When Dai Yunyang heard that the patient had a dry cough, he subconsciously carefully examined the patient Luo Pan, and found that the patient's chest was really swollen and bulging, and this tension pneumothorax would cause the lungs to atrophy and mediastinum to be compressed and displaced, resulting in respiratory and circulatory failure and death, which must be dealt with immediately.

Dai Yunyang thanked the doctor, picked up the X-ray to watch, and Zhao Guang followed behind and stretched his head to see.

Dai Yunyang instructed Wang Bingbing: "Take the chest and wear the bag, and prepare the chest cavity to exhaust." ”

While Wang Bingbing was preparing. Dai Yunyang pointed to the film and explained to the intern Zhao Guang: "X-ray is the most reliable way to judge pneumothorax, but when judging whether it is pneumothorax, it is necessary to pay attention to distinguish it from the pulmonary bullae......

After Dai Yunyang explained the difference between the two, he put down the chest X-ray, carefully observed the patient, and found that the patient had difficulty breathing and cyanosis of the lips, and said to the patient: "You should have caused lung damage caused by the violent cough last night, causing spontaneous pneumothorax, and now there is a large amount of gas in the chest cavity, which restricts your breathing, and you need to urgently exhaust the air to release the air in the chest cavity, and you will have to cooperate with us later." ”

"Okay, doctor."

Zhao Guang helped the patient take off his shirt and put him in a semi-recumbent position.

Wang Bingbing had already brought the chest piercing bag, and after opening it, he counted the surgical instruments. Dai Yunyang determined that the puncture point was the intersection of the midline of the right clavicle and the second intercostal space as the puncture point, and instructed Wang Bingbing to disinfect the puncture site three times with an iodophor cotton swab.

During this period, Dai Yunyang began to brush his hands, took out sterile gloves and put them on. Wang Bingbing spreads a sterile towel on the patient.

Dai Yunyang prepared local anesthesia, he took 5 ml of 2% lidocaine, fixed the skin at the puncture site with the index finger and middle finger of his left hand, held a syringe in his right hand, inserted the needle vertically at the puncture point, and carried out local infiltration anesthesia from the skin to the pleural wall.

Then continue to insert the needle, the needle bolt was lifted by the gas, and Dai Yunyang removed the syringe to deflate.

Wang Bingbing fixed the puncture needle with vascular forceps against the chest wall, wrapped the puncture needle with iodophor cotton balls, and then fixed the vascular forceps on the chest wall with wide adhesive tape. Then he brought a rubber finger cover and cut a small crack at the top. The proximal end of the rubber finger sleeve is tied to the end of the puncture needle with sutures to make a flap exhaust needle.

Dai Yunyang smiled and said to the patient Luo Pan: "It's done, it's smooth, but I need to be hospitalized in the future." I don't know what the beds are in the inpatient department, so I'll ask the nurse to contact them. ”

Luo Pan nodded gratefully in agreement. Dai Yunyang said to Wang Bingbing: "You contact the cardiothoracic department to see the bed." ”

Wang Bingbing hurriedly went to make a phone call.

Luo Pan's wife had been waiting in the corridor before she could come in to accompany her, and when she heard this, she hurriedly asked, "What if there is no bed?" Doctor, I've heard that this disease is very serious. ”

Dai Yunyang said: "There may be no beds, and our hospital beds have been very tight recently." ”

Luo Pan also said with difficulty: "Doctor, you must think of a way, I am transferred to your main city hospital, I will believe your hospital, my home is in the Huanan Seafood Market next to your hospital." I have a fish shop there, called Luo Ji Fish Shop, and when you come to buy fish in the future, I will give you the wholesale price! ”

Dai Yunyang smiled and said no, the CT film of the grocery store in Seafood City suddenly appeared in his head, and the faint uneasiness in his heart resurfaced.

Just then, suddenly there was a noise in the emergency room next door.

He hurriedly ran over, and Zhao Guang followed behind.

When I got to the next door, I saw Xiong Shengnan, the head nurse, falling to the ground, struggling to get up, and the intern doctor Yu Shasha was grabbed by the hair by an adult male patient, and the male patient also hit the head with his fists. While fighting, he coughed at the same time, and at the same time vomited, and the vomit sprayed on Sasha's body. Moreover, the patient's head was bleeding.

Yu Shasha screamed in horror and blocked it with her hands, but the patient's strength was so strong that Yu Shasha couldn't resist it at all.

Dai Yunyang hurriedly shouted: "Stop! Why hit someone? ”

The intern Zhao Guang was much faster than him, rushed directly over, and kicked the patient in the crook of the leg from behind. The patient fell directly to his knees and fell to the ground, and was dragged down with Yu Shasha, tearing off a handful of Yu Shasha's hair.

Zhao Guang saw that the patient was still grabbing Yu Shasha and beating him, so he simply locked his throat and strangled the patient with his elbow from behind, and the patient was out of breath and had to let go.

Yu Shasha was able to get out and hide back. Xiong Shengnan had already gotten up and shouted in a panic: "Crazy, just crazy!" ”

"He's not crazy, he's having epilepsy, and it's my husband's younger brother Ma Laosi."

A middle-aged woman rushed in and said that her husband was a patient with a cervical vertebra fracture who had been intubated by Dai Yunyang in reverse.

Ma's third daughter-in-law rushed up and grabbed Zhao Guang and asked him to let go.

Zhao Guang saw that the crazy patient had let go of Yu Shasha, so he let go of the lock throat, pushed the patient away, and stood up.

The security guards arrived at this time, and the joint subdued the epileptic man and pulled him outside.

Dai Yunyang found that Zhao Guang's mask was crooked, and said, "Hurry up and put on the mask!" ”

Xiong Shengnan was relieved when he heard the woman say that the crazy patient was epilepsy, and said: "No wonder this is the case, just now we were cleaning the wound on his head and stitching it up, he suddenly jumped up, pushed me away violently, grabbed Yu Shasha's hair and beat her hard, like crazy." ”

Yu Shasha covered her head and pointed at Zhao Guang angrily and said, "How did you do it?" Didn't you see him grabbing my hair? You got him, and I was torn off my hair, and I was killed, and I think you're crazy! ”

Zhao Guang couldn't get angry and said, "I was kind enough to save you, do you still blame me?"

"You call for help, you call for falling into the well. Seeing that I was unlucky, deliberately pretending to save me, and harming me, right? You can't see me. ”

Dai Yunyang was very helpless, these two interns had been here for a long time, and there were always disputes. Of course, in Dai Yunyang's view, most of the time it was Yu Shasha who had nothing to do and made trouble with Zhao Guang. This time it was the same, Zhao Guangming was kind and went to save her, but when she said it in her mouth, it became a stone.

Just now, Zhao Guang dragged the epileptic patient and fell, and he vomited.

Dai Yunyang said to Zhao Guang: "You hurry up and wash it and change your clothes." Yu Shasha, you can go too. ”

Yu Shasha was also stained with what the patient vomited just now, which was really disgusting. But just now her hair was scratched off, and she was all focused on it, not on her body. After Dai Yunyang said this, he noticed that his modified tight white coat was also stained with filth, and he was disgusted, so he quickly took it off and ran out quickly with his hand.

Li Yanling and Wu Hao also rushed over, and after asking about the situation, Wu Hao said: "Epilepsy patients generally don't vomit, could it be that the trauma just now caused a concussion?" It's better to do a CT scan of the head to see if there is any bleeding in the head?"