第一百三十七章 腰椎穿刺
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“蛋白细胞分离?”瞿主任皱着眉头回忆了一下自己看到的那份资料,上边似乎有这个说法,自己记得并不是特别的清楚,但是似乎上边说的也并不是什么很确定的,当下不禁地看着徐泽道:“徐泽,你确定吗?”
“我记得格林巴利综合症和这种神经源性肌无力的治疗几乎是完全不同的……这个一定要慎重!”瞿主任看着徐泽,认真地道。
徐泽微笑着点了点头,他可是完全可以肯定自己刚才说的没错,因为未来医学科技上已经证明了这个。
“那好……我们现在就去做个腰穿吧……不要耽搁时间了,必须尽快确诊这个病!”瞿主任毅然地站起来道。
见得瞿主任如此心急,徐泽却是不禁愣道:“我们不用等钱医生吗?”
“现在不等了……他现在应该准备吃午饭去了,他中午才会来接班,咱们赶紧先做了,尽快地作出诊断再说……”瞿主任断然地道。
见得瞿主任肯定,徐泽便也不再迟疑,点了点头,然后道:“那我去准备用具!”
徐泽虽然对急诊科还不算太熟悉,但是在小护士胡霞的帮助下,很快地便准备好了腰穿的所有用具。
瞿主任亲自去叫了病人家属过来,讲述了这个新发现的情况,还有做这个腰穿检查的必要性。
家属听得瞿主任的言语,想起今儿首先是那小徐医生来检查了,然后问了那些情况,而后这瞿主任才又来重新问了一遍,才考虑这个问题,却是不禁地对徐泽暗生感激了起来,如果不是小徐医生来发现了问题,极负责任地告诉了瞿主任,只怕是还找不到这个可能的原因。
当下赶紧在腰穿同意书上签了字,请瞿主任一定要多多费心。等的徐泽端了腰穿的用具进来,那家属看得徐泽,是十分的热情,让徐泽倒是有些不习惯了起来。
见得徐泽已经做好了准备,瞿主任带着徐泽,两人端着东西,便直奔病房而去。
这时病人也已经从家属口中知道了情况,和要做这么一个检查,当下看着徐泽的眼光却是和首先大为不同了起来,眼中满是感激之色。
瞿主任推了推眼镜,看着徐泽熟练地将病人以侧卧抱膝的姿势摆好体位,当下又是一阵好奇,暗道:“难道徐泽竟然还会做腰椎穿刺?这不可能吧?在诊所可是不可能做这个腰穿术的!”
不过出于对徐泽今天给他的惊讶还有一种莫名的信心,待得徐泽替自己做好准备之后,却是看着徐泽试探道:“徐泽你会做吗?”
听得瞿主任的问话,徐泽稍稍一愣之后,却是老实答道:“会……”
“会?”瞿主任的眼中闪过了一丝异光,也闪过了一丝惊喜,当下便笑道:“好……那就你来做吧!”
“哦……好!”听得让自己动手,徐泽对于能够亲手实际操作一次腰椎穿刺术还是挺兴奋的,毕竟以前只在虚空空间中进行过模拟操作,虽然这些模拟操作都和真实的操作相差无几,但是真正动手的时候,还是让徐泽极为的兴奋。
腰椎穿刺术也是一个难度不低的小型手术,许多医生第一二次做的时候,都很少成功,不过徐泽对自己还是挺有信心的。
当下,为了一次穿刺成功,徐泽再次调整了一下病人的体位,使病人的背部与床面垂直,头向前胸部屈曲,两手抱膝紧贴腹部,使躯干呈弓形,使病人的脊柱尽量后突,以增加椎间隙宽度,便于进针。
然后开始选定穿刺的位置,他伸出双手,以骨盆的髂后上棘连线与脊柱的后正中线交会处确定为穿刺点,这里是第34腰椎棘突间隙的位置,也是最好穿刺的一个位置。
然后拿出络合碘棉签,对穿刺点进行常规消毒皮肤,接着戴无菌手套、打开无菌腰穿包,替病人铺上消毒洞巾……
瞿主任满意地看着徐泽的动作,这些程序徐泽做得极为熟练,完全符合无菌操作的程序,一步都没有做错,就如同一个老手一般。
这让瞿主任不禁地市暗自惊叹不已,今天徐泽实在是给他太多惊喜了,真不知道他到底是从那里学来的这些?一个大三的学生,怎么能会这些?
这时见得徐泽已经铺好了消毒洞巾,拿起了注射器,瞿主任便强抑住惊讶,从盘子里取出了一只2%利多卡因打开之后凑到徐泽面前,等着徐泽抽药,尽到一个做助手的职责。
而这时一直在办公室的张琦这时也好奇地跟了过来,这时见得瞿主任竟然在替徐泽做助手,当下不禁地是大吃了一惊,瞿主任给人做助手,而且这个人还是一个刚来的新手,这要是说出去,谁能相信?
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