mentioned to Nie Jiamin that there is no need to be strong in the heart or chest when breathing.
