Doctor's Life Simulator

Chapter 185 Doctor Liu is Wrong Again!Qin Lang Rescue

While Dr. Liu was thinking, Qin Lang looked at the time, and it happened to be his turn to go to the ward round, so he picked up his notebook, got up, and went to the ward.

Dr. Liu looked at Qin Lang's back, and just wanted to let Qin Lang check in on him, but when he thought that he was also a senior resident, Qin Lang was amazed after studying hard .

That is, let him go.

So today, he, Liu Peichun, is going to imitate others, ah bah, blue out of blue!

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

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

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

Dr. Liu also specially selected a No. 7 needle and a 5ml syringe. The needle is small, and the damage to the patient will be much smaller, avoiding the danger of the large needle bevel easily piercing the intestinal wall.

Dr. Liu recalled that after Qin Lang taught various experiences and some precautions, he began to use the Mai's point on the right lower abdomen as the puncture point.

During the puncture, he intentionally inserted the needle slowly, with a sense of breakthrough, and then properly inserted the needle to maintain the negative pressure into the abdominal cavity.

The movements are exactly the same as Qin Lang's introduction, be steady!

Dr. Liu calmly waited for the emergence of peritoneal effusion, but one second, two and a half seconds passed, completely unexpected.

"Huh? What a fat thing!"

Dr. Liu's face darkened, but he calmed down and thought about it for a while.

Indeed, clinically, the possibility of negative paracentesis in one puncture of appendicitis in children exists, and only one puncture is easy to miss the diagnosis. Dr. Liu adjusted the direction of the needle and repeated aspiration twice.

"Still didn't get the puncture fluid? Am I wrong again?"

Dr. Liu's mood collapsed:
"However, according to the patient's signs, it is highly suspected that it is appendicitis in children. Is it necessary to perform surgery directly? During the operation to explore?"

Dr. Liu was a little confused. What would Qin Lang do when faced with this situation?
After thinking for a while, Dr. Liu was ready to call Qin Lang to rescue him.

Although, such behavior is a bit embarrassing, but it is nothing compared to diagnosing and treating patients early. Besides, Qin Lang is really good. Dr. Liu has already regarded Qin Lang as a little teacher.

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

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

"Doctor Qin, what's the matter? Do you have any ideas? What's wrong with me?"

In front of Qin Lang, Dr. Liu really felt like a little doctor asking the big director for advice, so he was uneasy.

Qin Lang thought about it for a while, and really thought of a little trick:
"Based on the patient's physical signs, I also highly suspect it is appendicitis in children. Dr. Liu, your judgment is correct, but there are still some omissions in the operation."

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

Qin Lang then suggested: "Let's try injecting 5ml of normal saline into the patient's abdominal cavity to dilute the peritoneal 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 another abdominal puncture with Director Zhuang.

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

Dr. Liu praised him by saying that according to Qin Lang's suggestion, the patient's peritoneal fluid should be diluted with normal saline first, and then withdrawn.

Seeing the abdominal fluid withdrawn from the syringe, Dr. Liu was very pleasantly surprised, it really worked.

This time the puncture was finally positive!Combined with the signs, it can basically be determined that it is appendicitis in children.

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

Dr. Liu finally breathed a sigh of relief. Looking at Qin Lang, he was filled with emotion. It is really a blessing that the emergency department has such a reliable and powerful comrade-in-arms like Qin Lang.

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

The whole operation was also very successful.

For Dr. Liu's operation, Deputy Director Pang also gave full affirmation afterwards. With the assistance of paracentesis, the diagnosis and operation can be completed so quickly, which is worthy of praise and promotion.

However, all of this gradually changed 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 adapted very freely in the emergency department, and participated in some of the most basic appendectomies during the period, and the level of appendectomy has also risen with the tide.

Soon, it will be the weekend.

And this weekend, Qin Lang is going to Shuguang Meili Plastic Surgery Hospital again. He made an appointment for this week to perform surgery on Tang You.

After waiting for so long, Tang You can finally complete the surgery he dreamed of.

Early in the morning, Qin Lang arrived at Shuguang Beauty Plastic Surgery Hospital, Tang You was waiting for Qin Lang in the hall early.

Today she had her own surgery, so she took a day off and was in normal attire.

It was also the first time for Qin Lang to see Tang You. The third kind of dress other than nurse's uniform and not wearing nurse's uniform was a somewhat dark green dress. She wore it with a forest-like freshness. Good figure, looks a little 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 hands: "This patient, come with me. Doctor Qin will take you to get injections and medicine!"

Tang You hummed lightly, and followed behind Qin Lang, under Qin Lang's tall stature, he was still a bit delicate and dainty.

The two of them came to the operating room very quickly. The conventional sagging patients were all treated with local anesthesia, and the circular excision of the bear chamber tissue was used, and then the polypropylene monofilament mesh was used for suspension treatment. , 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 the brand-new upper incision and long bear surgery for Tang You, so Tang You performed the operation in a standing position.

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

He has observed and communicated many times before, so Qin Lang is also very proficient this time, and he adjusted Tang You's bear head to the perfect correction position very smoothly.

At the same time, with a pair of strong hands, the skin at the edge of Tang Youxiong's halo was lifted up and pinched, and the area of ​​the upper half of the bear's halo to be resected was determined, and local anesthesia was used.

Afterwards, Qin Lang controlled the scalpel and performed memory resection within the area of ​​the half-moon-shaped skin mark marked before the operation, and peeled off the skin tissue from the superficial side of the capsule of the bear gland tissue upward.

Afterwards, the fascia on the upper border of the bear's halo was cut directly to the bear's gland, the posterior space of the bear's chamber was separated, the prosthesis was replaced and placed in the affected area, the incision was divided into closed parts, and pressure bandaged.

Soon the entire operation was completed, and Qin Lang issued another doctor's order:
".Post-operative pressure bandaging, and wearing elastic bear clothes for three months after the stitches are removed."

Because Qin Lang was going to Hangzhou to attend the entrance ceremony for graduate students recently, he didn't have another operation. After completing the operation on 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 off the strength of the little rich woman, Tang Yue also took Qin Lang to her house in a community near the First Affiliated Hospital of Zijingang University in Hangzhou.

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

"Doctor Qin, you will stay in my guest room tonight. Tomorrow morning, I will take you to the graduate entrance ceremony."

Naturally, Tang Yue came here instead of indecently, and entertained Qin Lang by the way.

PS: Thanks to the tunnel machine danger boss for another 500 coins reward, happy~
(End of this chapter)