【1189】further challenge
It includes the saddest throat at the beginning, to the ridges formed by the tracheal cartilage rings that are as rough as the ridges that need to be avoided, and then to the intricate bronchial passages connected like mazes. Each section requires a doctor to overcome difficulties.
The fiber support mirror must be kept in the middle so that the teacher’s work can be carried out smoothly.
The hand always holds the patient's head on the side, and then makes some minor adjustments according to the teacher's operation. Xie Wanying's movements are very gentle and careful. It makes Teacher Xin feel comfortable and the patient can feel comfortable. The female patient almost didn't notice that her head was pressed by her hand, which means that even if she pressed her head, the patient felt that this position was acceptable and comfortable.
It was very magical. The nurse glanced at Xie Wanying again, without any gaze of the new novices.
The hand feels smooth and the operation is easy. The hose operated by the doctor quickly reaches the lesion and grabs the sample with forceps to prepare for pathology.
After the examination, the tube was successfully withdrawn from the patient's airway.
After the operation, the patient's throat was paralyzed and could not speak loudly. He nodded to the doctor and signaled: It's okay, there is no discomfort.
The patient is satisfied, and the medical staff are most happy.
When the nurse asked the patient from bed 3 to return to the ward, Xin Yanjun put her hands in the pocket of the white coat, thinking about something, and said to the nurse: "Prepare for me, I'm going to do some fluid extraction for bed 6."
It refers to the pleural effusion extracted from the chest cavity.
The nurse was surprised when she heard her instructions: "Doctor Xin, didn't you agree to let the outside of your heart do it?"
Chest puncture is an old skill in cardiothoracic surgery. Respiratory physicians can do it, but they are definitely not as good as surgery.
When encountering patients who are easier to operate, respiratory physicians usually do it themselves. Only when it is difficult and not very sure, please come over.
After all, it is not easy to wait for doctors from other departments to come and help you do this job, and you need to wait until the other party has time.
Xin Yanjun remembered that the doctor who came to the outside world for cardiothoracic consultation that day was busy until the evening before going to the respiratory department to see the patient. I guess he was busy these two days so hard that he had no time to get out of puncture. I don’t know how long he and the patient need to wait. It’s not suitable to call people from other departments.
Just so happened that a Treasure Surgery intern came today, and her excellent performance confirmed the rumors. Xin Yanjun thought to herself that if this student helped her, she could puncture the patient in bed 6.
"Go to 6 beds."
Teacher Xin waved, Xie Wanying followed, recalling the medical records of the 6 beds and the round discussion this morning.
The patient in bed 6 is a male patient, not very old, in his forties but very fat.
If you want to do a puncture, the doctor may not even touch the anatomical points of the bone process marks, and it is difficult to determine the position of the operation. Because of this, the internal medicine department found a surgery department to do it.
Surgery uses a knife to move the human body every day. The internal structure of the human body in the brain is much clearer than that of an internal physician. It can be done without touching it or based on experience.
The nurse prepared the surgical items again and pushed the treatment vehicle to the 6-bed ward.
Xin Yanjun put on a stethoscope and listened to the patient's lungs again, directing the students to listen together.
Lung auscultation is the same as cardiac auscultation, and there is a sequence.
The routine is from the front and chest side to the back.
Chapter completed!