medical road high rise

Chapter 110 Diagnosis
Chapter 1 Diagnosis
"Take the chest bottle and methylene blue." Qin Feng said to the emergency doctor.

Qin Feng took the patient to the treatment room, and Dr. Zhao followed him all the time. He wanted to see how Qin Feng treated the patient.

Qin Feng didn't care about Dr. Zhao's observation. Anyway, let him watch if he wanted to.

After more than ten minutes, the emergency doctor brought the chest bottle and methylene blue.

Qin Feng looked at Wang Hai and said, "I may put a tube on your chest wall later, it may hurt a little, please bear with it."

In this case, only local anesthesia can be used, general anesthesia is not possible.

But Qin Feng needs to open the patient's pleura and put the tube in, so the patient will still feel the slight tingling sensation that should be felt, and the anesthetic is not absolute.

Moreover, when the chest cavity is opened, there will be that feeling, and sometimes it will be uncomfortable, and the patient needs to overcome it by himself.

"It's okay, I can handle it." Wang Haiping said firmly while lying down.

When he was training, the squad leader often said that he shed blood and sweat but not tears.

Qin Feng still believed in the willpower of the soldiers, but he made Wang Hai mentally prepared in advance, just like getting an injection.

If it is too sudden, even if the willpower is too strong, there will be an inexplicable fear.

Taking off Wang Hai's shirt, Qin Feng looked at Wang Hai's tendons and felt a little envious.

This is how many girls love it. Unfortunately, Qin Feng has no time to go to the gym to exercise. During this time, Qin Feng also feels a little tired. His physical fitness may not be able to keep up. It will be a matter of time before he goes to the gym to exercise.

Many doctors have applied for a card in the gym. They are not for exercising muscles, but for exercising physical fitness.

Qin Feng's operation is fast, and he has not experienced that five or six high-intensity operations in a row can directly wipe out a doctor.

The most powerful state of a doctor is that the whole body is stiff, but the hands are not stiff yet, and they are still operating on the patient.

"Relax a little."

Qin Feng patted Wang Hai's shoulder, which was afraid of Wang Hai, and gradually relaxed Wang Hai's tense shoulder.

"The more relaxed you are, the easier the pleura will open, and the less pain you will feel. You can just take a nap and close your eyes." Qin Feng said.

Wang Hai closed his eyes, took two deep breaths, quickly fell into sleep, and his whole body relaxed.

This is the sleep method they have practiced for many years, because they may have to go out to put out the fire in the middle of the night, or it may last a whole day, and they have to go out in case of emergency.

Their rest is to race against time. The slower you fall asleep, the less time you have to rest.

But they are also easy to wake up, Qin Feng also understood when he saw Wang Hai's appearance.

The emergency doctor prepared an incision kit and a bottle of saline for external use. Qin Feng asked Dr. Zhao to help.

With regard to the breast bottle, Dr. Zhao is better at playing than the emergency doctor.

Dr. Zhao poured salt water into the chest bottle and looked at the scale carefully, while Qin Feng recalled the surgical steps in his mind.

"Operation begins!"

Although it was only a minor operation, Dr. Zhao felt from Qin Feng's state that Qin Feng completely regarded this operation as a major operation.

The scalpel was fitted with a blade, and Qin Feng marked the 6,7th and [-]th intercostal space on the left, and then disinfected it.

The nurse had prepared the anesthetic, and Qin Feng took out the anesthetic with a syringe to start local infiltration anesthesia.

After making an incision of about 1.5cm, Qin Feng began blunt separation with the hemostat. The forceps opened and closed quickly and accurately separated Wang Hai's intercostal muscles.

Wang Hai was awakened by Qin Feng's actions, and Qin Feng also started talking to Wang Hai, trying to divert Wang Hai's attention.

"Are you tired from training?"

"I'm very tired. Every time I go back to my room, I just want to sleep."

"Actually, I'm quite scared. I'm afraid that if I go into the flames once, I won't be able to get out again."

"Have you ever thought about getting married?" Qin Feng took the prepared Xiongguan, cut two side openings, and then clamped them with hemostats.

Holding the pliers in one hand, he poked directly into the incision, and the chest tube in the palm of his hand was also ready to go.

"I... hiss!"

Wang Hai gritted his teeth and took a deep breath.

"Okay." Qin Feng smiled and pulled out his hand. Just now, he took advantage of the moment Wang Hai's attention was diverted, and put the chest tube directly into it.

The main reason is that Wang Hai's physical fitness is good. Qin Feng only used a hemostat to penetrate the pleura, and opened the shallow mouth to send the chest tube in, completing the operation.

"Is this the end?" Wang Hai felt a little uncomfortable with a foreign object in his chest.

"Ah."

Qin Feng began to suture and fix it, and doctor Zhao's chest bottle began to gurgle out brown pleural effusion.

After the suture was finished, Qin Feng didn't let Wang Hai get up directly, but looked into the chest bottle, and when the liquid in the chest bottle reached 1000mL, Qin Feng blocked the pipe with a hemostat.

"Prepare the methylene blue solution."

The emergency doctor handed the methylene blue to Qin Feng.

"Doctor, is this for me to drink?" Wang Hai looked at the liquid inside with some fear.

"Just drink it as a drink." Qin Feng said.

Wang Hai took a look at Qin Feng, and he believed that Qin Feng drank all the methylene blue in one gulp.

Qin Feng looked at Wang Hai's appearance and stopped when he wanted to tell Wang Hai to drink slowly.

Under normal circumstances, the doctor will ask the patient to drink the methylene blue solution slowly, and then observe the chest tube. If the patient's esophagus is ruptured, the methylene blue solution will be drained out along with the chest tube.

This method is very effective, but Wang Hai's execution ability is too strong, just say a word, Wang Hai will finish it directly; 1.
Qin Feng loosened the pliers, and what came out this time was no longer brown, but a liquid that was infinitely close to blue.

Obviously, the patient's esophagus was ruptured.

Dr. Zhao was so shocked that he couldn't speak. He sighed secretly in his heart, and finally understood that Qin Feng had such a great reputation in the Second Hospital.

This young man is really a little scary.

"Doctor Qin, how did you find out?" Doctor Zhao unconsciously called Qin Feng as Doctor Qin.

"It's very simple. It's the spontaneous rupture of the esophagus. After all, pleural effusion appeared in a short period of time. Apart from the rupture of the esophagus, there is no other possibility." Qin Feng spread his hands.

"Then why do you think it's a short period of time?" Dr. Zhao asked.

"Because of you!"

"Me?" Dr. Zhao felt himself being dazed.

"You gave the diagnosis, and then I made this judgment based on your diagnosis and the abnormality of the patient's chest cavity." Qin Feng said, "And, anyway, you are also the attending physician of the respiratory department of the Second Hospital, but the chest cavity is just new. There shouldn’t be much effusion at the beginning, but it just gathered in the back, and it gathered when I arrived, so what I heard was completely different from what you heard.”

(End of this chapter)