Abdominal drainage tubes are also mostly made of rubber. Rubber itself has the characteristic of being easily broken due to excessive fatigue. This is why many doctors later switched to silicone tubes, because many similar incidents have occurred with rubber tubes. Unfortunately, silicone tubes are not as cheap as rubber tubes, nor are they as soft and elastic as rubber tubes. Old doctors are used to using rubber tubes and are not used to silicone tubes. Besides, softer and more elastic tubes feel better. In the end, which tube to use depends on the doctor's personal habits. But no matter which tube is pulled out, it makes no difference to the doctor, it is definitely a technical job.
Medical students who have undergone surgical internships have pulled out tubes before, and teachers will basically let students practice this kind of work. During his rotation in gynecology, Pan Shihua had pulled out drainage tubes several times, so he had a feel for it, which was the reason why he dared to use force.
Surgeons need to be bold and careful.
At the same time, he looked at classmate Xie, and Xie's eyes seemed to agree that he could pull it out this way.
Like rubber bands, rubber tubes have another characteristic: very good elasticity. If the front end is stuck, the doctor may apply force at the rear end, which may seem like he is trying to pull out the entire tube. In fact, this is not the case. Even if the doctor does not use much force, the tube will shrink back and only a small part of the head can be pulled out. Director Zheng is experienced and can tell something from the slight sound of the rubber tube stretching and rebounding in the doctor's hand. The seemingly violent action is actually very light, and it should not have been pulled out much.
Doctor Jiang calmed down, squatted down and observed the drainage tube in the student's hand, and reported to the leader: "It is about half a finger long when pulled out."
"Very short." Director Zheng estimated that the patient's drainage tube was placed deep, half a finger is only one centimeter, and the length of the tube is not a big deal. The most important thing is whether the tube is effective. If it is not effective, it is equivalent to a waste of time. If surgery is still needed, it will be troublesome.
"Something is coming out." Dr. Jiang said, his eyes flashing with excitement as he stared at the drainage tube, representing hope that could be burning.
"Really?" After receiving the promising information, Li Guoxin immediately walked around the end of the bed, pushed Doctor Jiang aside, bent down and checked the situation himself.
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The brown rubber drainage tube is dark in color and translucent. If something comes out of it, it requires a doctor's careful identification. You can pinch, rub, and tap the rubber tube to allow the substance to slide down the drainage tube and flow into the transparent tube connected to the drainage bag, and then observe carefully.
Li Guoxin stretched out his right hand impatiently and placed it below the position where the student was holding the drainage tube. He flicked the tube with his fingers skillfully, waiting for the contents to fall into the transparent tube and transparent drainage bag.
"What's the matter?" Director Zheng asked them while standing on tiptoe.
"It's pus, sticky yellow." Li Guoxin's tone was a little complicated. This situation is equivalent to saying that the patient's pus cells have increased, causing the body temperature to rise. At the same time, it is estimated that diffuse peritonitis has not yet formed, because the pus can continue to flow out of the drainage tube and it is not flowing like a faucet. It is more likely that the remaining pus has not been drained. However, the situation is quite critical, so don't let the pus break. The lack of blood outflow is not a sign of heavy bleeding. Low red blood cells may be due to insufficient nutritional support for the patient's body.
"As long as the pus inside can be drained out, there is hope that the fever can be reduced and there will be no need for immediate surgery," said Li Guoxin.
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