Chapter 138: Great novice

To the surprise and surprise of Dr. Zhang Zuo outside the door, Xu Ze was very natural to cut the puncture part like a mountain, and with the other hand holding the syringe, the small medicine bottle from Director Zhai's hand was very stable and accurate. Five milliliters of lidocaine were extracted, and he was about to start local anesthesia.
In Xu Ze’s view, since Director Zhai said to let himself do it, of course, when there are only two people, Director Zhai will certainly be an assistant to help him complete this lumbar puncture, but he does not have to be too taboo about identity issues.
What Zhang Dian was dismayed was that Director Cheng wasn’t even doing it himself, and he was acting as an assistant. In their view, this was almost impossible. As a busy director of one-women and ten-room affairs, he is also a well-known expert in the country. Except for the weekly rounds; in general, seeing a patient must be applied by the general doctor in charge of the patient, and they will take the time to come out for consultation.
It is impossible to waste time to do such a small operation in person, but Director Zhai not only did it today, but also acted as an assistant to a new doctor, which is surprising.
The current chair quickly put on a mask and hat and walked in. She smiled at Director Zhai: "Director, if you take a rest, I will help Dr. Xu as an assistant.
Director Zhai knew what Zhang Su meant, and smiled and shook his head, and then continued to watch Xu Ze's hands on the side. He was nothing but an assistant, just to see Xu Ze's true ability, of course, not let others To replace yourself.
At this time, Xu Ze didn't think so much. He was doing his own operation wholeheartedly, carefully puncturing the syringe obliquely into the puncture point, injecting some anesthetics into the bottom layer of the skin, and then changing the needle into the needle vertically, from the skin to The ligament between the jaws is carefully anesthetized by local infiltration.
After Lidocaine had been fully injected into the ligament, Xu Ze took a light breath and settled, then picked up the ten-centimeter-long puncture needle and carefully fixed the skin at the puncture point with his left thumb and two fingers, holding it in his right hand The puncture needle is inserted vertically from the back of the vertebrae, and the lumbar puncture is officially started.
Seeing that Xu Ze started to puncture formally, a hint of curiosity flashed in Director Zhai's eyes. He basically had no doubt about Xu Ze's ability at this time, but was wondering whether Xu Ze could succeed once, if this could succeed once, then Explain that Xu Ze must have very rich experience in clinical field, and the theoretical hands-on ability is extremely strong, and he can let Xu Ze do things in the future.
When Zhang Li saw Director Zhai refused, he looked at it carefully, looking at Xu Ze, who made Director Zhai so important, what was on hand, it should not be a silver wax gun...
At this time, Xu Ze was also a little nervous. Although it was said that this was a lumbar puncture, it was unsuccessful once, and it was often done once or twice; but Xu Ze still wanted to be perfect. When he was in the virtual space, But after doing it many times, he could only succeed once he was familiar with the touch. This time, in reality, he could not help but make him a little nervous.
Xu Ze recalled the feeling when he was operating in the virtual space, while slowly pushing forward the puncture needle according to the feeling, so when the penetration was about the time, Xu Ze's hand was gently stagnation. For a moment, I felt a little resistance. When he gently pushed forward, he quickly broke through. Now he can't help but twist his eyebrow. This should be the first layer of ligament. The next step is the most critical. It’s up to you to wait until you succeed.
After continuing to puncture for two centimeters, Xu Ze really felt the resistance again. This time the resistance was much greater. Xu Ze raised his eyebrows lightly, then took a light breath, gripped the puncture needle, pushed forward, and felt With this push, and then emptying the hand, the resistance to the needle penetration obviously disappeared, and Xu Ze was relieved, knowing that the puncture needle had successfully passed through the ligament and dura mater, and successfully reached the spinal canal.
Although it is estimated that it has reached the spinal canal, it is still not completely certain that the puncture will be successful. This must be seen after seeing the cerebrospinal fluid.
Xu Ze exhaled lightly, slowly pulled out the pin core, and once again succeeded or failed. If he still didn't see cerebrospinal fluid, he had to puncture again.
However, it is obvious that Xu Ze's effect of training in the virtual space is very good. With the needle slowly exiting, in the eyes of the three people's hopes, a drop of colorless transparent liquid is gently dropped.
Seeing this transparent brain spine dripping out, Xu Ze couldn't help but breathe a sigh of relief, but on the side of Director Zhai and Zhang Suo both flashes of applause, this Xu Ze was really good
Xu Ze slowly pushed back the needle core, temporarily stopped the cerebrospinal fluid from flowing out of the needle tube, and then pulled out a manometer from the waist pouch, carefully put the lower end of the manometer tube into the needle tube, and began to measure Intracranial pressure, which is also an important diagnostic method for lumbar puncture, can eliminate some intracranial hypertension by measuring pressure.
