I really don't want to be a doctor
Chapter 427 Pneumothorax Puncture
Chapter 427 Pneumothorax Puncture
According to the previous auscultation, the injured lung of the old man was on the right side.
Jing Xiaoran quickly found the midline position of the second rib on the right side of the clavicle.
Because of the gas density, generally speaking, pneumothorax puncture is selected at the high position of the patient's lungs, about the 2nd to 3rd ribs on the midclavicular line, or the 4th rib on the anterior axillary line.
During regular chest puncture, anesthesia is also required.
But now the situation is urgent, not to mention the pain of an injection of anesthetic.
In his previous life, Jing Xiaoran was very proficient in pneumothorax puncture skills.
But now that he has been reborn for four years, when he was an intern at Fancheng Central Hospital, interns were not allowed to do it himself, so he has never had a similar chest puncture.
After all, some hands are raw, Jing Xiaoran was a little nervous.
Perhaps it was the unusual status of the person in front of him that made him feel this way.
The needle slowly pierces the chest wall.
The old man let out a soft snort.
Jing Xiaoran raised his head and glanced, "You two, hold on."
Beads of sweat dripped from the faces of the two stewardesses.
Gently exerting force, the needle pierced into the chest wall.
Everyone around stared at Jing Xiaoran's operation, not daring to vent their anger.
The young woman bit her lower lip lightly, her beautiful eyes were full of worry!
suddenly!
The plane seemed to have encountered a strong turbulence, and the fuselage was slightly bumped.
Jing Xiaoran's body was also a little unstable.
"How is it? Don't worry!" Dr. Zhang said anxiously.
If the hand trembled and accidentally punctured other lung tissue, it would be terrible!
"fine!"
Jing Xiaoran stabilized his body and continued to insert the needle, suddenly felt a sense of barrier.
"almost!"
Jing Xiaoran exerted a little force, and the needle quickly broke through this barrier.
At the same time, everyone could clearly feel a strong jet of gas coming out!
Jing Xiaoran and Doctor Zhang heaved a sigh of relief at the same time.
"This, is this all right?"
The man in the peaked cap paused, and the meaning behind his words was very simple.
"As long as the gas is discharged in time, the danger to life can be eliminated." Jing Xiaoran glanced at the man in the peaked cap.
At this time, Dr. Zhang also brought rubber gloves from the purser, and cut the hard end of the finger cot into an [-] cm opening.
Visible to the naked eye, the breathing rate of the old man slowed down immediately, and the rise and fall of his chest became shallower.
"Give me your fingers."
Jing Xiaoran took the finger cot, put it on the joint of the needle, and murmured in his heart: "The treatment effect of manipulation is remarkable!"
It has just been deflated for 1 minute, and the old man's symptoms have improved significantly.
Everyone present breathed a sigh of relief.
This small needle can actually solve such a big trouble.
"Grandpa, how are you feeling now?" Seeing that the old man's condition had improved, the young woman immediately leaned forward and asked.
The old man opened his eyes, his lips were still pale.
He just shook his head, then glanced at Jing Xiaoran, and then closed his eyes again.
"The patient needs to rest, please don't disturb him." Jing Xiaoran said.
"Thank you!" The young woman nodded slightly, and then bowed to Jing Xiaoran, "Let me thank you for Grandpa first."
At the same time, the man wearing the peaked cap had a troubled expression on his face, and then bowed to Jing Xiaoran.
"It's still 15 minutes away from the capital." Jing Xiaoran glanced at his watch, "Although the crisis is over now, we still need to pay close attention to the patient's condition."
"Okay!" The young woman nodded, then paused, "Do you want to keep the thick needle there?"
The young woman pointed to the needle in the old man's right lung.
Such a large needle left on the lung is really a bit creepy!
"It can't be removed for the time being." Jing Xiaoran said, "I just tied a rubber finger cot at the joint of the needle, and cut the hard end of the finger cot into a 1cm opening. Ease of expulsion without outside air being able to enter the chest cavity."
In fact, it would be better to connect one end of the long rubber tube or plastic tube to the inserted needle connector, and place the other end under the water surface of the sterile water-sealed bottle, but there is no such condition at present.
"I see." The young woman no longer questioned Jing Xiaoran's manipulation.
The old man's breathing gradually calmed down, and the sense of crisis disappeared from everyone's hearts.
Doctor Zhang looked at Jing Xiaoran from the corner of his eye, feeling a little sighed in his heart.
What a formidable young man!
The operation of thoracentesis is not difficult, even many interns can do it.
But in such an urgent situation, being able to make a diagnosis quickly and perform a puncture leisurely is really beyond the reach of ordinary people.
What's more, he is only a senior student.
