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¡¾1349¡¿The pressure is coming

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    Xiao Yang said to Shao Jialiang on the phone: "She has this ability. If you don't believe it, let her try. Some things need to be witnessed with one's own eyes to believe it."

    "Colleagues spoke highly of her, and Shao Jialiang frowned.

    The family members of the patients at the door have not gone far. The old lady visits from time to time, holding high hope.  It was the family members who came to seek help from the National Association.  Respecting the reasonable requests of family members is a doctor¡¯s obligation.

    Shao Jialiang agreed.

    The anesthesiologist pushes the prepared anesthetic medicine into the patient's veins, and the patient falls asleep and relaxes his whole body.  At this time, it is relatively easy to insert a gastroscope without resistance from the patient.  Like the bronchoscope demonstrated by Teacher Xin before, the difficulty lies in the throat, so do not insert it into the wrong lumen.  The anatomical location here must be well understood.  Fortunately, the entrance to the esophagus is much easier to find than the trachea. Think about it, nurses can blindly insert a gastric tube.

    The operating doctor puts on surgical gown, gloves and surgical hat, preparing to perform special digestive endoscopy including necessary endoscopic surgery.

    Senior Brother Yu stood nearby, and Xie Wanying picked up the gastroscope.

    I have tried choledochoscopy and bronchoscopy, and there seems to be little difference in several basic components and operating principles of endoscopes.  Light source (for illumination), operating hole (for inserting various instruments and putting them on various endoscopes with different names), rotating button (for adjusting the angle), the specific details will definitely be slightly different, but the feel will be similar.  , all are flexible tubes, and they all move inside the patient's luminal organs.  Perhaps it was for this reason that Senior Brother Yu, who was a master of endoscopic technology, dared to let her operate it by herself.

    here we go.

    As mentioned before, it is very easy for her to find the entrance to the esophagus.  However, just after the tube entered the esophagus, a stenosis was seen about 35 centimeters away from the front teeth. This is the anastomosis, and the nutrition tube in the site can be seen.  The anastomosis was too narrow, which was consistent with the situation provided by the attending doctor before, and the endoscope could not pass through the anastomosis.  Above the anastomosis, I saw the tail of a titanium clip, which meant that the titanium clip probably failed to clip the most important fistula, resulting in continued signs of fistula.

    To remove the remaining titanium clip, first pull out the nutrition tube, then insert a guide wire for balloon dilation of the anastomosis.  Xie Wanying's mind kept recalling the gastroscopy techniques she had seen teachers perform before.

    Yu Xuexian knew that she had no problem with her basic operation. She thought that she would dare to do the puncture for Xin Yanjun that night without any neurosurgery. Gastroscopy is much simpler and the risk is much lower than that of neurosurgery, so how could it stump her.  What is needed now is to teach her some experience, he said: "Pay attention to the titanium clip and pull out the feeding tube slowly. Don't think that the patient will not respond after being anesthetized. When placing the guide wire, special attention must be paid to the position.  .¡±

    Phew, Xie Wanying adjusted her breathing rate internally to adapt to the rapidly increasing pressure.  This kind of technical pressure is not given by others, but a new problem that doctors must face every day.

    It can be seen that female teachers and male teachers are different.  Male teachers such as Senior Brother Yu are completely different even though they are physicians like Teacher Xin.

    Teacher Xin will take it step by step and will not rush it.  The most important thing is that as a teacher, Xinyan Junzhang has to bear the difficult things himself and will not let students bear the burden of responsibility.

    Senior Brother Yu is more like Senior Brother Tao. He wants her to shoulder the burden of responsibility and let her do difficult things by herself. She first stands aside and watches what happens.

    Teacher Xin is really gentle at heart. No matter how easy-to-talk Senior Brother Tao is, no matter how nice Senior Brother Yu is, he will never be so considerate.  (Remember the website address: www.hlnovel.com
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