I Can See Health

"Could it be that the myocardial tissue was accidentally stabbed, so the fluid turned from yellow to red?" Lu Chen thought to himself.

The color of pericardial effusion can be yellow or red.

Generally yellow is caused by infection and tuberculosis.

Red fluid may be caused by tumors.

However, the color of the effusion changes from yellow to red, which is extremely rare.

"Lu Chen, what's wrong? Has it turned red?"

Jiang Qingyan on the side also noticed the change in the color of the effusion.

On the contrary, the people outside the elevator did not notice this change due to the angle of the video.

Lu Chen frowned and said softly: "I don't know. I feel like I haven't touched the myocardial tissue. Let's take a look first. You can inform the teachers outside."

"Okay." Jiang Qingyan nodded.

He has been training in the virtual space for so long, and the success rate has exceeded 95%. He has never found this situation before.

Jiang Qingyan immediately notified the doctor outside the elevator that the color of the pericardial effusion changed from "yellow" to "red" through a video on her mobile phone.

"The color suddenly turned red?" Lin Cui asked in a deep voice, "Did the puncture needle touch the heart?"

There were also whispers from the people outside the elevator.

"If it's always red, it's okay to say that it may be caused by tumor disease. But now that the color has changed, it means there is something wrong with the operation, and it is most likely that the myocardial tissue has been damaged!"

"If it touches the heart...then it's very dangerous!"

"Yes, the risk of blind penetration is indeed very high. Don't try it easily!"

Sun Guoguo on the side frowned and said, "The puncture point chosen by Lu Chen was under the xiphoid process, and the patient's pericardial effusion was large. I saw that the depth of the needle insertion was not deep, so it is unlikely to be It hit the heart.”

"That's not necessarily true." Lin Cui shook her head, "If the angle of insertion of the needle is wrong, it will also damage the heart muscle and blood vessels."

For a time, the opinions of everyone present were not unanimous.

Li Yao carefully observed the video screen and was silent for a long time before speaking out:

"Lu Chen's technique is very skillful. He has definitely performed pericardiocentesis many times. Moreover, the puncture point under the xiphoid process is relatively safe and will generally not damage the myocardial tissue."

"I think this is because fibrous cords formed in the pericardium. As the fluid accumulation decreased, they were stretched and broken, causing a small amount of bleeding. The drainage fluid turned red. No special treatment is needed for the time being, and it will gradually improve in the future."

Fiber cord breaks?

Everyone was stunned. This was the first time for most of them to hear this theory.

"Yes, I have encountered this kind of patient in the CCU before. After two days of observation, the bloody effusion will get better."

At some point, Li Qinghua, the chief resident of the Department of Cardiology, arrived at the scene.

"However, it is possible that the puncture needle you mentioned touched the myocardial tissue. During the puncture, the needle tip touched the outer membrane, causing a small amount of bleeding, which gradually turned bloody. However, this situation does not require special treatment, as long as the drainage is kept smooth, The echocardiogram confirmed that the fluid effusion was reducing and it would improve on its own in a few days.”

Li Qinghua, chief resident of the Department of Cardiology, is a senior attending physician in the Department of Cardiology. He has been on the clinical frontline all year round. He is currently responsible for the emergency consultation of the entire hospital and has even more clinical experience than many deputy chief physicians.

Lin Cui raised her eyebrows and did not continue speaking.

In the elevator at this time.

Despite this episode, the patient's vital signs have improved and the symptoms of cardiac tamponade have been relieved a lot.

"Lu Chen, Teacher Li just said it doesn't matter, just observe for now." Jiang Qingyan said to Lu Chen.

Lu Chen nodded and continued to pay close attention to the changes in the patient's vital signs.

At this moment, he suddenly noticed the system prompt.

"Congratulations, the current pericardiocentesis completion rate is 85%."

The degree of completion has finally improved!

It turns out that real operations are required, and training in the virtual space will increase the completion rate to 80% at most.

However, the current completion rate has only increased by 5%. If you want to increase it to 100%, you still need to continue to work hard!

…

Suddenly, there was a "squeak" outside the door.

The elevator door is finally opened!

At this time, eleven minutes had passed since Lu Chen and others were shut down!

"Quickly, push out the hospital bed!" Li Yao shouted.

Outside the elevator, several doctors and nurses from District 8 immediately walked into the elevator.

