Chapter 50: Is There a Problem?

Chapter 50: Is There a Problem?

Charlotte took the needle holder handed over by the doctor, used a scient needle to gently hook a piece of skin and muscle layer on the skin next to the puncture point, threaded the thread under the skin and muscle, and then wrapped the needle tail around the exposed chest.

Then cut a small hole with a few pieces of gauze, put the needle in it, cover the pinhole, and fix it with tape, and everything is done.

After the surgery, Charlotte took off her gloves and breathed a sigh of relief as she watched the session where it was easy to fall asleep after running out of oxygen.

Now, Rui Xiaoshuang is basically out of danger. As long as the observation continues for five to seven days, and only if the recovery is good, then the difference in the lungs is not large and no further surgery is required.

If you live for a few days and the session continues to be like this, then you have to do a chest opening to repair your lungs, which is a very troublesome thing. Charlotte secretly prayed that the meeting would resume smoothly.

Seeing Charlotte walk out of the ward, Zhao Tian looked at his watch. That's more than half an hour. He said to Charlotte, "Nanzi, you go back first." I'm watching here. Don't wait for Yi Linglin. In case that guy is really going to wait for you to get married, then it's trouble!"

Charlotte thought for a moment and smiled, "Okay, I'll go first." Look at it for a while, I'll send someone to take over!"

After explaining that Zhao Tian had something to do with him, Charlotte drove home. However, he knows Yi Linglin's character, a stubborn guy like him. Maybe he was still so stubborn that he refused to have a wedding, so that thousands of people were waiting for him.

When Charlotte got home, it was already a little past one. There were hundreds of tables and guests around the house, but none of the dishes were served.

It's so comfortable now. Charlotte was very reluctant to work in the emergency department. When she went there, she wasn't as comfortable as she is now.

Although there is no need to rotate the system with his ability, the rules are the rules, and no one can resist them. Seeing that Xia Luo was unwilling, Professor Huang was helpless, and said with a disappointed face: "Xia Luo, there is really no way. Every clinician in the hospital must take this step. You can go to the emergency department. I'll be back in a few months!"

Helpless, Charlotte had to accept this reality, honestly went to the medical office to get the shift notice, and then went to the emergency department with her work clothes and stethoscope.

I first found the office of the director of the emergency department. There was a knock on the door, and soon, a voice came in. Charlotte pushed open the door and saw a middle-aged female doctor inside. I'm writing with my heart.

Charlotte knew that this was Wu, Fu Yiyuan of the emergency department, and said with a smile: "Hello, Fu Yiyuan, I am Charlotte from the psychiatric department." I'm coming to you from today, please take care of me!"

Then Fu Yiyuan raised his head, stared at Charlotte and smiled: "You are the famous Charlotte, welcome, welcome to our department to guide and study!"

Although it was not unaffordable for him to buy these thousands of yuan, he just felt wronged. A small bowl of this thing is only 1,200 yuan, and it still hurts when I drink it. Don't ask others to drink. This next meal almost ate half a month's salary, alas...

However, before he could ease his mood a little, the waiter ran over sadly and looked at Master Xu with a smile. "I'm sorry, your card has been frozen and cannot be used. Do you have any other cards or cash?"

Charlotte herself is quite strange. People who are really as heavy as the previous session are really not so easy to clean up. Two steps at most would be fine, but now I don't think it's that hard to walk like a bird. What's going on?

But it seems that after returning from Hong Kong Island, my eyesight, reflexes, and strength seem to have greatly improved. Is it true that the old ghost said that the I Ching pulp cleansing and chrysanthemum spirit refining effect must have such a good effect?

However, Charlotte didn't think much about it at this time. What he was thinking about now was to let Pei Qingzhuo quickly absorb oxygen, and then hang up the drainage tube and water seal bottle to discharge the exhaust gas, which made him breathe a sigh of relief.

Entering the emergency department, the doctor saw Charlotte come in with a patient in his arms, and hurriedly led her to the emergency bed, the doctor knew Charlotte and knew that Charlotte was a doctor.

