If a tube is left in place, only the air in the pleural cavity of simple pneumothorax can be led out with a thin tube. Other substances, such as blood exudate, etc. enter the pleural cavity, resulting in the coexistence of fluid and gas in the pleural cavity. Such pneumothorax is not a simple pneumothorax.
Pneumothorax is called hydropneumothorax. Clinically, it can be divided into hydropneumothorax, blood pneumothorax, pus pneumothorax, etc. Small tubes may not be able to handle the problem.
At present, in this patient, the pneumothorax line is the most clearly visible on the film. The lungs are not collapsed to an extreme extent. Is there any conspicuous exudate in the pleural cavity?
"Teacher, it is difficult to identify hydropneumothorax simply from the perspective of X-rays." Xie Wanying pointed out.
The easiest thing to see on x-rays is that the lungs are compressed, but how can you tell that the thing that compresses the lungs contains not only air but other things?
To rule it out, you need to know that the instrument is not omnipotent.
If it is like the patient in the Department of Respiratory Medicine, a large amount of effusion will be better calculated, which is clear and intuitive. If it is a small amount of effusion, it is a localized hydropneumothorax but the position is off and it greatly affects the patient's condition, which will make the doctor feel more troublesome.
Of course, Duan has already mentioned the first point. It’s just that her classmates and other classmates misunderstood Duan’s meaning.
"He should mean that the pleura is thickened." Xie Wanying said, "My classmate said that there is nothing wrong with the blunting of the septal angle. When talking about possible infection, it also means that the pleura is thickened. If it contains accumulation
Fluid, the fluid level is usually visible on the X-ray film at the bottom, which will flatten the arched shadow of the diaphragm. This patient does not have a typical arch that is completely flattened. It first appears as an obtuse septal angle and then flattens the arch easily.
Confusing judgment.”
Hearing what classmate Xie said, Zhang Desheng blushed: This was obviously her helping him to deflect what he said. All I can say is that Yingying is so nice.
The Guodu students present were the most surprised. One by one, they grabbed the top academics from their schools and asked, "Duan Sanbao, is this what you mean?"
Bastard, you led the other party in the wrong direction without telling them, causing a bunch of us to go astray.
Duan Sanbao, who was surrounded by classmates from his school, shrank like a little ostrich. He heard wrongly at the time and didn't know what to do. He was a guest, so he couldn't say to his face that he heard wrongly. Besides, he later said he was infected.
the elements of.
What is certain is that classmate Duan Sanbao's eyes were shining brightly on the pages of his notebook: This person may really be "Wang Zha".
Dr. Cheng Yuchen turned back to check the film again, then turned to Cao Zhao to confirm: "Teacher Cao, do you want her to try to perform a closed chest drainage puncture on the patient?"
A group of Guodu students at the scene realized that something was serious.
As far as they know, students who have not obtained a medical license basically do not have the opportunity to perform this kind of surgery. Interns can only change dressings on patients alone in clinical practice.
Faced with this suggestion from his subordinates, should he retreat in order to advance? The corners of Cao Zhao's lips were curved, and the two ink eyes embedded in the jade face were smiling.
Looking at Teacher Cao's face from the side, the students can feel the "evil" smile in Teacher Cao's eyes.
"Okay." Cao Zhao nodded, approving the subordinates who "volunteered".
It can only be said that the children in his class are all arrogant and unconvinced. There is a new classmate who may be a dominator, and they must fight to the death.