If a tube is left in place, a thin tube will suffice if there is only air in the pleural cavity and you want to draw it out. Other substances, such as blood exudate, enter the pleural cavity, resulting in the coexistence of fluid and gas in the pleural cavity. Such a pneumothorax is not a simple pneumothorax but is called a hydropneumothorax. Clinically, it can be further divided into hydropneumothorax, hemopneumothorax, pus and pneumothorax, etc. Small tubes may not be able to handle it.
For this patient, the most clearly visible thing on the film is the pneumothorax line. The lungs are collapsed to less than an unexpected percentage. Is there any conspicuous exudate in the pleural cavity?
"Teacher, it is difficult to identify hydropneumothorax simply from the perspective of X-rays." Xie Wanying pointed out.
The easiest thing to see on x-rays is that the lungs are compressed, but how can you tell that the thing that compresses the lungs contains not only air but something else? X-rays are not a camera lens that can enter the human body for careful screening. Sometimes additional CT scans can be ruled out, but you must know that the instrument is not omnipotent.
If you are like the patient in the Department of Respiratory Medicine, the calculation of a large amount of effusion can be done clearly and intuitively. If the effusion is a small amount of fluid and is a localized hydropneumothorax but the location is off and it greatly affects the patient's condition, it will be more difficult for the doctor.
Of course, classmate Gang Duan has already mentioned the first point. It's just that her classmates and other classmates misunderstood what Duan meant.
"He should mean that the pleura is thickened." Xie Wanying said, "My classmate said that there is nothing wrong with the blunting of the septal angle. When talking about possible infection, it also means the symptoms of pleural thickening. If it contains accumulation Fluid, the fluid level is usually visible at the bottom on the Confusing judgment.¡±
Hearing what classmate Xie said, Zhang Desheng blushed at first: This was obviously her helping him to deflect what he said. All I can say is that Yingying is so nice.
The Guodu students present were the most surprised. One by one, they grabbed the top students from their own schools and asked, "Duan Sanbao, is this what you mean?"
¡°Asshole, you led the other party wrong and didn¡¯t say anything, causing a bunch of us to go astray.
Being surrounded by classmates from his school, classmate Duan Sanbao shrank like a little ostrich. He heard something wrong and didn¡¯t know what to do. He is a guest, so he cannot say to his face that he misunderstood him. Moreover, people later mentioned the infection factor.
what can be confirmed is. Classmate Duan Sanbao's eyes were shining brightly on his notebook: This person might really be "Wang Zha".
Dr. Cheng Yuchen turned back to check the film again, then turned to Cao Zhao to confirm: "Teacher Cao, do you want her to try to do a closed chest drainage puncture on the patient?"
A group of Guodu students at the scene realized that something was serious.
As far as they know, students who have not obtained a medical license basically have no chance to perform this kind of surgery. Interns can only change dressings on patients alone in clinical practice.
Faced with this suggestion from your subordinates, is it to retreat in order to advance? The corners of Cao Zhao's lips were curved, and the two ink eyes embedded in the jade face were smiling.
Looking at Teacher Cao¡¯s face from the side, the students can feel the ¡°evil¡± smile in Teacher Cao¡¯s eyes.
"Okay." Cao Zhao nodded, approving the subordinates who "volunteered".
It can only be said that all the children in his class are arrogant and unconvinced. There is a new classmate who may be a dominator, and they must fight to the death.
Thank you for your support! ! ! Good night, dears~
Fat Mom Xiangshan reminds you: please save it after reading it (no mistake), it will be more convenient to read it again. (Remember the website address: www.hlnovel.com