Therefore, when it is time to get a clinical diagnosis, the doctor must listen to the patient and make sure the location of the effusion. If there is a B-ultrasound at the bedside, it is best to use a B-ultrasound at this time to guide it. However, under the medical conditions in China, where did the B-ultrasound at the bedside? Without B-ultrasound, you can only continue to rely on the doctor to listen to the B-ultrasound to solve the problem.

I went back to the patient in bed 6 again. It was obese and it was too difficult for the doctor to hear it.

Xin Yanjun, who put down the imaging test results, looked serious. The nurse next to her suggested to her again: "Why don't you 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, clear sound. Knock, hey, this sound is wrong, it’s voiced.

The patient sitting on the chair, putting his hands on the back of the chair, and facing the doctor back seemed to hear the wrong sound of being photographed. He turned his head and looked at the young female doctor: I have never seen it before.

Xin Yanjun approached the student and the patient, pricked up his ears and listened carefully, and looked at the student's hands again.

Student Xie’s hands, which at first glance, looked very quiet and delicate, did not expect that if he had divine power, sufficient strength and good control, he would be just right when he knocked down, and he exerted force through the thick layer of fat, knocking out the boundary line between the distinction between clear sound and dull sound.

I can only say that Student Xie's eyes seemed to see through the patient's fat layer first and the depth of the patient's strength can reach.

This student, like what she speculated, could help her determine the boundary line and she would definitely be able to extract liquid.

Xin Yanjun's confidence increased greatly and said to the nurse: "Take it!"

Teacher Xin is a very decisive doctor. He looks gentle and kind on the outside but is actually strong on the inside, which once again proves that all the big doctors have a good personality.

I waited for something outside of my heart, and I don’t know which year of the monkey and horse month I went there. The patient had difficulty breathing today, so I quickly took it out to relieve the patient’s symptoms.

Wear a surgical cap and gloves and ready.

The syringe absorbs the local anesthetic lidocaine, and local skin anesthesia should be performed and pichu should be shot.

The thoracic puncture point is always suitable for a relatively high rather than a relatively low position. Especially in this patient's effusion just happened to be on the right side. The liver is under the right lung. Just after coming out of hepatobiliary surgery, Xie Wanying knew very well that the liver is buried in the lower lung and has an overlap with the lungs. Therefore, doctors generally choose the puncture point to be performed in the ninth intercostal space of the subscapular angle. The puncture below the tenth intercostal space should be very cautious, and it will easily penetrate into other organs.

To determine which intercostal space there is no b-ultrasound, you can use the human anatomy to judge. When you touch the scapula, the scapula is on the back of the human thorax, which is why the patient has to sit with his back to the doctor. Chest puncture is usually a needle from the patient's back.

According to convention, the lower end of the scapula corresponds to the seventh intercostal. If you are more cautious, you can count down from the patient's first rib, which is absolutely not wrong. After all, some patients are strange, and individual differences may be caused by innate or other reasons, which are not corresponding to the lower end of the scapula and the seventh intercostal.

This patient is obese and it is very difficult to get ribs to the subordinates. However, Xin Yanjun was confident today and asked the student Xie around him to help.
Chapter completed!