Doctor’s Life Simulator

, !

While Dr. Liu was thinking, Qin Lang looked at the time. It was his turn to go to the ward, so he picked up the book and got up and went to the ward.

Dr. Liu looked at Qin Lang's back, and just wanted to let Qin Lang guard him, but he was amazed when he thought that he was also a senior resident doctor after all. Bundle.

That is, go with him.

So today, he, Liu Peichun, is going to be a good example, ahhh, the blue is out of the blue!

Dr. Liu cheered himself up and was about to perform a paracentesis on the patient.

In fact, the diagnosis of appendicitis in children is indeed much more difficult than in adults, and it is easy to misdiagnose or delay the diagnosis of atypical patients. Paracentesis is an important auxiliary method for the diagnosis of appendicitis in children.

Since children are not as cooperative as adults, appropriate sedatives are used before puncture.

Dr. Liu also specially selected a 7-gauge needle and a 5ml syringe. The needle is small, and the damage to the patient will be much less, avoiding the danger of the large needle slanting easily puncturing the intestinal wall.

Physician Liu recalled that after Qin Lang's previous teachings and some precautions, he started to use the puncture point on the right lower quadrant of Mai's point.

During the puncture process, he intentionally inserted the needle slowly, with a sense of breakthrough, and then inserted the needle appropriately to maintain negative pressure into the abdominal cavity. The action is exactly the same as what Qin Lang introduced, stable!

Dr. Liu calmly waited for the emergence of peritoneal effusion, but one second, two seconds. Half a minute passed, and it was not what he expected.

"Huh? What's so fat!"

Dr. Liu's face darkened, but he was still calm and thought about it.

Indeed, in the clinical practice of abdominal puncture in children with appendicitis, the possibility of a negative puncture exists, and it is easy to miss the diagnosis only once. Dr. Liu adjusted the direction of the needle and repeated the aspiration twice.

"Still not getting puncture fluid? Am I wrong again?"

Dr. Liu's mentality collapsed:

"However, according to the patient's physical signs, it is highly suspected that it is appendicitis in children, so should the operation be performed directly? Intraoperative exploration is performed.

Dr. Liu is a little confused. What will Qin Lang do when faced with this situation?

After thinking for a while, Dr. Liu was about to go directly to call Qin Lang over to rescue him.

Although this kind of behavior is a bit humiliating, it is nothing compared to the early diagnosis and treatment of the patient. Besides, Qin Lang is really powerful. Dr. Liu has already regarded Qin Lang as a little teacher.

Soon, Dr. Liu asked the nurse to go to the ward to invite Qin Lang to come over and think about countermeasures together.

After Qin Lang arrived in the operating room, he carefully checked the patient's condition.

"Doctor Qin, how is it, do you have any ideas? Where did I go wrong?"

In front of Qin Lang, Physician Liu really felt like a little doctor asking for advice from the chief director, and he was apprehensive.

Qin Lang thought about it for a while, and really came up with a little trick:

"Judging from the patient's physical signs, I also highly suspect that it is pediatric appendicitis. Dr. Liu's judgment is correct, but there are still some omissions in the operation."

Dr. Liu smiled bitterly: "Did it leak again?"

Qin Lang suggested: "Let's try injecting 5ml of normal saline into the patient's abdominal cavity to dilute the abdominal fluid and try again!"

Listening to Qin Lang's method, Dr. Liu's eyes lit up, and he remembered that he had used this technique when he had an abdominal puncture with Director Zhuang before.

"Doctor Qin, you are really amazing. How did you think of it?"

Dr. Liu praised, that is, according to Qin Lang's suggestion, the patient's peritoneal fluid was first diluted with normal saline, and then withdrawn.

Looking at the peritoneal effusion withdrawn from the syringe, Dr. Liu was very pleasantly surprised, and it was really effective.

This time, the puncture was finally positive! Combined with the signs, it was basically confirmed that it was appendicitis in children.

"It's done, it's done!"

Dr. Liu finally breathed a sigh of relief. Looking at Qin Lang, he was full of emotion. It was a blessing to have Qin Lang as a reliable and capable comrade in this emergency department.

