If it was Liang Baoguang's previous inference, the patient should be weak in his limbs and easy to hold down, but this middle-aged uncle is obviously confused or even paralyzed, but the muscles of his limbs are still very strong, indicating that the problem lies in the brain, "The patient is a diving disease, this time I am extremely sure." ”

"Acute decompression?" Jiang Yuying is also a scholar, as soon as Liang Baoguang said that diving sickness, she immediately figured out everything, this patient's symptoms are completely consistent with acute decompression disorder, but she really doesn't understand how Liang Baoguang sees it, "Is there any basis for your inference?"

Liang Baoguang opened the middle-aged man's clothes when he was preparing for the operation just now, and saw the wallet inside, he didn't think there was a problem before, he naturally didn't want to turn over other people's things, but after making sure that the other party was not hiding poison in his stomach, he opened it and looked for clues, "This is a rental invoice for diving equipment, and the time is yesterday." ”

During underwater operation, the partial pressure of various gases in the alveoli of the human body increases in a high-pressure environment, and immediately balances with the partial pressure of various gases in the inhaled compressed air. Because the partial pressure of the gas in the alveoli is higher than the pressure of the gas in the blood, the gas increases the amount of gas dissolved in the blood according to Boyle's law, and is transported to various tissues through the blood circulation. Most of this oxygen and carbon dioxide are rapidly absorbed by hemoglobin and plasma components, and only a small amount is physically free in body fluids. The amount of nitrogen dissolved in body fluids is directly proportional to the air pressure and the length of residence time, and the solubility in fat is about 5 times that of blood, so most of the nitrogen is concentrated in fat and nerve tissue.

When the human body gradually shifts from a high pressure environment to normal air pressure, excess nitrogen in the body is released by tissues and enters the bloodstream, and is gradually and slowly excreted from the body through the alveoli without adverse consequences. However, when the decompression is too fast, exceeding the total external air pressure, it can no longer maintain the dissolved state, so it accumulates in the tissue and blood in the form of bubbles in a few seconds to minutes.

Denitrification is difficult in tissues with more fat and less circulation, such as adipose tissue, peripheral nerve myelin sheaths, central nervous system white matter, connective tissue of tendons and joint capsule. In addition to the bubbles in the blood vessels, nitrogen bubbles tend to accumulate outside the blood vessel walls, squeeze the surrounding tissues and blood vessels, stimulate nerve endings, and even compress and tear tissues, causing symptoms such as local bleeding, which is decompression sickness.

The man surfaced too fast during the dive, causing the nitrogen in his body to not be fully released into the bloodstream, which was nothing, and the amount of nitrogen accumulated in the body would not be large if an amateur diver would not dive deeply, but he made a fatal mistake and should not have taken the plane right away. Long-distance flights are at high altitude for a long time, and even if the cabin is pressurized, it is much lower than the ground, and normal people feel uncomfortable at most, but for someone like him who has nitrogen in his body, he can die.

"Lower the flight altitude, give him oxygen, and the symptoms will be relieved very quickly. After Liang Baoguang said this, he did what Jiang Yuying had before, and sighed while pressing his temples, his expression was a little sluggish, "You don't need to make an emergency landing or contact the police, but you still have to send people to the hospital after landing." ”

The crew leader left with great gratitude, and also gave a bottle of champagne to Liang Baoguang for free, as a thank you to all the crew for him, "You have made great contributions to the safe flight of this flight, and also saved a high amount of expenses for our airline, I believe I will thank you in the future." ”

This flight attendant is not patting on the back, but sincerely thanking Liang Baoguang, if the people on the plane feel that they are infected with meningitis and will die soon, and they don't know what extreme actions they will make in despair, it is likely to cause the people on the plane to finish playing. And it is also important to solve this case, if the cause is not found, they will definitely make a forced landing at a nearby backup airport, and the compensation for just arranging a few hundred passengers is a huge amount of money, not to mention the fuel and dispatch costs, etc.

"I'm just doing it. Liang Baoguang saw sweat on his forehead, don't look at him solved the problem perfectly, but he almost disemboweled a strange patient just now, went to find the non-existent Cocaine, and did a lumbar puncture without people's consent, so the uncle thanked him for saving his life, otherwise he would have to bear the lawsuit.

Jiang Yuying also saw that Liang Baoguang was not in a state, and he was in a daze several times when he was flipping through the magazine before, "Boss, something seems wrong with you today." Although it has a bit of a personality cult, in her eyes, her own dean is omnipotent in diagnosis, and under normal play, she should be able to find the cause quickly, rather than carrying out "extreme operations".

"Men, there are a few uncomfortable days every month. Liang Baoguang smiled wryly, in fact, he knew very well what the problem was, turned his head and sighed faintly and recited the verses of the poet: "Alas! Those who abandon me will not stay yesterday, and those who disturb my heart will be troubled today." ”

Those who are not familiar with Chinese characters may wonder why the word "日" has such a heavy meaning, but it is actually just a simple pictographic description. There is a square mouth, and the horizontal inside is "a piece of firewood", so the real content of the poet's sentence yesterday is ......

Liang Baoguang is really worried about "today's day", Pei Zhuhyun grabbed his handle by tricks, if he just wants him to buy something, it's nothing, anyway, he Liang is not short of money to spend, I'm afraid she has other thoughts. Now it seems that she must have other purposes, otherwise she would not have offered to spend one night with her every week, and the woman who took the initiative to post it could really covet his beauty?

was ready to confess to Krystal, but which man could really open his mouth, he missed the best opportunity as soon as he hesitated, and happened to go to the East Coast to talk about the procurement of medical equipment, let alone have a chance to say it, he was thinking about how to explain it after he went back, and he was naturally not in the state when he was diagnosed.

Jiang Yuying didn't really want to know about his boss's private life, but he couldn't help but ask a question when he was curious, and when he saw him hid and avoided talking about it, he stopped asking, anyway, they came to purchase equipment this time, and they didn't need to diagnose the patient, and it didn't matter if they were not there, "Then you can rest first." ”

Mental work is more tiring than physical work, Liang Baoguang soon fell asleep, a few hours later, a "ding dong" in-machine radio prompt pulled him out of the nightmare, just now he actually saw Krystal holding a pair of scissors standing at the head of the bed, fortunately it was just a dream.

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