Everyone worked together to help Lu Chen and others move the hospital bed.

"Slow down when the hospital bed comes out of the elevator! Don't be in a hurry!"

Li Qinghua quickly walked to the hospital bed.

"The patient's vital signs are temporarily stable, but he still needs to be pushed to the CCU ward for observation to prevent complications after puncture."

An empty elevator next to it is ready.

The nurse cleans the patient's pericardial puncture site.

Two doctors quickly pushed the hospital bed into the elevator next to it, preparing to send it to the CCU on the fourth floor.

Lu Chen walked out of the elevator, followed closely by Jiang Qingyan and others.

He Sirong followed the crowd without saying a word.

Lu Chen stood in front of Li Yao, still wearing gloves stained with a little blood on his hands.

"Good job!" Li Yao smiled and patted Lu Chen on the shoulder.

"Teacher, the color of the patient's pericardial effusion..." Before Lu Chen could finish speaking, he was interrupted by Li Yao.

"We have already analyzed it outside. You don't have to worry about the next thing. Go wash your hands and have a good meal tonight."

"Ah...this..." Lu Chen was stunned.

"Junior brother, your piercing is so beautiful, go and wash your hands quickly." Sun Guoguo also came over, "We are ready to go."

Lu Chen was pushed to the bathroom to wash his hands.

Many doctors and nurses present looked at Lu Chen's back and sighed secretly.

Is this the graduate student Director Li Yao accepted this year?

His calmness in the face of danger is in stark contrast to the previous student. He doesn't look like a first-year graduate student!

…

Lu Chen walked out of the bathroom in the ward.

After adjusting his clothes, he looked up and found a group of people waiting for him.

Standing at the front is Yin Xinhua, with He Sirong behind her.

Jiang Qingyan, Ke Yue, Sun Guoguo and others were standing at the elevator entrance.

"Junior Brother Lu, thank you this time."

Yin Xinhua stood in front of Lu Chen and said softly with a smile.

This patient was first diagnosed by her.

If anything happened on the way, she would be responsible.

Although this time it was due to an elevator failure, the first-diagnosis doctor will also bear corresponding responsibility.

"Senior Sister Yin, you're welcome. We all belong to District 8 at heart." Lu Chen smiled.

"Junior brother, have you done many pericardiocentesis before?"

After Yin Xinhua praised Lu Chen, he raised his doubts.

He Sirong behind her also raised his head and looked at Lu Chen doubtfully.

We are all freshmen and rarely experience pericardiocentesis. Why is Lu Chen so skilled?

"I did it with the teacher during my internship. UU reading www.uukanshu.net" Lu Chen nodded.

"Oh." Yin Xinhua raised his eyebrows, "Which university did you go to for your undergraduate degree?"

"Jiangcheng University School of Medicine."

"Well, it's also a good medical school." Yin Xinhua nodded, "It seems that Jiangcheng University Medical School is more relaxed, and they dare to let students do this kind of puncture."

Lu Chen smiled and did not refute.

Jiangcheng University School of Medicine does not allow students to perform pericardiocentesis independently. At most, it allows students to perform chest puncture or abdominal puncture.

"I heard Guoguo said that you are going to eat, so I won't disturb you."

Yin Xinhua waved to Lu Chen and left with He Sirong.

…

At this time, in the CCU on the fourth floor.

The patient with pericardial effusion has been placed in the emergency room.

"How is the patient?"

Han Kang, the attending doctor of CCU, received the patient from Li Qinghua.

"There was a large amount of pericardial effusion and pericardial tamponade. The elevator just broke down and we performed an emergency puncture in the elevator!" Li Qinghua explained, "The patient's symptoms have been much relieved now."

"Blind penetration?" Han Kang raised his eyebrows.

"Um."

"Which doctor in the eighth district in my heart wears this? So brave!"

"He's not a doctor from our hospital, he's a graduate student." Li Qinghua curled his lips.

Han Kang smiled when he heard this.

"Hua Zai, please stop teasing me. Are you saying these are worn by graduate students?"

"Yes, there were only four graduate students in the elevator at that time." Li Qinghua emphasized, "Others couldn't get in."

"Really?" Han Kang was stunned, looking at the patient on the bed, and fell into deep thought.

Can current graduate students blindly puncture pericardial effusion?