Pure essence is strange, and the sky is bright. The jade ridge embraces the clear air, and the lotus peak blooms white flowers.

Half-rock obscure clouds and snow, high top clear smoke. Morning and dusk to the hotel, faint like a fairy home.

This poem depicts the beautiful scenery of Tibet, just as beautiful as Jun Youyao saw in front of him, because there was a temporary He Wenhao with him, Gu Lihan did not choose to rent a car to go to Tibet, but specially signed up for a tour group and took a bus from Lin Haicheng to Muzato City, the capital of Tibet.

Li Jiu's base camp is in Muzato.

Because it is a tour group, the speed is not fast, and you can enjoy the rough and heroic scenery along the way, Jun Youyao made up her mind to solve the matter of Princess Lianci's tomb and want to appreciate it again after coming back.

The closer you get to the Tibetan area, the more you can feel the customs and customs of the Tibetan area, which are different from other places, as well as the extremely changing climate and special topography.

When the majestic and continuous Sima Mountains appeared in everyone's sight, the people on the bus couldn't help but sigh from the bottom of their hearts, and the snow-capped mountains in the distance were like holy and flawless goddesses, which made people awe and couldn't help but yearn for it.

“…… Xiao Meng, tour guide, I don't seem to be feeling well, I can't breathe. ”

This tour group is a miscellaneous group, and the nature of the personnel is quite complicated, there are four generations of middle-aged and young people, so when the bus gradually approached the Tibetan area, finally some people began to have altitude sickness.

Jun Youyao and Gu Lihan have a special physique, but a little altitude sickness will certainly not appear on them, as for He Wenhao, who has been sullen since he was forcibly taken into the car, he has been going back and forth to Tibet several times, and he has long been used to it.

The tour guide and the bus driver are experienced, and soon took out the oxygen bag and handed it to the person who first had altitude sickness, and taught everyone some first aid knowledge, especially the two elderly tourists and their husband and wife with the worst physical fitness and a few young children, they paid special attention to the fact that they were most afraid of this kind of guests when they came to Tibet, but the company never refused in order to make money, and it was really difficult for them to guide the tourists.

Every time they receive such guests, they can only pray to the immortal heaven that nothing will happen.

But this time, Changshengtian may have been too sleepy to take a nap and not hear their prayers, and when there were still three or four hours away from Muzato, something happened to the old grandfather of the elderly couple.

"Wife! What's wrong with you, wife? Wife, don't scare me. The old man's voice was flustered and anxious, attracting the attention of the others in the car.

Meng Qi has been a tour guide for so many years, and he instantly realized that something was wrong, and hurriedly asked the bus driver to stop the car, and before the car could stop, he ran to the couple.

At a glance, he knew that the old man's condition might be acute altitude sickness, and looking at his condition, he was afraid that he had other diseases, he was a little panicked, this was not in the village before, there was no store in the back, if something really happened, it would not even be too late to send him to the hospital.

The old couple's surname was Chen, and he hurriedly asked, "Grandma Chen, does Grandpa Chen have other diseases?" ”

In fact, before the tour is formed, each member of the group has undergone a simple physical examination, and it is impossible for patients with structural heart disease, coronary insufficiency, significant arrhythmia, severe hypertension and various blood diseases to be accepted by the tour group.

Although their company is not strict, in order not to get into unnecessary trouble, they never miss the physical examination.

"No, he has always been in good health, and we have lived in Tibet for many years, and we only moved to Linhai five years ago, and this time we came back to see our great-grandson." Grandma Chen was anxious, and her wrinkled face was not only nervous but also fearful.

The relationship between her and Grandpa Chen is very good, and the two were taken to live in Linhai by their daughter who married into Linhai City five years ago, this time to go back to see their great-grandson who was born not long ago.

Because the two elders have always felt that they are in good health, no one thinks that something will happen, and they have been living in Tibetan areas before, let alone think that something will happen.

But now Grandpa Chen's reaction is obviously not a simple acute altitude sickness, his face is bruised at this time, it is difficult to breathe, the panting sound is very loud, he still looks like he can't breathe while inhaling the oxygen bag, and he always feels that if he is not treated, he may soon die of respiratory failure.

Meng Qi was also a little panicked, and couldn't help shouting to the other people on the bus: "Is there a doctor among the guests?" ”

In the face of this kind of accident, Jun Youyao couldn't sit idly by, she stood up as soon as possible, and walked to Meng Qi's side with Gu Lihan, "I know a little bit of medical skills." ”

As Han Qiong, she is not even a medical student, so she can only say that she knows some medical skills.

At this time, Meng Qi didn't care if she really understood medical skills, Jun Youyao's appearance was like a life-saving straw, and he just wanted to hold on to it now.

"Just understand, you can help Grandpa Chen take a look." Meng Qi was so anxious that he wanted to grab Jun Youyao's hand, but he was slapped away by Gu Lihan's palm, his hand strength was not small, and soon the back of Meng Qi's hand turned red, and he also felt a cold look, and he was so frightened that he instantly took his hand back.

At this time, Jun Youyao didn't care to pay attention to her man's jealousy, her fingers were already on Grandpa Chen's wrist, and the eye of heaven had already opened and looked all over his body.

