Chapter 1191 [1191] Pumping

Therefore, when it is clinically necessary to smoke, the doctor must listen to the patient again to make sure that the location of the effusion is correct. If there is a bedside B-ultrasound, it is best to have another B-ultrasound guide at this time. However, under the medical conditions in China at that time, where did the bedside B-ultrasound come from? Without B-ultrasound, we can only continue to rely on doctors to solve the problem.

Returning to the patient in bed 6 again, he is obese, and it is too difficult for the doctor to hear and knock out.

Xin Yanjun, who put down the results of the imaging examination, looked serious. The nurse next to her suggested to her again: "Don't wait for the cardiothoracic surgery department to come."

Xin Yanjun's eyes fell on the students.

Xie Wanying's palm was percussing the patient.

Knock knock, voiceless. Knock again, hey, this sound is wrong, it is voiced.

Sitting on a chair, with his hands on the back of the chair, the patient with his back to the doctor seemed to have heard that the sound of being photographed was wrong, and turned to look at the young female doctor: I have never seen it before.

Xin Yanjun approached the students and patients, then pricked up her ears to listen carefully, and then looked at the students' hands.

At first glance, classmate Xie's hands seemed gentle and graceful, but he didn't expect that if they possessed supernatural power, they were strong and well controlled. There is a boundary line between unvoiced and voiced real sounds.

It can only be said that Xie's eyes seem to have seen through the patient's fat layer first, and the depth to which the strength can be developed is just right.

This student, as she guessed, can help her determine the boundary line, and she can definitely pump fluid.

Xin Yanjun's confidence increased greatly, and she said to the nurse: "Puff!"

It seems that Mr. Xin is a very courageous doctor, with a gentle and honest appearance, but a tough heart in his heart, which once again proves that every big brother doctor has a good personality.

What are you waiting for, I don’t know which year of the monkey will be waiting. The patient has difficulty breathing today, so he quickly pulled it out to relieve the patient's symptoms.

Wear a surgical cap, gloves and get ready.

The syringe draws lidocaine, a local anesthetic, for local skin anesthesia, and pichu.

The thoracentesis point is always better positioned higher than lower. Especially in this patient the effusion was just on the right side. Below the right lung is the liver. Just after coming out of the hepatobiliary surgery, Xie Wanying knew very well that the liver is buried in the lower lung and overlaps with the lung. Therefore, the general doctor chooses the puncture point to be performed in the ninth intercostal space on the inferior angle of the scapula, and the puncture below the tenth intercostal space should be very cautious, as it will easily penetrate into other organs.

To determine the number of intercostal spaces, there is no B-ultrasound, and the anatomical structure of the human body can be used to judge. Feel the scapula, the scapula is on the posterolateral side of the human chest, which is why the patient sits with his back to the doctor. A thoracentesis is usually done by inserting the needle through the back of the patient.

By convention, the lower end of the scapula corresponds to the seventh intercostal space. If you want to be more cautious, you can count down from the patient's first rib, and you will definitely not go wrong. After all, some patients are strange, individual differences may be born or other reasons that cause the lower end of the scapula to not correspond to the seventh intercostal space.

This patient is obese, and it is extremely difficult to count ribs down. But Xin Yanjun is confident today, so she asks her classmate Xie to help.

Classmate Xie really did not disappoint her, and quickly touched the patient's first rib gap, and helped the teacher count down.