When a doctor opened a plug-in

Hearing what Meng Xi said, Ge Huai was taken aback!

He thought Meng Xi was joking!

Unexpectedly... She turned out to be serious.

Pericardiocentesis?

This is not a thoracentesis.

It’s only been a few days now, and I have not had a hand once, so I got the upper pericardial puncture, which is obviously too...

However, Ge Huai suddenly changed his mind. This was just Meng Xi's question.

This Chen Cang may not necessarily be!

Even if it did, he estimated that Chen Cang would not dare, after all...

"I can."

Chen Cang's plain words directly interrupted Ge Huai's conjecture.

Ge Huai frightened the chicken.

Me Cao?

You can do it again!

If Ge Huai is this expression.

Then, Wu Peng on the side looked dumbfounded.

Looking at Chen Cang's clothes, it was obviously the white coat worn by Gui Peisheng. Isn't this a joke?

Thinking of this, Wu Peng said awkwardly: "Director Meng, this is not a trifling matter. The emergency surgery is not a joke. You let this classmate do it. I was the first to disagree."

It is not that Wu Peng looks down on Chen Cang, but in the final analysis, he is still responsible for the patient.

Therefore, no matter how you say it, no matter your position and approach, it is correct!

However, Meng Xi was silent for a moment, looked at the picture on the B-ultrasound machine, and looked at Wu Peng and said, "Well, I know what Dr. Wu thinks, but... the patient should have acute bacterial pericarditis, and it doesn't make sense to stay in the emergency department. Go outside."

After Wu Peng heard it, he was taken aback for a moment, as if...nothing was wrong.

This patient is no longer his own.

"Okay, okay, then it will be hard and troublesome, Director Meng, and Dr. Ge, have more trouble!

Meng Xi turned around and glanced at Ge Huai: "Doctor Ge, you go with Doctor Wu to go through the procedures, as soon as possible, and I will go up with Chen Cang for the puncture as soon as possible!"

Ge Huai was even more dumbfounded. Shouldn't students do the procedures?

Shouldn't the puncture be done by the doctor?

How are you...

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

Ge Huai and Wu Peng hurriedly started to transfer to another department.

The transfer of emergency patients is very convenient and quick, and it is not as troublesome as other departments.

There is not much difference in the treatment process. The only difference should be that the patient and the ultrasound doctor have changed places, and Chen Cang has a formal pericardiocentesis.

After Ge Huai ran, he hurried to and fro. After finishing his work, he hurried to the ward to see Chen Cang puncture.

But as soon as I came in, I heard Chen Cang say: "It's just right, Teacher Ge, help me draw fluid for a while, trouble you."

When Ge Huai heard this, his face suddenly changed...

Me...who is the student and who is the teacher!

However, if you don't help yourself, can you let Director Meng take the liquid?

Thinking of this, Ge Huai couldn't help sighing.

Forget it!

Endure it!

The adults don't remember the villains.

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

In the training space, how many times Chen Cang has practiced in this situation is basically just a matter of hand.

However, in order to avoid the hypotensive reaction of vagus walking, Chen Cang looked at Ge Huai and said, "Atropine."

Ge Huai blinked.

Chen Cang: "Atropine."

Ge Huai was about to ask why, suddenly his face changed and he reacted immediately.

This Chen Cang...not bad, a bit level!

Chen Cang began to routinely spread the hole towel...disinfection...anaesthesia...

Chen Cang held the puncture needle and moved the needle upward at the point where the xiphoid process of the sternum intersects the left costal margin, pressing closely behind the sternum and slowly advancing it.

The needle advanced slowly, and Chen Cang felt 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 so smooth that even the B-ultrasound doctor on the side is dumbfounded.

After that, he said, "Teacher Ge, it's okay."

Ge Huai didn't seem to react, after all, it was only a few seconds after the last sentence?That's it?

Young people, can you stop being so sloppy, not being serious about medical work?

"So fast?"

Chen Cang nodded: "Pick it."

Ge Huai pumped, and suddenly felt the liquid appear.

It has to be said that Dr. Ge is much more professional than the 120 driver Liu, and the whole process is slow and orderly.

It didn't take long for the pumping to complete.

Then he injected some antibiotics into the pericardial cavity.

Before long, the patient's symptoms basically stabilized.

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

Now that the patient’s symptoms have been relieved and his vital signs stabilized, the next work is important.

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

After all, the pathological changes of acute pericarditis, the early manifestation is the inflammatory reaction of the visceral and parietal layers of the pericardium, and the appearance of a viscous fluid consisting of fibrin deposition and multinucleated white blood cell aggregation is called fibrinous or dry pericarditis.

Inflammatory reactions often involve myocardium in the lower layer of the pericardium, and a few severe cases can involve deep myocardium, which is called myocardial pericarditis.

After pericarditis heals, small plaques or adhesions of varying degrees may remain. For example, inflammation affects the outer surface of the pericardium, which can cause adhesions between the heart and adjacent tissues of the pleura, mediastinum and diaphragm.

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

Once bacterial pericarditis is diagnosed, surgery is generally performed as soon as possible.

Now it needs blood culture and analysis of the nature of the effusion.

Can only wait until tomorrow.

Meng Xi said, "Well, it's good! Do it often?"

Chen Cang nodded and smiled, "Well, it is often done in the emergency department."

Meng Xi suddenly said thoughtfully: "Will you do a pericardiotomy?"

Ding!Complete the test of Mentor Mengxi, the second ring, get a good impression of +5, trigger the third ring task, do a pericardiotomy.

Chen Cang hesitated, after all, like that pericardiocentesis, he knew it, and he was a master, so he said it was OK.

But the pericardium was cut... Chen Cang had no bottom in his heart.

He is also not sure.

You want to say can it be done?

May do it too.

With the help of the system and the explanation of Director Tao Mi, Chen Cang's theoretical knowledge of pericardiotomy has been acquired.

But lack of practice.

Moreover, in the last mission, completing five pericardial surgeries can directly upgrade his skills to advanced levels.

Therefore, Chen Cang gritted his teeth and told the truth: "Teacher Meng, I want to try, but...I can't guarantee that the operation will go smoothly. After all, I haven't tried it, but I've seen it many times."

Meng Xi was taken aback for a moment, then nodded and smiled: "Okay, tomorrow you will be the leader."

After speaking, Meng Xi skillfully took off his white clothes, and while tidying up, he said, "I'll watch you do it."

When Chen Cang heard this, he suddenly felt warm in his heart.

In fact, Ms. Meng Xi treated herself quite well.

Ge Huai wanted to speak, but he stopped.

Seeing the appearance of the two, it suddenly dawned on me, and suddenly understood!

Yes indeed!

Isn't it unpleasant to act against Chen Cang?

After all, Chen Cang is a disciple of his own boss, the disciple of the founder, and the feelings of this kind of apprentice are still very deep.

For Chen Cang, Meng Xi must focus on training.

The two people said that they were from the same way, and they questioned Chen Cang, and they questioned Director Meng.

After thinking about it, Ge Huai suddenly felt that he should be calmer, more generous, and behave like a teacher.

...

ps: The first three changes, thank you all, there is a single chapter behind.