Doctor Peerless

Chapter 632 Surgery Easier Than Level [-] Surgery
Interns in reality have no status.

Virtually no better.Virtuality is as cruel as reality.

As soon as it came up, 10% of the completion was deducted.

Zhou Sheng never dared to do it again.

Honestly and obediently, he followed Lao He for an internship.

He Congshuang passed Zhou Sheng, Pinpin Tingting went to the back of the desk, pulled over the chair, and sat down.

The legs are staggered, full of goddess style.

Lao He is going to have a consultation.

Zhou Sheng was still standing, seeing that Lao He didn't respond to him, Zhou Sheng knew that he had to be self-reliant.

He looked around, except for the chair that Lao He was sitting on.

There is only one bed and one waiting chair in this clinic.

You can't move this waiting chair and sit on it yourself.It is estimated that in that case, the internship points may be deducted immediately.

Helpless!

Zhou Sheng could only stand beside He Congshuang like a follower.

He Congshuang didn't even glance at Zhou Sheng, and started shouting directly.

In an instant, a patient opened the door and entered.

The patient was a young man, clutching his chest and looking in pain. His condition was very similar to the patient with ruptured esophagus rescued by Zhou Shengsheng.

But the situation is not that serious.

The young patient entered the consulting room and saw a man in a white coat.

He sat down directly on the waiting chair.

After He Congshuang said, "Where is it uncomfortable?"

The patient begins to complain.

After a while, Zhou Sheng understood the basic situation of the patient.

Patient Liu, male, 21 years old, suddenly felt chest pain on the right side during exercise, shortness of breath, occasional cough, no obvious phlegm, and fever.At the beginning, no special treatment was given, and the symptoms gradually worsened in half a day, so she came to the outpatient clinic.

Chest pain again, Zhou Sheng thought to himself.Could it also be a ruptured esophagus?

Very likely, after all, this system can read the memory information of the participants.

However, because it is in the virtual copy, Zhou Sheng's various system artifacts cannot be deployed.

At this moment, he can only honestly guess the patient's condition.

As soon as the patient's complaint over there was over, He Congshuang began to ask a doctor.

The main question is whether there is a history of food and drug allergies.

The patient responded no.

After the question, it is a physical examination.

The body temperature was measured, 36.6°C, normal.

Heart rate measurement, 97 beats/min.normal.

Blood pressure, 125/85mmHg.normal.

Followed by inspection and auscultation.

While checking, He Congshuang murmured: "Shortness of breath, no yellow stain on the skin, drumming sound in the right lung, and breath sounds disappeared on the right side of the auscultation. There is no abnormality in the abdominal examination..."

The physical examination is almost done.

Zhou Sheng felt that the patient should not have a ruptured esophagus.

Because the patient's blood pressure is normal.And auscultation of the right breath sounds disappeared.

This proved that there was something wrong with the patient's right lung.

After the examination, He Congshuang only had time to talk to Zhou Sheng at this time. She turned her head and asked Zhou Sheng beside her, "What examination does this patient need now?"

Listen to it on Monday.

He Congshuang is going to test himself!
Although it is said that there is no black technology, but anyway, I have been in the emergency center for so long.

I am not an intern who is completely ignorant.

At the moment, Zhou Sheng was also unambiguous, and immediately replied: "Blood routine, electrocardiogram, and chest X-ray are necessary examinations."

Zhou Sheng's answer made He Congshuang very satisfied.

She nodded approvingly.

Then she went back and asked the patient to come in for a test.

The patient responded.

In a blink of an eye, he opened the door and entered again.

Normally these three inspections will take about two to three hours.

Slow ones may take half a day.

But a copy is a copy, and everything is about saving time.

Once the door is opened, once the door is closed.

The inspection is done.

The patient sent the three test reports of blood routine, electrocardiogram and chest X-ray to He Congshuang.

He Congshuang also read quickly, almost every few seconds.

Then she handed the report to Zhou Sheng beside her without looking back.

Zhou Sheng understands.

Take a look at the report one by one.

The electrocardiogram reported everything was normal.

The blood routine report was densely packed, but upon closer inspection, every item was within the normal range.

But when it came to this chest X-ray, the abnormality was clearly seen, the right lung markings disappeared, and the right lung was compressed by about 50%.

This is consistent with the results of auscultation, the patient's right lung has problems.

The lungs are compressed in half.Decreased function and of course shortness of breath.

Zhou Sheng understood at a glance that this was a common pneumothorax in thoracic surgery.

Why are the lungs compressed?
This usually occurs when air enters the chest cavity, compressing the lungs due to the pressure.

Then why does the gas enter the chest cavity.

The biggest cause is the rupture of the pulmonary bullae.

Generally speaking, lung tissue shrinkage below 30% is a small amount of pneumothorax, which has little impact on breathing and blood circulation.More than 30% to 60% belong to massive pneumothorax, which will cause chest tightness, chest pain, shortness of breath, palpitations, and shift of trachea to the healthy side.

In terms of treatment, a small amount of pneumothorax does not need treatment, and it can be absorbed by itself in 1 to 2 weeks.

A large pneumothorax requires thoracentesis to extract the accumulated air to promote early expansion of lung tissue.At the same time, antibiotics were used to prevent infection.

After reading it, Zhou Sheng immediately gave the answer: "Teacher He..."

With previous experiences and lessons learned, Zhou Sheng didn't dare to call He Congshuang's wife or Lao He anymore.It is safer to call the teacher honestly.

"...I think it's a pneumothorax."

"How to treat next step."

"With 50% compression, a moderate pneumothorax does not require surgical treatment, but it is difficult to recover on its own. Consider thoracentesis to extract the pneumothorax."

He Congshuang nodded, "Arrangement!"

One command.

This time, even the animation of opening and closing the door is gone.

Zhou Sheng's eyes lit up, and when he recovered, he entered the scene of thoracocentesis.

When answering He Congshuang's question just now, Zhou Sheng didn't regard the thoracentesis as an operation.In fact, thoracentesis is indeed an entry-level operation for extrathoracic surgery.

However, this operation is too simple and common for surgeons, so doctors do not regard it as an operation.

Its status is even lower than that of an appendix operation, which is also a first-class operation.

In simple terms, this thoracentesis is to make a small hole in the patient's chest with a puncture needle, and then extract the effusion or air accumulation.

In addition to playing the role of treating pleural effusion and pneumatosis clinically, there is another important role for diagnosis.

After the effusion is extracted, pleural fluid smear, culture, cytology, and biochemical examination can be done to clarify other etiologies.

So, although this thoracentesis is a first-level thoracic surgery.

But almost every surgeon will operate.Emergency centers also often use this thoracentesis to check for pleural effusion.

Not only surgeons, but even interns often operate.Because this operation is the content of the clinical practice examination in the doctor's qualification examination.

Of course, for interns who lack clinical experience, this operation still has teaching significance.

But for Zhou Sheng, it was no different from measuring blood pressure.

However, no matter how small the operation is, it must be taken seriously. Besides, it also involves the completion rate of the dungeon.

Zhou Sheng opened the puncture bag and prepared to take out the instruments for operation.

……

(End of this chapter)