Chapter 47 Sudden pneumothorax

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The voice of a woman asking for help was a woman's, and the tone of the crying was full of panic and helplessness, as well as bursts of fear, Su Hongwen was no stranger to this kind of voice, he heard it when he was an intern in Anhe Hospital, but the number of times was relatively small, but in the game of outpatient doctors, he heard this kind of family cry every once in a while.

Although Su Hongwen is only an outpatient doctor in the game, the outpatient doctor in the game has to shoulder the emergency work at night, and the most common thing to hear there is the family's words for help that contain panic, helplessness, and fear, and it is also in the emergency department that Su Hongwen has two misdiagnoses, an emergency doctor not only has to face the disease of a department of general surgery, but also the diseases of each department can appear here, which is also intentional with Searle, and the purpose is naturally to exercise Su Hongwen.

The simulated scene in the game is too realistic, and unconsciously has already made Su Hongwen think of himself as a real doctor, and now as soon as he heard the cry for help from the patient's family, he immediately ran over and squeezed in the crowd, Su Hongwen's actions attracted several dissatisfied complaints, but Su Hongwen would have time to take care of them, and what he was thinking about was the patient.

There was an old man with gray hair lying on the ground, the old man's eyes were closed tightly and his mouth was wide open and he was breathing rapidly, but his rapid breathing was weakening at a speed visible to the naked eye, and the old man's lips were already a little bruised, which was cyanosis in medical terms.

There was a girl squatting next to the old man, she was crying for help and calling out to the old man, but the old man seemed to be confused and had no intention of responding.

This girl is none other than the barbaric girl Xia Lingxue that Su Hongwen met on the train, Xia Lingxue's grandfather was going to Xia Lingxue's uncle's house to spend the winter when the weather was just cold, the temperature there was high, not as cold as Shashi, the old man was most afraid of the cold, he would gasp when he was cold, and he would have to be hospitalized if he gasped, so Xia Lingxue's father took the old man to Shashi in the summer to escape the heat, and it was still very cool in summer, especially at night.

This year's situation is a bit special, the weather is cold very suddenly, the temperature drops without waiting for the old man to go to the southern city for winter, the old man is panting again, there is no way but to be hospitalized, this stay will live until the end of the year, the old man has been treated and his body is much better, not so breathing, it's almost the New Year, Xia Lingxue saw that his grandfather's health was much better, and he was very bored at home, the weather was very good today, and it was not very cold, Xia Lingxue wanted to take his grandfather out of good intentions to go around, breathe.

Originally, the grandfather and grandson didn't want to go far, they just thought about walking around the community, the grandfather and grandson chatted while strolling around in the community, and the old man talked about the interesting story of Xia Lingxue rolling all over the ground when she was a child when she was three months away from the Chinese New Year, Xia Lingxue was naturally ashamed, and took her grandfather's hand and coquettish.

The old man saw that his granddaughter was so old and that he was old, and he didn't know that he would leave that day, and he didn't know how many New Year's he could spend with his granddaughter.

Xia Lingxue didn't want her grandfather to go, after all, the old man was old and his health was just right, but the old man's stubbornness was committed, and he didn't say anything, and finally Xia Lingxue asked his parents, and they agreed to take his grandfather to the mall.

Shashi is still relatively backward, there is not even an elevator in this shopping mall, so Xia Lingxue had to take the stairs with her grandfather, the fourth floor is for selling women's clothing, the old man walked up a little gasping with the support of his granddaughter, and when he gasped, he felt phlegm in his throat and eyes, the old man couldn't help but cough vigorously a few times, this cough didn't matter, the old man immediately felt out of breath, first his face was red, and then he couldn't stand.

The old man was very fat, Xia Lingxue couldn't help him, so he had to put his grandfather on the ground in a hurry, and shouted a few times in his mouth, seeing that his grandfather didn't respond to him Xia Lingxue was immediately frightened, and even forgot to call 120, so she thought about calling for help.

It happened that Su Hongwen came over and heard it, the time between the old man lying down and Su Hongwen arriving here was no more than two minutes, and some well-wishers around him called 120, but the ambulance was not so fast, which made Xia Lingxue panic even more.

Su Hongwen squatted down and first rolled the old man's eyelids, and saw that the pupils were not dilated, which showed that the old man was still saved, and then Su Hongwen put his hand on the old man's neck, he wanted to check the lower trachea, judging from the old man's age and panting, Su Hongwen judged that the old man was more like a sudden pneumothorax, if it was a heart attack, the old man would be no longer good, and he would open his mouth and pant for breath.

