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Hearing Meng Xi’s words, Ge Huai was stunned!

He thought Meng Xi was kidding!

didn’t expect … she was serious.

Pericardial puncture?

This is not a chest puncture.

It’s only been a few days, and I haven’t gotten a hand before, so I let the upper pericardium puncture, which is obviously a bit too…

However, Ge Huai suddenly thought about it, this was just a question asked by Meng Xi.

This Chen Cang may not necessarily!

Even if it is, he guesses, Chen Cang is not afraid, after all…

“I can.”

Chen Cang’s bland words directly interrupted Ge Huai’s conjecture.

Ge Huai was frightened by the chicken.

fuck me?

You can do it again!

If Ge Huai is this expression.

Well, Wu Peng on the side was stunned.

I looked at Chen Cang’s clothes and it was obviously the great white gown that Gui Peisheng was wearing. Isn’t this a joke?

Thinking of this, Wu Peng said awkwardly: “Director Meng, this is not a joke. Emergency surgery is not a joke. You let this classmate do it. I am the first to disagree.”

It’s not that Wu Peng despise Chen Cang, but in the final analysis, he still has to be responsible to the patient.

Therefore, no matter how you say it, no matter the position and approach, you are right!

But Meng Xi was silent for a moment, looking at the pictures on the B-mode machine, looking at Wu Peng and saying: “Well, I know Wu Doctor’s idea, but…Patient should be acute bacterial pericarditis, and it doesn’t make sense to stay in the emergency room. , Go out of my heart.”

After Wu Peng heard it, he was stunned for a moment, and it seemed…no problem.

The patient is now no longer his own.

“Okay, then Director Meng is hard and troublesome, and Doctor Ge, do more!”

Meng Xi turned and glanced at Ge Huai: “Doctor Ge, you and Wu Doctor will go through the procedures. As soon as possible, Chen Cang and I will go up and puncture as soon as possible!”

Ge Huai is a little dumbfounded, shouldn’t the students let the procedures be done?

Shouldn’t puncture be done by Doctor?

Why are you… mixed up?

But there is no way, Director Meng is his direct BOSS, just obedient.

Ge Huai and Wu Peng quickly started to do the transfer.

The transfer to the Emergency Patient is quick and easy, not as troublesome as other departments.

There is not much difference in the treatment process, the only difference should be that Patient and Doctor B have changed places, and Chen Cang officially pericardial puncture.

Ge Huai was busy before and after running, and finally got busy, and hurried to the ward to see Chen Cang puncture.

When I first came in, I heard Chen Cang say, “Exactly, Teacher Ge, help me to pump fluid for a while, and trouble you.”

When Ge Huai heard it, suddenly the complexion changed…

Who am I… who is the student and who is the teacher!

However, if you don’t help yourself, would you ask Director Meng to take the liquid?

Thinking of this, Ge Huai unable to bear sighed.

Forget it!

Forbearance!

Adults don’t remember villains.

This time, because of the positioning of the echocardiogram at any time and the ECG monitoring, the safety factor has been improved a lot.

In the training space, how many times Chen Cang has practiced in this situation is basically a squeeze.

However, in order to avoid stray hypotension, Chen Cang looked at Ge Huai and said, “Atropine.”

Ge Huai blinked.

Chen Cang: “Atropine.”

Ge Huai was about to ask why, suddenly the complexion changed, and it suddenly reacted.

This Chen Cang…not bad, a little bit level!

Chen Cang began to routinely lay hole towels…disinfection…anaesthesia…

Holding the puncture needle, Chen Cang pointed the needle upward at the point where the sternum xiphoid intersected with the left costal margin, closely behind the sternum, and slowly advanced.

The needle is advancing slowly, and Chen Cang feels it coming!

It’s in place!

The whole process is very fast, after all, I don’t know how many times I have worn it, so a set of actions is flowing, and even the B-Doctor on the side is dumbfounded.

After that, he said, “Teacher Ge, that’s fine.”

Ge Huai doesn’t seem to have responded yet. After all, it only took a few seconds? Is this good?

youngster, can you not be so sloppy, medical work, can not be serious?

“So fast?”

Chen Cang nodded: “Draw it.”

Ge Huai pumped, and suddenly felt the liquid appear.

I have to say that Doctor Ge is much more professional than the 120 old driver Liu, and the whole process is slow and orderly.

Soon, the pumping was completed.

Then, some antibiotics were injected into the pericardial cavity.

After a while, the symptoms of Patient basically stabilized.

However, this does not mean that the operation is over.

Now only relieved the symptoms of Patient, let him have a stable lifeform, and the next work is important.

Clear the nature of pericardial effusion and complete the operation as soon as possible.

After all, the pathology of acute pericarditis changes. The early manifestation of the inflammatory response of the visceral and parietal layers of the pericardium is the appearance of a viscous fluid containing fibrin deposits and multinucleated white blood cell aggregation called fibrinous or dry pericarditis.

The inflammatory response often affects the underlying myocardium of the pericardium, and a few severe cases can affect the deep myocardium, called myocardial pericarditis.

After pericarditis heals, small plaques or adhesions of varying degrees may remain. If inflammation affects the outer surface of the pericardial wall, it may produce adhesions between the heart and adjacent tissues such as the pleura, mediastinum, and diaphragm.

Therefore, the treatment of this acute pericarditis should be carried out quickly.

Once the bacterial pericarditis is diagnosed, the operation is usually carried out as soon as possible.

Now blood culture is required, as well as analysis of the nature of the effusion.

Can only wait until tomorrow.

Meng Xi said: “Well, it’s a good one! Do it often?”

Chen Cang nodded smiled: “Well, emergency department often do.”

Meng Xi suddenly looked thoughtful and said, “Will you do pericardial incision?”

[Ding! Complete the test of Meng Xi instructor, the second ring, get favorite impression +2, trigger the third ring Mission, and do a pericardiotomy. 】

Chen Cang was a bit hesitant. After all, he would be like that pericardial puncture, and it was Master Level, so I said yes.

But the pericardium is cut… this Chen Cang has no idea.

He is also not sure.

Do you want to say it?

May also do.

With the help of system and the explanation of Director Tao Mi, Chen Cang’s theoretical knowledge of pericardial incision is already available.

But lack of practice.

And last Mission, completed 5 pericardial surgery, you can directly upgrade the skills to Advanced Level.

So, Chen Cang clenched the teeth, speak frankly: “Teacher Meng, I want to try, but… I can’t guarantee that the operation will be smooth. After all, I haven’t tried it, but I have seen it many times.”

Meng Xi froze a little, nodded with a smile: “Okay, you will come to Chief Surgeon tomorrow.”

After finishing the talk, Meng Xi took off the white clothed skillfully, finishing, and said, “I watch you do it.”

When Chen Cang heard it, he suddenly felt warm inside.

In fact, Meng Xi Teacher is quite good to himself.

Ge Huai on the side wanted to speak, but hesitated.

Seeing the appearance of 2 people, I suddenly realized that I suddenly understood!

correct!

It was against Chen Cang yourself, wasn’t it a pleasure to find yourself?

After all, Chen Cang is his own disciple, Kaishan Head Disciple, this disciplinary feeling is still very deep.

For Chen Cang, Meng Xi must focus on training.

The other 2 people said that they were all the way, and they questioned Chen Cang. If they said it, they questioned Director Meng. Maybe 2 people would catch it with themselves.

After thinking clearly, Ge Huai suddenly felt that he should be more calm, generous, and behave like a Teacher.

……

ps: 3 first, after thanking everyone, there is a single chapter later.


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