Chapter 59 Pneumothorax Puncture
After Li Yuchun's oxygen absorption, his condition is relatively stable.
After hearing that she had pneumothorax, she took off her oxygen mask and pulled the corner of her mouth and said angrily: "The doctors in this clinic are so poor. They even treat me as a cold, which delays my condition. When I get better, I will forgive him!"
Zhou Yewu's face was calm and he said nothing.
"Put on the oxygen mask quickly. You can't take it off, your blood oxygen will fall off after a while." He was so scared that he stopped drinking!
The emperor is really not in a hurry, the eunuch is in a hurry!
I have pneumothorax and my mouth is cyanotic. I still dare not breathe oxygen!
Li Yuchun was also very aware and immediately put on a mask.
Now she has full trust in Zhou Yewu, and he is the one who has brought herself back from the gates of hell!
Zhou Yewu looked at the medicine brought by Li Yuchun from the clinic by the bedside, and no doctor wanted to say anything to slander his colleagues, but this situation really made people feel a little indignant.
After all, if the patient dies at home, it is estimated that the clinic will be smashed by a relative!
When he recalled that he almost wanted Li Yuchun treated him as a disulfiram-like reaction and allergic treatment, he felt that he was very dangerous!
Fortunately, I was auscultivated carefully! Otherwise, my medical travel would have been explained here!
Diagnosing pneumothorax is actually not difficult. In most cases, just pick up the stethoscope and listen to both lungs to confirm. Li Yuchun may have had pneumothorax when he went to the clinic for the second time, but the clinic doctor did not pick up his stethoscope, or did not hear it after picking up the stethoscope?
Zhou Yewu thought about it carefully and was terrified. The clinic was so uneven...
"The chest cavity closed drainage must be done immediately!" Zhou Yewu said directly to Li Yuchun.
This time he didn't say it to ask her for permission, he just told her that he would start breast wear soon!
When Li Yuchun heard that she wanted to do something, her eyes flashed and she pushed the oxygen-absorbing mask away and wanted to say something, but Zhou Yewu had a cold look, and she continued to put the oxygen-absorbing mask obediently.
"Don't be nervous, don't worry, it's okay if you can't wear it to death. It's just a small operation, just like getting an injection."
After Zhou Yewu said that, he wanted to go out to find what he needed for puncture.
In this case, the gas from the left chest cavity is released to relieve lung compression and restore oxygen supply to lung tissues, which can relieve the condition.
Zhou Yewu walked to the nurse's desk, looked at the nurse on duty, then looked around and said, "Damn, your emergency doctor is not back yet."
The nurse on duty: "There is no way, I'm still in rescue..."
Has this been rescued for so long?
Then wouldn’t I just fall into the ward after staying in the observation room? If something happens, gg.
Out of curiosity, Zhou Yewu shook his head: "You emergency doctor, what's the situation? It's been rescued outside for so long."
The nurse on duty sighed. She answered the call for rescue outside. "Students were food poisoned and sent a bunch of them in front of the emergency room. I was too busy, otherwise I wouldn't have been in urgent consultation to call you."
After explaining, she and she said playfully, "Help, great doctor."
Zhou Yewu looked at the haggard nurse on duty and his heart was soft.
Emergency wards are really not a place to stay.
It's such a busy life!
"I'm not a big doctor, I'm just a small minion." Zhou Yewu said half-jokingly.
The nurse on duty also stared at Zhou Yewu with a smile, her eyes unchanged for a moment.
No matter how old the nurse is, she can’t help but take a look!
She's so handsome.
Hospital departments should have helped each other, and rescuing patients is the most important thing in medical work!
Zhou Yewu thought that he could only endure the pain and put this breast on.
Fortunately, this operation is quite familiar, not a big operation!
"Then I'll wear it. I've come to the consultation, so I'll wear it. Where are your puncture bags?" Zhou Yewu said helplessly.
The nurse on duty pointed to the treatment room, "Everything is inside, I'll go find it for you."
Zhou Yewu said softly, "Then I'll go and put this breast on the consent bookmark."
Two people divide the work.
Soon, Zhou Yewu printed out the letter of info on his chest.
After signing, the nurse also pushed the things needed for breast wear to Li Yuchun on bed 42 with a treatment car.
Zhou Yewu observed Li Yuchun's situation again.
Fortunately, she is young. Although her left lung is almost gone, her blood pressure, heart rate, blood oxygen saturation, etc. can barely maintain it.
So there is still a chance to wait for this closed chest drainage!
If it were an old man, he wouldn't be able to withstand it.
"Take off the oxygen-absorbing mask. If oxygen is absorbed, it will affect the positioning." Zhou Yewu asked Li Yuchun to temporarily stop oxygen-absorbing.
Seeing that I could finally speak, Li Yuchun hurriedly said, "It turns out that my cough is so severe because my left lung is broken. Chest pain is also caused by pneumothorax?"
Zhou Yewu checked the things on the treatment car. The nurse prepared very well and did not fall down at all.
Really professional!
As expected, the emergency nurse is so powerful!
Zhou Yewu asked Li Yunchun to put his position and asked the nurse to untie her clothes. While regularly disinfecting it with iodine cotton balls, he replied: "Yes, it's because of pneumothorax that you cough. Fortunately, you came to the emergency room early, otherwise something unexpected would happen at any time."
This is not to intimidate the patient, but pneumothorax can really be very dangerous!
There are many types of pneumothorax. For example, Li Yuchun, it should be spontaneous pneumothorax. It may be caused by severe coughing and the lungs being broken, or it may be caused by the lungs being broken by themselves.
At first, when the pneumothorax is not serious, there is no obvious hypoxia. Later, the rupture becomes bigger and bigger, the more severe the lung compression, the more uncomfortable the whole person is, which may lead to shock at any time!
Zhou Yewu wore sterile gloves and regularly laid a towel.
This towel is to create a sterile area and then let all operations be on it!
This is what is commonly referred to as sterile operation in clinical practice!
Such as thoracic aspiration is very strict for sterility, so you must wear sterile gloves, as if it is a bacterial infection!
Zhou Yewu carefully touched the body surface logo on Li Yuchun. Combined with the positioning of the imaging department just now, he directly locked the intersection of the midline of the clavicle and the second rib as the puncture point!
The puncture point of pneumothoracic puncture is also different from the puncture point of pleural effusion!
Generally, the puncture of effusion is the seven or eight ribs in the lower scapula!
Each position, such as the side position, the supine position, the sitting position, and the puncture place are also different!
Zhou Yewu quickly had local anaesthesia of lidocaine, and then quickly placed the chest needle into Li Yuchun's pleural wall layer.
I quickly picked up the water seal bottle and soon I could see bubbles coming out of the tube!
"There are bubbles!" Li Yuchun breathed a sigh of relief when she saw the bubbles in the tube.
The nurse on the side also comforted her: "Don't worry, Dr. Zhou is a respiratory department, and it's a piece of cake to make this."
Chapter completed!