Chapter 2307 【2307】Unconvinced
If the tube is left in place, only the gas in the pneumothorax can be drawn out with a thin tube. Other substances, such as blood exudate, enter the pleural cavity, resulting in the coexistence of fluid and gas in the pleural cavity. Such a pneumothorax is not a simple pneumothorax called a liquid pneumothorax. Clinically, it can be further divided into water pneumothorax, blood pneumothorax, empyema and pneumothorax. Small tubes may not be able to handle it.
For this patient, the pneumothorax line is most clearly visible on the X-ray, and the lung collapse has not reached the percentage of explosion. Is there any obvious signs of exudate in the pleural cavity?
"Teacher, it is very difficult to identify hydropneumothorax from the perspective of X-rays alone." Xie Wanying pointed out.
The easiest thing to see on X-rays is that the lungs are compressed, but how can you tell that there is not only Qi but other things in the thing that compresses the lungs. X-ray is not a camera lens that can enter the human body to be carefully screened. Sometimes it can be ruled out by adding CT, but you must know that the instrument is not a panacea.
If it is like the patient in the Department of Respiratory Medicine, it is better to calculate a large amount of effusion, which is clear and intuitive. If a small amount of effusion is localized fluid pneumothorax but the position is off and affects the patient's condition, it will make the doctor feel more difficult.
Of course, Duan just mentioned the first point. It's just that her classmates and other classmates misunderstood the meaning of classmate Duan.
"He should mean that the pleura is thickened." Xie Wanying said, "My classmate said that the blunting of the septal angle is not a big mistake. When it comes to possible infection, it also means that the pleura is thickened. If it contains accumulated Fluid, the liquid surface is usually seen on the X-ray film at the bottom, which will flatten the arched shadow of the diaphragm. This patient is not a typical arched completely flattened, it is easy to flatten the arch after first showing the obtuse angle of the septal angle Confuse judgment."
Hearing classmate Xie say this, Zhang Desheng blushed first: she was clearly helping him to divert his wrong words. All I can say is that Yingying is such a nice person.
The Guodu students who were present were the most surprised. One by one, they grabbed the top students in their school and asked, "Duan Sanbao, do you mean this?"
Bastard, if you guide the wrong party, you don't tell the other party, causing us all to go astray.
Duan Sanbao, who was besieged by his classmates, shrank his neck like a little ostrich. He didn't know what to do when he heard it wrong. He is a guest, so he can't say to his face that he misheard him. Besides, people later mentioned the infection factor.
what can be confirmed is. Duan Sanbao stared at the pages of his notebook with bright eyes: this person may really be "Wang Zha".
Dr. Cheng Yuchen turned around and checked the film again, then turned to Cao Zhao to make sure: "Ms. Cao, do you want her to try to perform closed chest drainage and puncture on the patient?"
A group of Guodu students at the scene realized that something was wrong.
As far as they know, students who have not obtained a license to practice doctors basically do not have the opportunity to perform this type of operation, and interns at most change the patient's dressing alone in the clinic.
In the face of this suggestion from subordinates, is it a retreat to advance? The corners of Cao Zhao's lips were curved, and the two black eyes inlaid on the jade face were smiling.
Looking at Teacher Cao's face from the side, the students could feel the "evil" smile in Teacher Cao's eyes.
"Okay." Cao Zhao nodded, agreeing to his subordinates who "volunteered themselves".
It can only be said that the group of children in his class are all arrogant and unconvinced. A new classmate may be the overlord, and he must try to fight to the death.
Thank you for your support! ! ! good night dears~