I Can See Health: Chapter 90 Red effusion!

  Chapter 90 The effusion that turns red!

   "Could it be that he accidentally stabbed the myocardial tissue, so the effusion changed from yellow to red?" Lu Chen thought to himself.

   The color of pericardial effusion can be yellow or red.

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

   The red effusion may be caused by the tumor.

   But the color of the effusion has changed from yellow to red, which is very rare.

   "Lu Chen, this, what's wrong? It turned red?"

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

   Instead, it was everyone outside the elevator. Because of the video angle, they didn't notice this change.

  Lu Chen frowned and said softly: "I don't know, I don't feel like I have touched the myocardial tissue. Let's observe it first. You can inform the teachers outside."

   "Okay." Jiang Qingyan nodded.

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

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

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

   There were also whispers from the crowd outside the elevator.

   "If it's always red, it's okay to say that it may be caused by a tumor disease. But now the color has changed, it means that there is a problem with the operation, and it is very likely that the myocardial tissue has been injured!"

   "I touch the heart...then it's very dangerous!"

   "Yeah, the risk of blind wearing is really great, you can't try it easily!"

On the side, Sun Guoguo frowned and said, "Lu Chen chose the subxiphoid puncture point, and the patient's pericardial effusion is very large. I don't think he inserted the needle deeply, it is unlikely hit the heart."

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

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

  Li Yao carefully observed the video and was silent for a long time before she said:

   "Lu Chen's technique is very skilled. He has definitely done pericardiocentesis many times. And this is a relatively safe puncture point under the xiphoid process. Generally, it will not hurt the myocardial tissue."

   "I think it's because of the formation of fibrous cords in the pericardium. As the effusion decreased, it was pulled and fractured, causing a small amount of bleeding. The drainage fluid turned red. No special treatment is needed for the time being, and it will gradually improve in the future."

  Fiber cords break?

   Everyone was stunned, and most of them heard this theory for the first time.

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

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

"However, it is also possible that the puncture needle you mentioned touched the myocardial tissue. During the puncture, the needle tip touched the adventitia and caused a small amount of bleeding, which gradually turned bloody. However, there is no need for special treatment in this case, as long as the drainage is kept smooth, Echocardiography confirmed that the effusion is decreasing, and it will get better on its own in a few days.”

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

   Lin Cui raised her brows, but did not continue to speak.

   Inside the elevator at this time.

  Although this little episode occurred, the patient's vital signs have improved, and the symptoms of pericardial tamponade have been relieved a lot.

   "Lu Chen, Mr. Li said just now that it doesn't matter, just observe temporarily." Jiang Qingyan said to Lu Chen.

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

   At this moment, he suddenly noticed the system prompt.

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

  The degree of completion has finally improved!

   It turned out to be a realistic operation, and the training in the virtual space will increase the completion rate to 80% at most.

   However, the current completion rate has only increased by 5%. If you want to increase it to 100%, you still need to continue to work hard!

  …

  Suddenly, there was a squeak outside the door.

  The elevator door has finally been opened!

   At this time, eleven minutes have passed since Lu Chen and others were shut down!

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

   Outside the elevator, several doctors and nurses from the eight districts in 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 hospital bed leaves the elevator! Don't be in a hurry!"

  Li Qinghua walked quickly to the bedside.

   "The patient's vital signs are temporarily stable, but it is still necessary to move to the CCU ward for observation to prevent complications after puncture."

A free elevator next to    is ready.

  The nurse cleans the puncture of the patient's pericardium.

  The two doctors quickly pushed the hospital 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, he was interrupted by Li Yao.

   "We have already analyzed it outside, you don't have 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 wash your hands." Sun Guoguo also came over, "We're ready to go."

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

  Many doctors and nurses at the scene looked at Lu Chen's back and sighed inwardly.

   Is this the graduate student Director Li Yao accepted this year?

   Being calm in the face of danger is a stark contrast to the previous student, but he doesn't look like a freshman!

  …

  Lu Chen walked out of the bathroom of the ward.

   After finishing his clothes, he looked up and found a group of people waiting for him.

  The one standing at the front is Yin Xinhua, and He Sirong is behind her.

   And Jiang Qingyan, Ke Yue, and Sun Guoguo were standing at the elevator entrance.

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

  Yin Xinhua stood in front of Lu Chen and said softly with a smile.

   This patient was first diagnosed by her.

   If anything happens on the way, she is responsible.

  Although this time it was because of the elevator failure, the first doctor will also be held responsible.

   "Senior Sister Yin, you're welcome, everyone has eight areas in their hearts." Lu Chen smiled.

   "Have you done a lot of pericardiocentesis before?"

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

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

   Everyone is a freshman and rarely comes into contact with pericardiocentesis. Why is Lu Chen so skilled?

   "I did it with my teacher during my internship." Lu Chen nodded.

   "Oh." Yin Xinhua raised his brows, "Which university did you get your undergraduate degree from?"

   "Jiangcheng University School of Medicine."

   "Well, it's also a good medical school." Yin Xinhua nodded, "It seems that the Jiangcheng University School of Medicine is more hands-off. Even this kind of puncture is done for students."

  Lu Chen smiled without refuting.

  Jiangcheng University School of Medicine does not allow students to perform pericardiocentesis independently. At most, thoracocentesis or abdominal puncture is performed by students.

   "I heard Guoguo say you are going to dinner, so I won't disturb you."

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

  …

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

   This patient with pericardial effusion has been placed in the emergency room.

   "What's the condition of the patient?"

  CCU's attending doctor Han Kang received the patient from Li Qinghua.

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

   "Blind wear?" Han Kang raised his eyebrows.

"Um."

   "Which doctor in the eight districts in the heart wears it? Such courage!"

   "Not a doctor in this hospital, but a graduate student." Li Qinghua pouted.

  Han Kang smiled when he heard the words.

   "Andy, don't make fun of me, you said this was worn by graduate students?"

   "Yes, there were only four graduate students in the elevator at that time." Li Qinghua emphasized, "No one else could get in."

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

   Now, graduate students can pass through pericardial effusion blindly?

   Thank you for the reward of Zhang Wei and Fang He, thank you for +1.

  

  

   (end of this chapter)