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Chapter 3467 [3467] Specific situation

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    Not all patients need surgery.

    The surgeon stays here, usually to assist.

    For example, when putting a patient on a ventilator for tracheal intubation, if the internist cannot do it, an anesthetist will need to come down to help. When changing the tracheotomy, a surgeon may be needed.

    Du Yeqing did not deny: "Change the tracheotomy." Clinically, there are indications for changing tracheal intubation to tracheotomy.  Generally speaking, it is impossible for doctors to cut open the patient's trachea casually, and tracheal intubation is the first choice if possible.  Specifically, what are the indications for tracheostomy?

    open.

    For example, in the previous rescue case of a child in the dental hospital, if obstruction occurred and tracheal intubation was performed, the patient could not breathe and had to undergo tracheotomy.

    Does Fan Yunyun have airway obstruction?  Obviously not.

    Another common clinical situation where tracheostomy is performed is that the patient is on an invasive ventilator and the doctor can predict that the patient will not be able to leave the ventilator for a while.  This involves the various advantages of tracheostomy over tracheal intubation.  First, tracheotomy can better maintain the patency of the patient's airway.  Second, if the tracheal intubation is inserted for a long time, it is easy to damage the patient's throat and mouth.  The third is those long

    Most of the patients who cannot leave the ventilator for a long time have neurological symptoms. Those with brain problems will have symptoms such as coughing, phlegm, and difficulty swallowing. A tracheotomy will undoubtedly be more conducive to suctioning phlegm for the patient to prevent respiratory obstruction.

    Hearing this, people who know medicine can somewhat understand the condition of the patient.

    It seems that the brain is not functioning properly for the time being, and the patient may need to be mentally prepared for the patient to be in a coma for a long time and unable to take care of himself.  The doctor had no choice but to perform a preventive tracheotomy and connect the patient to a ventilator.

    Is this just the case?  The damage caused by fire goes far beyond the nervous system.

    "It is said that she is on the seventh floor and has not been hit by the fire for the time being." Ye Qing said this. He looked at Dr. Shi Lei who had been to the scene beside him, and then checked whether the news about the fire scene that he heard was correct.

    Dr. Shi Lei was as quiet as a stone, so he nodded yes.

    "But." Du Yeqing continued, "Her lungs are already in a very serious condition due to inhaling a large amount of carbon monoxide and other chemical irritants."

    It¡¯s the burning lungs I just mentioned before.

    " Fire burns the lungs, and cerebral edema is unavoidable.

    "Dr. Cao Yong was here, and the diagnosis he made was acute cerebral edema," Du Yeqing admitted.

    ??This may sound strange to you?  There is no injury or burn on the head, so why is there cerebral edema?  As long as you think about heart problems and lack of oxygen, it can directly cause brain death. It has long been proven that once the human body is deprived of oxygen, it has a great relationship with the brain.  Severe lung damage, difficulty in inhalation, difficulty in feeding the human body, and most sensitive to oxygen

    The brain is naturally directly implicated as "serious injury".  For this kind of patient, under normal circumstances, it is necessary to send him to a hyperbaric oxygen chamber for treatment as soon as possible, which is good for brain and pulmonary rehabilitation.  But now, it¡¯s impossible to send the patient to a ventilator.  It should be said that the doctor is currently finished

    It does not take into account the patient¡¯s subsequent recovery stage, and whether the patient¡¯s life can be saved is a question.

    "Is her heart condition unstable, Teacher Du?" Xie Wanying asked.

    Myocardial damage caused by carbon monoxide poisoning is too common, especially in critically ill patients with acute cerebral edema, who will most likely have severe myocardial damage.  Who knows that the heart and brain are the two most vulnerable organs of the human body.  (Remember the website address: www.hlnovel.com
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