Seeing that his face was pale, Liu hurriedly asked what was going on. Charlotte told the story over and over again. The doctor hurriedly asked the nurse to get oxygen first, issued a hospitalization notice for Charlotte to go through the procedures, and then began to prepare to seal the water bottle on Pei Qingzhuo's body.

Charlotte finished the formalities and the doctor was waiting for Charlotte. Seeing Charlotte coming over, she hurriedly smiled and said, "Dr. Xia, it looks like you have to help me." Another of our doctors just came. I can't do it alone, so I might have to ask you for help. ”

"Okay, no problem, let's get started, shall we?" Charlotte smiled and nodded. Charlotte is quite understanding of the situation. After all, there are not many people in rural hospitals. It's understandable that this happens!

But it is really not much for this doctor to be so direct and dare to ask the doctors in the outer hospital to take out the help of the patient's family.

The doctor knew that Charlotte would say yes, because Charlotte had saved a patient by herself when she went home to rest earlier, and smiled and handed me a pair of overalls: "Okay, let's get started!"

The two walked into the ward, left Zhao Tian alone outside the door, and began to perform thoracostomy drainage on Rui Xiaoshuang. The doctor saw Charlotte skillfully put on sterile gloves and smiled: "Is Dr. Xia operating now?"

Charlotte smiled and shook her head. "No, I'm in the psychiatric department now!"

"Psychiatry, Dr. Xia, you're amazing. I can think of directly expelling the air in the chest cavity to save people. If I don't have this ability!"

But the two of them chatted back and forth, and the man was not slow. The first opening is cleaned of poison, the wound is sutured with needles and threads, and then the pleural cavity is formally closed and drained.

The doctor skillfully identified a puncture point in the second intercostal space, and then, with the cooperation of Charlotte, carefully pumped 5 ml of 0.4% lidocaine in preparation for local anesthesia.

First, the needle is carefully inserted into the underlying layer of the skin at the puncture site. The syringe is then pushed to inject a small amount of lidocaine, causing a small pouch to bulge under the cortex at the puncture site. Then hold the syringe and puncture approximately two millimeters in a straight line from the puncture point. Then push a little lidocaine for layered anesthesia.

After several repetitions, the local anesthesia is basically completed, and the next step is puncture and intubation. The doctor knew that Charlotte was a big hospital. He was afraid that some of his skills were not in place, so he made him laugh. Asked, "Doctor Xia, are you here or am I coming?"

Charlotte could see that the doctor was moving slowly, and she was worried when she looked at it. "Okay," she said. Then I'll come!"

Simply remove the brooch from the pouch. This thoracentesis needle is preceded by a large injection needle. The needle tail is attached to a long hose for drainage. Charlotte clamped the end of the drain with forceps to make it airtight, and then followed where the doctor had just injected the anesthetic. Gently poke it in.

Acupuncture is much more convenient than a weapon. With a slight push, it pierced more than ten millimeters, and there was a feeling of sudden breakthrough. Charlotte knew that the needle had penetrated the pleural space, so she gently penetrated the needle. To prevent the needle from falling off easily.

"What? Is it frozen?" Wan Lingsong exclaimed loudly, and then was stunned, how could your card be frozen? This gold card was applied for in the name of his father, and he was overdrawn by 200,000. How can you freeze?

Fortunately, soon, as the breathing rate of Pei Qingzhuo's chest increased, the air entered the lungs smoothly, and after the whole body was supplied with sufficient oxygen, the blue color on his face gradually disappeared after a minute or two, and Pei Qingzhuo also calmed down and did not have such irritability.

Seeing that Rui Xiaoshuang's condition had improved significantly, everyone immediately cheered: "Okay... Good... It's okay!"

Yi Linglin also breathed a sigh of relief. This session is his best friend. If something happens to him, he will never be at ease! Yi Linglin's mother-in-law is now pious and happy, and she keeps chanting: "Thank you for saving the Buddha's ......."

Charlotte was visibly relieved to see that the conversation had improved significantly. Just now, he really couldn't think about it. There were no tools, no oxygen, and in the end I felt as if there was a way to drain it directly from the pleural cavity or I could try it.

