Chapter 5 Broken pen and deflated

Hey, hey, the collection, the recommended ticket, the reward? Why so little that?

Li Shichao was puzzled and ran over at the same time, the interns looked at the two people who suddenly had convulsions in a daze, and couldn't understand what the two brothers were going to do, Gao Shuai was holding an umbrella for a patient not far away, and muttered: "Li Xiujie, your uncle, find such a drudgery for Lao Tzu, if you don't buy me three point cards, this matter is not over." ”

Gao Shuai said that he saw Li Xiujie running to the man who was calling, and the first thought of this thing was that Li Xiujie wanted to fight with that kid, otherwise why would he run so hard?

There is a bustle to see Gao Shuai suddenly feel that it is not hot, and he stretches his neck to look over there.

The man on the phone was called Hao Jinhui, who was telling his mother: "Mom, I'm fine, don't worry." ”

Li Xiujie ran to him and said urgently: "Lie down, lie down." Speaking of this, he hurriedly said: "Go and get the incision bag, chest closed drainage bottle." ”

Li Shichao, who came over, was dumbfounded again, what are you doing with these things? He's fine.

Hao Jinhui looked at Li Xiujie unhappily and said, "What are you doing?" Speaking of this, he walked to the side with the phone, and said as he walked: "It's okay, if I encounter a neuropathy, I'll go home in a while and eat at home at night!" ”

Li Xiujie stepped forward and grabbed Hao Jinhui and said, "If you want to die, lie down quickly." After speaking, he snatched his mobile phone and threw it to Li Shichao.

Hao Jinhui was anxious, and opened Li Xiujie's hand and said angrily: "Are you sick?" ”

Li Xiujie frowned and said anxiously: "This gentleman, you have delayed pneumothorax, please cooperate with me, otherwise you will ......"

Without waiting for Li Xiujie to finish speaking, Hao Jinhui interrupted him and said: "You are sick, let me tell you, I have nothing to do, you are pestering me, I am not polite to you." ”

Hao Jinhui will be very angry, he went to work as usual, who wanted to be sad and encountered a car accident, the car was hit and did not look good, but fortunately the person was fine, but the car was in trouble, he was worried about the car, and now he was told by a neurotic doctor that he was sick, and the fire in his heart was even greater.

The interns came over to watch the excitement, and when they heard the conversation between Li Xiujie and Hao Jinhui, one of them said in a weird manner: "Doctor Li, your head is in the water, right?" People say it's okay, but you still say people are sick? Are you looking for a smoke? ”

Everyone is about the same age, why did Li Xiujie make such a big splash just now instead of himself? Everyone has jealousy, not to mention that Li Xiujie is a high-achieving student who graduated from Haicheng Wei School that they all look down on, which will make him crazy, it is a good opportunity for ridicule, so naturally he can't let it go.

Li Xiujie lazily took care of this group of bear children, and said to Hao Jinhui in a sincere tone: "Please believe me, you really have a delayed pneumothorax." ”

Li Xiujie did not intern here in his last life, he didn't know what kind of injured people appeared after the car accident, but he was a native of Songcheng, and once he went home and heard from his neighbors that there was nothing wrong when someone was sent to the hospital after the car accident.

The matter is not over here, after the news of his death was notified to the family, his wife took the child to the hospital in a hurry, and when crossing the street, he didn't pay attention to see that the car was hit by the car, his wife and child died on the spot, and the family of three went to Huangquan like this, can their parents accept it? The old people on both sides fell ill one after another, and they both passed away not long after.

Just now Li Xiujie saw Hao Jinhui on the phone and remembered this tragedy, since he was reborn, he naturally couldn't let the tragedy happen again, but Hao Jinhui didn't believe him at all, so anxious that Li Xiujie's forehead was full of sweat.

Xie Shimeng saw the situation here, came over and said, "Li Xiujie, what are you crazy about?" ”

The intern next to him immediately told the cause and effect when the teacher came, Xie Shimeng frowned and said, "Li Xiujie, are you really crazy?" People are fine, you have to say that people have pneumothorax, what do you want to do? ”

Hao Jinhui pushed Li Xiujie away impatiently and said angrily: "Take this neurotic away, what's going on in your hospital?" How can anyone be a doctor? ”

Li Xiujie hurriedly said: "Please believe me, you really have ......"

