I Can See Health

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Jinghua Second Hospital.

The Chief Resident of the Department of Cardiology rotates once a year.

The general responsibilities of the resident are mainly responsible for all emergency consultations in the cardiology department.

When the night shift ward is short of manpower, they can temporarily take over the shift or assist in rescue operations.

Li Qinghua, the chief resident on duty this year, is a senior attending physician.

Although he has not been promoted to deputy director, he is experienced and not inferior to those deputy chief physicians.

Mainly because I didn't have enough papers, I was never promoted to a professional title.

Now that pericardiocentesis was in trouble, Yin Xinhua had to call Li Qinghua for help.

…

This is the second time Li Qinghua has come to the Eighth District of Heart tonight.

"Junior sister Yin, your night shift is quite fulfilling!"

Yin Xinhua shrugged and said helplessly to Li Qinghua: "Brother, you are making fun of me too. I really can't help it. The night shift was pretty good some time ago, but I don't know what's going on with this night shift."

After saying that, Yin Xinhua glanced at Fan Zhiping without leaving any trace.

"Does the family agree to the puncture?"

Li Qinghua came to the doctor's office to check the patient's auxiliary examination results.

Before general invasive operations, the patient's blood routine, coagulation figures, etc. need to be checked.

"The family agrees and has signed." Yin Xinhua said.

"Okay." Li Qinghua checked the patient's tests and found no contraindications. "Then let's get started."

"Brother, the patient's pericardial effusion has many separations." Yin Xinhua said, "It may be a little difficult."

"Tuberculous?" Li Qinghua raised his eyebrows.

"It's not clear yet, but it's highly likely."

"Okay, let's go see the patient."

…

Come to the ward.

Li Qinghua saw Lu Chen standing next to the bed.

He suddenly remembered that it seemed that Lu Chen had performed a blind pericardial puncture when the elevator malfunctioned.

After that, Li Qinghua met Lu Chen several times while working the night shift.

Some time ago, Lu Chen even successfully won first place in the national medical skills competition for Jinghua Medical University as a member of the school team!

This shocked everyone!

"Lu Chen, I remember you can do pericardiocentesis independently, right?" Li Qinghua said to Lu Chen.

He can do blind punctures, and this kind of puncture under ultrasound guidance is even less of a problem.

Lu Chen said modestly: "Teacher Li, I have never done this kind of puncture for wrapped pericardial effusion."

What is said is unintentional, but the listener is intentional.

Lu Chen told the truth.

Although he has trained many times in the system space, even including wrapped pericardial effusion, he has only performed one puncture of pericardial effusion in reality.

Compared with Li Qinghua's rich puncture experience, Lu Chen is nothing more than a rookie.

Fan Zhiping on the side looked at Lu Chen blankly.

How many operational skills does Lu Chenhui have?

He can actually perform pericardiocentesis independently...

Many attending doctors in their county hospitals do not have this ability.

Although Lu Chen ranked first in the national medical skills competition, the competition was just a competition after all.

The competition is all about tool simulators.

The gap between simulated people and real people is still huge.

"Then stay by my side later and help me." Li Qinghua said.

"Okay, Teacher Li." Lu Chen nodded.

…

For general pericardial effusion, pericardiocentesis is sufficient after locating it under ultrasound.

This kind of encapsulated effusion requires constant operation of the ultrasound probe to provide timely ultrasound images for easy operation.

The doctor from the ultrasound department had already left, so Li Qinghua pushed up the CCU's ultrasound machine.

"This is..." Lu Chen wondered, "Isn't the doctor from the ultrasound department gone? Who will do the heart ultrasound?"

"There is no need for a sonographer. Senior Brother Li can do cardiac ultrasound himself," Yin Xinhua said.

"Do it yourself?" Lu Chen was stunned.

The clinical work of a cardiologist is already very cumbersome, but he still has time to learn ultrasound?

"Yes." Yin Xinhua said, "Senior Brother Li's skills in performing cardiac ultrasound are almost the same as those of the teachers in the ultrasound room."

"This, this is too awesome." Lu Chen sighed.

Nowadays, medical specialization is very serious. Let alone imaging technology, many doctors will not learn the professional contents of other departments.

Li Qinghua skillfully turned on the cardiac ultrasound machine, picked up the ultrasound probe, applied coupling agent, and then placed the probe under the patient's xiphoid process.

"The amount of pericardial effusion is large and there are divisions." Li Qinghua said solemnly, "Although there are no obvious signs of pericardial tamponade now, puncture must be performed as soon as possible!"

Although Lu Chen couldn't read ultrasound images, the images produced by Li Qinghua were particularly clear.

On the display screen of the ultrasound machine, a squirming heart appeared.

There is a liquid dark area around the heart.

This fluid dark area is pericardial effusion!

After Li Qinghua finished the operation, he said to Lu Chen: "Let's get started."

Lu Chen nodded, opened the cardiac puncture bag, and placed it on the table above.

Li Qinghua first disinfected the puncture site, then put on gloves and started draping and anesthesia.

Lu Chen's job is very simple, that is, to help Li Qinghua deliver various puncture tools in the bag.

…

Li Qinghua is indeed one of the most experienced attending doctors in the Cardiology Department of Beijing Second Hospital.

This seemingly difficult encapsulated pericardial effusion was successfully punctured and drained in Li Qinghua's hands.

Lu Chen was shocked!

He thought that he had become very skilled in pericardiocentesis training in the system space.

However, if this patient was asked to do it, he would not be able to do it better than Li Qinghua.

The biggest factor is the existence of cardiac ultrasound.

The operating doctor performs the ultrasound himself.

It's like having a right-hand assistant who knows everything about the heart.

When performing puncture, you will not look forward or backward for fear of damaging the heart muscles.

Compared to Li Qinghua, Lu Chen was completely at a disadvantage in terms of cardiac ultrasound.

At most he could understand a little bit of cardiac ultrasound images, but he didn't know how to operate them at all.

"The drainage tube has been placed. Don't put too much in the first pericardial effusion." Li Qinghua said.

Regardless of the puncture drainage of any fluid collection, there is a limit to the amount of fluid that can be drained the first time.

"Okay." Yin Xinhua smiled, "Thank you, Senior Brother Li."

"It's easy." Li Qinghua said, "Then I'll go back first. I remember that you also have portable echocardiography in the eight regions of the heart. Junior Sister Yin, just pay attention to the pericardial effusion at the interface under the xiphoid process."

"Copy that, senior brother."

After the puncture was completed, Yin Xinhua drained part of the patient's pericardial effusion, and the patient's chest tightness immediately improved a lot.

Li Qinghua explained some precautions, then pushed the cardiac ultrasound machine downstairs.

"Senior sister, our eighth district also has an ultrasound machine?" Lu Chen asked confused, "How come I've never seen it before?"

"Yes, but it's portable, only about the size of a palm, and no one in the department usually does ultrasound, so I've basically used it." Yin Xinhua said, "I'll go to the treatment room to get it later. This one under the xiphoid process I still know a little bit about the location.”

After saying that, Yin Xinhua went to the treatment room to get a portable cardiac ultrasound machine.

…

After Li Qinghua's pericardial puncture, Lu Chen understood the shortcomings of his own abilities.

Even though he had the system by his side, he had trained in pericardiocentesis many times in the system's virtual space.

But when it comes to such a difficult operation, I still feel a little overwhelmed.

On the road to becoming a top doctor, Lu Chen has a long way to go.