Even in a semi-sitting position, Ji Xiang felt that it was becoming more and more difficult for him to breathe.

Countless Venus stars were flying in front of him, and Ji Xiang vaguely saw Meng Qingfei's figure.

Hallucinations, this must be hallucinations produced by hypoxia! Ji Xiang said to himself in his heart.

And every time Ji Xiang takes a breath, oxygen should be enough, but when the gas passes through the alveolar membrane, there is an obstacle.

Ji Xiang also knew that it was not that there was any problem with his own body function, but that the air coming out of the lung breach deflated the lung tissue, causing oxygen to be unable to oxygenate through the alveolar membrane, respiratory membrane, and blood in the capillaries, so that the oxygen content in the blood increased.

But in any case, he just felt like he was broken.

In a trance, Ji Xiang no longer saw Meng Qingfei, but felt that he was a mecha damaged in battle, and the parts of his body crackled and fell to the ground, and he could clearly hear the sound of the parts hitting the ground.

Ji Xiang has experienced empathy many times, painful, tearless, terrifying and weird.

However, when he sensed the pain of a traumatic hemopneumothorax, those who had been there seemed to be nothing to be done.

The strength in his body quickly withdrew, and Ji Xiang sat down and leaned on the back of the 120 emergency doctor.

"Young man, breathe evenly, don't be too deep and not too shallow, don't be nervous." 120. The emergency doctor kept talking to Ji Xiang about precautions.

Especially nervous.

Ji Xiang also knows that even normal people will have difficulty breathing because of emotional stress.

If you are a 120 emergency doctor, you will also tell the patient not to be nervous.

But!

When I felt it, I felt infinite horror coming, I was on the verge of death, and I didn't know if I could catch my next breath.

That's it, how can you not be nervous?

No matter how much Ji Xiang forced himself to be calm, he couldn't do it at all.

"Roar~"

"Roar~~"

A subtle roar came out of Ji Xiang's throat.

He knew that it was caused by the trachea starting to spasm, and if he was an elderly person with an underlying disease, he was afraid that he had already started asthma.

Several diseases are superimposed......

The consequences are unimaginable.

It's so uncomfortable! Ji Xiang shouted in his heart.

Even Ji Xiang felt that if he kept this state, it would be better to die.

"Young man, don't be nervous, it's just a simple little problem, just go to the hospital and get the tube out to draw the qi out." 120 emergency doctors comforted Ji Xiang.

"Rest assured, the blood oxygen saturation is still 91%, and the trachea has not shifted. If it really doesn't work, I'll use a syringe to help you pump the gas out. ”

"Don't be nervous, I'm here."

120 emergency doctors kept comforting Ji Xiang.

However, Ji Xiang has only one thought in his heart - if you have the ability, you can try a hemopneumothorax!

Standing and talking does not hurt your back.

He no longer had the strength to think of the question he had just given Meng Qingfei in the emergency department, the Venus in front of him was twinkling, and even Ji Xiang vaguely saw a bright light.

Ji Xiang didn't know what the Great Light meant, and he was powerless to think.

The 120 drivers were very experienced, and the private cars along the way were also very cooperative, and they did not delay, and rushed all the way to the hospital.

"Traumatic hemopneumothorax!" The 120 emergency doctor yelled, "Hurry up! ”

In the car, he had already called the emergency department, but at this time the 120 emergency doctor still yelled.

Pingche pushed Ji Xiang away as soon as possible, followed the doctor who followed Pingche at a glance at the blood oxygen value, auscultated again, and said calmly, "It's nothing, why does it look so serious." This young man is hypocritical enough. ”

He didn't speak loudly, as if he was communicating with the emergency doctor, but Ji Xiang heard it.

If the oxygen saturation is 91%, it is really fine, and you can go to the thoracic surgery department for the next thoracostomy drainage later.

If you empathize, Ji Xiang will definitely think so.

But now!

Ji Xiang has already begun to scold his mother in his heart.

Ji Xiang, who is usually gentle, elegant and calm, has already begun to scold his mother!

"Hurry up and make a film, and then hurry down the tube." The doctor in the emergency department replied.

The flat car roared, and Ji Xiang heard many doctors say similar things - the sound of the emergency flat car was the most annoying.

Now Ji Xiangdu feels that if he hears this sound in the future, he is afraid that he will have coronary artery spasm and a heart attack in an instant.

"Young man, stand up, just a few dozen seconds."

The doctor of the thoracic surgery reassured Ji Xiang.

Ji Xiang was speechless at this moment, he felt like a dead fish thrown ashore, rolling his eyes, unable to even struggle.

The doctor of thoracic surgery is quite reliable, although he thinks that Ji Xiang is hypocritical, but because he has no family, he wears a lead suit to accompany Ji Xiang in the house, so as not to fall down when Ji Xiang changes his position.

A "standing" film was taken at a 45° angle, and the thoracic surgeon leaned over to take a look.