In this method, the exhaust gas is inserted directly from the junction of the second intercostal space and the midclavicular line with a large needle for injection, but there is an injection needle there. In order to save his life, he risked punching a hole in the chest wall directly with a sharp knife to the pleural cavity, expelling the high-pressure gas from the hole. Unexpectedly, this method really worked, saving Rui Xiaoshuang's precarious life.

But at this time he did not relax. For now, he has only temporarily solved the life-threatening suffocation problem. However, pneumothorax still needs to be guided by a chest drain and a water seal bottle for 3-7 days. Antibiotics must be used, and anti-infective therapy must be given. After all, the weapon he used just now hadn't been sterilized.

At the same time, if Rui Xiaoshuang's lung fissure is large, then he may need to undergo chest autopsy, exploration, and repair. All of these treatments must be done immediately.

Therefore, seeing Rui Xiaoshuang's temporary relief, Charlotte quickly reached out and took Rui Xiaoshuang out of the car and put her in her car. She told Yi Linglin and her father, "Dad, Beizi, you should bring them back as soon as possible." The wedding was still too late. Don't waste time. I sent Rui Xiaoshuang to the hospital, rest assured, he is fine!"

Hearing Charlotte's words, Yi Linglin shouted loudly, "Brother, if you're not there, why should I get married?"

"Fool, come back quickly, don't miss the time. I'll be back when I settle the meeting. Go, go, go......" Charlotte felt a burst of warmth in her heart when she heard Yi Linglin's words.

Charlotte's father saw that everything was settled, and got into the car just when he arrived at Yi Linglin: "Go, go, it's too late later, your mother has called several times, and your brother will be back in a while!"

At the urging of Charlotte's father, everyone got into the car and hurried home. Only Zhao Tian drove to the hospital in town, and Charlotte followed behind the car.

Charlotte looked at Pei Qingzhuo in the seat next to her, her face was no longer blue, but pale, leaning weakly on the seat, feeling a little relieved, and accelerated towards the hospital.

Finally, ten minutes later, in the roar of the engine, I saw the shadow of the big signboard of Qingyuan Hospital. Charlotte slammed on the brakes, sports cars creaked, and wheels smoked and stopped at the hospital gates.

Jump out of the car, open the door, pick up at least 130 or 40 pounds of Pei Qingzhuo, and run to the emergency department. Zhao Tian followed Charlotte, easily holding such a big person and running so cleanly, without feeling tired, secretly sad, and sighed. Even if he wanted to pick up someone to run, there was no need to run so easily. What's so good about this Nanzi, so powerful...

Seeing Xu's son rolling his eyes in a daze, the waiter quickly coughed lightly: "Sir, do you have any other cards?"

Wan Lingsong came back to his senses at this time, and hurriedly subconsciously rummaged through his wallet, and only remembered after a while that since he had this gold card, it was too cumbersome, so let's throw other cards at home.

I said helplessly, "I want this, pay cash!"

As he spoke, all the cash would be taken out of his wallet, and when he counted it, he found that it was only three thousand two hundred yuan, less than one thousand, so he was dumbfounded.

At this time, Yi Linglin sat in the wedding car to comfort her bride. She's too slow to solve problems here and feels that things are not good. She quickly ran back from the wedding car.

It's hard to squeeze into the crowd. I was also surprised when I saw Rui Xiaoshuang's blue face. She grabbed Charlotte and said in a panic, "Brother... What's wrong with Rui Xiaoshuang?

At this time, Charlotte's mind turned very fast. A seemingly life-saving method has been vaguely grasped, and an attempt is being made to analyze the feasibility of this method. When Yi Linglin was so noisy, his mind was confused again. He hurriedly shouted: "Stop arguing, I'm thinking of a way!"

Charlotte's father quickly pulled the troublemaker aside and whispered, "Don't bother your brother, wait for your brother to figure it out!"

After being taught such a lesson by her father, Yi Linglin stayed aside, looking at Charlotte anxiously, hoping that Charlotte could come up with a way to save people.

Wait half a minute. Seeing that the blue color on Pei Qingzhuo's face was getting worse and worse, his breathing became more and more rapid. People's hearts are getting higher and higher, and they haven't figured out a way yet. This link is really over.

