Li Xiangzhi fell into coma due to suffocation, so there was no need for anesthesia.
The situation was very urgent, and time did not allow Hu Xiaotian to perform a tracheotomy calmly. He made the immediate decision to perform a cricothyroidotomy on the patient first to relieve dyspnea, and then perform a conventional tracheotomy.
The cricothyroid membrane is a piece of tracheal wall located at the lower part of the thyroid cartilage and the upper part of the cricoid cartilage. Because the tracheal wall here is between the two pieces of cartilage, the gap is relatively large, and there are fewer blood vessels and nerves passing through it, so it will not cause large incisions. Bleeding and additional damage.
Hu Xiaotian quickly put on the homemade mask, took out the scalpel and positioned it accurately, and the blade cut into the skin of Li Xiangzhi's neck. There were bursts of exclamations from all around, and the timid female family members were so frightened that they had turned their heads. Because they were eager to save people, Hu Xiaotian I just forgot about clearing the place. Although he was rescuing people, his action was clearly wiping his neck with a knife. In most people's eyes, Hu Xiaotian was committing murder! What's more, he even fainted on the spot.
After all, Wan Boping had experienced the shock of Hu Xiaotian cracking his son's head open. Hu Xiaotian had some psychological endurance when he cut his daughter-in-law's neck in front of his eyes. At least he knew that Hu Xiaotian was saving people, not murdering.
After the patient's cricothyroid membrane was exposed, Hu Xiaotian used a knife to incise the cricothyroid membrane transversely, took out the elbow vascular forceps from the operating box, used the vascular forceps to expand the incision, and temporarily inserted a pre-prepared and sterilized reed rod into it. Hu Xiaotian The movements were quick and clean, and with the insertion of the reed rod, Li Xiangzhi's suffocation symptoms were immediately relieved.
She woke up and opened her eyes wide. Her eyes looked extremely frightened.
Hu Xiaotian comforted her and said: "It's okay, don't panic. Don't move around. Next, I will help you remove the foreign body in your throat." Li Xiangzhi gradually calmed down under Hu Xiaotian's comfort.
For Hu Xiaotian, a medical doctor, routine tracheotomy is simply an extremely minor operation, but in this era, it is undoubtedly a shocking move.
Hu Xiaotian's unruly temperament determines that he rarely cares about the opinions of people around him. However, after coming here, he gradually learned to assess the situation and adapt to the surrounding environment. But when he devoted himself to treating patients, he would ignore other things. .
The surgery uses a straight incision, from the lower edge of the thyroid cartilage to the sternal fossa, and cuts the skin and subcutaneous tissue along the midline of the front of the neck. Then use vascular forceps to separate the sternohyoid muscle and sternothyroid muscle along the midline to expose the thyroid gland. The isthmus of Li Xiangzhi's thyroid is too wide in terms of physiological structure. It is necessary to partially separate the lower edge, and then pull the isthmus tissue upward to expose the trachea. There is a retractor in the operating box, and the assistant of this retractor is duty-bound. The ground fell on Zhou Wenju. Although Zhou Wenju and Hu Xiaotian had just experienced a fierce quarrel, he was very cooperative during the whole rescue process. Hu Xiaotian told him that the force of the two retractors must be even and moderate. Keep your surgical field of view at the midline at all times.
During the operation, Hu Xiaotian used his fingers to explore the cricoid cartilage and trachea several times to make sure they were in the center position. Although Hu Xiaotian was usually cynical, once he entered the operating state, he would concentrate on being meticulous. After determining the position of the trachea, he placed it on the third tracheal ring. Cut off the knife and use the tip of the knife to open the two tracheal rings from bottom to top. Use the knife extremely carefully to avoid puncturing the posterior wall of the trachea and the anterior wall of the esophagus.
Because of the experience of treating Wan Tingsheng last time, Wanfu's servants turned on the lighting very well today. They used several bronze mirrors to focus the light on the surgical site. Hu Xiaotian successfully found the piece of tissue blocked in the trachea.
He used a vascular forceps to clamp the beef. The beef was about the size of a thumb cap. Li Xiangzhi accidentally swallowed it into his trachea because he was absent-minded while eating, causing an obstruction. If he couldn't rescue him quickly, he might have died by now.
After solving the fundamental problem of airway obstruction, the subsequent suturing process is quite simple. Just in case, the tracheal intubation is still kept and fixed. In the past, Hu Xiaotian would still have to worry about postoperative complications and other issues.
, but he found that in this world, whether it was a problem with people's physical constitution or because there were far fewer pathogenic bacteria than in modern society, among the several operations he had performed, there was not a single case of infection. It should be said that the former was possible.
The nature is greater, and the human body's self-healing ability is very strong here.
Hu Xiaotian explained carefully to the maids and mothers-in-law who were responsible for taking care of Li Xiangzhi, and told them some basic knowledge of nursing. After all, these people all had experience in caring for the second child of the Wan family, so it was not difficult to get started. After all this was done, the night fell.
It has already arrived.
Zhou Wenju listened in while Hu Xiaotian imparted nursing knowledge to the maids and wives. The more he listened, the more ashamed and frightened he became. After witnessing Hu Xiaotian saving Li Xiangzhi from the brink of life and death, he was impressed from the bottom of his heart.
