【2307】unconvinced
If the tube is left, only gas in the pneumopleural cavity can be used to draw out with a thin tube. Other substances such as blood exudate enter the pleural cavity, resulting in effusion and gas accumulation in the pleural cavity. Such pneumothorax is not called liquid pneumothorax. Clinically, it can be divided into water pneumothorax, blood pneumothorax, pus pneumothorax, etc. Small tubes may not be able to be fixed.
At present, the most clearly visible on this patient's film is the pneumothorax line, the percentage of lung collapse does not reach the outbreak, are there any signs of conspicuous exudate in the pleural cavity?
"Teacher, it is difficult to identify liquid pneumothorax simply from the perspective of x-ray." Xie Wanying pointed out.
The easiest thing to see on x-ray is that the lungs are compressed, but how do you determine that there are not only qi in the compressed lungs. X-ray is not a camera lens and can be carefully identified. Sometimes, if you add a CT, you can eliminate it, but you must know that the instrument is not universal.
If a patient like a respiratory department has a large amount of effusion, it is clear and intuitive. If a small amount of effusion is localized fluid, pneumothorax but the position is too far affecting the patient's condition, it will make the doctor feel more difficult.
Of course, Duan has already mentioned the first point. It’s just that her classmates and other classmates have misunderstood the meaning of Duan.
"He should mean that the pleura is thickened," said Xie Wanying. "My classmates said that it is not a big mistake to become dull in the septal angle. It is also a sign of pleural thickening when it comes to infection. If it contains fluid, the liquid level is usually visible on the X-ray, which is at the bottom, which will flatten the arch shadow of the diaphragm. This patient is not a typical arch shape that is completely flat. It is easy to make the judgment confused if it first manifests as the obtuse angle of the septal angle and then flatten the arch shape."
When Zhang Desheng heard that when he said this, he blushed: It was clearly because she was helping him to deviate from his words. I can only say that Yingying is so good.
The students present at the capital were the most surprised. They all held the top students of their schools and asked, "Duan Sanbao, do you mean this?"
Bastard, you didn’t say anything about the wrong guidance from the other party, which made all of us go astray.
Duan Sanbao, who was besieged by his classmates at his school, shrank his neck like a little ostrich. He didn't know what to do if he heard it wrong. He was a guest, so he couldn't say in person that he heard it wrongly. Besides, he later talked about the factors of infection.
What is certain is that Duan Sanbao's eyes were staring brightly on the page of his laptop: This person may really be the "king bomb".
Dr. Cheng Yuchen turned around and read the film again, then turned around and confirmed to Cao Zhao: "Teacher Cao, do you want her to try to perform a closed chest drainage puncture on the patient?"
A group of students at the capital on site realized that things were going on.
As far as they know, students who have not obtained a practicing doctor license basically do not have the opportunity to undergo such surgery. At most, interns can change the patient's medicine separately in clinical practice.
When facing this suggestion from subordinates, is to retreat as advance? Cao Zhao's lips are curved, and the two ink eyes embedded on the jade face are smiling.
Looking at Teacher Cao's face from the side, the students could feel the smile in Teacher Cao's eyes was so "evil".
"Okay." Cao Zhao nodded and agreed to his subordinates who "voluntarily".
I can only say that the children in his class are all arrogant and unwilling to accept it. A new classmate may be a overlord, so he must fight to the death before talking about it.
------------------
Chapter completed!