135.Chapter 135
As a surgeon, Qiao Siyu has also been in contact with some patients with pericarditis causing pericardial effusion. Pen & Fun & Pavilion www.biquge.info
To put it bluntly, the human myocardium cannot directly contact organs such as the liver and lung lobes, it is surrounded by a membrane on the outside, and there is some pericardial fluid between this membrane and the myocardium, which plays the role of decompression lubrication, and the purpose is to protect the heart.
To put it more bluntly, it is a balloon-like thing wrapped around the outside of the heart, and there is a little liquid in the middle, which is about forty or fifty milliliters in a normal person.
Pericardial effusion caused by acute pericarditis is equivalent to continuously filling the balloon with water, which expands the balloon, causing the pressure inside to be very large, directly compressing the heart that should be protected.
When the pressure reaches a certain level, the heart inevitably stops pumping, causing shock.
There is also a possibility that the pericardium cannot withstand the huge internal tension and causes it to rupture.
Both of these conditions, either way, are extremely fatal, and once they have progressed, it is almost impossible to save the patient.
Judging from Liu Mang's current rescue measures, his judgment is not wrong at all, it is indeed pericardial effusion, which is already very dangerous in terms of quantity.
If Qiao Siyu faced such a patient, surgery was the only option, and he could only use the most professional methods to save him.
However, even if you know that it is a pericardial effusion, it will take at least an hour to send the patient to the hospital, call the doctors, nurses, anesthetists, prepare the surgical equipment, spare blood bags, and perform the operation.
For such a long time, who knows if the patient can resist it.
Now it's good, Liu Mang went down with a needle, and the patient has gradually recovered and stabilized.
Amazing, this technique is really amazing, it can be said to be miraculous.
It seems to be an ordinary needle, but in fact, how difficult it is, Qiao Siyu couldn't be clearer, Liu Mang, this guy will definitely not be as simple as a newcomer, "Who are you and why are you so powerful?" ”
"Is this also awesome?" Wang Zhiliang was full of disdain for Qiao Siyu's words, pointed at Liu Mang and said: "He is completely messing around, using acupuncture in the chest, even if it can temporarily alleviate the patient's condition, but it is too risky, if you are not careful, prick the central muscle, or puncture the patient's epicardium, the consequences will be great, and the patient may die in minutes." ”
The patient's family members, who had seen the patient's condition gradually stabilize, became nervous again after hearing Wang Zhiliang's words, and looked at Liu Mang with blank eyes, "It's going to be okay, right?" ”
Liu Mang has been staring at the female patient's heart with fluoroscopic eyes, her accumulated pericardial effusion has basically been discharged, quickly pulled out the needle, raised her head and glanced at the patient's family members, "Do you believe me, or do you believe a guy who doesn't know first aid and only talks nonsense?" ”
As soon as they heard Liu Mang's words, the eyes of the patient's family members turned to Wang Zhiliang.
The female patient's husband shouted at Wang Zhiliang at the top of his throat, "Who is that, just say you, the little white face with oily hair and pink face, you can't save people, forget it, what are you shouting here." It seems that you know very well, you understand why you don't save people, but you don't let this little doctor save my wife? I can tell you, if you don't have the ability to keep your mouth shut, and if you look for trouble, I'll find you too! ”
Wang Zhiliang's nose was almost crooked, and he pointed to his big face and said loudly at the female patient's husband: "What are you talking about, you said that I don't understand medical skills, do you know who I am?" ”
"I don't care who you are, you didn't save my wife anyway!"
The female patient's mother-in-law spoke, "Your daughter-in-law is just a little younger, and you are just yelling here, thinking that she has a long life?" ”
The female patient's husband quickly closed his mouth and looked at Liu Mang.
Liu Mang had already buttoned the female patient's buttons to cover the snow whiteness on her chest, and after sensing the gaze of the patient's family, she gave a reassuring smile, "She's fine now." ”
Several family members of the patients breathed a sigh of relief, and they came over.
didn't wait for them to be happy for long, Liu Mang immediately said a few more words: "People are fine for the time being, but pericarditis is not completely healed, maybe something will happen." ”
The faces of several patients' family members were difficult to look at, especially the patient's husband, "How can that be good, my wife can't be fine, she is still pregnant with my child, in case there is a good corpse and two lives, can I still live." Little doctor, you are so powerful, can you treat this disease, if you can cure it, I will pay as much as I want. ”
Qiao Siyu secretly thought that there are many causes of pericarditis, and if you want to find out, you must conduct a complex examination to finally determine.
The only one who has this ability is the hospital, how can Liu Mang do it alone.
He couldn't even check the cause, let alone treat or cure, it was absolutely impossible.
But in the next second, contrary to Qiao Siyu's expectations, Liu Mang said: "It's just a small matter, I can treat this disease." It's just that, it's one thing to save people, it's another thing to cure diseases, you can't cure them in vain, do you understand? ”
The female patient's husband nodded busily, "It can be as much as it takes, as long as I can cure her, I am willing to bankrupt the family." ”
Liu Mang said: "It's not that serious, I only need 800 yuan." ”
"How many, eight hundred!" The female patient's husband's mouth became O-shaped in shock, and this number was too unexpected for him.
Not only the family members of the female patient, but also the people around were stunned, Liu Mang actually asked for eight hundred!
Liu Mang glanced at the female patient's husband, full of disdain, and secretly thought about what to say about bankruptcy, but as a result, you are not very happy as long as the master is eight hundred, this man is really a bastard.
But when Liu Mang glanced around, everyone around him reacted the same as the female patient's husband, as if the price he offered was really outrageous.
Scratching the back of his head, Liu Mang said: "Yes, I don't want so much, as long as five hundred, it's not enough." I can make it clear that 500 is the lowest price, and I won't do it any less. I said who is that, your wife and children, do you save it or not? ”
"Save, of course." The female patient's husband hurriedly agreed, but he was still struggling with eight hundred yuan and five hundred yuan, not dreaming.
"That's good." Liu Mang picked up the female patient and strode to the back house.
Qiao Siyu asked, "Where are you taking her?" ”
Liu Mang said: "Heal the disease." You'll have to take off her full clothes later, and you can't stay in the front hall. ”
"Are you serious, not kidding, I mean you mean you mean five hundred dollars to cure pericarditis?"
"Am I like someone who makes fun of patients?" Liu Mang asked rhetorically, and the choked Qiao Siyu closed his mouth.
After thinking about it for a while, Qiao Siyu quickly followed, "Actually, I'm a surgeon, can you let me watch." ”
"No way!" Liu Mang categorically rejected Qiao Siyu.
"Why?"
Liu Mangt replied seriously, "You look like a female, show you how to do this woman!" ”