Chapter 1128: Tacit Understanding! Several people join together, sincerity leads to success
There are two things in a person's life that cannot be covered up.
One is poverty, and the other is cough.
Because coughing is completely the body's own rejection reaction and it is its natural self-protection.
If there is any discomfort in the airway or throat, it will expel the "things" that cause the discomfort outwards after the stress.
No matter it is a foreign body or phlegm, as long as it causes discomfort in the throat, it will cause coughing!
Therefore, during Li Xiangnan's dozen attempts to insert the bronchoscope into the glottis, although Zhang Chun was under general anesthesia, he still developed cough stress due to airway irritation.
In order to protect Zhang Chun's airway as much as possible, Li Xiangnan had to always pay attention to the direction of the bronchoscope to prevent irritation to her trachea.
This will lead to delays in the progress of the operation, which is unavoidable!
Even though Zhang Chun's cough was much less than when she was not under anesthesia, it still affected the overall direction of the operation.
Especially after the leech body was seen under the glottis through the bronchoscope, the oxygen flow blown into the airway through the side hole caused a slight change in pressure in the claustrophobic environment behind the glottis, which made the sensitive leech begin to escape to the bottom of the glottis, further stimulating her airway!
Back and forth for more than a dozen times, Li Xiangnan kept trying to adjust the surgical forceps to restrain the leech and remove it from the body in one fell swoop.
But nine-year-old Zhang Chun had a very narrow vocal tract and claustrophobic airway, and the conditions for surgery were not good.
now.
There are six minutes left, and Li Xiangnan knows that the next few minutes will be the only chances for his team!
"Defa! Are you ready?" There was no time to hesitate, Li Xiangnan decisively asked his companions for their opinions.
"Anytime!" Wang Defa signaled to Guo Fang, and waited until she wiped the sweat off her forehead before shouting.
"I can do it too!" Seeing Li Xiangnan looking at him, Lei Jin nodded without hesitation.
"Pay attention to all parts!" Li Xiangnan nodded and grasped his biopsy forceps.
What matters now is the precise coordination among Li Xiangnan, Lei Jin and Wang Defa.
At the scene, only Li Xiangnan could see the inner wall of Zhang Chun's airway through the bronchoscope, while Lei Jin and Wang Defa were at a loss. They had no idea what part their surgical forceps had touched, so everything depended on Li Xiangnan's command.
The first step is to let Lei Jin's sponge forceps enter the airway, pass through the area where the leech is located, reach the lower part, and prevent the leech from being blown away.
The sponge forceps are the largest type of surgical forceps used by the three people. Their shape is similar to a pair of scissors with grip rings on both ends, so they are also called loop forceps. They are usually used to clamp and transfer medical devices. They come in handy here at this time. Everyone has to admire Li Xiangnan's boldness and ingenuity.
"Brother Lei, keep your hands steady. Move half an inch to the left. OK, move down two centimeters. Right, move out two centimeters. OK, open it! Probe downwards!"
When he shouted out this series of orders, sweat broke out on Li Xiangnan's forehead.
The pressure in the operating room at this moment is invisible. Being stared at by so many pairs of eyes, no one would not feel the heavy burden on their shoulders.
Especially, the little girl lying on the hospital bed was only nine years old!
Her best youth and glorious days were yet to come.
"..."
A cool towel gently wiped the sweat off his forehead. Li Xiangnan calmed down instantly. He turned his head slightly and cast a grateful look at Guo Fang who was wiping the sweat off his forehead.
This is the tacit understanding of the team.
Whether it is doctors like Wang Qi or nurses like Guo Fang, the entire team has now formed a special tacit understanding through countless operations!
Guo Fang knew when to intervene and relieve her nervousness.
"Brother Lei, stay calm!" Li Xiangnan looked at Lei Jin who was diagonally opposite him.
"Hmm!" Lei Jin bit his lip, forcing himself not to move.
Anyone who has had microsurgery knows that you can continue to move slightly, but what is really difficult is to maintain one movement for a long time without moving!
