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    It¡¯s confused, so we can only ask someone to send it again.  As a result, there was no time for her to have lunch, so she hurried into the operating room to study.  Thinking of this, Cao Yong glanced at the man not far away.

    Others seemed to be able to sense the way he was looking at someone.

    Xie Wanying¡¯s eyes were tracking the surgeon¡¯s movements.

    Teacher Zhang should be touching the thyroid cartilage and the suprasternal notch, which are the conventional locations for tracheotomy.

    The thyroid cartilage is the most prominent part of the midline of the neck exposed after the head is extended.  Several tracheal rings can be felt along the underside of the thyroid cartilage.  The child is not fat and is easy for the doctor to feel.

    While observing, Xie Wanying adjusted the parameters in her brain based on her previous experience of using forceps to explore the patient's trachea to see if there was any final change.  She also needs to judge whether she is right or wrong.

    "Do you have any ideas?" Zhang Huayao asked her, thinking that she seemed to have some ideas as she was focusing on this.

    ??Clinical teachers like to have academic ideological collisions with talented students, whether they are big bosses or not.

    "If we cut it from here, the blockage will be in the right bronchus, approximately parallel to the fifth and sixth thoracic vertebrae. There is a certain distance. You may need to make a homemade tool to remove it." Xie Wanying expressed her thoughts, "The biggest fear now is probably not that it cannot be removed  Come out, but¡ª¡ª"

    "There will be heavy bleeding once the clamp is taken out. When the time comes, the place where we perform the surgery will not be at the bleeding location, so it will be difficult to stop the bleeding." Zhang Huayao didn't need her to say a word, because this issue was also a concern for teachers like them.

    The reason why massive bleeding in the trachea causes suffocation is because the human body has a coagulation mechanism.  Bleeding, then coagulating into blood clots, directly suffocating and blocking the trachea again.

    Fu Xinheng held an aspirator in his hand as a first aid.

    Liu Yu and the anesthesiologist sighed a few times.  This is a dental operating room. No cardiothoracic surgeries have been performed, and there are no corresponding professional instruments for support.  The entire operation is actually a bit risky.

    The equipment nurse first reported to the bosses: "We don't have a cardiothoracic surgery kit here."

    The bosses are well aware of the risks.  If you don't do it, the patient will die, if you don't do it, it's a big risk for the doctor and he will bear unlimited liability.  The family members waiting outside are a group of people who are hard to talk to and will not understand the doctor.  If it weren't for the innocent young life in front of him, the doctor who had nothing to do with this matter could have just clapped his hands and left.

    "Start." Zhang Huayao stretched out his hand to the nurse and ordered.

    The nurse handed over the scalpel.

    The surgical field is in the anterior triangle of the neck, an inverted triangle, with the upper boundary being the mandible, the lower boundary being the sternum, and the sternocleidomastoid muscles on both sides.  The incision can be a longitudinal incision or a transverse incision. Considering that the foreign body needs to be removed, the surgeon chose a longitudinal incision.

    The first cut is from the lower edge of the thyroid cartilage where the doctor just positioned to the suprasternal fossa.

    Like other surgical operations, the skin is incised first, and then the subcutaneous tissue is incised, layer by layer.  There are a lot of tissues in the neck, so you need to be very careful and not too fast. This is also the reason why minor surgeries take a long time.

    Xie Wanying thought of Mr. Nie, a chronic pediatrician.

    Treating children should be done slowly and carefully.  Performing surgery on a child's body is equivalent to embroidering small flowers, bugs, and bees on ivory.  General surgeons are not comfortable with this.  Fortunately, the person performing the surgery today was a cardiothoracic surgeon.  For example, the cardiothoracic surgeons in the National Association of Pediatrics are not pediatricians. However, since the pediatric surgery in domestic tertiary general hospitals is general pediatric surgery, they do not have the funds to subdivide into cardiothoracic pediatric surgery and other pediatric surgery specialties like specialist pediatric hospitals. Therefore, they have done many patients.  Pediatric surgery.  As for Zhang Huayao, the boss among the bosses, he has definitely done enough pediatric surgeries.  (Remember the website address: www.hlnovel.com
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