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Can rely on a face to have a meal obviously, and I choose to work hard however, this is I am mixed obviously distinguish!
Everybody has such awkwardness, come obviously be in hospital, many bosom water reachs in having obviously, why to smoke? Have a problem obviously, be still our doctor has a problem?
Of course, have a problem for certain obviously! To this problem, our doctor has a problem possibly also! I talk about this problem today!
The first Zhang Mingming's problem: Cobweb bosom water
Cobweb bosom water, also call beehive shape bosom water, the vocabulary that I invent, professional circumstance is used please " water of bosom of wrap up sex " ! Or examine medical record you this wool salary that has pity on that month a little bit is buckled so that connect Mao Dou!
Cobweb bosom water (thorax of wrap up sex accumulates fluid) , of what spirit appearance be below thorax lens?
Water of a packet of big bosom, is looking at very good smoke?
Come, the child of the exercitation, the teacher takes you to take pectoral water, if successful 10 minutes produce calm stop work for the day!
Stitch goes down, do not have water! Go to again inside into the needle, do not have water! Sweat drips...
Swollen do? Remove a pin almost! Or, receive an injection all the time, the patient is likely very interrogative ask a doctor: Doctor, you are in my hind the back takes pectoral water, how pinpoint does in me prothorax appear came? Where is incorrect! I am very bemused now!
Why to meet dark reddish purple? Have pectoral water obviously! Have pectoral water really obviously, just. . . . . .
And see thorax looking glass:
Inside thorax so much space, can you make sure inside which little space your needle is? Unless you have Sun Wu's empty piercing eye!
This is planted below pectoral water, look at quite much also, but, also be the presence that opposes gravity: Look like water to flow toward altitude!
Below thorax lens, be " cobweb + beehive shape " the allergy like exists.
You say, happily does this kind of circumstance take pectoral water?
The thorax that sees you accumulates the thorax of fluid and other people to accumulate fluid, your drainage is in charge of and the drainage of others is in charge of!
Swollen do?
Above all, had better exceed in the B other the bed guide next water that smoke a bosom, measure the depth of pectoral water. If the skin is thick 2cm, pectoral water 6cm, so the deepness that receive an injection is general 3cm-5cm, cannot exceed 7cm commonly. Avoid to receive an injection blindly, cause pneumothorax! When pectoral water is little, do not suggest to exceed room fixed position in B, after the patient answers ward, the posture is fluctuant, the skin is mobile, fixed position dot is probable the fixed position dot that was before no longer!
Next, much place puncture draws liquid. A patient is encountered before, also be moderate amount accumulates fluid to a large number of thorax, take pectoral water for the first time, anaesthetic needle is entered full, water of a bosom does not flow. I and doctor of attend in a advanced studies, intern takes pectoral water later again. The B other the bed exceeds show moderate amount thorax to accumulate fluid, pectoral water deepness makes an appointment with 5cm.
Doctor of attend in a advanced studies receives an injection according to the dot of my deciding, also be water of a bosom does not flow. I faint, look wrap up is too serious. Later I personally go into battle, changed a position, anaesthetic needle is entered full, pectoral water flows eventually. Occasionally the likelihood just takes a honeycomb-like thing inside, change spot of a puncture, the likelihood receives another a bit bigger pitch, pectoral water is likely clang clang flow.
Finally, without the bed by supersonic how to do? Send a patient to go B exceeds room, see B exceed personally, water of clearance of which a few costal region is most, with respect to the much place puncture that can be at ease, can take pectoral water commonly. Do not smoke really, pump water of not ambitious travel, intercurrent haemothorax, pneumothorax is waited a moment occasionally very troublesome.
Big move: Below thorax lens, with vivid check clamp, disjunctive clipping, put thick valve. Of course, possible: Cut ceaseless, manage is random still.
Accumulate fluid to wrap up sex, thorax accumulates fluid ropy or space is formed, b exceeds the performance below, pursue as follows:
The problem of experience of the 2nd chapter: The pectoral water that disappear
Breathing internal medicine: The water of sternum clew bosom that when takes!
Breathing internal medicine: Illuminate sternum afresh, still pectoral water says again.
Once I take pectoral water to the patient of an other division, travel is left thorax shuts type drainage. After 2 days, drainage pipe falls off carelessly. A teacher of this division goes taking the pectoral water on the right side of (the sternum before hints moderate amount thorax accumulates fluid) , water of a bosom was not smoked, sweat drips ask me: "Doctor Sun, how didn't I take pectoral water, I begin to suspect life! Too strange. Too strange..
I say: "Not strange, check sternum, the likelihood accumulates fluid without thorax, take pectoral water ability is strange! Take pectoral water ability is strange!!
Check later sternum, thimbleful thorax accumulates fluid!
Why? Everybody is different! The thorax of some patients accumulates fluid, especially the thorax that heart failure causes accumulates fluid, likely a few days are absorbed, do not take care, " dry smoke " . The pectoral water with reversible pathogeny, want discretion, want the material of day of referenced the closest 1-2.
Someone says: Examine system! NO, have the pectoral water of some of patient, although be moderate amount, but breathing sound is clear, it is not certain to examine system reliable, although examine system very important also.
The graphic representation below, can help everybody deepen impression!
Additional, the pathogeny of pectoral water occasionally very difficult accurate judgement, feel heart failure does not cause the likelihood at first, but after experience sex is treated, pectoral water decreases very quickly likely, at that time rushed according to before video learn a data to take pectoral water, likely " dry smoke " .
The pectoral water with all sorts of reversible pathogenies, want discretion, not rushed according to before video learn a data to take pectoral water.
Vigilance of the 3rd chapter disappears " water of cancerous sex bosom "
Below this patient, vertical midriff lymph node enlargement, shirt-sleeve, pericardium accumulates fluid, thorax accumulates fluid, looking is terminal lung cancer. Later, fine raises lens to also examine cancer cell really.
This bosom water, bad to smoke, but smoke not hard also. Water of cancerous sex bosom, do not refuse cancerous treatment, not drainage, won't absorb by oneself commonly. I take a classmate to take pectoral water, for safe for the purpose of, I still exceed with B beforehand probed pectoral water, my instant is muddled: Have the pectoral water of thimbleful only unexpectedly.
Does the B that is me exceed a technology to there is a problem? Without reason, pectoral water B exceeds So Easy!
Be pectoral water little? Also without reason, how is water of cancerous sex bosom met does for no reason at all disappear?
Bump into ghost?
Check CT, "Water of cancerous sex bosom " as expected for no reason at all decreased.
Lung cancer is amalgamative water of odd side bosom, terminal even lung cancer is amalgamative water of odd side bosom, not be water of cancerous sex bosom certainly!
The pectoral water of this patient, should be pericardium accumulates fluid to bring about vein circumfluence suffocate suffocate, systematic circulation gore causes. After diuresis is treated, pectoral water decreases.
It is water of bosom of doubtful cancer sex, also want discretion, before video learn to check, want to be treated cautiously! Do not take care, dry smoked.
The backer of water of chest of the 4th medal
Have backer, not to be trifled with, bladebone overspreads the pectoral water of the move, it is very normal to be not smoked!
Summary:
Why to take pectoral water?
Because pectoral moisture was lain between!
Because pectoral water disappeared!
Attention: The pectoral water before is not spoony person certainly!
Wherever You Go
No matter you go He Fang
Whatever You Do
No matter you are being done why thing
I Will Be Right Here Waiting Here Waiting For You
I will wait for you here
Actual be: You still are in crazy crazy await, pectoral water runnings early road, closed down like factory of Changjiang Delta leather!
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