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"This Doctor Jiang is so powerful that Dr. Tao said that he had to go to the county town to treat his leg, and he was able to pick it up at once."

Jiang Yuan was saving people inside, but there was also a lot of discussion outside at this time, and the villagers looked towards the hall from time to time, especially when they heard the old man's son who had just broken his bones say that Dr. Jiang had already picked up the old man's broken bones with just one moment, and when he didn't have to go to the county seat again, the look of hope on the faces of these villagers was a little more intense.

Everyone was talking excitedly, but at this time, there was a cry next to them, and they saw a young woman who was serving the wounded, but suddenly she was lying on the ground and crying bitterly, crying and crying sadly: "Why can't we hold on a little more in the morning, if we wait for Dr. Jiang to come, it will be saved."

Looking at the crying woman, someone next to him hurried over to comfort him, while the rest of the people also shook their heads and sighed at this time, yes, if Dr. Jiang had come a few hours earlier, maybe he would have saved a few more lives

"Hey, that's fate."

Jiang Yuan was quickly taking out a few things from the box at this time, putting them on the table on the side, and then watching Doctor Tao pour a bottle of normal saline clean, then he smiled and said, "Doctor Tao, is there sodium citrate?" If there is any, I prepare for 1 g! ”

"Sodium citrate?" Dr. Tao scratched his head, and then said, "I remember that there should be, wait for me to go to the pharmacy to see."

"Good!" Jiang Yuan nodded, and while preparing all the instruments that needed to be used, he carefully took out a disposable small surgical kit from inside.

There are not many small surgical kits that have completely eliminated the poison, only eight, but Jiang Yuan is not at ease at this time to use Dr. Tao here. After all, what needs to be done later, but the requirements for materials and sterility are quite high, if there is something wrong with the material, or the disinfection is not strict, etc., it is easy to have accidents.

It was very open, so Dr. Tao ran in with a bottle of potion and said excitedly: "Fortunately, I found a bottle, but it will expire in two months!" ”

"It's fine. Jiang Yuan smiled, it would be good to have this, he didn't ask for a lot of money, so he smiled and gestured to the victory brine bottle that Dr. Tao had just prepared on the table and said, "Pour 1g of sodium citrate into the bottle, and pay attention to keeping it relatively sterile as much as possible!" ”

Speaking of the word "relatively sterile", Jiang Yuan was also a little helpless. Originally, in this case, it must be guaranteed that absolute sterility is foolproof, but at present, such conditions, even if they are relatively sterile, can only rely on luck, and he naturally can't ask for too much.

Even if Dr. Tao is reminded to be relatively sterile, it is just a reminder that he should be as careful as possible.

Dr. Tao also nodded at this time. Indicate that you understand; Although he didn't know what this Doctor Jiang was going to do now when he prepared these things, he trusted Jiang Yuan very much, anyway, at this time. As long as he is responsible for listening to the arrangement and doing things, it is much easier than carrying the burden by himself first.

Seeing that Dr. Tao was ready, Jiang Yuan did not hesitate at this time. Reach for a pair of sterile gloves and put them on, then pick up the plastic forceps from the disposable surgical bag. The complexed iodine cotton ball in the bag was picked up and sterilized at the anterior position of the 5th intercostal axillary line of the patient's right chest.

Looking at Jiang Yuan's movements, Doctor Tao was slightly stunned, and then seemed to understand something, and looked at Jiang Yuan with some surprise: "Doctor Jiang, are you going to draw liquid for him?" ”

Jiang Yuan smiled slightly and said, "Don't draw blood"

"Blood draws?" Dr. Tao is an internist after all, and he didn't figure it out for a while, but he turned his head to look at the sodium citrate that he had just poured into the salt water bottle, and suddenly his eyes lit up, and he understood, it turned out that this salt water bottle was used to hold blood, no wonder sodium citrate was added for anticoagulation

It's just that at this time, he looked at Jiang Yuan's gaze, but he was a little more admired, no wonder this Doctor Jiang was so confident, saying that he could still save it, it turned out that this can still be done like this, with this, then this Li Qi Chang is really a little sure that he can be saved.

After the detoxification, Jiang Yuan reached out and picked up a disposable hole towel and laid it out at the position of the fifth intercostal space of the front line of the right armpit, then reached out and picked up a 50ml syringe, put on a thick needle, pulled out the needle sleeve, and carefully penetrated it from the position of the front line of the fifth intercostal armpit.

This position is one of the best places to puncture the lungs, and it is also the most convenient place to draw up fluid or blood in the front of the chest, and it is also the position to ensure that as much fluid can be withdrawn

Seeing that with Jiang Yuan's movements, red blood began to gush out of the translucent needle, and Dr. Tao also held his breath

"Come" Jiang Yuan took off the syringe, blocked the needle left on the patient's chest with the thumb of his left hand, and motioned to Dr. Tao.

Doctor Tao hurriedly brought the salt water bottle with sodium citrate added to it, and carefully approached Jiang Yuan's hand;

Aiming the syringe at the mouth of the bottle, Jiang Yuan carefully injected the 50ml of blood drawn from the syringe into the saline bottle; Then start the second blood draw again.