Compared with him, who has five or six years of work experience, the identities of the two seem to be reversed.
"Thank you, Dr. Zhang and Dr. Xue, too." The young woman nodded towards them, "Xiaofeng, please send the two doctors back to their seats."
Hearing this, the man in the peaked cap made a sad face, pulled his head together and sent the two of them back to their seats.
In the lounge, the two stewardesses still stayed close to the old man.
"Mr. Jing, please help take care of my grandfather during the rest of the time."
Jing Xiaoran frowned, he had already left his seat for seven or eight minutes.
If you don't go back, Weng Huijin will definitely worry about him.
"Are you worried about your girlfriend?" the young woman asked.
"Have you even investigated these clearly?" Jing Xiaoran was speechless.
Modern people really don't have any secrets.
"I really haven't investigated this." The young woman smiled, "You two are so close, and you are tired of being together all the way, normal people can think that you are boyfriend and girlfriend."
Jing Xiaoran spread his hands, "Since you know, I'll go back first and then come over."
"No. I'm sending the purser to fetch your girlfriend."
"What do you want to do?"
"Help you get a free upgrade, from economy class to first class."
"..."
This last 15 minutes of first class...
Well, it can be considered a good experience.
The first class lounge is very close.
The purser brought Weng Huijin to the first-class cabin, and Jing Xiaoran stopped by to have a look.
After explaining a few words to Weng Huijin, he immediately returned to the lounge.
The young woman sat beside the bed, stretched out her hand to hold the old man's hand, saw Jing Xiaoran coming in, and smiled softly: "By the way, I haven't introduced myself yet. My name is Li Jiajia. That was my younger brother, Li Feng just now."
"My name is Jing Xiaoran, as you all know, a senior student in Fancheng." Jing Xiaoran said.
Li Jiajia pursed her lips and smiled, "You are not an ordinary senior."
Jing Xiaoran shrugged, walked to the bed, and gave the old man another detailed physical examination.
"Student Jing, why did my grandfather suddenly suffer from pneumothorax? Was he still on the plane?" Li Jiajia said suddenly.
Jing Xiaoran thought for a while, then said: "Your grandfather has a history of chronic obstructive pulmonary disease in the past, and this type of patients is prone to spontaneous pneumothorax. In addition, although flying itself does not increase the risk of pneumothorax, it can aggravate pneumothorax at high altitudes. .”
(End of this chapter)
According to the previous auscultation, the injured lung of the old man was on the right side.
Jing Xiaoran quickly found the midline position of the second rib on the right side of the clavicle.
Because of the gas density, generally speaking, pneumothorax puncture is selected at the high position of the patient's lungs, about the 2nd to 3rd ribs on the midclavicular line, or the 4th rib on the anterior axillary line.
During regular chest puncture, anesthesia is also required.
But now the situation is urgent, not to mention the pain of an injection of anesthetic.
In his previous life, Jing Xiaoran was very proficient in pneumothorax puncture skills.
But now that he has been reborn for four years, when he was an intern at Fancheng Central Hospital, interns were not allowed to do it himself, so he has never had a similar chest puncture.
After all, some hands are raw, Jing Xiaoran was a little nervous.
Perhaps it was the unusual status of the person in front of him that made him feel this way.
The needle slowly pierces the chest wall.
The old man let out a soft snort.
Jing Xiaoran raised his head and glanced, "You two, hold on."
Beads of sweat dripped from the faces of the two stewardesses.
Gently exerting force, the needle pierced into the chest wall.
Everyone around stared at Jing Xiaoran's operation, not daring to vent their anger.
The young woman bit her lower lip lightly, her beautiful eyes were full of worry!
suddenly!
The plane seemed to have encountered a strong turbulence, and the fuselage was slightly bumped.
Jing Xiaoran's body was also a little unstable.
"How is it? Don't worry!" Dr. Zhang said anxiously.
If the hand trembled and accidentally punctured other lung tissue, it would be terrible!
"fine!"
Jing Xiaoran stabilized his body and continued to insert the needle, suddenly felt a sense of barrier.
"almost!"
Jing Xiaoran exerted a little force, and the needle quickly broke through this barrier.
At the same time, everyone could clearly feel a strong jet of gas coming out!
Jing Xiaoran and Doctor Zhang heaved a sigh of relief at the same time.
"This, is this all right?"
The man in the peaked cap paused, and the meaning behind his words was very simple.
"As long as the gas is discharged in time, the danger to life can be eliminated." Jing Xiaoran glanced at the man in the peaked cap.
At this time, Dr. Zhang also brought rubber gloves from the purser, and cut the hard end of the finger cot into an [-] cm opening.
