Jiang Yurong is not on the night shift today, after all, she was already on duty on the night shift last time, so this time the main force of the night shift is Ruan Bin, Wei Haiyang, and Zhao Zinong, the attending doctor for further study, as well as a few interns.

As soon as the shift was handed over, the emergency phone rang.

"Several doctors, a 90-year-old male, had difficulty breathing, shortness of breath and chest tightness. He has a history of severe emphysema with multiple bullae! and high blood pressure, and needs to be treated urgently!" The front desk nurse said to Wei Haiyang and the others.

"Severe emphysema with a history of multiple bullae, and high blood pressure!" After hearing this, the three of them all looked at each other, and their faces became solemn.

Not to mention high blood pressure, if the patient has coronary heart disease, dyspnea may cause myocardial infarction of coronary heart disease!

There is also a history of severe emphysema with multiple bullae, which is very painful. Chronic obstructive pulmonary emphysema (COPP) with alveoli is a condition that greatly affects quality of life. Due to poor lung quality, a slight infection or cough can cause a breach in the lung surface, causing air to enter the chest cavity. If the gas is not drained in time, the patient will hold his breath and even induce respiratory failure, leading to death, and repeated attacks, which are extremely difficult to cure, endangering the patient's quality of life and life safety!

"Who's going?" Wei Haiyang looked at Ruan Bin and Zhao Zinong.

"I'll go!" Ruan Bin began.

If there is any mutation in the patient's journey, he still has something to rely on, and the two of them will go, and it is estimated that they will be able to wait until the hospital at that time~

"Okay!"

Three minutes later, Ruan Bin and Zhao Yaxue got into the ambulance and set off.

This time it was the amateur driver who drove the big demon - Lee Sang-ga.

This guy is indeed very professional in driving, much faster than Brother Tao.

If it weren't for the fact that this is an ambulance, this girl's estimation would have drifted.

It was supposed to be 18 minutes away, but it took him 13 minutes to get downstairs to the patient's family.

The patient was on the 20th floor and it took another 3 minutes to get on the elevator.

When I entered the door, I saw that the three family members were a little anxious.

A young couple, and an old man in his sixties.

The 90-year-old patient was lying flat on the bed with a portable chest bottle next to him. Its role is to help expel gas from the chest cavity. It seems that the 90-year-old man's chronic obstructive pulmonary emphysema combined with pulmonary bullae should have reached a very serious level.

"Doctor, my dad is having a hard time breathing. Zheng Dajun, who is in his sixties, said anxiously.

"I'll see, don't panic. Ruan Bin quickly went over and began to investigate.

It was found that the old man was indeed very difficult to breathe, and his consciousness was not very clear.

This situation can go into shock at any time, and even cause cardiac arrest!

He found that the other person's heart rhythm was not very stable.

"Get to the hospital first!"

Everyone carried people downstairs and put them in ambulances.

Zheng Dajun went to the hospital in an ambulance together, and the young couple drove and tailgated.

I got in the car and went straight to the hospital.

Inside the car.

"Give oxygen, pull an ECG out. Ruan Bin said to Zhao Yaxue.

"Good. ”

Soon, when the electrocardiogram came out, Ruan Bin frowned: "The heart rate is a little low, but it's not bad, let's rehydrate~"

"Good. Zhao Yaxue immediately began to rehydrate the 90-year-old man named Zheng Shoumin again.

"Your father has such a severe emphysema with multiple bullae, why don't you let him be hospitalized? It's easy to have an accident at home!" Ruan Bin looked up at Zheng Dajun and asked.

"Doctor, in fact, I brought my dad to the magic capital to seek medical treatment! This afternoon, my father and I just arrived at my son and daughter-in-law's house in the magic capital, and we were going to go to the big hospital in the magic capital tomorrow, but I didn't expect that my father would be like this just after eating! Alas......" Zheng Dajun sighed.

"In fact, for three months, my dad was repeatedly hospitalized for chest tube drainage. Especially last month, the condition was serious, and the chest tube could not be pulled out after half a month of hospitalization, but the situation improved a week ago, and after I was discharged from the hospital a few days ago, I immediately brought my dad to the magic capital today, but I didn't expect ......"

"The hospital in my hometown saw that my father's lung function was poor and he couldn't tolerate traditional surgery, and he went to several hospitals and said that it couldn't be operated, so he suggested that we go to a big hospital in Modu or Beijing or Yangcheng for treatment. Zheng Dajun continued.

"I see!" Ruan Bin nodded, it turned out that the other party did not live in the magic capital, no wonder.

In fact, if you have this kind of emphysema combined with multiple bullae, you generally have lung volume reduction surgery, bullectomy, and even lung transplantation. The two types of treatment are not only costly, have a high mortality rate, but also have a difficult to guarantee efficacy.

"You came to the Demon Capital for a lung transplant?" Zhao Yaxue, who was busy, asked curiously.

"No, it's not, lung transplants are too expensive and the lungs are hard to find. Zheng Dajun shook his head and said.

"It should be bronchoscopic one-way valve implantation!" Ruan Bin said lightly.

"Yes, yes, this handsome doctor is right, it seems to be such an operation. Zheng Dajun patted his thigh and said, "By the way, doctor, your hospital can do this surgery, right?"

Ruan Bin didn't answer immediately after hearing this, because he didn't know if the doctors in his hospital would do this.

Chronic obstructive pulmonary emphysema with alveoli is very common in the elderly population, with 43 million patients nationwide, of whom 10% will develop refractory pneumothorax. Conservative treatment is often used for elderly patients who have difficulty tolerating surgery, but not only is it ineffective, but it also requires long-term hospitalization, which is a great obstacle to life. One-way valve implantation is not only less invasive, less complications, faster recovery after surgery, but also less expensive than conventional surgery, which can greatly improve the patient's exercise ability and quality of life. At present, this technology is only carried out in a small number of hospitals in first-tier cities of Beijing, Modu and Yangcheng.

However, as the first affiliated hospital of Modu, the reason why it is one of the top 30 in China, there should be someone in this operating hospital, right?

"Yes!" Ruan Bin replied after a moment's thought. Even if the rest of the hospital can't, he will!

Just when the ambulance was still a few minutes away from the hospital.

Ruan Bin found that the elderly patient's breathing was getting weaker and weaker!

"The shock has passed?" Ruan Bin was slightly startled, and his face suddenly became gloomy.

The situation is not optimistic!

In the past, if you can't help in time, shock may eventually evolve into respiratory failure and death!

"Li Xianghe, hurry up again, the patient needs to continue to do chest tube drainage!" Ruan Bin said loudly. Obviously, the exhaust of this chest bottle that the old man carried with him was no longer effective.

It should be that the condition is aggravated, and the gas enters the chest cavity too much, and this chest bottle simply can't drain the gas in time!

"Good!"

Rumble......

Three minutes later, arrive at the hospital.

The crowd took the patient to the emergency room.

：。 : I want to talk about "Krypton Doctor" with more like-minded people, pay attention to "excellent reading literature" on WeChat, talk about life, and find confidants~