I can see health

Chapter 90 The effusion that turns red!
"Could it be that the myocardial tissue was accidentally stabbed, so the effusion turned from yellow to red?" Lu Chen thought to himself.

The color of pericardial effusion can be yellow or red.

Generally, yellow ones are mostly caused by infection and tuberculosis.

A red effusion may be caused by a tumor.

However, the color of the effusion changes from yellow to red, which is rare.

"Lu Chen, what's wrong with this? Turned red?"

Jiang Qingyan at the side also noticed a change in the color of the effusion.

Instead, the people outside the elevator did not notice this change because of the video angle.

Lu Chen frowned, and said softly: "I don't know, I don't feel like I touched the heart muscle tissue, let's observe it first, and report to the teachers outside."

"Okay." Jiang Qingyan nodded.

He has been training in the virtual space for so long, and the success rate has exceeded 95%, and he has never discovered this situation.

Jiang Qingyan immediately notified the doctor outside the elevator that the color of the pericardial effusion had changed from "yellow" to "red" through the video on her mobile phone.

"The color suddenly turned red?" Lin Cui said in a deep voice, "Could it be that the puncture needle touched the heart?"

There were also whispers from the people outside the elevator.

"If it's always red, it's okay. It may be caused by a tumor. But now that the color has changed, it means that there is something wrong with the operation, and it is very likely that the myocardial tissue was injured!"

"He touched the heart...then it's very dangerous!"

"Yeah, the risk of blind penetration is really great, don't try it lightly!"

Sun Guoguo on the side frowned, and said: "The puncture point Lu Chen chose was under the xiphoid process, and the patient had a large amount of pericardial effusion. I think the depth of his needle insertion is not deep, so it is unlikely to be Hit the heart."

"That's not necessarily true." Lin Cui shook her head, "If the angle of the needle is wrong, it will also damage the heart muscle and blood vessels."

For a time, the opinions of the people present were not unified.

Li Yao carefully observed the video screen, was silent for a while, and then said:
"Lu Chen's technique is very skillful. He has definitely done many pericardial punctures. Moreover, the xiphoid process is a relatively safe puncture point, and generally it will not hurt the myocardial tissue."

"I think it's because of the formation of fibrous cords in the pericardium, which are stretched and broken as the effusion decreases, causing a small amount of bleeding, and the drainage fluid turns red. There is no need for special treatment for the time being, and it will gradually improve in the future."

Fiber strands broken?
Everyone was taken aback, as it was the first time most people had heard of this theory.

"Yes, I have encountered this kind of patients in the CCU before. After two days of observation, the bloody effusion will improve."

At some point, Li Qinghua, chief resident of the Department of Cardiology, came to the scene.

"However, it is also possible that the puncture needle you mentioned touched the myocardial tissue. When the needle tip touched the adventitia during the puncture, it caused a small amount of bleeding, which gradually turned bloody. However, there is no special treatment for this situation, as long as the drainage is kept smooth. The echocardiogram confirmed that the effusion is decreasing, and it will improve on its own in a few days."

Li Qinghua, chief resident of the Department of Cardiology, is a senior attending doctor in the heart. He has been in the front line of clinical practice all year round. He is currently in charge of emergency consultation in the whole hospital. His clinical experience is even richer than that of many deputy chief physicians.

Lin Cui frowned, but did not continue to speak.

In the elevator at this time.

Although this small episode occurred, the patient's vital signs have been improving, and the symptoms of cardiac tamponade have been relieved a lot.

"Lu Chen, just now Teacher Li said it's okay, just observe temporarily." Jiang Qingyan said to Lu Chen.

Lu Chen nodded, and continued to pay close attention to the changes in the patient's vital signs.

At this moment, he suddenly noticed the system prompt.

"Congratulations, the pericardiocentesis is currently 85% complete."

The degree of completion has finally improved!

It turns out that realistic operations are required, and the training in the virtual space can increase the completion rate to 80% at most.

However, the current completion rate has only increased by 5%, and if it wants to increase to 100%, it needs to continue to work hard!

……

Suddenly, there was a "squeak" outside the door.

The elevator door was finally opened!
At this time, ten minutes had passed since Lu Chen and the others were shut down!

"Quickly, push out the hospital bed!" Li Yao said loudly.

Outside the elevator, several doctors and nurses from the eighth district of the heart immediately walked into the elevator.