If it had been him, Li Xiangzhi would have died. In fact, Zhou Wenju was by no means a deceiver, and his reputation as the number one miracle doctor in Xichuan was not blown out. He treated countless patients, but his surgical knowledge was pitiful.
very.
Hearing is false and seeing is believing. Only those who have seen the whole process of Hu Xiaotian's surgery with their own eyes know what it means that there is a world outside the world.
When Hu Xiaotian went to wash his hands, Zhou Wenju also came over to wash his hands. Their eyes met, and there was no longer any hostility between them. Zhou Wenju pursed his lips and mustered up the courage to say: "Master Hu, Zhou's words and deeds just now were unreasonable.
I hope you will forgive me if I have offended you in any way!”
With Zhou Wenju's status, it is not easy to take the initiative to apologize to a junior. Hu Xiaotian is not a narrow-minded person. Although he had just held back all his energy to fight with Zhou Wenju, he saw that he lowered his attitude and took the initiative to express his gratitude to him.
Okay, he immediately forgot all about the unhappiness he had just had. He smiled and said: "Mr. Zhou, don't blame me. I am the one who is young and frivolous, and I am the one who speaks and behaves without a trace."
Zhou Wenju was a little excited and said: "Master Hu, Zhou has been practicing medicine for decades and has never seen such a sophisticated way of saving lives. Please forgive my lack of knowledge. What is the name of the treatment method Master Hu just used?" Although Zhou Wenju thought highly of himself,
Very high, but he admired people who were really capable and would not hesitate to ask for advice, and his attitude became much more humble.
Hu Xiaotian said: "My master calls this surgery!"
"Surgery?" Zhou Wenju silently chewed on this novel word that he had never heard before.
At this time, Wan Boping came over to greet the two of them for dinner. If Zhou Wenju's words before had caused Wan Boping to have a crisis of trust in Hu Xiaotian, the eldest daughter-in-law's sudden accident. Fortunately, Hu Xiaotian came to the rescue. Hu Xiaotian's action this time has already made Wan Boping
The doubts in Wan Boping's heart were gone. Hu Xiaotian's medical skills were almost mythical in his mind. Although he didn't know any medical skills, he had seen the situation just now. Zhou Wenju, known as the number one miracle doctor in Xichuan, was also helpless.
It was Hu Xiaotian who stepped forward to save his daughter-in-law. He naturally made a preliminary judgment in his mind about who was higher and who was lower.
Just now, no one would have thought that Hu Xiaotian and Zhou Wenju could sit down and have dinner together, but there are so many unexpected things in this world.
Hu Xiaotian raised his glass and drank with Zhou Wenju with a smile: "I just said that everything in this world is constantly changing every moment. When you and I were having a heated debate just now, neither of us would have thought that an hour later
We’re actually going to sit here and have a good chat, right?”
Zhou Wenju said with a look of shame on his face: "Master Hu, are you still concerned about what happened just now? Zhou used this glass of wine to apologize to Master Hu."
Hu Xiaotian smiled and said: "What the hell, what Mr. Zhou said makes me ashamed. This junior has no intention of holding grudges. We just had an academic dispute, a gentleman's dispute. It's just a different understanding. It's not a personal grudge. I'm with Mr. Zhou."
You don’t really look that stingy in your eyes, do you?”
Zhou Wenju smiled and said: "If you don't care about how offended I was by my fierce words just now, I won't say you are stingy." The two looked at each other and laughed at the same time.
As the host, Wan Boping came late, not because he had any intention of treating these two distinguished guests, but because there were too many things at home. Just as Wan Boping sat down here, there was thunder and lightning and rain outside.
, but the rain is not heavy. What Hu Xiaotian is most worried about now is the heavy rain. As long as the rain is not heavy, it will not pose a threat to the embankment of the Tongji River. With Liu Kuohai in charge there, there should be no big problems.
.What's more, he knows where he is going and will come immediately to report if there is any emergency.
Although his daughter-in-law was out of danger, Wan Boping still had a sad look on his face. After toasting Hu Xiaotian and Zhou Wen respectively with two glasses of wine, he sighed and said: "Master Hu, to be honest, the nine incense burners you set up last night were beaten.
Six were turned over.”
Hu Xiaotian did not express his position. After all, Zhou Wenju was by his side. Although he had not been in contact with Zhou Wenju for a long time, he could also see that Zhou Wenju was not a bad person. He had a clear sense of grudges and integrity, and he should be a materialist.
, is knowledgeable and has deep research in Feng Shui. If he talks nonsense, he will inevitably cause another debate.
Wan Boping said: "Master Hu!" He was afraid that Hu Xiaotian would forget about Jiuding to suppress evil.
Hu Xiaotian smiled calmly and said: "I will go over and take a look at this later."
Wan Boping saw that Hu Xiaotian was unwilling to mention this matter, so he had no choice but to suppress the idea of speaking out. Hu Xiaotian was not only hindered by Zhou Wenju's presence, but also wanted to take the opportunity to make things difficult for Wan Boping, an old fox. He just said
After listening to Zhou Wenju's words, he doubted himself, and now he shamelessly wanted to ask himself for help, saying that he had not collected any of his daughter-in-law's surgery fees.
At this time, Wan Changchun came over again and asked Wan Boping to come over, saying that Mrs. Wan had something to do with him. Wan Boping said to the two of them, got up and hurried away.
