I can see health

Chapter 217

Jinghua Second Hospital.

The general inpatient of the Department of Cardiology rotates once a year.

The overall responsibility of hospitalization is mainly responsible for all emergency consultations in the Department of Cardiology.

When there is not enough manpower in the night shift ward, they will temporarily cover the shift or assist in rescue.

Li Qinghua, the inpatient chief on duty this year, is a senior attending doctor.

Although he has not been promoted to deputy director, but he has rich experience and is not inferior to those deputy chief physicians.

Mainly because of insufficient papers, I have not been able to be promoted to a professional title.

Now that the pericardiocentesis was in trouble, Yin Xinhua had no choice but to call Li Qinghua for help.

……

This is the second time that Li Qinghua has come to the Eighth District of Heart tonight.

"Junior Sister Yin, your night shift is quite fulfilling!"

Yin Xinhua shrugged and said helplessly to Li Qinghua: "Senior brother, you are also making fun of me. I really can't help it. The night shift was fine a while ago, but I don't know what's going on with this night shift."

After finishing speaking, Yin Xinhua cast a glance at Fan Zhiping.

"Does the family agree to the piercing?"

Li Qinghua came to the doctor's office to check the results of the patient's auxiliary examination.

Before general invasive operations, it is necessary to check the patient's blood routine, coagulation, etc.

"The family members have agreed and signed it," Yin Xinhua said.

"Okay." Li Qinghua checked the patient's laboratory tests and found no contraindications, "Then let's start."

"Brother, the patient's pericardial effusion has many partitions." Yin Xinhua said, "It may be difficult."

"Tuberculosis?" Li Qinghua raised his eyebrows.

"It's not clear yet, but there's a high probability it is."

"Okay, let's go see the patient."

……

Come to the ward.

Li Qinghua saw Lu Chen standing beside the bed.

He suddenly remembered that Lu Chen had blindly pierced the pericardium when the elevator failed.

After that, Li Qinghua was on night shift and ran into Lu Chen a few times.

Some time ago, as a member of the school representative team, Lu Chen successfully won No.1 in the National Medical Skills Competition for Jinghua Medical University!
This surprised everyone!

"Lu Chen, I remember you can do pericardiocentesis independently, right?" Li Qinghua said to Lu Chen.

He can perform blind punctures, and this kind of puncture under the guidance of ultrasound is even less of a problem.

Lu Chen said modestly: "Ms. Li, I haven't done this kind of puncture of pericardial effusion before."

Speaking without intention, the listener is intentional.

What Lu Chen said was the truth.

Although he has trained many times in the system space, even including encapsulated pericardial effusion, he only performed one case of pericardial effusion in reality.

Compared to Li Qinghua's rich piercing experience, Lu Chen is no different from a rookie.

Fan Zhiping on the side looked at Lu Chen blankly.

How many operational skills does Lu Chenhui have!

Can still independently perform pericardial puncture...

Many attending doctors in their county hospitals do not have this ability.

Although Lu Chen is number one in the national medical skills competition, the competition is just a competition after all.

The objects of the competition are tool simulators.

There is still a big gap between the simulated person and the real person.

"Then stay by my side later and help me." Li Qinghua said.

"Okay, Teacher Li." Lu Chen nodded.

……

For general pericardial effusion, after localization under ultrasound, pericardiocentesis is enough.

And this kind of encapsulated effusion requires continuous operation of the ultrasound probe to provide ultrasound images in time for operation.

The ultrasound doctor had already left, so Li Qinghua pushed the ultrasound machine from the CCU up.

"This is..." Lu Chen wondered, "Didn't the ultrasound doctor leave? Who will do the echocardiography?"

"You don't need a sonographer, Senior Brother Li can do echocardiography himself," Yin Xinhua said.

"Do it yourself?" Lu Chen was taken aback.

A cardiologist's clinical work is already very cumbersome, but he still has time to learn ultrasound?
"Yes." Yin Xinhua said, "Brother Li's technique in echocardiography is almost the same as that of the teachers in the ultrasound room."

"This, this is too powerful." Lu Chen sighed.

Medical specialization is very serious now, let alone a imaging technology, many doctors will not learn the professional content of other departments.

I saw that Li Qinghua skillfully turned on the echocardiography machine, picked up the ultrasound probe, applied couplant, and then placed the probe under the patient's xiphoid process.

"There is a lot of pericardial effusion, and there is a separation." Li Qinghua said in a deep voice, "Although there is no obvious sign of pericardial tamponade, it needs to be punctured as soon as possible!"

Although Lu Chen didn't know how to read ultrasound images, the images Li Qinghua typed out were particularly clear.

On the display screen of the ultrasound machine, a squirming mass of the heart was visualized.

Around the heart is a liquid dark area.

This liquid dark area is pericardial effusion!

After Li Qinghua finished operating, he said to Lu Chen, "Let's start."

Lu Chen nodded, opened the heart puncture bag, and placed it on the table above.

Li Qinghua first disinfected the place where the puncture was positioned, then put on gloves, and began to spread the drape and anesthetize.

Lu Chen's job is very simple, that is, to help Li Qinghua hand over various tools in the puncture bag.

……

Li Qinghua is worthy of being one of the most experienced doctors in the Department of Cardiology of Jinghua Second Hospital.

This seemingly difficult encapsulated pericardial effusion was successfully punctured and drained in Li Qinghua's hands.

Lu Chen was shocked!

He thinks that he has already practiced pericardiocentesis very skillfully in the system space.

However, if this patient is assigned to him, it is impossible for him to do better than Li Qinghua.

The biggest factor, that is the presence of echocardiography.

The ultrasound is performed by the operating doctor himself.

This is like having a right-hand assistant who knows exactly what's going on in the heart.

When puncturing, you will not look forward and backward, afraid of hurting the heart muscle.

Compared to Li Qinghua, Lu Chen was completely at a disadvantage when it came to echocardiography.

At best, he can only understand a little bit of echocardiogram, but he can't operate it at all.

"The drainage tube is in place, don't put too much pericardial effusion in the first time." Li Qinghua said.

Regardless of the puncture drainage of any effusion, the first drainage is limited.

"Okay." Yin Xinhua smiled, "Thank you Senior Brother Li."

"It's a little effort." Li Qinghua said, "Then I'll go back first. I remember that you also have portable echocardiography in the eighth area of ​​your heart. Junior sister Yin, you are at the interface under the xiphoid process, and pay attention to the pericardial effusion."

"Got it, brother."

After the puncture, Yin Xinhua released part of the patient's pericardial effusion, and the patient's chest tightness improved a lot immediately.

Li Qinghua explained some precautions, and then pushed the echocardiography machine downstairs.

"Senior sister, we also have an ultrasound machine in the eighth area of ​​our heart?" Lu Chen wondered, "Why haven't I seen it before?"

"Yes, but it's portable, only the size of a palm, and no one in the department can do ultrasound, so I basically used it." Yin Xinhua said, "I'll get it from the treatment room later, the one under the xiphoid process position, I will still be a little bit."

After speaking, Yin Xinhua went to the treatment room to get a portable heart ultrasound machine.

……

After Li Qinghua's pericardial puncture, Lu Chen understood his own lack of ability.

Even though he has a system by his side, he has practiced pericardiocentesis many times in the virtual space of the system.

However, when encountering such a difficult operation, it is still a bit powerless.

On the road to becoming a top doctor, Lu Chen has a long way to go.

(End of this chapter)