Hearing Meng Xi's words, Ge Huai was stunned!

He thought Meng Xi was joking!

Unexpectedly... she was serious.

Pericardium puncture?

This is not a thoracic puncture.

It's only been a few days ago, and I've had a pericardial puncture before I had a hand. This is obviously a bit too...

However, Ge Huai suddenly thought about it and said that this was just a question from Meng Xi.

Chen Cang may not necessarily do this!

Even if he could, he guessed that Chen Cang would not dare, after all...

"I can."

Chen Cang's plain words directly interrupted Ge Huai's conjecture.

Ge Huai was so scared that the chicken shivered.

I, Cao?

You can do it again!

If Ge Huai had this expression.

Then, Wu Peng, who was standing beside him, looked confused.

After looking at Chen Cang's clothes, it was obviously a white coat worn by the regular peasant. Isn't this a joke?

Thinking of this, Wu Peng said awkwardly: "Director Meng, this is not a joke. Emergency surgery is not a joke. I am the first to disagree if you ask this classmate to do it."

It’s not that Wu Peng looked down on Chen Cang, but in the final analysis, he still has to be responsible for the patients.

So, no matter what you say, no matter what your position and practice are, it is correct!

But Meng Xi was slightly silent for a moment, looked at the picture on the B-ultrasound machine, and looked at Wu Peng and said, "Well, I know what Dr. Wu thinks, but... the patient should have acute bacterial pericarditis, and it doesn't make sense to stay in the emergency room. Please go out of your heart."

After hearing this, Wu Peng was stunned for a moment, as if... nothing was wrong.

This patient no longer belongs to him.

"Okay, then I'll work hard and trouble Director Meng, and Dr. Ge, please worry more!"

Meng Xi turned around and looked at Ge Huai: "Doctor Ge, you and Dr. Wu go through the procedures, as soon as possible, Chen Cang and I will go up and pierce as soon as possible!"

Ge Huai was even more stunned. Shouldn’t students do the procedures?

Shouldn’t the doctor do the puncture?

Why are you...still?

But there is no way. Director Meng is his direct boss, just be obedient.

Ge Huai and Wu Peng quickly started to do the transfer of the department.

The transfer of emergency patients to departments is very convenient and fast, and they don’t want to be as troublesome as other departments.

There is not much difference in the treatment process. The only difference is that the patient and the B-ultrasound doctor have changed their place, and Chen Cang officially has a pericardial puncture.

Ge Huai ran around and rushed around, but finally finished his work, and hurried to the ward to see Chen Cang puncture.

As soon as I came in, I heard Chen Cang say, "It just so happens that Teacher Ge, I'll help me draw liquid later. Please trouble you."

When Ge Huai heard this, his face changed...

I, he... Who is the student and who is the teacher?

But if I don’t help myself, would you let Director Meng go to extract the liquid?

Thinking of this, Ge Huai couldn't help but sigh.

Forget it, forget it!

Bear with it!

Adults don’t remember villains’ mistakes.

This time, due to the echocardiogram positioning at any time and electrocardiogram monitoring, the safety factor has been greatly improved.

In the training space, Chen Cang has practiced many times in this situation, basically just by hand.

However, in order to avoid the hypotensive reaction of vagus, Chen Cang looked at Ge Huai and said, "Atropin."

Ge Huai blinked.

Chen Cang: "Atropin."

Ge Huai was about to ask why, but suddenly his face changed and he immediately reacted.

This Chen Cang...is not bad, a bit good!

Chen Cang began to routinely lay hole towels...disinfect...ansthesia...

Chen Cang held the puncture needle in his hand, and at the tip of the needle at the point where the xiphoid process of the sternum intersects the left rib margin, he pressed it slowly against the back of the sternum.

The needle was slowly advancing, and Chen Cang felt it coming!

It's in place!

The whole process was very fast, after all, I don’t know how many times I had worn it, so a set of movements was smooth and even the Super B doctor next to me was stunned.

Afterwards, he said, "Teacher Ge, it's OK."

Ge Huai seemed to have not reacted yet. After all, it only took a few seconds to say the previous sentence? That's all right?

Young man, can you not be so sloppy and not be more serious about medical work?

"So fast?"

Chen Cang nodded: "Go ahead."

Ge Huai twitched and suddenly felt the liquid appear.

I have to say that compared to the 120 driver Lao Liu, Dr. Ge is much more professional, and the whole process is slow and orderly.

Not long after, the liquid extraction was completed.

Then some antibiotics were injected into the pericardial cavity.

Not long after, the patient's symptoms basically stabilized.

However, this does not mean that the operation is over.

Now it only relieves the patient's symptoms and stabilizes his vital signs. The next work is important.

Clarify the nature of pericardial effusion and complete the operation as soon as possible.

After all, the pathological changes of acute pericarditis are manifested in the early stage as inflammatory reactions in the visceral and wall layers of the pericardial, and a viscous liquid composed of fibrin deposition and multinucleated leukocyte aggregation is called fibrinic or dry pericarditis.

The inflammatory reaction often affects the lower surface myocardium, and a few severe cases can affect the deep myocardium, which is called myocardium pericarditis.

After healing, fine plaques may remain or adhesions of varying degrees. For example, inflammation affects the outer surface of the pericardial wall layer, which can produce adhesions between the heart and the pleura, mediastinum and diaphragm of the adjacent tissues.

Therefore, the treatment of this acute pericarditis should be carried out quickly.

Once bacterial pericarditis is diagnosed, surgery is usually performed as soon as possible.

Blood culture and analysis of the properties of effusion are now needed.

I can only wait until tomorrow.

Meng Xi said: "Well, I'm good at smoking! Do it often?"

Chen Cang nodded and smiled: "Well, I often do it in the emergency department."

Meng Xi suddenly said thoughtfully: "Then will you do pericardial incision?"

[Ding! Complete the test of mentor Meng Xi, the second ring, gain favorability +5, trigger the third ring task, and perform a pericardial surgery.]

Chen Cang was a little hesitant. After all, he could do it like the pericardium puncture, and it was a master, so he said it was OK.

But the pericardium is cut... Chen Cang is so unsure of this.

He is not sure.

Do you want to say whether you can do it?

Probably do it too.

With the help of the system and explanation from Director Tao Mi, Chen Cang already has the theoretical knowledge of pericardial incision.

But lack of practice.

Moreover, in the last mission, completing five pericardial surgeries, you can directly improve your skills to the advanced level.

So, Chen Cang gritted his teeth and told the truth: "Teacher Meng, I want to try it, but... I can't guarantee that the operation will go smoothly. After all, I haven't tried it, but I've seen it many times."

Meng Xi was slightly stunned and nodded and smiled: "Okay, you will be the chief of the sword tomorrow."

After saying that, Meng Xi skillfully took off her white clothes and said while sorting out: "I'll watch you do it."
To be continued...