"There is not much blood, and the lung tissue is compressed by 60%, which is okay." The radiology doctor said very easily, "When I look at the patient's condition, I think that the person is going to die." ”

"Hey, who would have thought that a young lad would be so pretentious. A few days ago, I met a patient with 85% compression of lung tissue, and I admitted him to the hospital, but he didn't do it, saying that he didn't feel anything at all, and he was going to participate in cycling. ”

The thoracic surgeon said, glancing at Ji Xiang.

Ji Xiang burst into tears in his heart.

Are you hypocritical?

It seems like this, but these negative feelings are clearly felt by yourself!

Now the sense of near-death is getting heavier and heavier, and even the mind has become chaotic.

There is only one sentence swirling in Ji Xiang's mind - individual differences.

In the past, Ji Xiang never thought that the individual differences would be so serious, and a pneumothorax with less than 80% of the lung tissue compressed would make him want to die.

No!

It's that I don't want to live anymore......

That being said, the thoracic surgeon did not waste time, and he hurried to take Ji Xiang back to the ward.

"Are you ready?"

After returning to the ward, the thoracic surgeon immediately asked.

"Ready!"

The nurse said simply and simply.

Ji Xiang didn't have the strength to sit, and it was more difficult to breathe after lying down, no matter what position or posture it was.

His eyes were gone, and he watched as the thoracic surgeon quickly sorted out the incision bag, and the nurse helped prepare the thoracostomy bottle.

Blades, sterile towels, incision bags, chest tubes, and saline poured into the chest bottles, all the steps are orderly, and it seems that this hospital is quite professional.

However, Ji Xiang felt the power of the theory of relativity.

The thoracic surgeons are professional enough and the nurses have no problems cooperating.

Ji Xiang felt that all their movements were like slow motion, playing frame by frame, which was extremely irresponsible to the patients.

Damn it!

Ji Xiang also knew that this was a false perception of his near-death state, but this perception was so clear and real.

"Get an injection, don't move." The doctor of the thoracic surgery department said indifferently with a syringe after detoxifying.

Yes, Ji Xiang feels that the attitude of the thoracic surgeon is indifferent.

He even felt that the expression of the thoracic surgeon was a little hideous, hurry up and do it!

The needle prick was like a mosquito biting itself, and there was no pain at all, but the little monster in Ji Xiang's heart gradually grew up and roared wildly.

It doesn't hurt to cut it.

Blunt separation of muscle tissue, until the hemostat forceps hit the pleural position, Ji Xiang's muscles all over the body suddenly stiffened.

The parietal pleura is like a switch, and the slightest touch makes Ji Xiang unable to move.

"Bear with me!" The thoracic surgeon said, "Just poke it in." ”

Ji Xiang was sweating profusely, and he used all his strength to say "um".

He had a thoracostomy during his internship, and Ji Xiang also said what the thoracic surgeon said.

Indeed, the moment the pleura is punctured, some patients struggle violently.

However, as long as the closed chest drainage bottle is connected, the gas and blood are discharged, and the feeling of dying disappears.

The last step! Ji Xiang encouraged himself in his heart.

The hemostat was a little cold, and the lights in the disposal room were a little dim.

In the next second, the sound of "poof" came, and the sound was accompanied by the sound of air leakage.

"Wow~~~"

Ji Xiang screamed.

Like a fish, he was thrown up and slammed into the bed in the treatment room.

"Too young, too good health, pleura and intercostal muscles are very tense." The thoracic surgeon sighed, "Right now, the chest tube will go in." ”

There was a great light in front of Ji Xiang's eyes.

As for what the thoracic surgeon said, he didn't hear it clearly.

The sourness just now was extremely cool, and Ji Xiang never expected that the moment he punctured the pleura, he felt as if he had died once.

The thoracic surgeon uses hemostats to hold the chest tube into the incision, blunt separation.

"Humph!"

The thoracic surgeon is pushing the chest tube in.

But as he said, Ji Xiang was young, his muscles were tight, and his pleura was tense, and the thoracic surgeon did not send the chest tube in one go.

"!" The thoracic surgeon was a little annoyed.

Especially after he heard Ji Xiang's scream, he almost fell off the instrument.

"Brother Wang, how easy it was to use the core chest tube in the past, why is it gone." The nurse asked in a low voice.

"It is said that there is a problem with the procurement of high-value consumables, and the medical insurance does not reimburse or something else. Pay one for one, it's all our bonus......" The thoracic surgeon said depressedly, his voice getting quieter and quieter, and the back was already as thin as a mosquito.

But Yoshisho could guess what he was talking about.

Ji Xiang almost didn't cry.

If you have money, you can use that kind of chest tube with a steel core!

There used to be a high-value consumable, and the lumen of the chest tube was equipped with a steel core, which is equivalent to the tube being hard, and it is not too convenient to poke into the chest cavity.

Nowadays, thoracic surgeons use hemostats to hold the chest tube and rely on the metal part of the front end of the hemostat to put the chest tube in.

The latter must be scolded, otherwise it will not be able to be sent in.

Ji Xiang was in pain + had difficulty breathing, and burst into tears.

Damn the operation, let's get it done!

