Chapter 47 Let's not eat hairy pigs
Xu Ze finished his cruel words, but he looked at the patient in a helpless daze, and found helplessly that without his knife, he really couldn't do anything......
"But even if it is really a ruptured spleen, then with the conditions here, there is absolutely no way, you can only see if the ambulance will come in time......" Xu Ze comforted himself like this.
Everyone was waiting for the ambulance to come, after all, in the current situation of the patient, there was no ambulance, and no one dared to move it at will.
Xu Zeta pulled his head and looked at the patient helplessly, at this time he deeply realized what is called powerlessness, this patient is only in his twenties, if it is too late to rescue in time, then this young life will pass away so helplessly.
Looking at the patient's whitening face, Xu Ze looked at the patient's increasingly swollen and blue thighs, and a trace of doubt flashed in front of his eyes: "No... Why does this thigh swell like this? Generally, even if it is a fracture, it is impossible to swell like this in a short period of time, and it will quickly turn blue? ”
At this time, Xu Ze seemed to grasp something, his eyes were bulging and staring at the patient's thighs, and his eyes suddenly lit up: "Could it be... Could it be that there is bleeding here? When the femur is fractured, the severed end hurts the femoral artery or other large and medium-sized arteries, causing massive bleeding? ”
"Quite possibly... Otherwise, this thigh would not have swelled like this in a short period of time! Xu Ze jumped up violently and commanded the system: "Start X-ray fluoroscopy scan......"
"Tick... X-ray fluoroscopy scan started ......" As the system's prompt sounded, the patient's thighs slowly became transparent under Xu Ze's glasses.
On the lenses, Xu Ze saw that the patient's thigh thigh bone, that is, the lower end of the femur, had an obvious fracture and deformity, and the leg bone was surrounded by a large number of things that were obviously darker than the surrounding musculature, and it was these things that filled the musculature, making the entire thigh appear extremely swollen.
"Blood....it must be blood, generally the density of the human body is lower than that of muscle tissue, except that gas is blood, and here there is no wound on the surface of the patient's thigh, there is no air to enter, then it can only be the blood that flows in after the rupture of the blood vessels, except for a large amount of blood accumulation, it is absolutely impossible to be anything else!"
Xu Ze confirmed excitedly that the patient's shock from blood loss should not be bleeding from the spleen or other places, but bleeding from a large and medium-sized artery at the lower end of the thigh, and the bleeding is accumulated in the muscle layer.
He didn't dare to hesitate any longer, Xu Ze couldn't be sure if the patient would be able to save his surname after bleeding for another minute or two, so he ran to the patient's side, stretched out his hand to Sister Luo who was guarding the side and shouted, "Syringe, hurry..."
"Ahh Since the last time Xu Ze successfully rescued the coronary heart patient alone, she has been extremely convinced of Xu Ze, and from the perspective of treating Xu Ze as a real doctor, she never dared to neglect Xu Ze's prescription or medical advice.
At this time, Dr. Zhang, other family members and patients were attracted by Xu Ze's movements, and saw Xu Ze holding a syringe and piercing it into the patient's thigh.
The family members next to him were about to speak, but they remembered that Xu Ze was such a doctor, and the old doctor Zhang next to him also looked at him with a serious face and did not stop him, but he didn't speak again, just watched with bulging eyes, watching what Xu Ze was going to do.
Old Doctor Zhang was also full of doubts at this time, he didn't know what Xu Ze was going to do, with this patient's situation, I was afraid that it would be difficult to support the ambulance to send him to the hospital, and now he was just a close person to obey the fate of God, could it be that Xu Ze found something now?
Old Doctor Zhang's heart jumped again, staring at Xu Ze and watching his movements.
Xu Ze didn't care about anything at this time, and after the syringe in his hand was inserted, he felt that the needle had passed through the muscle layer and reached the blood cavity, so he took a deep breath and gently reached out and pulled the needle handle back.
