Chapter 1184 [1184] Contact with Internal Medicine Operations

The stethoscope is not unnecessary, it is generally unnecessary. If there is something wrong with the patient's cardiopulmonary function, please call the Department of Cardiology and Cardiac Surgery for consultation. Get up and use the scalpel.

Physicians are often equipped with stethoscopes, there is no way, it is also a clinical need. Surgery is all about quick fixes. In the case of internal medicine, there is more time to take care of patients in the ward than in surgery on weekdays, and the overall physical and mental health of patients must be taken into account. Cardiopulmonary function always sounds right.

The same difference has a white coat. The white coat of surgery is dirtier than that of internal medicine. On TV, the white coat is photographed as a handsome and beautiful windbreaker, but the purpose of the white coat is a chef's apron to prevent dirt from splashing on the doctor's personal clothes.

When Xie Wanying was practicing in surgery, she basically brought an extra piece to the department every day as a backup in case of accidents. In internal medicine, it is estimated that there is no need for such preparations.

There were no wounds in the internal medicine department, no drainage fluid, and no blood spattering. The operation is like respiratory medicine, mainly prescribing medicine and writing medical records. Occasionally, a bronchoscopy is required in the afternoon, and a large hospital like the Guoxie is more particular. If the patient's condition is serious, the doctor will directly wear a disposable surgical gown, so that it will not get dirty.

Why don't you wear it for surgery? Wear it the same as surgery, and wear it again if necessary. But usually, the above-mentioned operations that involve dirty, putting on and taking off everything, wastes time, increases the cost of patient treatment, and the cost of disposable surgical gowns and other consumables are all calculated on the patient's account.

In the afternoon, Xin Yanjun brought Xie to the treatment room in the department.

After being notified of the task, some nurses were here early in the morning to make preoperative preparations.

After a while, a newly admitted 3-bed patient, a female patient in her fifties, was led to the treatment room by the ward nurse.

It was discussed during the ward rounds this morning. This patient was checked in the outpatient clinic and suspected to have a lung problem. He was admitted to the hospital for further examination. The patient had X-rays, which showed shadows in the lungs. Do ct, suspected lung abscess. This time after admission to the hospital, another bronchofiberscope will be performed.

Some people may have doubts, didn't they have a CT, why do they need to do a bronchoscopy?

CT is an indirect inspection. Unlike this kind of laparoscope, it can directly grab human diseased tissue for pathology. Pathology is the gold standard for diagnosis. There are some clinical cases of this kind. CT examination is suspected to be benign, but it is found to be malignant after laparoscopy. If possible, another bronchoscopy must be done to rule it out.

What's more, some very early diseases can't be seen by CT, but can be seen and found by endoscopes such as fiberoptic bronchoscopes.

Even if the lesions found by bronchoscopy are consistent with the results of CT and are not malignant tumors, if it is a disease caused by pulmonary infection, samples can be captured by bronchoscopy to analyze the infection, so as to guide the clinical use of drugs accurately and avoid the abuse of antibiotics. Fiberoptic bronchoscope can even directly perfuse drug lavage treatment for tumors and infected lungs.

The scope of application of fiberoptic scope is many.

For example, if a patient on a ventilator on bed 21 is blocked by sputum, the suction tube used by nurses to suck sputum is short and thick, which can only suck the secretions from the oral cavity, nasal cavity and the upper half of the human trachea, and the second half of the secretion can only be sucked by fiberoptic bronchoscopy. Come suck.

It has been said here that the bronchoscope is a bronchoscope. What is a bronchoscope? Fiberoptic bronchoscope is a kind of bronchoscope, which is considered the most advanced bronchoscope. Like choledochoscopes, bronchoscopes are available in soft and hard tubes. The hose is less harmful to the human body. Undoubtedly, the more advanced bronchoscope is a hose, which is expensive.

Therefore, the nurse who prepared the things took great care of these expensive medical equipment, and was a little worried when she heard that Xin Yanjun was going to operate with the students who had just arrived on the first day.