After raising a cat, the goddess doctor became popular in the interstellar

Chapter 557 Pericardiocentesis
The call was from Sim.Tao Le just glanced at it, and directly rejected it.

She had already taken out the disposable thoracentesis bag, and now she opened it up for use.

Shi Youjie instructed Xie Baoshu to put the patient in a recumbent position, and then consciously helped Tao Le.

It's just that after Tao Le finished disinfecting his chest and finished local infiltration anesthesia with 1% procaine, he began to worry again.

There is no other reason, the part to be punctured is not elsewhere, but the heart!
Normally, ultrasound should be done in advance to determine the size and position of the liquid level section, and the largest and closest part to the surface of the body should be selected as the puncture point. .

To be on the safe side, ECG monitoring should be performed throughout the puncture process so that the position can be adjusted in time—at least the many punctures he had done in the rescue before were all in this situation.

But in the current environment, even the most basic sterile conditions cannot be guaranteed, so what image support can we hope for?

Shi Youjie's eyes fell on Tao Le's face involuntarily, but he saw that her expression was calm and calm, without any trace of worry.

She placed her left middle finger horizontally on the patient's chest, tapping gently from bottom to top and from outside to inside, her movements were not light or heavy, neither hurried nor slow.

Seeing this scene, it is normal for Xie Baoshu to be completely ignorant as a layman, but Shi Youjie knows the goods.

Only because of this, there was a big wave in his heart.

Just now he proposed Tao Le to do the pericardial puncture, out of desperation, subconsciously relying on and trusting Mr. Tao, who has taught him acupuncture for many years.

In fact, as soon as the words came out, he regretted a little.

Because although pericardiocentesis also uses needles, it has nothing to do with acupuncture or traditional Chinese medicine.

And Mr. Tao is just a new recruit in western medicine!
This kind of thought was churning endlessly in his heart, and the sentence "Let me do it" had already reached his lips, and he was about to say it.

Just at this moment, he saw Tao Le's percussion movements.

This action seems to have no technical content, it is ordinary, and it can be done by an individual.

But he could guess what she was doing.

In the absence of any equipment, experienced cardiac surgeons can rely on percussion to find out the specific changes in the heart dullness, thereby judging the location of pericardial effusion and determining the puncture site!
Although he had never seen this kind of thing before, he had heard of it!

Director Han of the Cardiac Surgery Department of the Third Hospital of Beijing has done it many times, and his experience is so rich that he can probably feel it with his eyes closed.

But that's Director Han Guangyuan, Director Han, who is also a well-known brand in the Department of Cardiac Surgery in the Third Hospital of Beijing. His achievements in Cardiac Surgery cannot be compared with Tao Le.

He was still sighing on one side, but on the other side he saw that Tao Le had finished percussion, holding the puncture needle in his right hand, and pierced it in without hesitation.

The puncture needle falls between the left side of the xiphoid process and the costal cartilage arch, and the needle tip and the skin form an angle of 45 degrees and enter obliquely upward and slowly.

Suddenly, a feeling of emptiness was transmitted to Tao Le's hand through the needle, reminding her that she had penetrated the pericardium on the other side and entered the pericardial cavity.

Tao Le stopped, fixed the needle, and started to suck.

Bright red bloody liquid slowly flowed out along the rubber drainage tube.

This is, a success?Shi Youjie's high heart was instantly let go.

Pericardiocentesis is difficult to succeed in one attempt. There are many people who have tried it two or three times in clinical practice, not to mention that it is done outside the hospital and it is purely blind piercing.

So he was already ready to assist Teacher Tao to try again.

But it turned out that he was thinking too much.

As expected, it is Teacher Tao. Not only is the level of Chinese medicine so unattainable, but even the clinical practice of Western medicine is so excellent!

He thought so in his heart, but his eyes were still closely watching the progress of the drainage.

The technique and speed of suction are very important. If it is too fast, it will cause mediastinal oscillation, acute dilatation of the heart, acute pulmonary edema and other related symptoms.

What Tao Le did was just right, peaceful and stable, much like her personality.

After pumping about 50ML of liquid, Tao Le stopped.

Shi Youjie noticed it immediately, and immediately clamped the rubber tube shut.

This is his main duty as an assistant to prevent air from entering the pericardial cavity, which will cause the heart to return blood and pump blood, and then cause blood circulation failure and death.

Seeing Shi Youjie's movements, Tao Le nodded slightly to show his affirmation, which made him feel sweet instantly.

Hey, it seems to be back to the time when the meticulous teacher Tao taught me everything, there is no violation at all.

Tao Le just had a special training on piercing.This is the reward she received after performing thoracocentesis for the Tibetan who rescued the deer.

After a long period of practice in the dark, and seeing countless puncture patients with serious problems, this patient with nothing special in front of her will not cause her any fluctuations at all.

The puncture needle was pulled out, the wound was fixed with gauze and tape, and the prompt of the golden finger appeared.

[Complete a case of pericardial puncture, which took 1 minute and 30 seconds, increased the health value by 25 points, evaluation: excellent. 】

Probably because the puncture practice had already been cleared, so this time she did not get any reward for the pericardiocentesis performed independently.

The interface is dimmed and replaced with another prompt box:

[Whether to repair left ventricular contusion.Number of treatments required: 2 times, each time increases health by 10 points.whether. 】

【Yes. 】

[Start repairing left ventricular contusion.Countdown 2 minutes 119 seconds, 118 seconds.]

[The treatment is completed, and the patient's health value will be increased by 10 points. 】

Seeing that the small wound on the left ventricle became almost invisible, Tao Le heaved a sigh of relief and pulled out the needle used to stop the bleeding.

"The blood pressure has gone up, it's 95/60!" Xie Baoshu remeasured his blood pressure and said excitedly.

Tao Le nodded.The patient's health value has also increased to 42 points, and his life is guaranteed.

Thinking about it, if there were no major problems, the injured would be able to go to the hospital and wait for further treatment.

Now there are many famous doctors in Beijing in the Department of Cardiac Surgery of Sasha Central Hospital, so it is not too difficult to cure him.

She thought for a while, looked at Shi and Xie standing beside her and said, "I will take care of this patient, you go and help the other slightly wounded patients to debride and bandage their wounds first."

"Okay." The two turned around, only to see that apart from the other two injured in the car in front and a few enthusiastic passers-by, other people were climbing up the sloping mountain wall, and it seemed that they would be able to climb up soon. Back on Panshan Road.

Seeing this scene, instead of thinking about it, the three of them felt a little relieved.

"It's not a big problem if you can crawl." Shi Youjie said with emotion: "I'm really afraid that one of them will suffer internal injuries."

Xie Baoshu echoed: "Indeed, there is no testing equipment now, and I am afraid that the surface is fine, but in fact the spleen is ruptured elsewhere."

"Don't worry, they don't have those problems." Tao Le said, "This is also a blessing in misfortune."

(End of this chapter)