As the needle handle was withdrawn, I saw that the needle tube was quickly filled with a tube of bright red blood.
Seeing that the blood was confirmed to be withdrawn, Xu Ze no longer hesitated, quickly pulled out the needle, stretched out his hand to the side and said, "Sister Luo, bandages... Fast! ”
Sister Luo looked at the blood needle in Xu Ze's hand, and didn't realize what was going on, but after hearing Xu Ze's words, she hurriedly took out a roll of bandages from the drawer next to her and handed it over.
Xu Ze took the bandage, quickly spread it out, folded the bandage into four times, and after confirming that it was strong enough in his hand, he reached out and passed the bandage through the upper part of the patient's thigh, crossed the two ends and then twisted it violently, tying the thigh tightly.
Then he took the syringe in his hand and squeezed it into the bandage, slowly twisted it around the bandage, and used the force of the twisting to lock the bandage tightly.
With Xu Ze's movements, I saw that Xu Ze had made a deep mark on his thigh with a bandage, and the skin muscles on both sides of the bandage were extremely high.
Old Doctor Zhang watched Xu Ze's movements from the side, and said suspiciously: "Xu Ze, if you tie it like this, it will easily cause necrosis of the entire thigh." ”
"But if you don't tie it, your life is gone... It's useless to ask for thighs! ”
Hearing Xu Ze's words, Old Doctor Zhang's eyes froze, remembering the tube of blood that Xu Ze had just taken out from the patient's thigh fracture, and looked at Xu Ze in astonishment and said, "Xu Ze, are you saying that his blood loss is surnamed shock because of bleeding here in his thigh?" ”
"Yes... Zhang Lao, it should be that the fracture has injured the artery, so there will be a lot of blood and swelling here, if the arterial bleeding can be stopped, there should be a glimmer of hope for him. Xu Ze nodded, fixed the bandage with the syringe in his hand, and then looked at Old Doctor Zhang.
The family members next to them heard Xu Ze's words, and they all looked at Old Doctor Zhang, but they still couldn't believe Xu Ze's words, after all, Xu Ze was still young, so they had to look at Old Doctor Zhang and said, "Is it true?" Physician Zhang? As long as the bleeding stops, Huzi can still be saved? ”
Looking at the patient's swollen thighs, Old Doctor Zhang thought for a moment and nodded slowly: "If there is indeed only bleeding here, then there is great hope." Now you only need to observe for a few minutes, and you can probably know. ”
Three minutes later, although the patient's face did not change much, but the breathing and heartbeat were slowly stabilizing, and everyone began to get excited.
"50/35mmHg" Xu Ze said excitedly: "The blood pressure has begun to rise, and it seems that the bleeding has been temporarily controlled." ”
"Okay..."Hearing Xu Ze's return, Dr. Zhang also breathed a sigh of relief, as long as the blood pressure began to rise, then he could fully support the ambulance to arrive, and then go to the hospital for surgery.
"Alright, alright... It's okay now......" The patient's family members were incoherent with excitement one by one, and hurriedly thanked Dr. Zhang and Xu Ze.
And the middle-aged man specially thanked Xu Ze: "Little doctor, I really owe you this time, if it weren't for you, my son would really be ......" As he spoke, the man choked up, and Xu Ze was full of embarrassment.
At this time, there was finally a message from outside the door, "Ula... Ula..."The sound of the ambulance, Dr. Zhang briefly introduced the situation to the doctors who came to receive the patient, and then instructed everyone to carefully carry the patient to the ambulance.
Watching the family excitedly carry the patient to the car, Xu Ze couldn't help but sigh, although it is not easy to be a doctor, it can save a person's life, and it is really a happy thing to preserve the integrity and happiness of a family.
However, I really have to work hard, and advance to a higher-level medical soldier as soon as possible in order to mobilize more resources, otherwise if I don't notice those special circumstances today, in the absence of color ultrasound diagnosis, and judge that the spleen is ruptured, and do not treat the thigh in time, then this patient will die.