As the pressure tube was snagged, the scale of the cerebrospinal fluid displayed in the pressure tube slowly rose and gradually stopped at the millimeter water column in the field. Xu Ze also let down his heart. The normal value is young, only now. It seems that the intracranial pressure is not new, and there should be no other intracranial or cerebrospinal fluid lesions. The confirmed diagnosis of the public throws out myopathy and has a little more certainty.
After the pressure measurement, Xu Ze carefully removed the pressure tube, and then inserted the needle core into the needle tube to block the cerebrospinal fluid so that it no longer flowed out; then reached out and pulled out three test tubes from the waist pouch, preparing to retain the cerebrospinal fluid specimen Do the test.
Carefully line the test tubes in your right hand and place them under the needle tube of the patient's spine, then gently hold the needle core with your left hand and carefully pull it out slowly, as the needle core comes out of the needle tube Withdrawal, the colorless and transparent cerebrospinal fluid slowly dropped from the needle into the test tube in Xu Ze's hand.
After the three test tubes in his hand were filled with a small half of the cerebrospinal fluid, Xu Ze hurriedly pushed the bowl tube with his left hand finger to make the cerebrospinal fluid no longer flow out, and then put the test tube in his hand into the treatment tray on the side. Then insert the needle core into the needle tube to block the cerebrospinal fluid so that it no longer flows out.
Everything was done properly, Xu Ze reached out and quickly pulled out the puncture needle, sealed the needle hole with a piece of gauze, and then changed the patient's position from the lateral position to the supine position, and then asked if the patient had no special discomfort. Then, he explained that he had to sit on the pillow for four hours before he was allowed to sit up. Then he packed up the surgical instruments, took three test tubes filled with cerebrospinal fluid, and went out of the ward with Director Qiao.
Back at the office, Director Qiao quickly opened the test sheet and took three test tubes to the nurse. Let them be sent to the laboratory immediately for testing.
Zhang Zhuan looked at Director Sparrow so carefully and couldn't help but ask curiously: "Director, is there anything wrong with this patient?"
"Well, when Xu Ze went to see the patient just now, there were some abnormalities. After detailed analysis, we considered that this patient may not be simply myasthenia gravis, but may be a recently emerging disease, so we must quickly Confirm the diagnosis so as not to delay the patient's treatment!" Director Zhai nodded and looked at Zhang Yidao.
"A new disease? Did Xu Ze see it?" Zhang Yan could not help but stunned when he heard the speech of Director Finch.
"Yes, this young man Xu Ze is very good, has a wide range of knowledge, and is also very in-depth research on some new diseases. If this is not his abnormality, I did not think of this!" Director Zhai said with a smile.
It was almost twelve, and Qian Xuebin pushed open the door and walked in, smiling at Director Sparrow: "Director, you are off work, I have eaten!"
Seeing that Qian Xuebin came in, Director Yuan waved and waved, and then said, "Xiaoqian, come over for a while".
Seeing Director Zhai's stunned face, Qian Xuebin couldn't help but jumped in his heart, then came over with a smile and said, "Director, what is it?"
Director Cheng nodded after he sat down, and then handed the medical record to Qian Xuebin, saying: "Xiaoqian, your medical record will be rewritten. Just now I went to see this patient. There are some abnormalities, which may not be a simple thing. Myasthenia gravis may be a recently emerging disease called Guillain-Barre syndrome!"
"I will find out the information for you later. You first ask the patient's medical history again, then do a physical examination carefully, and then write down the medical history and some subtle physical examinations in detail. Question. Do you understand?" Mr. Que said carefully and sternly.
Hearing the criticism from the director, Qian Xuebin's face was dark. Although being criticized by the director was not too embarrassing, Qian Xuebin still felt hot on the face of being criticized in front of other doctors. .
Although I don’t know what went wrong with my medical record. But Qian Xuebin still nodded his head humbly and said seriously: "Okay. Director, I will conduct a comprehensive consultation and physical examination of the patient again, and there will never be any omissions!"
"Well~EbookFREE.me~ Go now, Xu Ze and I have already done waist wear for the patient, and wait for the test results to come out; you first ask a good medical history, after a physical examination, I will find the information for you "Director Huo nodded, then got up and went to his director's office.
After Director Qiao left, Qian Xuebin began to analyze this matter. His physical examination should always be considered good, and there shouldn't be much problem with the medical history. Where could the problem lie?
Qian Xuebin thought about it, and suddenly remembered the strange and seemingly irrelevant medical history of Xu Ze who went to this patient's time two hours ago. At the moment, his heart jumped and the secret path was not good. I was afraid that it was here. Ask
Xu Ze was afraid that he had seen some problems, but he didn't say anything, but he talked to the director directly and made himself criticized by the director.
Thinking of this, Qian Xuebin's eyes could not help revealing a hint of resentment
Defense: Do the brothers still have monthly tickets? Please give Tiannan a few extras to encourage and encourage. If you poison 30 more, and if Tiannan is not too busy to work in the night shift, you will definitely try to add another chapter before 12 o'clock!
thank you all