Everyone worked together to help Lu Chen and others move the hospital bed out.

"Slow down when the bed gets out of the elevator! Don't be in a hurry!"

Li Qinghua walked quickly to the hospital bed.

"The patient's vital signs are stable for the time being, but he still needs to be transferred to the CCU ward for observation to prevent complications after the puncture."

A spare elevator next to it is ready.

The nurse cleans the puncture site for the patient's pericardium.

Two doctors quickly pushed the bed into the elevator next to it, ready to send it to the CCU on the fourth floor.

Lu Chen stepped out of the elevator, followed by Jiang Qingyan and others.

He Sirong followed behind the crowd without saying a word.

Lu Chen stood in front of Li Yao, still wearing gloves stained with a little blood.

"Good job!" Li Yao smiled and patted Lu Chen's shoulder.

"Teacher, the color of the patient's pericardial effusion..." Before Lu Chen could finish speaking, Li Yao interrupted him.

"We have already analyzed it outside, and you don't need to worry about the next thing. Go wash your hands quickly and have a good dinner at night."

"Ah... this..." Lu Chen was stunned.

"Junior Brother, your piercing is so beautiful, go and wash your hands." Sun Guoguo also came over, "We are ready to go."

Lu Chen was pushed to the bathroom to wash his hands.

Many doctors and nurses present sighed secretly as they looked at Lu Chen's back.

Is this the graduate student Li Yao accepted this year?
When encountering things, he is calm and calm, which is in stark contrast to the previous student. He doesn't look like a freshman in the first year of research!

……

Lu Chen walked out of the bathroom in the ward.

After adjusting my clothes, I looked up and found a group of people waiting for me.

Standing at the front is Yin Xinhua, with He Sirong behind her.

Meanwhile, Jiang Qingyan, Ke Yue, Sun Guoguo and others stood at the elevator entrance.

"Junior Brother Lu, this time, thank you."

Yin Xinhua stood in front of Lu Chen, smiled and said softly.

This patient was first diagnosed by her.

If anything happened along the way, it was her responsibility.

Although this time it was due to an elevator failure, the first doctor will also be held responsible.

"Senior Sister Yin, you're welcome, everyone is from District [-]." Lu Chen smiled.

"Have you done many cases of pericardiocentesis before?"

After Yin Xinhua praised Lu Chen, he raised his doubts.

He Sirong behind her also raised his head and looked at Lu Chen suspiciously.

Everyone is a freshman, and they rarely come into contact with pericardiocentesis. Why is Lu Chen so skilled?
"I followed the teacher during my internship." Lu Chen nodded.

"Oh." Yin Xinhua frowned, "Which university did you graduate from?"

"Jiangcheng University School of Medicine."

"Well, it's also a good medical school." Yin Xinhua nodded, "It seems that the medical school of Jiangcheng University is more hands-off. It dares to let students do this kind of puncture."

Lu Chen smiled and did not refute.

Jiangcheng University School of Medicine did not allow students to do pericardiocentesis independently, at most they let students do chest or abdominal puncture.

"I heard from Guoguo that you are going to eat, so I won't bother you."

Yin Xinhua waved to Lu Chen and left with He Sirong.

……

At this time, in the CCU on the fourth floor.

The patient with pericardial effusion has been placed in the rescue room.

"How is the patient?"

Han Kang, the attending doctor of the CCU, received the patient from Li Qinghua.

"A large amount of pericardial effusion and pericardial tamponade occurred. Just after the elevator failed, an emergency puncture was performed in the elevator!" Li Qinghua explained, "Now the patient's symptoms have been relieved a lot."

"Blind wear?" Han Kang raised his eyebrows.

"Ah."

"Which doctor in the eighth district of the heart wore it? So brave!"

"Not a doctor in this hospital, but a graduate student." Li Qinghua curled his lips.

Han Kang heard the words, but smiled.

"Hua Zai, stop teasing me, you said it was worn by a graduate student?"

"That's right, there were only four graduate students in the elevator at that time." Li Qinghua emphasized, "The others couldn't get in."

"Really?" Han Kang was taken aback, looking at the patient on the bed, lost in thought.

Today's postgraduate students can perform blind piercing of pericardial effusion?

　Thank you Zhang Wei and Fang He for your rewards, thank you for +1.

　　
　
(End of this chapter)