Soon her brow furrowed.

Meng Qi and Grandma Chen kept looking at her, and when they saw her brows furrowing and tightening, the more panicked they became.

Grandma Chen asked eagerly, "Girl, what's wrong with my wife?" ”

“…… The anteroposterior diameter of the thoracic cage increases, the intercostal space widens, the substernal angle under the xiphoid process widens, there is a barrel chest, the breathing becomes shallow, the frequency increases, and the pursed lip breathing appears......" Jun Youyao did not answer Grandma Chen immediately, but quickly made a judgment, she explained while approaching the patient while lightly buttoning his chest, in the absence of a stethoscope, she could only rely on her ears, of course, all this was just for show.

“…… The lungs are too clear, the cardiac dullness is reduced, and the lower lung and hepatic dullness are reduced. Decreased breath sounds in both lungs, prolonged expiration, and vague wet rales. ”

After doing this, Jun Youyao looked up at Grandma Chen: "Grandma Chen, I judge that Grandpa Chen may be suffering from chronic obstructive pulmonary disease, and he is now suffering from respiratory disorders caused by altitude sickness. ”

The old man's condition was not mild, his respiratory disorders were severe, and if he was not treated as soon as possible, he could really die of respiratory failure.

Of course, Jun Youyao had a way to treat him, but the situation at the scene was not suitable for her to use the Heavenly Eye to treat, which was too attention-grabbing.

“…… Girl, I don't understand what you're talking about, I just want to know, is my wife saved? Grandma Chen was so excited that she grabbed Jun Youyao's hand, her eyes full of pleading.

Jun Youyao thought about it, with the current situation, it seems that she can only perform tracheostomy surgery, this operation is not difficult for her, the problem is still in the operating environment, in this kind of small and chaotic environment, the operation is easy to do, but if you are not careful, it will cause postoperative infection.

But this situation can be avoided by her, so ......

She looked up at Meng Qi: "How long does it take to get to the nearest hospital?" ”

"It will take at least three hours." Meng Qi looked at Grandpa Chen, whose face was getting worse and worse, and felt that his hands were trembling.

He is not like Grandma Chen, he understands the term respiratory disorder.

"It's too long, it's definitely too late." Jun Youyao frowned, and asked again, "Are there any emergency medical equipment in the car?" ”

"Yes, I'll look for it right away."

Because accidents inevitably occurred during the journey, there was a medical box in the car all the year round, and soon Meng Qi ran back with a medical box and handed it to Jun Youyao.

Jun Youyao took it and said to Meng Qi: "Evacuate the other passengers first, I will have emergency surgery soon, and call an ambulance by the way." ”

"Okay." Meng Qi didn't doubt Jun Youyao's ability at all now, at this time, he was also a master of the six gods, and he would do whatever Jun Youyao said.

The passengers on the bus did not embarrass him, and quickly followed the driver out of the car, leaving space for Jun Youyao and others.

Jun Youyao cleaned up a relatively clean area, spread a thin blanket on the ground, took out a small pillow from the medical box, and took out disinfectant for routine disinfection, and said to Gu Lihan: "Stupid, help me bring my grandfather over and let him lie flat on his back." ”

Gu Lihan nodded, and according to her instructions, he hugged Grandpa Chen over and lay down.

"Go get my bag for me again." Jun Youyao commanded again.

Gu Lihan's movements were neat, and Jun Youyao quickly found the acupuncture and moxibustion she had been carrying with her in her bag, as well as a set of scalpels.

"Stupid, you sit on the side of Grandpa Chen's head and help me fix his head and keep it in the middle position."

"Okay."

A tracheostomy requires local anesthesia, but the medical kit on the bus is impossible to have anesthetics, so she can only use acupuncture for local anesthesia.

In this environment, she didn't have a suitable intubation, so she could only find a pen like in the TV series, remove the refill and leave the pen tube, and then quickly disinfect the pen tube and put it aside.

After that, he sterilized the needles and scalpels, and then made a quick movement in his hands, and put several needles in several acupoints on his neck.

This girl is really a capable person.

It took her less than half a minute to complete this action, without a single pause.

And Jun Youyao's next move was to make the hearts of the two of them tighten, only to see her pick up a thin and sharp scalpel, and quickly made an incision in the suprasternal fossa in the middle of the neck, and blood beads poured out, which was very terrifying.

Jun Youyao didn't care about the two of them, and used vascular forceps to separate the sternohyoid muscle and sternal thyroid muscle along the midline, and his fingers moved like dexterous butterflies on the small incision, and quickly found the trachea.

The anesthesia effect of acupuncture is good, the patient does not exhale pain or has other movements, so that Jun Youyao is a lot more relieved, she uses a scalpel to arc from the bottom to the top to arc the front wall of the tracheal ring to form the front wall of the tracheal valve, because the surgical tools are not complete, many of her movements can only be completed by hand and feeling.

When the barrel was inserted into the incision without any bleeding, she was finally relieved.

The old man's complexion finally eased, and his breathing gradually returned to normal.

(Education 123 Literature Network)