Chapter 46: You Come to Be an Assistant
After all, septic shock is a serious systemic disease caused by circulatory failure and abnormal cell metabolism caused by sepsis, with an extremely high mortality rate.
It is caused by pathogenic microorganisms invading the blood, causing a drop in blood pressure, confusion, and clammy skin. Once it occurs, it is difficult to cure. Therefore, when symptoms of septic shock appear, symptomatic treatment must be carried out immediately.
Therefore, Wu Xiangdong's words were not alarmist. On the contrary, he was already very polite to Zhao Guoqiang. If he hadn't wanted to understand why someone wanted to add insult to injury back then, he would have scolded Zhao Guoqiang based on his temper.
"How do you want to wear it?" Zhao Guoqiang looked at Wu Xiangdong who was preparing the supplies and couldn't help but ask.
Wu Xiangdong laughed angrily as soon as he said this. He took the abdominal puncture needle and said angrily: "How else can I puncture it? Of course it is punctured with a needle. Is there any other way you can do it?"
"You..." Zhao Guoqiang's face turned green with anger when Wu Xiangdong spat him mercilessly. He looked at the extremely uncooperative patient on the bed and said, "I'm talking about how to do abdominal puncture."
After all, patients now cannot lie down and cannot take X-rays. The positioning of the puncture site alone can confuse many people.
"Since the patient cannot undergo puncture while lying down, just let him sit up for puncture." As Wu Xiangdong said, he helped the old man who was holding his breath up. At this time, the old man was almost rolling his eyes in pain, and he had no strength left in his body.
, like a puddle of mud.
"Are you crazy to ask him to sit down for the puncture? If he accidentally punctures his bladder, not only will his abdominal fluid accumulation problem not be solved, it will also cause the urine in the bladder to flow into his abdominal cavity, exacerbating his symptoms of abdominal distension."
Zhao Guoqiang has never seen a sit-down puncture procedure. Generally, when they perform abdominal puncture, they have the patient lie flat on the bed. This not only helps them better position themselves, but also effectively reduces the risk of bladder puncture. You must know that this can
They are all clearly annotated in the textbook.
As for the sitting and standing puncture mentioned by Wu Xiangdong, Zhao Guoqiang had never heard of it, let alone practiced it on the spot. At this time, when Wu Xiangdong was about to start the operation, he was frightened and stopped him quickly.
However, before Zhao Guoqiang finished speaking, the old man sitting on the examination bed suddenly retched, and the gastric tube placed in his nasal cavity was continuously flowing out mucus.
"His intra-abdominal pressure is too high. If abdominal drainage is not performed, once the cardiopulmonary function is damaged, nothing will help." When Wu Xiangdong saw this scene, he didn't care about anything else and directly started to perform pre-abdominal puncture work on the patient.
"But I have never encountered a situation like this." At this time, Zhao Guoqiang was still standing there, a little at a loss. Wu Xiangdong looked up and his temper suddenly rose: "Do you still want to save people? He is your uncle.
, if something happens, do you think you can still stand in Corey?"
As soon as these words came out, Zhao Guoqiang was stunned on the spot as if he had been hit hard. Wu Xiangdong was right. This person was not only the patient he was responsible for, but also his uncle. If something happened, he would definitely be punished.
Influence.
After all, they came to the hospital just because you were the head of the department. As a result, a simple illness was not cured, and someone was admitted. If this spreads, Zhao Guoqiang may not be able to turn around in a short time.
Seeing that the old man's condition was getting worse, and the family members beside him had already slumped down on the wooden floor anxiously. Although Zhao Guoqiang had never done this kind of puncture before, he could only do it now.
"At that time, we can only go in and see the situation first." At this time, Zhao Guoqiang knew that there would be no good results if he just waited for death, so he was ready to go on stage and try it first before talking.
"Wu Xiangdong, why did you only bring one pair of gloves?" Zhao Guoqiang saw that he had made up his mind, but when he was about to start the operation, he realized that Wu Xiangdong had only prepared one pair of gloves, which made him a little angry.
What can he do with just a pair of gloves? He really thinks he is a god. Can he puncture successfully in one go?
However, when Zhao Guoqiang was about to get angry, he heard Wu Xiangdong say: "Director Zhao, these gloves are for me."
"Ah?" Zhao Guoqiang was stunned. The gloves were prepared for Wu Xiangdong. What does that mean? After reacting, Zhao Guoqiang looked at Wu Xiangdong with a strange expression: "You mean, you want me to be your assistant?"
"Otherwise." Wu Xiangdong almost rolled his eyes when he heard this. Zhao Guoqiang didn't dare to move for a long time because he thought he was going to be pierced on stage.
"You just need to help me hold the patient and make sure he doesn't fall. Leave the rest to me." Wu Xiangdong was afraid that Zhao Guoqiang wouldn't understand, so he emphasized it to him solemnly.
"Let me help you?" Zhao Guoqiang finally came to his senses now, but he was still very surprised when he heard Wu Xiangdong's words. After all, asking a department director to serve as an assistant to his subordinates had never happened before.
Besides, Wu Xiangdong is just a new doctor, so why would he dare to speak like this?
But before Zhao Guoqiang could speak, Wu Xiangdong had already lifted the top of the patient's hospital gown, revealing his swollen abdomen like a ball.
As Wu Xiangdong began to operate, the patient's upper body, which lacked power, began to sway from side to side, like a small boat in a rough sea, which might tip over at any time.
"You guy." Upon seeing this, Zhao Guoqiang quickly stepped forward to support the patient's body. Although he was very angry at this time, Wu Xiangdong had already begun to position the abdominal cavity for puncture.
He drew an arc from the navel in the middle of the patient's abdomen to the left and right, then tapped the left and right abdomen with his fingertips along the arc, auscultated with a stethoscope, and finally drew a mark near the anterior superior iliac spine with a marker.
A cross.
"This is the puncture point you did. It is too close to the abdominal organs." Zhao Guoqiang frowned when he saw the puncture point Wu Xiangdong marked for the patient.
Under normal circumstances, the most common choice of abdominal puncture point is the middle and outer third of the line connecting the navel and the anterior superior iliac spines on both sides, or the vertical intersection of the horizontal line of the umbilicus and the anterior axillary line on both sides. These two puncture sites are the abdominal cavity.
A place where fluid often accumulates.
However, Wu Xiangdong's positioning choice obviously violated this principle. If the puncture was performed according to the marks he made, there would be a high probability of puncture problems.
Faced with doubts, Wu Xiangdong said calmly: "Director Zhao, abdominal puncture does not have to be performed according to standard textbooks, and the puncture point can be chosen anywhere in the abdomen."
"Then you should also avoid the important organs in the abdomen. Didn't the teacher teach you this in class?" Upon hearing this, Zhao Guoqiang was completely anxious. Originally, he was still taking a chance, thinking that since Wu Xiangdong dared to perform puncture in such a big way,
Even asking him, a dignified director, to help, he must be very confident.
But now it seems that Wu Xiangdong is just a dabbler. He doesn't even know the key point of avoiding the abdominal organs when the puncture point is used. How dare he let Wu Xiangdong continue the operation.
Chapter completed!