This is a great test of a person's patience and endurance, and even more so a test of a doctor's mentality and control over his limbs.
Very difficult!
Fortunately, Lei Jin is not an ordinary doctor!
Even when the flames of war are raging beside you, you can remain as still as a mountain.
Lei Jin was very steady, and Li Xiangnan was even more confident that he would be able to maintain his movements without distortion in the next few minutes.
Lei Jin's role is to ensure two situations.
First, if Zhang Chun made any swallowing movements that stimulated the esophagus and caused the leech to struggle and fall into the airway, he could quickly clamp the forceps and intercept the leech halfway.
Second, that is what Li Xiangnan wants to do later. He will intercept as a backup support force!
"Defa!"
Now comes the most critical step.
Hearing Li Xiangnan's order, Wang Defa held the mechanical trachea, glanced at Fang Yu, and shouted, "Old Fang, listen to my command!"
"know!"
Fang Yu nodded, his fingers already on the knob of the ventilator.
"Huh!" Wang Defa took a deep breath, forced himself to focus all his attention on his hands, and looked intently at Zhang Chun's throat.
His hands tightly pinched the front of the trachea and he moved closer to the hands of Lei Jin and Li Xiangnan.
Enters the mouth.
Enters the throat.
Enter again...
He can't see!
"We've reached the glottis!" Li Xiangnan reminded him through the bronchoscope.
Now that Wang Defa's preliminary work was completed, he immediately looked up and stared at Li Xiangnan's mouth, and began to force himself to turn into a mechanical robot to obey the other party's orders.
"do not move!"
"Cough, cough, cough!"
As soon as Li Xiangnan's voice fell, everyone heard three coughs, and then everyone unconsciously tensed their toes.
Zhang Chun experienced physical rejection.
That was because the trachea scraped against the airway during the movement just now.
Wang Defa dared not move.
Lei Jin's whole body was tense.
Tick, tick, tick...
The gentle ticking of a horseshoe clock on the instrument table indicates the quietness here.
"Quick! Go!"
As soon as Zhang Chun stopped coughing, Li Xiangnan rushed to instruct Wang Defa, "Don't move at this angle, probe down an inch..."
"it is good!"
"Keep going! Lower it two centimeters!" Li Xiangnan yelled.
"Okay!" Wang Defa broke out in a cold sweat.
Everyone at the scene, including him, felt the urgency in Li Xiangnan's tone.
But no one dared to question Li Xiangnan's decision at this time.
"Lao Fang! Increase the pressure, 0.4MPa!" Li Xiangnan yelled again.
"Yes!" Fang Yu stood up nervously at this moment and immediately turned the button to release greater oxygen pressure.
Shi Fang and Gui Jing were swallowing their saliva. They looked at each other unconsciously and silently gave each other a look of encouragement.
"Continue! Increase the pressure! 0.6MPa!"
"Okay!" Cold sweat broke out on Fang Yu's back, soaking his thick surgical gown.
Wang Defa held the tube tightly, not daring to let the increased pressure release the critical trachea in his hand!
Everyone looked at Li Xiangnan's surgical forceps!
At this moment, one could also hear the knocking sound coming from Li Xiangnan's clenched teeth.
Everyone understood that any touch could trigger a laryngeal spasm, cutting off this thin passage that maintained breathing, so the three of them had to be extremely careful.
Hey!
A slight sound of forceps striking each other suddenly tore through the air, and everyone's pupils shrank into needle points under the strong light.
That was the slight sound made by the pliers in Li Xiangnan's hand clamping something.
Wang Qi, Gui Jing, Shi Fang, Fang Yu, Guo Fang... everyone's eyes suddenly turned to Li Xiangnan's raised arm.
At this moment, Li Xiangnan raised the biopsy forceps.
The eight-centimeter-long leech's slippery body reflects an amber halo under the shadowless light.
The ring-shaped suction cup was still spasming open and closed, and the silver threads pulled out by the mucus hung in the air.
Everyone watching this scene felt their scalps go numb...