"Do you suspect it's blocked phlegm?" Su Yun asked. He didn't look like it, and he was a little confused.

Zheng Ren didn't say anything, took the suction tube, tried it twice, the pipe was unobstructed, and then sent it to the patient's tracheal intubation.

The suction tube made a hissing sound, and only a small amount of secretions were sucked out. It seemed that it was not the reason why the sputum blocked the trachea.

Zheng Ren was suddenly stunned when he continued to send the suction tube in.

"Boss, what's wrong?"

"There is something inside, and the suction tube cannot be sent in." Zheng Ren said.

"..." Su Yun and Iciu's hospitalization were both stunned for a moment. Lin Yuan stood behind and did not understand what Boss Zheng said in an instant.

This situation is beyond everyone's imagination.

Su Yun immediately recalled the patient's chest radiograph and chest ct.

There is no problem. If something happens before the operation, the ventilator will also call the police the same during the operation.

"What have you dealt with?" Su Yun looked at the hospital in ICU seriously and asked.

ICU's hospitalization was always confused.

I didn't give anything. The patient was sent back after the operation and had a slight agitation. He did not give any treatment at the beginning. According to the advice of the anesthesiologist Lao He, he observed for 6 hours to prepare for the tube extubation.

However, as time went by, the patient became more and more restless, and the last few people could not hold back, so they gave propofol in helplessness.

Continuing to calm down will prolong the time of disengagement, but it is not possible to not give the patient agitation.

ICU's hospitalization officer thought about it carefully and called the nurse to ask, but at this moment, Zheng Ren suddenly said in a deep voice: "No! It's the intubation of the trachea that has been broken!"

"Uh..." Su Yun glanced at the tracheal intubation. It was a reinforced type. It was broken? It was impossible.

ICU's hospitalization officer was also stunned. She immediately explained: "Boss Zheng, the enhanced tracheal intubation..."

"Prepare fiber bronchoscope and head of the bed!" Zheng Ren did not discuss it with them and directly gave a doctor's advice.

"Okay." Su Yun did not hesitate and pulled the hospitalized officer to push the X-ray machine.

After pushing the X-ray machine at the head of the bed, Zheng Ren began to take pictures of the patient.

He put his body in position, put a box, took a picture, and asked Lin Yuan to carry the box to the radiology department to wash the film.

At this time, the hospitalization always had a fiber bronchoscope ready.

Zheng Ren took the ventilator down and pulled out the tracheal tube.

During the extubation, it was found that the tracheal catheter was broken, leaving only about 12m of the catheter's tail, and the rest must be left in the patient's trachea.

The foreign body of the tracheal tube prompted by the big pig's hooves turned out to be part of the reinforced tracheal intubation!

After watching this situation, not only Zheng Ren, but also Su Yun and Iciu were always stunned.

What's going on? Can the reinforced tracheal intubation be broken?! How did it be broken? Misoperated when transporting the patient? How much force does it take to break the reinforced tracheal intubation.

The hospitalization officer of the icu carefully checked the location of the tracheal intubation and whispered: "Boss Zheng, Brother Yun, it doesn't look like a quality problem."

Zheng Ren had long seen the incomplete end of the tracheal intubation. He had a guess in his mind and said in a deep voice: "It's not that the trachea breaks by itself, but that the patient used his teeth to break it."

“…”

"Urgent Lin Yuan, let the radiology department upload the film as soon as possible." Zheng Ren squinted his eyes and looked at the patient's electrocardiogram monitoring.

Although there are foreign objects in the tracheal tube, the tracheal tube itself is a pipe, which only causes severe stimulation and will not directly block the lumen, causing the patient to suffocate and die.

Soon, the bedside X-ray was uploaded and Zheng Ren saw the patient's first-hand information.

X-rays show that the anterior section of the tracheal catheter has entered the right bronchus...

Looking at the images on the computer, several people sighed.

This "medical accident" came inexplicably and caught people off guard. If you find it, take out the tube, hoping not to cause any more trouble.

"Boss, do you still remember what the patient's family said that day?" Su Yun asked suddenly.

Zheng Ren recalled that he remembered the man squatting on the curb crying, remembered that he said some of the patient's situation, and also remembered that he said that the patient refused treatment.

When the patient was in the operation, the patient looked very bad. After the patient's family and Chang Yue persuaded him, he entered the operating room.

It should be that after waking up with general anesthesia, the patient's subconscious obsession is at work and refuses to spend money. Instead of spending money for surgery, it is better to die directly.

Unexpectedly, Zheng Ren didn't understand anything that he had such a heavy obsession. He had seen so many strange patients he had seen for so many years.

However, the patient in front of him was also this obsession, and generally speaking, the desire to survive is very strong.

Those elderly people who usually say they will die when they are old and do not add burden to their children will have almost no one to say what they say when they really get to this day.

There is a great horror between life and death. Before that moment, few people could feel how scary the threat of death was.

Generally speaking, if you don’t end up or no one cares about it, few people will have such a firm belief and only seek death.

"Ask Chang Yue... just ask her... forget it, take out the tube first. The patient can take it offline and watch it. After waiting, let the patient's family and Chang Yue do his job." Zheng Ren said helplessly.

Su Yun nodded. Facing such a patient who is determined to die, no one has any good idea.

Zheng Ren was not very moved by the vicissitudes of life and the impermanence of the world. He began to use a fiber bronchoscope to remove the first half of the broken reinforced tracheal intubation from the trachea under propofol anesthesia.

The locations of tracheal intubation are compared with each other, and it is more certain that the patient breaks his teeth after waking up after anesthesia.

Zheng Ren was amused and laughed and cried after the successful operation. However, it also proved from the side that patients had been successful in the surgery and had to use their teeth to break the reinforced tracheal intubation.

Contact Linge and the Medical Office, and then asked Chang Yue and the patient's family to explain the matter clearly.

The operation was successful and he said he would be able to go to the ground tomorrow. He was discharged from the hospital in one week. The patient's family was overjoyed. However, after seeing the intubation of the trachea that was broken by his teeth, he was stunned for a long time and apologized to Zheng Ren with tears in his eyes.

This was handed over to Chang Yue. Zheng Ren was afraid that the patient would make any more trouble, so he simply put on a chair and sat on the head of the patient's bed, staring at him without blinking.

Tracheal catheter breaks after surgery, especially the reinforced tracheal catheter breaks have not been reported in clinical practice. This case is extremely special. It can be confirmed through the stump of the catheter that the catheter was repeatedly bitten and broken by the patient's teeth.

This was discovered early, and if it was later, there would probably be more twists and turns.

After two echocardiac symptoms were performed intermittently, the patient's left ventricular ejaculation fraction increased to about 60%, and the surgical effect was completely beyond imagination.

After 4 hours, the patient was completely awake. Seeing that all the indicators were satisfied, Zheng Ren transferred the patient out of the ICU, and the patient's family and Chang Yue did the guidance work.

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Chapter completed!