Chapter 480: Pneumothorax

Guo Xiang walked to the end of the carriage, where there were really a bunch of people surrounded by the three layers inside and the three layers outside.

What's going on?

Guo Xiang walked over and shouted as he walked, "Let one go, let one go, I'm a doctor." ”

As soon as the people in front heard that another doctor was coming, they all got out of the way, and Guo Xiang took the opportunity to look over.

I saw a ceramic shard falling to the ground in front of me, and there was a person lying on the ground, and the person had a piece of porcelain in his stomach, and a woman was pressing a handkerchief against the neck of the injured person, who should have also been injured in the neck.

"What's going on?" Guo Xiang asked the people on the side.

"That young man, brought a box of porcelain, this is not about to get to the next station, he took the luggage, who knows that one accidentally smashed the whole box down, hit him, the porcelain was broken, and the person was knocked unconscious."

"Just now he fell to the ground, we turned him over only to find that there was a porcelain piece inserted in him, we didn't dare to move, this girl said she was a doctor and came over."

Guo Xiang took a closer look, wasn't this the Chen Yu he met in the gambling stone field, and he was surprised, she was also a doctor?

Looking at the people on the ground again, his chest was very weak, and his breathing seemed to be poor, Chen Yu didn't seem to understand what was going on, and he was talking to himself.

Guo Xiang listened carefully, she seemed to be speaking in English, and seemed to rule out any possibility.

She walked over, crouched down, and said, "It's Tension Pneumothorax." ”

Chen Yu raised his head in surprise and was surprised to see that it was Guo Xiang, "It's you?" ”

"How do you know?"

Guo Xiang pointed to the man's arm, probably because he came from southern Yunnan, he was wearing relatively little, and the man's sleeves were rolled up on his upper arm.

There are some bruises and purples in the left arm, Guo Xiang opened the fluoroscopy, the vein in the left arm was ruptured, although there was breathing in the chest, the chest activity was abnormal, and the left lung should be different.

On fluoroscopy, there is a traumatic pneumothorax in the left lung.

It must have been caused by the box falling down.

Guo Xiang pulled the injured man's clothes apart and pointed to his left arm to the left chest, "The veins are dilated, which is caused by increasing the intrathoracic pressure inside the chest cavity, and it should be that the box just fell down and caused the lungs to tear, causing air to enter the pleural cavity around the lungs instead of the lungs, causing a pneumothorax." ”

"So what now?" Chen Yu asked, there is no way to operate here.

"Wait for me!" Guo Xiang stood up, "By the way, give him artificial respiration first, otherwise he will run out of breath immediately." ”

After taking two steps, Guo Xiang turned back again, "Don't do cardiopulmonary resuscitation, don't compress the chest." ”

"I know!" Chen Yu nodded.

Guo Xiang quickly ran back to his position, picked up the bag he was carrying and ran.

"Daughter-in-law, what's wrong?" Gu Zhennan asked in the back.

"It's okay, I'll save people!" Guo Xiang replied and had already run to the back of the carriage.

She took out a simple surgical kit from her bag, which she usually carries when she goes out, along with some medicine.

There was a small bottle of alcohol, but now there is simply not enough.

"Which of you doesn't have a high degree of liquor?" Guo Xiang looked at the crowd of onlookers.

Everyone shook their heads.

"Help me ask, if you want high liquor, I can buy it, it can be used to save people." Guo Xiang said that it was used as alcohol disinfection.

"Is it okay if I have a bottle of 53 degrees Erguotou?" Someone asked.

"Yes, bring it right away!" Guo Xiang said as he took out his simple surgical bag.

Chen Yu was surprised to see that she was still carrying these things, she must be a surgeon.

Guo Xiang first took a cotton wool and gauze to Chen Yu and asked her to wrap the neck of the injured person, so that she didn't have to press it all the time.

Then he took out the scalpel and soaked it in alcohol first.

"Who has a hose? Preferably new. Guo Xiang asked again.

"I have it, and I just purchased it for the workshop." Someone said.

"Didn't get oil on it, did you?" Guo Xiang asked.

"No, it's new." The man replied.

"Okay, cut me a foot or so!" Guo Xiang said as he opened the second pot head and poured it into the chest of the injured person, focusing on the ribs, and made an incision between the two ribs later.

I poured half a bottle, poured some on the hose and cleaned it, then put the hose into the bottle and threw it to Chen Yu, "I have medical tape in my bag, seal the mouth of the bottle!" ”

"Good!" Chen Yu nodded and immediately took over.

Guo Xiang poured out the vial of alcohol, washed his hands, picked up a scalpel and cut it between the two ribs on the left side of the wounded.

The knife cut and the blood immediately gushed out.

"Ahh

There are also people who turn their heads and dare not look, it is too scary.

"Pipe!" Guo Xiang stretched out his hand.

Chen Yu immediately put the sealed bottle and tube into Guo Xiang's hand.

Guo Xiang stuffed one end of the tube into the part that had just been cut between the ribs.

I saw bubbles coming out of the bottle.

"What's going on?"

"Why is the wine in the bottle bubbling up?" Someone exclaimed.

"That's weird!"

At this time, the injured person let out a "heh", his chest rose and fell significantly, and he was breathing.

"Alive, alive!"

"What a miracle doctor!"

Guo Xiang took cotton wool and adhesive tape to bandage the wound between the ribs.

There were still bubbles in the bottle, "What the hell is going on?" Someone asked.

"The injured person is a pneumothorax, and this is the air coming out of the lungs!" Chen Yu explained, looking at Guo Xiang with admiration, it was really a shame that she could think of this way.

"What is a pneumothorax?"

Chen Yu couldn't explain it, and people who didn't study medicine couldn't understand what he said.

"Then why put it in wine? Wouldn't it be okay to just let the gas out? The man with the pipe just now asked.

"It's a homemade check valve!" Guo Xiang said, "The qi in the lungs comes out, but it may also be poured back, and the qi in the lungs is drawn out with a tube, and it enters the wine, of course, if it is water." ”

"The mouth of the bottle is sealed, so the outside air will not enter the bottle again, and the air in the wine will not be able to return to the tube, so it will not cause a pneumothorax again."

Chen Yu nodded, admiring Guo Xiang very much, others may not understand, but she is a doctor who understands this principle very well.

"Did anyone notify the conductor?" Guo Xiang asked.

"I've been notified, he said to come to the station immediately, and as soon as he arrives, he will call the doctor to come up, but you have already been saved, so there is no need for it, right?" Someone said.

"I still want it." Guo Xiang pointed to the abdomen of the injured man, "There are still injuries here, and this porcelain piece cannot be pulled, in case the major abdominal artery is injured inside, we can't stop the bleeding here at all." ”

Chen Yu also nodded, so she didn't make a rash move just now, just pressed the injured vein on her neck.

After a while, the train arrived at the station, and the conductor immediately rushed down and called the doctor to carry the injured down first, and the ambulance was not so fast, so he had to wait at the station.

Guo Xiang and the others want to continue to take the car back to Beijing, so naturally they will not care anymore.

"I didn't expect to see you again, and I didn't expect you to be such a skilled doctor." Chen Yu looked at Guo Xiang.

"You too!" Guo Xiang smiled, "Studying abroad? ”

"How do you know?" Chen Yu was surprised.

"I heard you talk to yourself just now, and you speak English, so you should be used to it, right?" Guo Xiang said with a smile.

Chen Yu's face was slightly red, "Yes, I'm used to following foreign teachers." ”