Visible to the naked eye, the breathing rate of the old man slowed down immediately, and the rise and fall of his chest became shallower.
"Give me your fingers."
Jing Xiaoran took the finger cot, put it on the joint of the needle, and murmured in his heart: "The treatment effect of manipulation is remarkable!"
It has just been deflated for 1 minute, and the old man's symptoms have improved significantly.
Everyone present breathed a sigh of relief.
This small needle can actually solve such a big trouble.
"Grandpa, how are you feeling now?" Seeing that the old man's condition had improved, the young woman immediately leaned forward and asked.
The old man opened his eyes, his lips were still pale.
He just shook his head, then glanced at Jing Xiaoran, and then closed his eyes again.
"The patient needs to rest, please don't disturb him." Jing Xiaoran said.
"Thank you!" The young woman nodded slightly, and then bowed to Jing Xiaoran, "Let me thank you for Grandpa first."
At the same time, the man wearing the peaked cap had a troubled expression on his face, and then bowed to Jing Xiaoran.
"It's still 15 minutes away from the capital." Jing Xiaoran glanced at his watch, "Although the crisis is over now, we still need to pay close attention to the patient's condition."
"Okay!" The young woman nodded, then paused, "Do you want to keep the thick needle there?"
The young woman pointed to the needle in the old man's right lung.
Such a large needle left on the lung is really a bit creepy!
"It can't be removed for the time being." Jing Xiaoran said, "I just tied a rubber finger cot at the joint of the needle, and cut the hard end of the finger cot into a 1cm opening. Ease of expulsion without outside air being able to enter the chest cavity."
In fact, it would be better to connect one end of the long rubber tube or plastic tube to the inserted needle connector, and place the other end under the water surface of the sterile water-sealed bottle, but there is no such condition at present.
"I see." The young woman no longer questioned Jing Xiaoran's manipulation.
The old man's breathing gradually calmed down, and the sense of crisis disappeared from everyone's hearts.
Doctor Zhang looked at Jing Xiaoran from the corner of his eye, feeling a little sighed in his heart.
What a formidable young man!
The operation of thoracentesis is not difficult, even many interns can do it.
But in such an urgent situation, being able to make a diagnosis quickly and perform a puncture leisurely is really beyond the reach of ordinary people.
What's more, he is only a senior student.
Compared with him, who has five or six years of work experience, the identities of the two seem to be reversed.
"Thank you, Dr. Zhang and Dr. Xue, too." The young woman nodded towards them, "Xiaofeng, please send the two doctors back to their seats."
Hearing this, the man in the peaked cap made a sad face, pulled his head together and sent the two of them back to their seats.
In the lounge, the two stewardesses still stayed close to the old man.
"Mr. Jing, please help take care of my grandfather during the rest of the time."
Jing Xiaoran frowned, he had already left his seat for seven or eight minutes.
If you don't go back, Weng Huijin will definitely worry about him.
"Are you worried about your girlfriend?" the young woman asked.
"Have you even investigated these clearly?" Jing Xiaoran was speechless.
Modern people really don't have any secrets.
"I really haven't investigated this." The young woman smiled, "You two are so close, and you are tired of being together all the way, normal people can think that you are boyfriend and girlfriend."
Jing Xiaoran spread his hands, "Since you know, I'll go back first and then come over."
"No. I'm sending the purser to fetch your girlfriend."
"What do you want to do?"
"Help you get a free upgrade, from economy class to first class."
"..."
This last 15 minutes of first class...
Well, it can be considered a good experience.
The first class lounge is very close.
The purser brought Weng Huijin to the first-class cabin, and Jing Xiaoran stopped by to have a look.
After explaining a few words to Weng Huijin, he immediately returned to the lounge.
The young woman sat beside the bed, stretched out her hand to hold the old man's hand, saw Jing Xiaoran coming in, and smiled softly: "By the way, I haven't introduced myself yet. My name is Li Jiajia. That was my younger brother, Li Feng just now."
"My name is Jing Xiaoran, as you all know, a senior student in Fancheng." Jing Xiaoran said.
Li Jiajia pursed her lips and smiled, "You are not an ordinary senior."
Jing Xiaoran shrugged, walked to the bed, and gave the old man another detailed physical examination.
"Student Jing, why did my grandfather suddenly suffer from pneumothorax? Was he still on the plane?" Li Jiajia said suddenly.
Jing Xiaoran thought for a while, then said: "Your grandfather has a history of chronic obstructive pulmonary disease in the past, and this type of patients is prone to spontaneous pneumothorax. In addition, although flying itself does not increase the risk of pneumothorax, it can aggravate pneumothorax at high altitudes. .”
(End of this chapter)
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