Be sure to take out the gun head at the first time. Don''t fall into the trachea! Director Qian hurriedly put the laryngoscope into the patient''s mouth and looked for the gun head.


    It may be bad luck or the patient''s strong desire to die. The gun head is not in the mouth


    At the moment of confirming this, director Qian''s hands and feet were cold.


    The patient ran out of oil and died naturally. They were worried about medical disputes. But as long as the medical record is well written, the attitude is good, and the grandson is pretended, it is estimated that things will not be very big, just a headache for a few days.


    But once medical errors cause serious complications and death


    Director Qian didn''t dare to think about the consequences.


    The patient bit off the gun head and swallowed it. It has nothing to do with himself! Director Qian shouted in his heart.


    But shouting is shouting, and we still have to do what we should do. Fortunately, after using narcotic drugs, the patient was not so uncomfortable, and the endotracheal intubation was very smooth.


    When the blood oxygen saturation rises, the patient becomes less restless and sleeps heavily.


    The patient was quiet, but director Qian couldn''t be quiet. Where''s the metal gun head?


    There are only two ways, esophagus and airway.


    If the esophagus is OK, it will soon fall into the stomach, and then wriggle along the intestines to the anus and be discharged from the body.


    But if the airway


    When director Qian thought of this possibility, his scalp became numb and his heart began to feel uncomfortable.


    The patient''s son is lying at the door of the ICU and can know his state without thinking. The medical adjustment Commission... Punished... Lost money... Even revoked the qualification of doctors


    It has nothing to do with himself. Director Qian thought distressingly.


    Life is not only poetry and distance, but also life''s influence on yourself.


    "Director, the patient''s blood oxygen has gone up. It''s all right." the general manager of the hospital comforted.


    Director Qian stared at her and knew what was always on his mind. But that''s no good. If something goes wrong, the crime will be added to the third class.


    "Bedside chest film." director Qian said in a deep voice.


    The general manager of the hospital was stunned and dejected to push the machine instead of persuading director Qian.


    According to Murphy''s law, things will only get worse and never get better. A bedside chest film was taken for the patient. When watching the film, the iron facts confirmed the accuracy of Murphy''s law.


    The metal gun head landed steadily in the left main bronchus. The image seemed to make director Qian feel desperate.


    Director Qian also had a fantasy and pushed the patient to do a lung CT without any trouble. The results showed that the metal gun head fell into the trachea and was accurate.


    There''s no way. Take it.


    Fortunately, the ICU of the first hospital of Medical University has complete equipment and director Qian''s level is also high. He is an old critically ill doctor. What fiberoptic bronchoscope is perfect, not to mention better than respiratory and otolaryngologists, but no worse than their director.


    Prepare the fiberoptic bronchoscope, start the examination, and try to take out the metal gun head.


    The fiber optic mirror went in and soon saw the "hateful" metal gun head. Lying quietly in the lower lobe of the left lung.


    Director Qian looked carefully for three minutes, but there was nothing he could do.


    In the design of gun head, the front end is arc-shaped, similar to bullet head. In this way, it enters the patient''s mouth to avoid side injury caused by agitation or operation.


    According to director Qian''s understanding, the bullet head is smooth. Even if it falls, it should fall down.


    But Murphy''s law once showed that things would only get worse.


    The head of the smooth bullet turned outward, like a devil''s eye, looking at each other with a fiber optic mirror.


    What can I do!


    Director Qian is scratched.


    The head is smooth. I clamp it with pliers. There is no force point at all. I only push the gun head inside.


    If the force is too great and causes bronchial rupture, the patient will be choked by bleeding soon.


    Director Qian looked at the two films "face to face" and watched them for a full hour. Finally, he couldn''t think of a solution.


    He picked up the phone and called Zhang Zimo, director of ICU of the second hospital of Medical University.


    "Director Zhang, do me a favor." director Qian is not polite. They are classmates. They always get together. They often do things like communicating with each other when they have diseases they don''t understand.


    Now when we encounter problems, it is natural to start the model of three cobblers top Zhuge Liang.


    The situation was unclear in a few words. Zhang Zimo said he would come right away after dealing with the matter at hand.


    After an hour and a half, the claws changed from one to two.


    Director Qian and director Zhang were dazed at the film. No one knew what to do.


    Because of their high theoretical level and rich experience, the two talents dare not do it. The bullet is smooth and doesn''t exert force at all. How can I take it out?


    This is not a simple task, but an impossible task.


    But it''s not good to face each other. We have to do something. What if? What if?


    They made a few concessions. In fact, no one wanted to do it. Finally, director Qian had no choice but to try.


    As expected, the pliers couldn''t hold the bullet at all. After two attempts, the bullet was pushed farther and farther as expected.


    Helpless, director Qian had to take out the fiberoptic bronchoscope.


    "Director Zhang, do you have any good ideas?" director Qian is really at a loss.


    "No." director Qian sighed and thought, "the fiber optic mirror is a little soft, or try a hard mirror?"


    Rigid bronchoscope is a kind of modern medical equipment. With the development of medicine, hard mirror is also developing and improving.


    However, with the popularization of soft fiber optic bronchoscope (fiberoptic bronchoscope) in clinic, the application of hard bronchoscope has been significantly reduced. Compared with rigid bronchoscope, fiberoptic bronchoscope needs to occupy a certain airway space in the operation process. Generally speaking, it will not cause ventilation dysfunction and has more benefits for healthy adults, and there are few complications of airway damage caused by violent operation.


    Therefore, in recent years, fiberoptic bronchoscopy has replaced rigid bronchoscopy and become the mainstream of clinical practice.


    The hard mirror that can''t be used at all, whether it''s medical freshman or medical sophomore, is not prepared. With 99A, who still uses 59? Even if you change it ten thousand times, it''s not as easy to use as 99A.


    Unless there is a special situation, such as now.


    They looked at each other, their eyes full of helplessness.


    "Children''s hospital?" they said in unison.


    In children or patients with airway stenosis, fiberoptic bronchoscopy may affect their ventilation function and even threaten their life safety. The hard mirror can keep the airway unobstructed, and there is a side hole at the operating end connected with the ventilator, which has its advantages.


    General children''s hospitals occasionally use hard mirrors because children''s airway is narrow.


    "Let me ask." director Qian took out his mobile phone dejectedly.


    "Wait a minute," Zhang Zimo said suddenly.


    "Huh?"


    "Mr. Wu is in bajingzi. Ask Mr. Wu if there may be hard mirrors in bajingzi." Zhang Zimo said.