Tension pneumothorax, Zhao Zhaowei searched hard for the knowledge in the medical textbook. Now he wanted to scold the instructor. Ren Chongda asked them to come for internship in advance. No teacher had taught them diagnostics, internal medicine, and surgery. They only read the textbooks and had no deep impression and could not distinguish the knowledge points.
Teacher Ren was a "bad" person. He deliberately asked them to come for the internship early to scare them, and sure enough, he was scared to the point of crying.
"What should we do now, Yingying?" Zhao Zhaowei asked again.
Hearing their conversation from behind, the two traffic policemen in charge of driving broke out in a cold sweat and asked, "Can you guys do this?"
"Don't worry!" Xie Wanying said these two words to everyone.
At this point, the doctor cannot reveal his or her weaknesses no matter what, otherwise the whole group will collapse mentally.
It doesn't matter, she knows what tension pneumothorax is. There is air leakage in the pleural cavity, and the leakage channel is a one-way valve.
When a normal person breathes, inhalation draws air into the lungs and exhalation draws air out of the lungs.
Tension pneumothorax means that the inspiratory gas is inhaled as usual, but the expiratory gas cannot be expelled. The gas continues to accumulate in the chest cavity, causing the lung to collapse and the trachea to deviate, affecting the heart.
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This patient already had heart disease, so tension pneumothorax was even more dangerous.
It is not clear whether it is spontaneous pneumothorax or caused by trauma. In any case, it must be treated immediately and the air must be exhausted, otherwise the young patient may die at any time.
Although she is only a trainee, she can report to senior doctors and obtain operating instructions.
Thanks to Dr. Jiang for giving her advice before she left!
Xie Wanying picked up her phone and called Dr. Jiang first.
Doctor Jiang quickly connected with her after a beep: "What's wrong? Tell me!"
She must have called for something, Dr. Jiang knew that without even thinking.
"The patient has tension pneumothorax." Xie Wanying answered quickly, not wanting to waste a single minute.
Hearing her words, Dr. Jiang broke out in a cold sweat: This is a serious matter!
"I have to help him puncture and vent the air immediately," said Xie Wanying.
"Wait a minute!" Doctor Jiang calmed down his thoughts. This is a heart patient, you can't do anything rash, even if he is at the scene. Fortunately, he called the hospital in advance and said to Xie Wanying: "I have told the hospital about you accompanying the patient back to the National Association. Doctor Yang from the cardiac surgery department should be on the phone in the emergency room. Call him now!"
After receiving the instructions, Xie Wanying called the hospital's emergency department without further delay.
The emergency phone rang, and the nurse picked up the phone: "Hello, this is the National Association Emergency Department. What's the matter, please tell me?"
"My name is Xie Wanying. Doctor Jiang asked me to see Doctor Yang from the Department of Cardiac Surgery."
The call for help really came!
Doctors Jin, Lin, and Yang, who were discussing around the phone, had just walked away when they heard the emergency nurse talking and ran back. Fu Xinheng immediately instructed the emergency nurse to turn around.
The ER nurse transferred the call from the nurses' station to a phone in the ER doctor's office.
A group of doctors went into the doctor's office and closed the door to listen so they could hear more clearly.
Doctor Yang picked up the phone: "What's wrong with the patient?"
Doctor Jin snatched the receiver from his hand, put it back, and pressed the hands-free button. She was also nervous, she wanted to hear how her student was doing.
"Tension pneumothorax, Doctor Yang." Xie Wanying's reply came back from the other side.
The clinical predecessors gathered around the phone felt their hearts tense as if a bow was bowed: tension pneumothorax is not a simple problem!
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