Chapter 225 Xiao Lu's opinion must be taken seriously!(2/2)
Obviously, there may be a problem with the arteries in the second, third and fourth intercostal spaces.
However, it is extremely difficult to detect the weakening of the arterial pulsation here, because there is a heart on the left side, and the heart pulsation will cover up the pulsation of the intercostal arteries. Moreover, even if the bleeding point here causes blood to accumulate in the lungs, it will still be caused by the heart.
pulsating and covered up.
Moreover, this blood accumulation may not penetrate the parietal pleura and visceral pleura!
At this moment, Lu Cheng's eyes rolled, and he turned to Tan Yuanwu and whispered: "Director Qin, how about we perform a chest puncture on the patient?"
If intercostal artery bleeding leads to blood accumulation between the parietal pleura and visceral pleura, this will cause relative atelectasis of the left lung. If the left lung is atelectasis, the blood volume of the left heart circulation will be relatively reduced, which will also cause the patient to have low blood pressure.
A possibility for blood pressure!
Moreover, while in the ICU, this external pressure may not be too heavy, but as time goes by, it will become greater and greater, making the amount of blood that can be pumped smaller and smaller!
And when you are in the ward, because the amount of bleeding is small, you may not be able to detect a small amount of blood inside.
It seems like everything can be explained.
Qin Yuanwu was a little stunned after hearing this. Instinctively, he believed Lu Cheng, and Lu Cheng's suggestion was only to perform a puncture, not a thoracotomy. Even if it was a puncture, it would only be a pneumothorax at most.
Qin Yuanwu then looked at the patient's vital signs and said, "Then let's do a puncture."
"Xiao Lu, what you just said was to pierce from the chest, right? From which other position do you think it can be pierced?" This is already a sign of Qin Yuanwu's greater trust in Lu Cheng.
Just kidding, there is something wrong with Lu Cheng, who can even remove the thrombus of the dorsalis pedis artery from the femoral artery. Of course he will choose to listen to Lu Cheng's opinion again!
He needs to pay attention.
Lu Cheng rolled his eyes slightly and said, "Then dress more slowly."
Chapter completed!