Xie Shimeng interrupted him impatiently: "Pull him away for me, don't let him make trouble here, he really thinks of himself as a miracle doctor?" ”

A few interns next to him immediately stepped forward and grabbed Li Xiujie and said with a sneer: "Let's go, the top students of Haicheng Health School!" ”

Li Xiujie was just about to break free of their hands when he saw Hao Jinhui, who was just fine, suddenly covered his chest, his face instantly swelled and red, and the next second he covered his throat and made a "yah" sound and fell down.

This scene frightened everyone, Xie Shimeng came down in a cold sweat, is it really a delayed pneumothorax?

The so-called late-onset pneumothorax simply means that the lungs have already been damaged, but the mucosa on the surface of the lungs has not been broken, and the lungs are still under pressure by relying on the mucosa in a short period of time to maintain the diastolic function of the lungs, but once the mucosa is ruptured, a hyperbaric pneumothorax will be formed, and a large amount of air enters the pleural cavity from the lung tear during inhalation, and the flap is closed during exhalation, and the air cannot be discharged from the pleural cavity to the airway.

It can lead to severe respiratory and circulatory dysfunction in a short period of time, which is one of the most dangerous emergencies in thoracic surgery, and the patient will die if he is delayed for a little time.

Li Xiujie shook off the hands of the two interns who were holding him and ran over, he squatted down and stretched out his hand to tear Hao Jinhui's shirt open, at this time Hao Jinhui had a breathless and painful expression, he stretched out a hand and grabbed Li Xiujie's arm, and said in a vague voice: "Help...... Save me. ”

Li Xiujie stretched out his hand and patted Hao Jinhui's hand gently, his eyes burned with a flame called self-confidence, and he said in an extremely firm tone: "You'll be fine, believe me." Speaking of this, he turned his head and shouted: "Cut open the bag, chest close the drainage bottle, quickly." ”

Hearing Li Xiujie's words, the fear in Hao Jinhui's eyes actually subsided a lot, and what was left was the color of hope for life.

Li Shichao ran to the emergency room in a hurry to put Hao Jinhui's mobile phone on the ground, the interns were stupid, no one thought that things would turn out like this.

Xie Shimeng looked at Li Xiujie with complicated eyes again, the tone and eyes he spoke to the patient just now were too similar to her teacher, she once watched the teacher rescue a seriously injured person when she was an intern, and the patient was also like Hao Jinhui with the same fear of death in his eyes, and her teacher was also like Li Xiujie with a firm tone and confident eyes, so that the patient could see the hope of living.

Afterwards, Xie Shimeng's teacher told her that an excellent doctor should not only have excellent medical skills, but also always maintain unparalleled self-confidence in front of patients, and convey the hope of survival to patients with his eyes and tone, so that patients know that the doctor in front of him can save him, and let patients know that he will definitely live, such a doctor is a good doctor and a great doctor.

Her teacher also laughed at herself that she was still not good enough, and he was far from a word and a look that could make the patient completely believe that he would be able to save him, and make the patient have the belief that I will definitely live.

But Li Xiujie did it, just one sentence and one look made the fear in Hao Jinhui's eyes that was so thick that it was about to drip dissipate, and replaced it with the belief of living, how is this possible? Isn't he just an intern? How can you do better than your own teacher who has been a doctor all her life?

Hao Jinhui's breathless symptoms became more and more serious, and his face turned purple, but Li Shichao hadn't brought anything yet, Li Xiujie gritted his teeth and said, "Xie Shimeng, give me the pen on your chest." At this time, Li Xiujie couldn't care about Xie Shimeng being his teacher, he called him by his name.

Xie Shimeng was interrupted and subconsciously said, "What do you want a pen for?" ”

Li Xiujie stood up and stretched out his hand to pull out the pen in Xie Shimeng's breast pocket, and he didn't know if he did it intentionally or unintentionally, so his hand touched Xie Shimeng's crisp breast.

Xie Shimeng grew so big, she had been touched by a man in such a private position, she only felt a numbness in her chest, and her brain was blank, and when she woke up, Li Xiujie had already broken the pen and held up half of the pen holder and stabbed Hao Jinhui's chest fiercely.

