The call was made by Simu. Tao Le just glanced at it and directly rejected it.

The disposable thoracentesis bag had already been taken out by her, and she would take it apart for later use.

Shi Youjie commanded Xie Baoshu, put the patient in a reclining position, and consciously started to work for Tao Le.

It's just that after Tao Le finished dissecting his chest and completed the local infiltration anesthesia with 1% procaine, he began to worry again.

There is no other reason, the part to be pierced is not elsewhere, but the heart!

Normally, ultrasound should be done in advance, the size and position of the liquid level segment should be clarified, and the largest part closest to the body surface should be selected as the puncture point.

For the sake of safety, ECG monitoring should also be done throughout the puncture process so that the position can be adjusted in time - at least many punctures he has done in the rescue before, all in this case.

But in the current environment, even the minimum sterile conditions cannot be guaranteed, so what image support can be expected?

Shi Youjie's gaze involuntarily fell on Tao Le's face, but he saw that her expression was calm and calm, and there was no melancholy at all.

She placed the middle finger of her left hand across the patient's chest, and gently percussed from the bottom up, from the outside to the inside, with no light or heavy movements, no hurry or slowness.

Seeing this scene, it is normal for Xie Baoshu to be a layman who doesn't understand it at all, but Shi Youjie is knowledgeable.

Only because of this that a lot of waves rose in his heart.

Just now he proposed that Tao Le do pericardiocentesis, because in an emergency, he subconsciously relied on and trusted Mr. Tao, who had taught acupuncture for many years.

In fact, as soon as the words came out, he regretted it a little.

Because although pericardiocentesis also uses needles, it has nothing to do with acupuncture and traditional Chinese medicine.

And Mr. Tao is just a rookie in Western medicine!

This kind of thought churned in his heart, and the sentence "Let me come" had already reached his lips and was about to be spoken.

At this moment, he saw Tao Le's percussion movements.

This action doesn't seem to be technical, it's unremarkable, and it can be done by one person.

But he could guess what she was doing.

In the absence of any instruments, experienced cardiac surgeons can find out the specific changes in the dullness of the heart by percussion, so as to determine the location of the pericardial effusion and determine the puncture site!

Although he had never seen this kind of thing before, he had heard of it!

Director Han of the Cardiac Surgery Department of the Third Hospital of Beijing has done it many times, and he is so experienced that he can probably feel it with his eyes closed.

But that is Han Guangyuan, the director of Han Guangyuan, who is also a well-known gold-lettered signboard in cardiac surgery in the Third Hospital of Beijing, and his attainments in cardiac surgery are the same as Tao Le.

He was still sighing here, and when he saw that Tao Le had finished percussion, he held the puncture needle in his right hand and stabbed it without hesitation.

The puncture needle falls between the left side of the xiphoid process and the costochondral arch, and the tip of the needle slowly enters the skin at an oblique angle of 45 degrees.

Suddenly, a sense of frustration was transmitted to Tao Le's hand through the needle, indicating that she had penetrated the pericardium on the septum and entered the pericardial cavity.

Tao Le stopped, fixed the needle, and began to suck.

Bright red bloody fluid slowly flowed out along the rubber drain.

Is this, a success? Shi Youjie's high heart was instantly put down.

Pericardiocentesis is difficult to succeed at one time, and there are many people who have tried it twice or three times clinically, not to mention that it is now outside the hospital, which is pure blind puncture.

So he was ready to assist Mr. Tao to try again.

But it turned out that he was thinking too much.

Sure enough, it is worthy of Mr. Tao, not only the level of traditional Chinese medicine is so high, but even the clinical practice of Western medicine is so excellent!

He thought to himself, but his eyes were still closely watching the progress of the drainage.

The technique and speed of suction are very important, if it is too rapid and too fast, it will cause mediastinal swing, acute cardiac dilation, acute pulmonary edema and other related symptoms.

Tao Le did just right, peaceful and stable, much like her personality.

AFTER INHALING ABOUT 50 ML OF LIQUID, HE STOPPED.

Shi Youjie noticed it for the first time and immediately clamped the rubber tube.

This was his primary duty as an assistant, preventing air from entering the pericardial cavity and causing the heart to return blood and pump blood to the impaired effect, which in turn led to death after circulatory failure.

Seeing Shi Youjie's movements, Tao Le bowed his head slightly to show affirmation, which made his heart instantly sweet.

Hey, it seems to have returned to the time when he was told by the meticulous Teacher Tao, and there was no disobedience at all.

Tao Le just conducted a special training on puncture. This is the reward she received after performing thoracentesis for the Tibetan who rescued the deer.

After a long period of practice in the dark, and after seeing countless puncture patients with serious problems, the patient in front of her, who was completely special, would not let her have any fluctuations at all.

Pull out the puncture needle, fix the wound with gauze and tape, and the hint of the gold finger appears.

[Completed a case of pericardiocentesis, which took 1 minute and 30 seconds, and improved the health value by 25 points, evaluation: excellent.] 】

Probably because the puncture practice had been cleared, this time she completed the pericardiocentesis independently, and she did not get any reward.

The interface is darkened, and another prompt box is replaced:

[Whether to repair the left ventricular contusion.] Number of heals required: 2 times, increasing health by 10 points each time. Yes/No. 】

[Yes.] 】

[Repair of the left ventricular contusion begins.] Countdown 2 minutes, 119 seconds, 118 seconds. 】

[After the treatment is completed, the patient's health value will be increased by 10 points.] 】

Tao Le saw that the already small wound on the left ventricle became almost invisible, so he breathed a sigh of relief and pulled out a needle to stop bleeding.

"Blood pressure is back, 95/60!" Xie Baoshu remeasured his blood pressure and said excitedly.

Tao Le nodded. The patient's health value has also increased to 42 points, and his life is guaranteed.

If there is no major problem, the injured person will be able to support himself in the hospital and wait for further treatment.

Now the cardiac surgery department of Sa Central Hospital has a number of famous doctors in Beijing, and it is not very difficult to treat him.

She thought for a while, looked at Shi and Xie who were standing beside her, and said, "I will take care of this patient, and you will first help the other lightly injured people to debride and bandage." ”

"Okay." When the two turned around, they saw that except for the other two injured people in front of them and a few enthusiastic passers-by, the others were climbing up the sloping mountain wall, and it seemed that they would soon be able to return to the winding mountain road.

Seeing this scene, the three of them not only did not think much about it, but were also a little relieved.

"It's not a big deal if you can crawl." Shi Youjie sighed with emotion: "I'm really afraid that there will be another one of them who has been injured internally." ”

Xie Baoshu echoed: "Indeed, there is no testing equipment now, I'm afraid that the surface is fine, but in fact, the spleen is still ruptured elsewhere." ”

"Don't worry, they don't have those problems." Tao Le said: "This is also a blessing in misfortune. ”