readx;

After hearing this driver's complaint, Lin Feng's first reaction was that this person had a pneumothorax!

The pleural cavity consists of a parietal and visceral layer of the pleura, and is a closed potential space that does not contain air. The pleura is damaged for any reason www.biquge.info and air enters the pleural space, which is called a pneumothorax. At this time, the pressure in the pleural cavity increases, and even the negative pressure becomes positive pressure, which compresses the lungs, obstructs the venous blood flow back to the heart, and produces different degrees of lung and heart dysfunction.

Pneumothorax is divided into closed surname, open surname, and tension surname pneumothorax.

The driver suffered a pneumothorax due to trauma caused by a car accident, and there was no wound on the chest, so it can be ruled out that the pneumothorax was open.

As for whether it is a tension pneumothorax or a closed pneumothorax, an X-ray scan is needed to determine.

However, Lin Feng has a "secret to knowing each other inside and outside", so it is a different matter.

After careful observation, Lin Feng had already come to the conclusion that this driver patient was a closed pneumothorax.

In general, a mild pneumothorax allows the body to absorb a small amount of air in the pleural space on its own, and it can heal itself without treatment.

However, in a situation like this one, where the patient is already having difficulty breathing, it needs to be treated urgently.

In fact, the method of emergency treatment is very simple, that is, to extract the gas in the patient's pleural cavity, so that the pleural cavity can form negative pressure again, restore the previous normal physiological state, and these symptoms will naturally disappear.

However, it is easier said than done.

If you want to aspirate the gas in the patient's pleural cavity, the first thing to do is to position, and only when the position is set can the puncture be carried out!

After a simple percussion and auscultation, find a bedside ultrasound machine, do a simple ultrasound examination, or do a chest X-ray, it will naturally be clear at a glance, and the problem of positioning will be solved.

However, this is outside the hospital, without these equipment, there is a need for the patient to puncture and exhaust as soon as possible, then it requires the author's deep skills, and the general non-thoracic surgeons who have worked for several years may not be able to do a good job.

Of course, Lin Feng is an exception, otherwise wouldn't he have a golden finger for nothing?

Once the position is set, it is necessary to perform a puncture, and the difficulty of the puncture is to grasp the direction and depth of the needle!

Yes, that's the top priority!

The excess gas is in the pleural cavity, and the purpose of thoracentesis is to suck out the gas in the pleural cavity, but there is only a membrane between the pleural cavity and the lungs, how thick is this membrane?

Normal people and people with lesions, the thickness of the pleura is different, the diseased person, or if the pleural cavity has been injected with drugs, the pleura will thicken, and normal people have not done these treatments, the pleura will be much thinner, the layer of the visceral pleura close to the lungs, that is, a few millimeters thick!

A few millimeters, you can imagine that under the premise of not having any visual equipment, relying on a person with intuition, blind probing, and doing pleural puncture and drainage, how much work will be a professional surname and how difficult it will be?

If you are not careful, you will penetrate the visceral pleura, which is only a few millimeters thick, and damage the lungs!

If the lungs are damaged, the gas inside the lungs will directly enter the pleural cavity through the pinhole channel, forming an open pneumothorax!

At that time, it was not a treatment for a pneumothorax, but a new pneumothorax!

Such examples are not uncommon in hospitals, not to mention those young doctors who have just worked for a long time, even if they have worked for more than ten years, it is not impossible for highly qualified old doctors to make such mistakes!

It's a low-level mistake, but it's also an inevitable one!

After all, this is a blind detective's work, you can't see it, you can't touch it, and the differences between people are very big, and the mutated surnames are very big, so almost no one dares to pat their chests and say, "Don't worry!" I'll be fine with this kind of work! ”

Lin Feng is a doctor of general surgery, and he has only been in contact with traditional Chinese medicine in the past two months, but Lin Feng has done many cases of such a pleural puncture, and Lin Feng is not in the past now, so this difficulty is naturally not taken into account.

It's just that Lin Feng's headache now is that he doesn't have any tools!

It's hard for a good woman to cook without rice!

Since you want to do a pleural puncture and release the gas in the pleural cavity, you naturally need a job, and the best tool is the syringe!

But this is the exit of the highway, and where to find syringes? Do you have to run back to the toll booth and ask if the toll booth has a first aid kit?

This back and forth time is enough to cause this patient to have a lot of unexpected complications!

Such a dangerous thing, Lin Feng naturally wouldn't try it easily!

Besides, there is a pregnant woman waiting to give birth in the car behind, and she may give birth at any time, so she naturally can't leave!

"Looks like I'm going to put more stuff in the little world when I get back! At the very least, some must-have first aid items are to be stored! Lin Feng thought secretly in his heart.

But this is an afterword, far water can't quench the thirst of the near.

I can't say anything, so I have to use the straw of the drink, and then use the power of Lingyuan to stabilize the condition of this pneumothorax patient first!

At this time, Sally Li and Qin Suya ran over from behind.

"Brother Feng, can we help in any way?" Running behind Lin Feng, Sally Li spoke, her tone was still panting, obviously running extremely fast just now.

"I remember we had breakfast drinks in the car, didn't we? Bring the drink tube! This driver has a pneumothorax and I need to treat him with a drink tube! When Lin Feng saw Sally Li and Qin Suya, he hurriedly opened his mouth and commanded.

"Well, I have a first aid kit in my car, do you need it?" Qin Suya was a little strange along the way, and she didn't say anything to Lin Feng when she spoke, and every time she started with "that".

"First aid kit?" Lin Feng's eyes lit up when he heard this, and then he suddenly realized, who is Qin Suya? That's the eldest lady of the Qin family, how can there be no such thing as a first-aid kit in this kind of eldest lady's car?

In fact, this has nothing to do with Qin Suya's identity, many people will routinely prepare some first-aid items in the car, but more or less.

"Hurry up and bring it to me!" Lin Feng didn't care about anything else at this time, and commanded loudly.

Qin Suya nodded, and did not run back again, but took out her mobile phone and made a quick call, and after a while, she saw the Lamborghini driver holding a first-aid kit in his hand and quickly running towards this side!

(To be continued)