While everyone was staring at Charlotte, Charlotte patted her head and stood up suddenly, startling everyone. I saw him shouting at the place standing outside, "Zhao Tian, quickly bring your weapon......

When they saw Xia Luo's smile on his face, they knew that he had thought of a way, and they were all relieved that he had been saved this time, especially Yi Linglin's mother-in-law. That gloomy look brightened, as long as it could be redeemed, she didn't have to worry about her daughter.

Zhao Tian listened to Charlotte's shout, quickly squeezed in, and handed Charlotte the weapon in his sleeve. Charlotte took the weapon. Tear Kingdom's panties off the collar to expose Kingdom's entire chest.

Then stretch out your left hand and grope for the sternum in the middle of the lower thorax to find the sternal stem, and move it along the rib space to the left chest according to the position of the sternal stem, and while holding the weapon in your right hand, use the handle of the weapon to draw the middle of the clavicle in the left lower chest and move it down in a straight line.

The location between the two lines was found. This should be the intersection of the second intercostal space with the midline of the left clavicle. That's right... Here it is.

Charlotte didn't dare to slack off. This session has been suffocated and deprived of oxygen. If you don't save people, it's too late, and Charlotte can't care about disinfection or anything, and the barbed weapon will be inserted into Pei Qingzhuo's chest.

Although they knew that Charlotte was saving people, it was also an accident that they were stabbed by Charlotte. After all, this is the boobs, not somewhere else. If it's not fixed, something will go wrong!

But this time, if something goes wrong, it's a big problem for the dead. After taking a deep breath, they were not worried. They only think that this knife can save people.

Charlotte stabbed the weapon cleanly, right at the junction of the left midclavicle and the second intercostal space. Sensing that the weapon was blocked, she gently sold it out, knowing that she had successfully pierced the pleural cavity, and hurriedly turned around and pulled out the weapon.

With the weapon drawn, there was a soft sound of "...... before", and a puff of gas rushed out from Charlotte's chest that had just been stabbed.

With the flushing out of this gas, the swelling sensation in Rui Xiaoshuang's left breast began to gradually and significantly decrease, and the breathing rate and chest fluctuations also increased significantly.

After Charlotte stabbed the knife, there was no other action. It seems that Charlotte is also waiting to see how effective this knife will be. People also stared at the meeting, secretly praying that they would be fine after being stabbed by Charlotte.

A lot of people around looked at the jokes here. When Murong Rourou took out the ticket, he counted and counted. Everyone knows that the baby is poor, the card is frozen, and the money is not enough. They all sighed: "You don't have money, why do you want to pretend to be rich? The best blood to swallow, we haven't ordered it yet, you kid is really... Ah~"

At this moment, Xu heard a few hissing voices coming from his side, his face was red and white, and he secretly cried in his heart: "It's not that I don't have money, I just don't bring other cards......"

I can't go up. Luckily, the abundant melt snow next to me is still a good boy. I quickly took out my credit card and said with a smile, "It's okay, use my card to swipe the rest!"

Seeing Pei Qingzhuo's severe breathing difficulties, as well as such an obvious lack of oxygen, Charlotte knew that she had to be rescued. If it is after a few minutes, the session may die from severe asphyxia and hypoxia due to the continued worsening of the pneumothorax.

However, in the last few minutes, we were able to get to the hospital in time. If we want to bring him over, we must alleviate his suffocation and lack of oxygen here. The only way to relieve asphyxia caused by a tension pneumothorax is to empty the pleural space, reduce the pressure in the pleural space, and promote reexpansion of the lungs. Otherwise, there is no hope.

However, there will be a period of rescue tools there, and a vent needle and a water seal bottle will be required to successfully complete the pleural cavity exhaust...

Charlotte patted her head, looking anxious. Today is a good day for Yi Linglin to get married, and she was hurt because she helped Yi Linglin marry her. Don't get into trouble!

At this time, Charlotte's father and other relatives and friends gathered around him. Seeing that Pei Qingzhuo was about to die, he became anxious one by one. Even Charlotte was like that. It seems that he can't help it. What can I do...

Everyone became anxious, and Charlotte's father anxiously asked with a glimmer of hope, "Nanzi, don't rush to the hospital!