Next, with the indication for surgery, Dr. Liu began to arrange a routine appendectomy.

The entire operation was also very successful.

For Dr. Liu's operation, Deputy Director Pang also gave full affirmation afterwards. With the assistance of abdominal paracentesis, it is worthy of praise and promotion to be able to diagnose and complete the operation so quickly.

However, all of this was a gradual change after Qin Lang came to the emergency department. Director Pang and Director Zhuang were naturally pleasantly surprised by Qin Lang's arrival.

In this way, Qin Lang has adapted very freely in the emergency department. During this period, he also participated in some of the most basic appendectomy procedures, and the level of appendectomy has also risen.

Soon it will be the weekend.

And this weekend, Qin Lang is going to Shuguang Beauty Plastic Surgery Hospital again. He made an appointment for Tang You this week. After waiting for so long, Tang You was finally able to complete the surgery he dreamed of.

Early in the morning, Qin Lang arrived at Shuguang Beauty Plastic Surgery Hospital, and Tang You was waiting for Qin Lang in the hall early. Today she had the surgery herself, so she took time off and wore her normal attire.

It was also the first time that Qin Lang saw Tang You. The third type of attire, other than wearing a nurse's uniform and not wearing a nurse's uniform, was a dark green dress. When she wore it on her body, it was somewhat fresh and fresh, and because A good figure looks a bit mature and charming.

"Doctor Qin, I am your customer and patient today. Please take care of me."

Tang You said in a soft tone, his eyes were full of anticipation.

Qin Lang smiled warmly and waved his hand: "This patient, then come with me, Physician Qin will take you to get injections and take medicine!" Tang You hummed softly and followed behind Qin Lang, who was in the hall of Qin Lang. Tall, even a little delicate and exquisite.

The two of them soon came to the operating room. The conventional sagging patients were all under local anesthesia, using a circular excision of the bear's room tissue, and then performing suspension surgery with polypropylene monofilament mesh. And after the treatment, the patient was fixed with a local bear belt to prevent the dehiscence of the surgical incision.

And Qin Lang used a new upper incision bear augmentation for Tang You, so Tang You performed the operation in a standing position.

This is a brand new experience for Qin Lang and Tang You.

I have observed and communicated many times before, so Qin Lang is also very skilled this time, and it is very easy to adjust Tang You's bear head to the perfect correction position.

At the same time, with a pair of strong hands, the skin on the edge of Tang You's bear halo was lifted and pinched upward, and the range of the half-moon shape on the upper half of the bear halo that needs to be excised was determined, and local anesthesia was used.

After that, Qin Lang controlled the scalpel, performed memory excision in the half-moon-shaped skin marking range marked before surgery, and peeled off the skin tissue from the superficial side of the bear gland tissue capsule.

After that, the fascia at the upper edge of the bear halo was incised directly to the bear gland~www.readwn.com~ The posterior space of the bear room was separated, and the prosthesis was replaced in the affected area. It was divided into closed incisions and pressure bandages.

Soon the whole operation was completed, and Qin Lang made another doctor's order:

".. Postoperative compression dressing, wearing a stretch bear coat for three months after the stitches are removed.."

Since Qin Lang was going to Hangzhou recently to attend the entrance ceremony of the postgraduate students, he did not undergo another operation. After completing the operation for Tang You, he returned home.

Tang Yue's project was basically completed, so Tang Yue drove Qin Lang back to Hangzhou on Sunday night.

In order to express her gratitude and show the strength of the little rich woman, Tang Yue also took Qin Lang to her house in Hangzhou, a community near the First Affiliated Hospital of Zijingang University.

It was a small villa under her name. When Qin Yue took Qin Lang to the villa, Qin Lang was also an eye-opener.

"Doctor Qin, you will stay in my room tonight, and tomorrow morning, I will take you to the entrance ceremony of the graduate student." Tang Yue naturally came and did not insult, and also entertained Qin Lang by the way.

ps: Thanks for the 500-coin reward from the tunnel machine danger boss, happy~