The reason why the trachea is examined is because when a large number of pneumothorax occurs, the trachea and mediastinum can be displaced to the healthy side, once the trachea of the old man is really displaced, this can provide strong evidence for the diagnosis of pneumothorax, so Su Hongwen's first step is to check the trachea, this step is not difficult, it can be said to be quite simple, as long as the index finger and ring finger finger fingers are fixed on the sternoclavicular joints on both sides, the palm of the hand is parallel to the sternum of the examinee, the distal end of the middle finger is touched up and down at the suprasternal fossa, left and right, and the finger is placed in the middle of the trachea, and the middle finger and index finger are observed. The distance between the tips of the ring finger can be obtained very quickly.

It only took Su Hongwen more than ten seconds to complete this check, and he had done this check countless times in the game, which was too skillful.

The result made Su Hongwen frown, and the trachea was not displaced, which meant that the old man either had a sudden heart attack or a bilateral pneumothorax, no matter what the situation was, if he couldn't get timely treatment, the old man's life would have to be explained, and he couldn't wait for the ambulance to come.

Now Su Hongwen has no stethoscope in his hand, nor any medicines and appliances, there is only one way to determine what kind of disease the patient is, chest examination, it is winter, the old man wears a lot, Su Hongwen in order to grab time to help the old man undress, directly stretched out his hand to pull away the coat that the old man was wearing outside, and then used brute force to tear the clothes on the old man's upper body, that is, his strength after genetic modification is greater than that of ordinary people, otherwise he really can't tear the thick clothes worn by the old man.

At this meeting, Xia Lingxue finally came back to her senses, she recognized that the person squatting next to her was Su Hongwen, she was happy at first, but then she saw him tearing her grandfather's clothes, Xia Lingxue hurriedly said, "What are you doing?" ”

Su Hongwen didn't raise his head, first looked at the old man's chest, and then put his hands on it, Su Hongwen did bilateral chest palpation, the old man's bilateral chest was full, and the intercostal space was bulging obviously, although he was panting with his mouth open, he could feel that the breathing movement was weakening, Su Hongwen quickly made a percussion, although the surrounding environment was a little noisy, but he still heard the sound of the drum, by this time Su Hongwen had no need to go to the position of the heart and liver, to see if the dullness in these two positions had disappeared, Because he could already confirm that the old man lying on the ground must have a sudden pneumothorax, and the physical examination done above has completely proved this disease.

The old man is a bilateral pneumothorax, this is too fatal, if you can't make the lungs that are compressed into a ball of air expand in time, it won't take two minutes for the old man's life to be gone, what is needed most now is to do bilateral thoracostomy drainage, but this is in the mall, not in the hospital, Su Hongwen went there to find surgical instruments and what he needed?

Su Hongwen frowned, thought for a while, and suddenly turned his head to Xia Lingxue and said, "Do you have a pen on you?" ”

Xia Lingxue shook her head with red eyes, and then said, "Aren't you a doctor?" How's my grandfather? ”

The people around just now saw Su Hongwen, a young man, rushing in, and many people felt that this kid was too reckless, why did you go in? Are you a doctor? If not, the old man is really dead, you can't make trouble, you can get into trouble, everyone thinks so, but no one opens their mouths to say something, most people are holding the mentality that it doesn't matter to themselves, no one will have nothing to do with themselves, people are indifferent to this kind of Cheng dΓΉ I have to say that it is the sadness of Huaxia, but it is also worth reflecting on, why do people become like this now?

Without further ado, the people who were watching the heat couldn't help but look at Su Hongwen when they heard Xia Lingxue's words, no one thought that this young man was really a doctor, but then everyone had a burst of suspicion in their hearts, he was too young, right? He looks like he's in his early twenties, so what experience can such a young doctor have? He wasn't afraid that he would mess around and let something happen to that old man, if that was the case, he would be making trouble for himself!

"I asked you if you had a pen on you? Su Hongwen's tone was very anxious, the old man's illness really couldn't be delayed, after all, he tried his best to expel the gas in the old man's chest and let his lungs re-expand, so as to save the old man's life.

Xia Lingxue shook her head and said no, and then said, "What's wrong with my grandfather?" ”

Su Hongwen would be a little impatient, and he reprimanded without thinking about it: "Shut up, hurry up and find me a pen!" Speaking of this, Su Hongwen turned his head to look at the onlookers, and suddenly shouted: "Whoever has a pen to borrow it from me!" ”

It's the 21st century, who has nothing to do when they go out and carry a pen like they did in the 70s and 80s? If Su Hongwen asks who has a mobile phone, it is estimated that all of them will have it.

At this moment, a little girl in her early teens walked out timidly, handed Su Hongwen a water-based pen and said, "Big brother, do you think this is okay?" ”

Su Hongwen took the pen and was overjoyed, and said with both hands while unscrewing the refill and pen cover in the pen and still on the ground: "Okay, thank you so much!" ”

Quickly threw away all the irrelevant things in the pen, Su Hongwen dug the pen into two in the middle of the pen with both hands, and said urgently: "Hold him down!" ”

"Su Hongwen, stop, what are you going to do?" At this moment, a very harsh voice came!