Chapter 1189: 【1189】Further challenge

   Chapter 1189 [1189] Further challenges

   Including the most difficult throat at the beginning, to the rugged ridge formed by the cartilage ring of the trachea that needs to be avoided, and then to the intricate bronchial passages that are connected like a maze. Each section requires a doctor to overcome difficulties.

   The fiberoptic bronchoscope must be kept in the neutral position so that the teacher's work can be carried out smoothly.

  Hand always hold the patient's head to the side, and then make some minor adjustments according to the teacher's operation. Xie Wanying's movements were very gentle and careful. Let Mr. Xin operate comfortably, and patients can also feel comfortable. The female patient hardly noticed that her head was being held by her hand, which means that even if she pressed her head, the patient felt that this position was acceptable and quite comfortable.

   is amazing. The nurse glanced at Xie Wanying again, and did not despise the newcomer's gaze.

  The hand feels smooth and the operation is easy. The hose operated by the doctor quickly reaches the lesion, grabs the sample with forceps, and prepares to send it to the pathology.

   After the examination, the tube was successfully withdrawn from the patient's airway.

  After the operation, the patient's paralyzed throat was not able to speak aloud, and he nodded to the doctor: "It's okay, there is nothing uncomfortable.

  The patient is satisfied, and the medical staff is the happiest.

   asked the nurse to send the 3-bed patients back to the ward. Xin Yanjun put both hands in the pockets of the white coat, thinking about what to do, and said to the nurse, "Help me prepare, I'm going to do fluid extraction for the 6-bed."

   refers to the extraction of pleural effusion by thoracentesis.

   The nurse was surprised when she heard her instruction: "Dr. Xin, didn't you agree to let the uninitiated come down and do it?"

   Thoracentesis is an old skill in cardiothoracic surgery. Respiratory physicians can also do it, but they are certainly not as good as surgery.

   For patients who are easier to operate, respiratory physicians generally do it by themselves. Only when it is difficult, and you are not very sure, please come over from your heart.

   After all, it is not easy to wait for doctors from other departments to come over to help you do this job, and you need to wait until the other party has time.

  Xin Yanjun remembered that the doctor who came for the cardiothoracic consultation that day was too busy to come down to the respiratory department to see patients at night. It is estimated that he was too busy to come down for a puncture in the past two days. I don't know how long I and my patients will have to wait. It's not always appropriate to call people from other departments.

   Just in time, a treasure surgery intern came today, and his excellent performance confirmed the rumors. Xin Yanjun thought about it, if this student helped, she could perform puncture on 6 patients.

   "Go, go to bed 6."

   Teacher Xin beckoned, Xie Wanying followed, recalling the medical records of the 6 beds and the discussion of the ward round this morning.

  The 6-bed patient is a male patient, young, in his 40s but very fat.

   Fat, thick fat, if you want to do a puncture, the doctor may not even be able to touch the anatomical points of the bony prominence marks, and it is difficult to judge the position of the hand. Because of this, internal medicine turned to surgery.

  Surgeons use knives to move the human body every day, and the internal structure of the human body is far clearer in the brain than in physicians.

  The nurse prepared the surgical items again and pushed the treatment cart to the 6-bed ward.

  Xin Yanjun put on a stethoscope, listened to the patient's lungs again, and instructed the students to listen together.

  Lung auscultation, like heart auscultation, has a sequence.

The    routine is from the front and side of the chest to the back.

   Heart sounds are heard by the heart, and breath sounds are heard by the lungs. Breath sounds, as the name suggests, are the sounds produced by the vibrations caused by the airflow in the respiratory tract and alveoli when a person breathes.

   Thank you for your support! ! ! Good night dears~

  

  

   (end of this chapter)