Xie Shimeng exclaimed: "Li Xiujie, stop. ”

Hao Jinhui looked at the broken pen in Li Xiujie's hand and fear appeared in his eyes again, Li Xiujie nodded at him and said firmly: "Trust me, you will be fine." Speaking of this, he stretched out his left hand to block Hao Jinhui's eyes.

Several interns next to him were immediately dumbfounded, and looked at Li Xiujie in a daze, and stabbed the pen into it with a "poof", and a wisp of red blood oozed from the position where the pen holder pierced into the chest, and then the sound of "swoop" came from the pen holder, and Hao Jinhui's suffocating symptoms were immediately greatly alleviated.

Li Xiujie exhaled, withdrew his hand, wiped his sweat and said, "You're fine." ”

Hao Jinhui's eyes were full of gratitude at this time, he stretched out his hand and gently patted Li Xiujie's hand, and said softly: "Doctor, thank you." ”

At this time, Li Shichao ran over with the cut bag and the closed drainage bottle on his chest, and he was dumbfounded when he saw a pen holder inserted in Hao Jinhui's chest, and the thing in his hand fell down with a "clang".

Xie Shimeng also has a feeling of dreaming at this time, Li Xiujie has heard of the technique of using a broken pen to treat pneumothorax patients, but she can't use it, I'm afraid that the director of their emergency department can't use it, for no other reason, the broken pen is not a scalpel, the sharpness and firmness are too poor, rashly insert the broken pen into the patient's chest, the strength is not good to grasp lightly, the broken pen can't pierce the chest cavity at all, and the broken pen is pierced into the chest cavity if the force is too strong, but the front end will definitely be damaged, and the residue will enter the chest cavity or even the lungs, and the follow-up is to open the chest, This is quite a troublesome thing.

If you want to release the gas in the chest cavity, you must pierce the broken pen from the second intercostal space, and the gap between the two ribs is not wide, generally the width of a finger's belly.

There is also a sprint distance that is not short if you want to stab the broken pen into it, the sprint force is not enough when the distance is short, the broken pen can not be pierced, the distance is long and affects the accuracy, and it is easy to stab off, this first aid technique is too much of a test of a doctor's experience and hand skills, Xie Shimeng asked herself if she couldn't do it after practicing for five or six years, and said that she was not walking around the street all day in the hospital, and she met a patient like Hao Jinhui who needed to use a broken pen to deflate? In this way, I am afraid that she will not be able to master this skill for the rest of her life.

Li Xiujie wiped his sweat again and pulled out the broken pen, he turned his head to Li Shichao and said, "You get the closed drainage bottle on your chest." ”

Xie Shimeng came to her senses when she heard this, and she hurriedly said: "No, you have to make sure that there is no residue in the patient's chest cavity first." ”

Li Xiujie smiled helplessly, and then found the other half of the truncated pen from the ground, two pieces and a pair, tightly fitted, obviously the tip of the broken pen did not drop any residue.

Li Xiujie took the pen and gestured at Xie Shimeng and said, "There is no residue left in the chest cavity, rest assured." ”

Li Shichao swallowed a mouthful of saliva with difficulty and smiled bitterly: "This doctor, don't say that you graduated from Haicheng Health School, no one really believes it." With that, he squatted down, took the incision bag, opened it, and prepared to do the thoracostomy drainage.

The interns next to me, I look at you, they all see strong doubts in the eyes of both sides, is this kid Li Xiujie really here for an internship? He wasn't sent by God to punch us in the face, was he?

Xie Shimeng saw Li Xiujie walking under the shade of a tree in the distance, and she immediately stepped forward to catch up and said, "Li Xiujie, who did you learn this technique from?" ”

Li Xiujie said nonsense: "When I was young, one day I came to an old man, he said that I have a clear skeleton and is the most suitable for being a doctor, and then he taught me." ”

Xie Shimeng didn't react for a while, and muttered, "What did the Taoist priest teach you?" ”

Li Xiujie took advantage of her lack of reaction and ran away, Xie Shimeng understood, and said hurriedly: "Li Xiujie, you come back for me to explain things clearly." ”

Li Xiujie's voice floated in: "Teacher Xie, my stomach suddenly hurts, go to the bathroom first, and if you have anything to say, you are talking back." ”

Li Xiujie ran into the hospital, and in a panic, he directly bumped into a person, and he was stupid when he saw this person Li Xiujie.