Chapter 315: : The first operation

Hearing Meng Xi's words, Ge Huai was surprised!
He thought Meng Xi was joking!
Unexpectedly ... she was serious.
Pericardial puncture?
This is not a thoracentesis.
It's only been a few days, and I haven't tried it once, I just let the upper pericardium puncture, which is obviously a bit too ...
However, Ge Huai suddenly thought about it, it was just Meng Xi asking.
This Chen Cang is not necessarily yet!
Even if it was, he estimated that Chen Cang didn't dare, after all ...
"I can."
Chen Cang's simple words directly interrupted Ge Huai's conjecture.
Ge Huai was startled.
I Cao?
You can do it again!
If Ge Huai is this expression.
Then, Wu Peng on the side was aggressive.
Looking at Chen Cang's clothes, it was obviously a white coat worn by Ji Peisheng.
Thinking of this, Wu Peng said embarrassingly: "Director Meng, this can't be a child's play. Emergency surgery is not a joke. You asked this classmate to do it. I was the first to disagree."
It is not that Wu Peng looks down on Chen Cang, but in the final analysis, he is responsible for the patient.
Therefore, no matter what the position or approach is, it is right!
But Meng Xi was silent for a moment, watching the picture on the B-ultrasound machine, watching Wu Peng said, "Well, I know Dr. Wu's thoughts, but ... the patient should be acute bacterial pericarditis. Go away. "
After Wu Peng heard it, he suddenly hesitated for a moment, and it seemed ... no problem.
This patient is no longer his own.
"Okay, then it's hard and troublesome Director Meng, and Doctor Ge, do more snacks!"
Meng Xi turned and took a look at Ge Huai: "Doctor Ge, you go through the formalities with Doctor Wu, as soon as possible, Chen Cang and I will go up and puncture as soon as possible!"
Ge Huai is a little dumbfounded. Shouldn't the procedures be left to students?
Shouldn't the puncture be done by the doctor?
How come you ...
But there is no way, Director Meng is his direct BOSS, just be obedient.
Ge Huai and Wu Peng started to go to the transfer department.
The transfer of emergency patients is convenient and quick, and it is not as troublesome as other departments.
There is not much difference in the treatment process. The only difference is that the patient and the doctor of the B ultrasound have changed places, and Chen Cang has a pericardial puncture.
After Ge Huai ran before and after the run, he was so busy that he finally got to the ward and saw Chen Cang puncture.
And just came in, I heard Chen Cang said, "Exactly, Teacher Ge, help me pump fluids for a while, please."
When Ge Huai heard it, his face suddenly changed ...
What about me ... who is a student and who is a teacher!
However, if you don't help yourself, do you want Director Meng to pump fluids?
Thinking of this, Ge Huai could not help but sigh.
Forget it!
Bear it!
Adults don't remember villains.
This time, because of the echocardiogram positioning at any time and the ECG monitoring, the safety factor has been improved a lot.
In the training space, how many times Chen Cang has practiced in this situation is basically hand-held.
However, in order to avoid the hypotensive response of the stray, Chen Cang looked at Ge Huai and said, "Atropine."
Ge Huai blinked.
Chen Cang: "Atropine."
Ge Huai was about to ask why. Suddenly his face changed and he immediately reacted.
This Chen Cang ... Yes, it's a bit of a level!
Chen Cang began to lay a regular towel ... disinfection ... anesthesia ...
Chen Cang held the puncture needle and pointed it upward at the point where the xiphoid of the sternum intersected the left costal margin.
The needle advanced slowly, and Chen Cang felt it!
In place!
The whole process is fast. After all, I don't know how many times I've worn it, so a set of actions is flowing, and even the super doctors on the side are foolish.
Afterwards, he said, "Mr. Ge, you can."
Ge Huai didn't seem to have responded yet. After all, the last sentence said it was only a few seconds? Is this alright?
Young people, can you not be so hasty, can you be more serious about medical work?
"So fast?"
Chen Cang nodded: "Draw."
Ge Huai took a puff and suddenly felt the liquid appear.
I have to say that, compared to 120 driver Lao Liu, Dr. Ge is more professional, and the whole process is slow and orderly.
It didn't take long for the pumping to complete.
Then he injected some antibiotics into the pericardial cavity.
It didn't take long for her symptoms to stabilize.
However, this does not mean that the operation is over.
Now that the patient's symptoms are alleviated and his vital signs are stabilized, the next work is important.
Clarify the nature of the pericardial effusion and complete the operation as soon as possible.
After all, the pathological changes of acute pericarditis are manifested as an inflammatory reaction of the visceral and parietal layers of the pericardium, and a viscous liquid consisting of fibrin deposition and multinucleated leukocytes appears, known as fibrinous or dry pericarditis.
The inflammatory response often involves the lower myocardium of the pericardium. A few severe cases can involve the deep myocardium, which is called myocardial pericarditis.
After pericarditis heals, small plaques or adhesions of varying degrees may remain. For example, inflammation involves the outer surface of the pericardial wall, which can cause adhesions between the heart and adjacent tissues such as the pleura, mediastinum, and diaphragm.
Therefore, the treatment of this acute pericarditis should be carried out quickly.
Once bacterial pericarditis is diagnosed, surgery is usually performed as soon as possible.
Blood culture is also needed, as well as the nature of the effusion.
Can only wait until tomorrow.
Meng Xi said, "Well, it's a good draw! Do you often do it?"
Chen Cang nodded and smiled: "Well, emergency departments often do it."
Meng Xi suddenly thoughtfully said, "Will you make a pericardial incision?"
【Ding! Complete the test of Meng Xi's mentor, the second ring, get +5 favorability, trigger the third ring task, and perform a pericardiotomy. 】
Chen Cang was hesitant. After all, like that pericardial puncture, he would, and he was a master, so he said it was okay.
But the pericardium was cut open ... This kind of Chen Cang had no bottom in his heart.
He was not sure.
Would you like to do it?
May do it too.
With the help of the system and the explanation of Director Tao Yan, Chen Cang's pericardial incision theory knowledge is already available.
But lack of practice.
And the last task, completed five pericardial surgeries, can directly upgrade skills to advanced.
Therefore, as soon as Chen Cang gritted his teeth, he told the truth: "Ms. Meng, I want to try, but ... I can't guarantee that the operation will go smoothly. After all, I haven't tried it, but I have seen it many times."
Meng Xi froze slightly, nodded and smiled: "Okay, tomorrow you come to the sword."
After speaking, Meng Xi skillfully took off her white clothes, finishing and said, "I watch you do it."
When Chen Cang heard it, he felt a warm heart.
In fact, Teacher Meng Xi is still pretty good to herself.
Ge Huai wanted to speak, but stopped talking.
Looking at the two of them ~ EbookFREE.me ~ Suddenly, I suddenly realized that I immediately understood it!
Yes indeed!
Isn't it a pity for myself to oppose Chen Cang?
After all, Chen Cang was a disciple of his boss and a disciple of Kaishan. The apprentice's feelings were deep.
For Chen Cang, Meng Xi must focus on training.
The two of them said they were all the same. They questioned Chen Cang, and they said that they questioned Director Meng. Maybe they were right together with themselves.
After thinking about it, Ge Huai suddenly felt that he should be calm, generous, and behave like a teacher.
...
PS: Three more changes, thank you everyone, there is a single chapter later.
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