Chapter 1191 [1191] Draw


    Therefore, when it is time to pump in clinical practice, the doctor must listen to the percussion again to the patient to determine the location of the effusion and make no mistake. If there is a bedside b-ultrasound, it is best to have another b-ultrasound guidance at this time. However, under the medical conditions of that era in China, where did the bedside ultrasounde from? There is no b-ultrasound, and we can only continue to rely on the doctor to listen, listen, and knock to solve the problem.


    Back to the 6-bed patient again, he was obese, and it was too difficult for the doctor to hear it out.


    Xin Yanjun, who put down the imaging examination results, looked serious. The nurse next to her advised her again: "Don''t wait for the cardiothoracic surgeon toe."


    Xin Yanjun''s eyes fell on the students.


    Xie Wanying''s palm is percussion on the patient.


    knock knock, unvoiced. Knock again, hey, this sound is wrong, it''s dull.


    Sitting on the chair, with both hands on the back of the chair, the patients with their backs to the doctor seemed to have heard that the sound of being shot was wrong, and turned to look at the young female doctor: I had never seen it before.


    Xin Yanjun approached the students and patients, and then raised his ears and listened carefully, and then looked at the students'' hands.


    ssmate Xie''s hands seemed to be quiet and delicate at first nce. I didn''t expect that if they had supernatural power, sufficient strength, and good control, when they knocked down, they had just the right amount of strength and prated the thickyer of fat. The boundary line between unvoiced and voiced real sounds is drawn.


    All I can say is that Xie’s eyes seemed to see through the thickness of the patient’s fatyer first, and the depth to which the strength could be exerted was just right.


    This student is the same as she guessed, she can help her determine the boundary line, and she can definitely draw fluids.


    Xin Yanjun''s confidence increased greatly, and she said to the nurse, "Pick!"


    It seems that Mr. Xin is a very courageous doctor. He is gentle and honest on the outside, but he is actually tough on the inside, which once again confirms that the big doctor is a good character.


    What are you waiting for, I don''t know which year of the monkey and horse month to wait. The patient had difficulty breathing today, and was quickly taken out to relieve the patient''s symptoms.


    Wear surgical cap, gloves, and be ready.


    Syringe **** the local anesthetic lidocaine, to do local skin anesthesia, hit Pichu.


    The thoracentesis point is always the appropriate higher rather than lower location. Especially in this patient, the effusion is just on the right side. Under the right lung is the liver. Just after she came out of the hepatobiliary surgery, Xie Wanying knew very well that the liver was buried in the lower lung and ovepped with the lung. Therefore, doctors generally choose the puncture point to perform the puncture in the ninth intercostal space on the subscapr angle line, and the puncture below the tenth intercostal space should be very careful, as it will easily prate to other organs.


    To determine the number of intercostal spaces, there is no b-ultrasound, which can be judged by using the human anatomy. Feeling the scap, the scap is on the posterteral side of the thorax, which is why the patient sits with his back to the doctor. Thoracentesis is generally done by inserting the needle from the patient''s back.


    By convention, the lower end of the scap corresponds to the seventh intercostal space. If you want to be more cautious, you can count down from the first rib of the patient, and you can''t go wrong. After all, some patients are strange, individual differences, may be born or other reasons cause the lower end of the scap and the seventh intercostal space does not correspond.


    This patient is obese, and it is extremely difficult to count down the ribs one by one. However, Xin Yanjun was confident today and asked Xie ssmates around him to help.


    Xie did not disappoint her, she quickly felt the patient''s first rib space and helped the teacher count down.