Li Xiangzhi has fallen into a coma due to asphyxia, so there is no need for anesthesia.
The situation was very urgent, and time did not allow Hu Xiaotian to calmly perform tracheostomy, so he immediately decided to perform cricothyroidotomy on the patient first, first to relieve dyspnea, and then to do routine tracheostomy.
The cricothyroid membrane is a piece of tracheal wall located in the lower part of the thyroid cartilage and the upper part of the cricoid cartilage.
Because the tracheal wall is between two cartilages, the gap is relatively large, and there are fewer vascular nerves passing through it, so the incision does not cause major bleeding and additional damage.
Hu Xiaotian quickly put on a homemade mask, took out the scalpel and positioned it accurately, and then cut the blade into the skin of Li Xiangzhi's neck.
There were bursts of exclamations around, and the timid female dependents were so frightened that they had already turned their heads, because they were in a hurry to save people, Hu Xiaotian had just forgotten about clearing the field.
Although he was saving people, this action was clearly wiping his neck with a knife, in the eyes of most people, Hu Xiaotian was simply murdering, and even worse, he was already scared and fainted on the spot.
After all, Wan Boping experienced the shock of Hu Xiaotian knocking on his son's skull, Hu Xiaotian cut his daughter-in-law's neck in front of his eyes, and he had some psychological capacity, at least he knew that Hu Xiaotian was saving people, not murder.
After the patient's cricothyroid membrane was exposed, Hu Xiaotian used a knife to cut the cricothyroid membrane horizontally, took out the elbow vascular clamp from the operating box, used the vascular clamp to expand the incision, and temporarily inserted a section of the pre-prepared and sterilized reed rod into it.
Hu Xiaotian's movements were fast and clean, and with the insertion of the reed rod, Li Xiangzhi's suffocation symptoms were suddenly alleviated.
She woke up, her eyes wide open, her gaze looking terrified.
Hu Xiaotian comforted her and said: "It's okay, don't panic, don't move, and then I will help you remove the foreign body in your throat."
Li Xiangzhi gradually calmed down under Hu Xiaotian's comfort.
Conventional tracheostomy is simply a small operation for Hu Xiaotian, a medical doctor.
But in this era, it is undoubtedly a shocking move.
Hu Xiaotian's unruly temperament determined that he rarely cared about the eyes of the people around him, but after coming here, he began to gradually learn to judge the situation and adapt to the surrounding environment.
But when he is so focused on treating the sick, he ignores anything else.
A straight incision is made to cut the skin and subcutaneous tissue along the anterior midline of the neck from the inferior edge of the thyroid cartilage to the sternal fossa.
The sternohyoid and sternal thyroid muscles are then separated along the midline with a vascular forceps.
Exposing the isthmus of the thyroid gland, Li Xiangzhi's thyroid isthmus is a little too wide in physiological structure, and it must be partially separated at the lower edge, and then the isthmus tissue is pulled upward, so that the trachea is exposed, and the operating box is equipped with a retractor, and the assistant of the retractor is duty-bound to fall on Zhou Wenju's body, although Zhou Wenju and Hu Xiaotian have just experienced a fierce quarrel, but he is very cooperative in the whole process of rescue.
Hu Xiaotian told him that the force of the two retractors must be even and moderate.
So that your surgical field of view is always in the midline.
During the operation, Hu Xiaotian used his fingers to probe the cricoid cartilage and trachea several times, and made sure that they were kept in the middle position, don't look at Hu Xiaotian's cynicism on weekdays, but once he enters the surgical state, he will concentrate on being meticulous, and after determining the position of the trachea, he went under the knife at the third tracheal ring and used the tip of the knife to pick up the two tracheal rings from the bottom up.
Extreme caution is exercised with a knife so as not to puncture the posterior wall of the trachea and the anterior wall of the esophagus.
Because of the experience of treating Wan Tingsheng last time.
Today, Wanfu Jiading turned on the lighting in place, using several copper mirrors to let the light gather on the surgical site.
Hu Xiaotian found the piece of beef blocked in the trachea very smoothly, and he clamped the beef with vascular forceps, the beef was the size of a thumb cover, and Li Xiangzhi was absent-minded when eating.
It was swallowed into the trachea by mistake, which caused a blockage, and if it was not rescued, I was afraid that I would be dead at this time.
With the underlying problem of airway obstruction solved, the subsequent suture treatment is fairly simple, just in case.
The endotracheal intubation is still kept fixed, if in the past, Hu Xiaotian still had to worry about postoperative complications and other problems, but he found that in this world, I don't know whether it is the problem of human physique or the fact that there are many fewer pathogenic bacteria than modern society, in the several operations he has done, there has not been a single case of infection, it should be said that the former is more likely, and the human body's self-repair ability is very strong here.
Hu Xiaotian carefully explained to the maid who was responsible for taking care of Li Xiangzhi, and told them some basic common sense of nursing, after all, these people have experience in nursing the second child of the family, and it is not difficult to get started.
By the time all this was done, night had fallen.