Watching Jiang Yuan draw out the blood again and again, Dr. Tao's eyes were getting brighter and brighter at this time, and he now knew that this Dr. Jiang could remove the blood in the patient's chest cavity by pulling out the blood in the chest cavity, relieving the pressure in the chest cavity, allowing the lungs compressed by the blood to expand and liberate, so as to restore the function.

At the same time, the blood drawn out, after anticoagulation treatment, can be infused back into the patient's body, greatly alleviating the blood loss, it is completely a double win, since the lung function has been restored, and the second is blood transfusion, this Li Qichang is really lucky, when he meets such a powerful wound doctor as Dr. Jiang, he should not die, if this is replaced by himself, there is no way to think about it, let alone deal with it like this

There was a lot of blood in the patient's chest, Jiang Yuan took it ten times, turned his head and looked at the salt water bottle, which was also full at this time; Jiang Yuan frowned and thought for a while, and said, "Doctor Tao, open another bottle of saline."

Soon, the second saline bottle was almost half full, Jiang Yuan was finally relieved at this time, there should still be blood in the patient's chest, but Jiang Yuan could not draw again, under normal circumstances, whether it was pleural effusion or blood, the first draw should not exceed 600-800ml, Jiang Yuan had already pumped 800ml, naturally he could not draw again.

And this can give the patient's own blood back transfusion of 800ml, which can almost save his life.

Doctor Tao on the side watched Jiang Yuan start to pull out the needle, and then said excitedly: "Doctor Jiang, shall we give him back now?" ”

Seeing Dr. Tao staring at the two bottles of blood on the table with an excited expression, Jiang Yuan shook his head with a smile and said, "No, if you still need to filter autologous blood for retransfusion, you generally need to pass through the guò autologous blood infusion machine, but we don't have it, so we can only simply filter it!" ”

Jiang Yuan took out a stack of gauze from the disposable surgical bag, looked at the fine white and smooth layer, and then nodded, or military supplies rest assured, this gauze will not have too many impurities, and it is strictly sterilized, so that he can use it with confidence.

At that moment, he carefully folded the gauze in eight layers, then took the blood bottle in Dr. Tao's hand, covered the gauze on the mouth of the bottle, tied it tightly with sutures, turned it upside down, and rested it on the glass cup that Dr. Tao had prepared, which had been completely sterilized.

Seeing that a line of red blood filtered through the gauze from the mouth of the bottle and then flowed into the measuring cup, Jiang Yuan also slowly breathed a sigh of relief at this time, and after filtering, he could transfuse blood

A total of 800 milliliters of blood, after filtration, only 75 remained, but Jiang Yuan was also quite satisfied, found two new bottles of normal saline, pried open and poured out the saline inside, and then poured the filtered blood into it, then covered the lid, and then inserted it with the prepared transfusion tube, found a thick blood vessel in the crook of the patient's arm, inserted the blood transfusion needle, and then began autologous blood transfusion.

However, before the infusion, Jiang Yuan still asked Dr. Tao to inject diphenhydramine into the patient's muscle to prevent a blood transfusion reaction in case of a blood transfusion; Although this is autologous blood transfusion, the possibility of a reaction is very rare, but Jiang Yuanke is not too confident in this filtered blood made in this relatively sterile state, and the injection of this medicine is still relatively reliable, even if there is a small problem, the possibility of a reaction will be greatly reduced.

After hanging up the two blood bottles, Jiang Yuan found a few more pieces of large adhesive tape, sealed them with shingled tape, and then asked Dr. Tao to take a bottle of sugar water with hemostatic sensitivity and replace one of the bottles of ordinary saline, and now that the blood has been drawn out, some hemostatic drugs can be used to prevent the patient's chest from bleeding again.

After doing this, Jiang Yuan told Dr. Tao to guard here, and he dragged the big first aid kit out of the rescue room and went outside.

Jiang Yuan didn't have much time to spend waiting here now, and there were still a lot of people lying outside, although Dr. Tao had already dealt with it, he still felt that it was more reliable for him to take a look at it again, so as not to be crooked bones that could have grown directly; or if there are other wounds that have not been treated, he can treat them again, so as not to regrettably leave any disability or the like;

Coupled with the fact that new injured people were sent over from time to time, Jiang Yuan felt that it was much more useful to go out to help than to stay here.

Seeing Jiang Yuan dragging the big first aid kit out, everyone's eyes lit up, and they asked anxiously: "Doctor Jiang, has Li Qichang been rescued?" ”

Jiang Yuan nodded with a smile and said, "Now that I am transfusing blood, I should be able to wake up in two hours at most."

Hearing Jiang Yuan's words, everyone breathed a sigh of relief, first of all, although this big guy said that he believed that this Doctor Jiang would not say big things, but Doctor Jiang only said that there was hope, but now Doctor Jiang said for sure that he would wake up in two hours (to be continued)