Chapter 480 Pneumothorax

  Guo Xiang walked to the end of the carriage, where there was really a crowd of people on the inside and outside.

What happened to   ?

  Guo Xiang walked over and shouted as he walked, "Let's give way, let's give way, I am a doctor."

  When the people in front heard that a doctor came again, they all let go, and Guo Xiang took the opportunity to look over.

  I saw the ceramic shards that fell to the ground in front. There was a person lying on the ground. There was a piece of porcelain inserted in the belly of the person. A woman was pressing a handkerchief against the wounded person’s neck. It should be that the neck was also injured.

   "What's the matter?" Guo Xiang asked the person next to him.

"That young man, brought up a box of chinaware. It was not fast to the next stop, so he took the luggage. Who knew that an entire box was accidentally smashed down, hitting him, the porcelain was broken, and people were stunned. "

   "He fell to the ground just now. We turned him over and found that there was a piece of porcelain stuck in him. We didn't dare to move. The girl said she was a doctor and came over."

  Guo Xiang took a closer look. Isn’t this the Chen Yu who met at the gambling ground? Surprisingly, she is also a doctor?

  Looking at the people on the ground again, the chest rises and falls very weakly, and his breathing seems to be uneasy. Chen Yu seems not to understand what's going on, and is talking to himself.

  Guo Xiang listened carefully, she seemed to be speaking in English, and she seemed to be excluding any possibility.

  She walked over, squatted down, and said, "It's TensionPneumothorax (expanded pneumothorax)."

  Chen Yu raised her head in surprise, and was surprised to see Guo Xiang, "Is it you?"

"How did you know?"

  Guo Xiang pointed to the man’s arm, probably because he came up from southern Yunnan, and he wore less clothes. The man’s sleeves were rolled up to his upper arm.

  There is some blue-purple on the left arm. Guo Xiang opened the fluoroscopy, and the vein in the left arm was ruptured. Although there was breathing in the chest, the movement of the chest was abnormal, and the left lung should be abnormal.

  Perspective, left lung traumatic pneumothorax.

   should be caused by the box falling down.

Guo Xiang pulled the wounded’s clothes apart and pointed to the left arm to the left chest. “The veins are dilated, which is caused by the increase in intrathoracic pressure in the chest. It should be the case that the box was smashed and the lungs were torn, causing air to enter the lungs. The surrounding pleural cavity instead of the lungs, causing pneumothorax."

   "Then what should I do now?" Chen Yu asked, there is no way to operate here.

  "Wait for me!" Guo Xiang stood up, "By the way, give him artificial respiration first, otherwise he will be out of breath immediately."

  Take two steps, Guo Xiang turned his head back, “Never do cardiopulmonary resuscitation and do not press the chest cavity.”

   "I know!" Chen Yu nodded.

  Guo Xiang quickly ran back to his position, picked up the bag he carried and ran.

   "Daughter-in-law, what's the matter?" Gu Zhennan asked from behind.

   "It's okay, I'll save people!" Guo Xiang replied, already running to the rear of the carriage.

  Take out a simple surgical kit from her bag. She usually takes it with her when she goes out, and she also brings some medicine.

  There is a small bottle of alcohol, but it is not enough now.

   "Do you have any high-quality liquor?" Guo Xiang looked at the crowd.

  Everyone shook their heads.

  "Help me, if you want a high-quality liquor, I can buy it for saving people." Guo Xiang said, it is used as alcohol disinfection.

  "Can I have a 53-degree Erguotou?" someone asked.

   "Yes, take it right now!" Guo Xiang said as he took out his simple surgical kit.

  Chen Yu was surprised to see that she was still carrying these things with her. She must be a surgeon.

  Guo Xiang first took cotton wool and gauze to Chen Yu and asked her to wrap the wounded person’s neck without having to keep pressing.

   Then took out the scalpel and soaked it in alcohol.

  "Who has the hose? It's better to be new." Guo Xiang asked again.

   "I have it, the workshop I just purchased." Someone said.

  "Isn't it wet with oil?" Guo Xiang asked.

   "No, it's new." The man replied.

   "Okay, cut me a foot or so!" Guo Xiang said as he opened Erguotou and pour it over the victim's chest, focusing on the ribs. Later, he will make an incision between the ribs.

  Half a bottle was poured, and I poured some on the hose and cleaned it, then put the hose into the bottle and threw it to Chen Yu, "I have medical tape in my bag, seal the bottle!"

   "Okay!" Chen Yu nodded and immediately took over.

  Guo Xiang poured out the vial of alcohol and washed his hands. He took a scalpel and cut the left intercostal space of the wounded.

  The knife cut the blood and poured out immediately.

   "Ah—" someone exclaimed.

  Some people turned their heads and didn’t dare to look at them. It was too scary.

   "Pipe!" Guo Xiang stretched out his hand.

  Chen Yu immediately put the sealed bottle and tube into Guo Xiang's hand.

  Guo Xiang stuffed one end of the tube into the part where the intercostal space was just cut.

  I saw bubbles popping up from the bottle.

"what 's wrong?"

  "Why did the wine in the bottle bubble up?" someone exclaimed.

   "It's weird!"

  At this time, the injured "hehe", his chest visibly ups and downs, and he breathed.

   "Live, live!"

   "What a genius doctor!"

  Guo Xiang took cotton wool and tape to bandage the wound in the intercostal space.

  There were still bubbles in the bottle, "What the **** is going on?" someone asked.

   "The wounded is a pneumothorax, this is the air in the lungs coming out!" Chen Yu explained, looking at Guo Xiang with admiration, it's really forgiving that she could think of this way.

   "What is a pneumothorax?"

  Chen Yu can’t explain, people who don’t study medicine can’t understand it.

   "Then why put it in the wine? Just let the gas out?" the person with the tube just asked.

"This is a self-made one-way valve!" Guo Xiang said, "The qi in the lungs comes out, but it may also be poured back. Use a tube to draw the qi from the lungs and enter the wine. Of course, if it is water, it will do. ."

  "The mouth of the bottle is sealed, and the outside air will no longer enter the bottle, and the air in the wine cannot return to the tube, so it will not cause pneumothorax again."

  Chen Yu nodded, admiring Guo Xiang very much. Others may not understand, but she is a doctor who understands this principle.

   "Has anyone notified the conductor?" Guo Xiang asked.

  "It has been notified. He said he will arrive at the station immediately and call the doctor as soon as he arrives, but you have already saved it, so don't you need it?" someone said.

   "It's still necessary." Guo Xiang pointed to the victim's abdomen, "There are still injuries here, and this tile cannot be pulled out. In case the abdominal aorta is injured inside, we can't stop the blood here."

  Chen Yu also nodded, so she didn't act rashly just now, but just pressed the injured vein on her neck.

  After a while, the train arrived at the station, and the conductor immediately rushed down and called the doctor to lift the injured down first. The ambulance was not so fast yet, so he could only wait at the station.

  Guo Xiang and the others will continue to drive back to Beijing, so naturally they won’t bother.

   "I didn't expect to see you again, let alone you are such a skilled doctor." Chen Yu looked at Guo Xiang.

   "So are you!" Guo Xiang smiled, "studying abroad?"

  "How do you know?" Chen Yu was surprised.

   "I heard you talking to yourself just now, all you speak is English, should you be used to it?" Guo Xiang smiled.

  Chen Yu's face was reddish, "Yes, I'm used to talking with foreign teachers."

  (End of this chapter)