Zhou Wenju always listened to Hu Xiaotian when he taught nursing knowledge to those maids, the more he listened, the more ashamed he became, the more he listened, the more frightened he became, after witnessing Hu Xiaotian save Li Xiangzhi from the edge of life and death, he sighed from the bottom of his heart, if it was him, Li Xiangzhi would definitely die.
In fact, Zhou Wenju is by no means a person who deceives the world and steals his name, and the name of the first miracle doctor in Xichuan is not blown out, and he has treated countless patients, but his knowledge of surgery is very pitiful.
Hearing is false, seeing is believing, and only those who have seen the whole process of Hu Xiaotian's surgery can know what it means to be outside the world.
When Hu Xiaotian went to wash his hands, Zhou Wenju also came to wash his hands, the two met their eyes, there was no hostility between each other just now, Zhou Wenju pursed his lips, and plucked up the courage to say: "Lord Hu, Zhou's words and deeds just now are not true, if there is any offense, I hope to have a lot of Haihan" 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 fought with Zhou Wenju just now, but he saw that people lowered their posture and took the initiative to show favor to themselves, and immediately forgot all about the unhappiness just now, he smiled: "Mr.
Zhou, don't blame me, I am the one who is young and frivolous, and my words and deeds are indifferent." ” Zhou Wenju was a little excited and said: "Lord Hu, Zhou has been practicing medicine for decades, and he has never seen such a subtle method of saving people, please forgive me for my shallow knowledge, what is the name of Lord Hu's treatment method just now" Although Zhou Wenju thinks very highly of himself, he admires people who are really capable, and he does not hesitate to condescend to ask for advice, and his attitude has become much more modest.
Hu Xiaotian said: "My master calls it surgery" "Surgery" Zhou Wenju silently chewed on this novel word that he had never heard of.
At this time, Wan Boping came over to greet the two of them for dinner, if Zhou Wenju's words before made Wan Boping have a crisis of confidence in Hu Xiaotian, the eldest daughter-in-law had a sudden accident, fortunately Hu Xiaotian came to the rescue, Hu Xiaotian's shot has made Wan Boping's doubts in his heart disappear, and Hu Xiaotian's medical skills have almost mythical in his mind.
Although he didn't know any medical skills, he had seen the situation just now, and Zhou Wenju, who was known as the first miracle doctor in Xichuan, was helpless, and it was Hu Xiaotian who stepped forward to save his daughter-in-law.
Who is high and who is low, he naturally has a preliminary judgment in his heart.
No one would have thought that Hu Xiaotian and Zhou Wenju would be able to sit and eat together just now, but there are too many surprises in this world.
Hu Xiaotian raised his glass and said with a smile when he drank with Zhou Wenju: "I just said that everything in this world is constantly changing all the time, when you and I were arguing passionately just now, we would not have thought that we would actually sit here and drink and talk after an hour."
Zhou Wenju said with a smile on his face: "Lord Hu is still minding what happened just now, and Zhou has made amends to Lord Hu with this glass of wine." ” Hu Xiaotian said with a smile: "Where is it, Mr.
Zhou said this, it makes me embarrassed, the younger generation has no intention of holding grudges, we just had an academic dispute, a gentleman's dispute, different understandings, and it is not a personal grudge, I should not be so stingy in the eyes of Mr.
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Zhou."
Zhou Wenju said with a smile: "If you don't care about how much I offended with my fierce words just now, I won't say that you are stingy."
The two of them looked at each other and laughed at the same time.
As the host, Wan Boping was late, not because he had the intention to treat these two distinguished guests slowly, but because there were too many things at home.
Wan Boping just sat down here, and there was a rumbling thunder and lightning outside, but the rain was not heavy, Hu Xiaotian was most worried about heavy rain now, as long as the rain was not heavy, it would not pose a threat to the embankment of the Tongji River, and there should be no big problems with Liu Kuohai sitting there.
What's more, he knows where he is going, and if there is any emergency, he will come and report it immediately.
Although his daughter-in-law had turned the corner, Wan Boping was still full of sadness, and after saluting Hu Xiaotian and Zhou Wenju with two glasses of wine respectively, he sighed and said: "Master Hu, I can't hide it, six of the nine incense burners you laid down last night were knocked 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, but he could also see that Zhou Wenju was not a bad person, he had clear grievances and grievances, and he was upright, and this person should be a materialist, knowledgeable, and had a deep study in feng shui.
Wan Boping said: "Lord Hu" He was afraid that Hu Xiaotian would forget about Jiuding's evil suppression.
Hu Xiaotian smiled indifferently: "I'll go over and take a look at this matter later." ” Wan Boping saw that Hu Xiaotian was reluctant to mention this matter, so he could only suppress the idea of saying it.
Hu Xiaotian was hindered by Zhou Wenju's presence, and another reason was that he wanted to take the opportunity to make it difficult for Wan Boping, an old fox, just now he doubted himself after listening to Zhou Wenju's words, and now he is cheeky and wants to ask for help from himself, to say that his daughter-in-law's surgery fee has not been taken a penny.
At this time, Wan Changchun came over again to ask Wan Boping to come over, saying that Mrs.
Wan had something to do with him.
Wan Boping said to the two, got up and hurried away.
To be continued: