第31节(第3页)
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谷红青从刚才起就注意到了她们的互动,不解地皱了皱眉,这是咋了?钱家跟梁家什么时候跟苏雪桢这么要好了?
虽说不影响书里的剧情,但总感觉怪怪的。
有了帽子遮阳,骑车舒服很多,苏雪桢一路骑到医院打卡上班。
杜书新跟柴春雨暂时还没有单独的办公室,两个人共用一间,就在她隔壁,路过时苏雪桢看了眼,两个人已经到了,她走过去敲了敲门:“等下辅助我做胸腔穿刺。”
“好!”
两人齐齐抬起了头回。
穿刺前,为了避免刺入膀胱,苏雪桢让孩子先去了趟厕所排空尿液,正式开始前她先跟患者家属刘柔详细讲了遍步骤,穿刺需家长在场。
穿刺不用去手术室,病房也可以完成,孙富洋上完厕所回来坐下,看着屋里多了好几个人,都穿着白大褂,刚12岁的他明显坐不住了,紧张地抓住了妈妈的手:“妈妈,我不想做了。”
刘柔急忙照顾他情绪:“别怕别怕,做了咱们才能好啊。”
苏雪桢摸了摸他的头,声音轻柔:“阿姨做过很多次胸腔穿刺,很有经验的,相信我。”
“等下一开始会有微微的刺痛感,但很快就不疼了,乖乖地坐在椅子上就好,过程中如果实在太疼就告诉阿姨好吗?”
发烧烧了两周还没好,肚子也开始疼起来了,孙富洋已经受够了每天吃药的日子,厂区医院治不了才转到这大医院来的,他心里也明白,恐怕只有这里能治,在苏雪桢的安抚下逐渐安静下来。
柴春雨先给他做了术前的血压、脉搏和腹围检查。
随后孙富洋在杜书新的帮助下,慢慢改变姿势,反坐在椅子上,胸靠椅背,苏雪桢冷静选择了术前胸部叩诊浊音处作为穿刺点,而后解开穿刺包,戴上了无菌手套,抬眸问她俩:“这一步要做什么?”
杜书新率先回:“看穿刺针是否通畅。”
苏雪桢点了下头,检查完铺上消毒孔巾,用2%利多卡因在穿刺点沿肋骨上缘进行局部麻醉,左手固定住穿刺处皮肤,右手将穿刺针缓慢刺入,穿过壁层胸膜时,明显感觉到针尖抵抗感消失,表明已经进入到胸腔内,她先固定好穿刺针,观察了下孙富洋的状态,轻声叮嘱:“宝贝坚持下,注意不要咳嗽或者深呼吸了。”
孙富洋心惊胆战点了下头。
苏雪桢随后接上注射器,放开钳子开始抽液,先抽了一管液体好送检,初次放液,不宜太快,她又调节了下放液速度,在腹水流出后计量。
第一次一般不能超过600ml。
时间一分一秒过去,眼看放液量即将达到550ml,苏雪桢及时停止了放液,慢慢把穿刺针。拔。出来,用胶布固定住患处,安排孙富洋躺下,“动作慢一点,之后暂时就先别乱动了。”
抽液结束,苏雪桢开始记录抽出的液体量,拿出抽出的标本递给杜书新,吩咐他:“送去检验科。”
为什么这种小活不安排护士来做?
杜书新在心里嘟囔了几句伸手去接,手指相碰的瞬间,苏雪桢随之也听到了他的心声:【好烦,为什么这女人为什么老是安排我做一些没用的活,我想上手术台啊。】
她凝眸盯着那不情不愿的身影看了几秒,收回了视线。
虽说不道德,但能听到这心声,苏雪桢还挺庆幸的,毕竟看清了她在实习医生心里的位置,合着她作为带教医生,在他嘴里就一个词——那女人。
上班还不到一周呢,就想进手术室,未免太痴人说梦。
这性子还得磨,不磨不行。
苏雪桢脱掉无菌手套,安静站了起来,转身站定后跟刘柔说道:“第一次抽胸水不能太多,下午看看情况,明天可能还需要做一次。”
“行,麻烦您了。”
刘柔眼含感激,赶紧回。
抽腹水也没什么嘛!孙富洋感觉一点都不疼,躺下后就笑了,大人问完了,还要问问小患者啊,苏雪桢看向孙富洋又问:“感觉怎么样?阿姨有没有骗你?”
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