"Bear with me, right away." Again, the thoracic surgeon said the word "immediately".

Ji Xiang wanted to say, you can shut up quickly, and it is real to hurry up and put the chest tube in.

But in the next second, the thoracic surgeon stabbed with the strength of his body.

Ji Xiang's body moved a few centimeters, and even Ji Xiang felt that the consultation bed under him was moving with the strength of the thoracic surgeon.

Although the strength was enough, the chest tube was still not sent in.

Whether it was Ji Xiang or the thoracic surgeon, they were silent.

Ji Xiang's whole body was already soaked in cold sweat, as if he had just taken a bath, and he was trembling all over, and he was not controlled at all.

Zhen Teniang's sin, Ji Xiang even wanted to stop empathizing and return to Meng Qingfei's side.

But Ji Xiang still didn't coax, he just thought for a moment, and then curbed the idea of going back.

The empathy continues.

After three purgatory-like attempts, Ji Xiang even felt that the thoracic surgeon was going to break his ribs, so that the chest tube could be sent into his chest cavity.

"Chest bottle!" The thoracic surgeons spoke a little louder.

Finally, Ji Xiang heard the sound of bubbles bubbling in the bottle of gurgling chest.

He knew very well that the gas in his chest cavity was drawn out, the pneumothorax was healed, the lung tissue was opened, and the next healing or something was a trivial matter, and the most important thing was that he didn't have to suffer anymore.

However!

Ji Xiang forgot one thing because of his near-death feelings—what was the condition of the patients he met in the emergency department.

As the gas in the chest cavity was drawn out, Ji Xiang's body just relaxed, and then more serious symptoms swept through his body.

I didn't have any strength, and even the strength to breathe was taken away at once.

The eyelids can't be opened, the whole body is itchy, the heart seems to be jumping in a large cavity, and the sound of knock knock is in the ears.

And the heart is beating faster and faster, Ji Xiang feels that his heart rate has reached about 180 beats per minute.

The situation in front of him was even more serious than just now, but Ji Xiang instead entered an ethereal state.

He was like an out-of-body body, and his whole body was quiet.

Is this a state of traumatic shock?

Shock caused by gas and fluid discharge after thoracostomy drainage, vagus nerve dysfunction, and misjudgment of the body?

Should be.

Ji Xiang never expected that a small disposition, which was not even a surgery, could make him go into shock!

"Huh? What's going on? The thoracic surgeon looked at Ji Xiang suspiciously.

"It doesn't seem right."

"Upper ECG monitoring." The thoracic surgeon said, "Hurry up and push Sabo over." ”

Saab......

Ji Xiang hadn't heard this name for a long time.

There was no Saab in the emergency department of the Second Affiliated Hospital, and he met him in the Affiliated Hospital when he was still an intern.

The full name is Saab cardiopulmonary resuscitation, which uses a machine instead of manual heart compression.

I didn't expect to use Saab one day.

This thing is indeed good, but there is only one drawback - it is expensive.

When Ji Xiang was thinking nonsense, the ECG monitoring had been connected, and the thoracic surgeon frowned and looked at the values on it.

"Push 5mg dexamethasone."

"Allergies?" The nurse asked.

"Let's go ahead and get the adrenaline rush." The thoracic surgeon said, "It should be fine, it doesn't look serious due to the pleural reaction, but be careful." ”

"It's rare for a patient to have this kind of thing." The little nurse asked if she didn't understand.

"During the puncture of the pleural cavity, the patient has a series of reactions such as dizziness, chest tightness, paleness, sweating, and even fainting. Pleural reaction is a serious complication of the pleural puncture process, and can be significantly reduced with nursing intervention. ”

“……”

"I heard this question during your nursing exam, but you didn't memorize it?"

"No time to ......"

The little nurse stopped talking, and she kept her head down and busied.

As the drug bolus came in, I don't know how long it took, Ji Xiang felt much better.

This kind of good is not the kind of good that is like a thread of sickness, but a sudden cliff-like ascension, and the whole person is out of the near-death state and full of energy.

"Doctor, I seem to be fine." Ji Xiang said tentatively.

"Scared me." The thoracic surgeon saw that Ji Xiang spoke sharply, and although the vital signs on the monitor had not fully recovered, he knew that it was okay and breathed a sigh of relief.

"I'm fine......"

"Are you alright?" The thoracic surgeon leaned against the edge of the windowsill with his arms crossed, resting and chatting with Ji Xiang.

Although Ji Xiang looked fine, the thoracic surgeon didn't dare to leave at all, who knows what will happen in the next second.

"When I was in the chest department during my internship, a classmate pulled out a chest tube for a patient, just pull out the tube and tie it with the reserved thread. Such a fart operation, and it turned out to be an accident. ”

"Huh? What's wrong? Of course, Ji Xiang knows that it is easy to remove a chest tube, because Ji Xiang always did similar things during his internship.

Although he had just been pulled back from the brink of death, Ji Xiang had been infected by Shen Lang with gossip syndrome, and his ears had been erected unconsciously.

"The chest tube was pulled out, a small amount of bright red blood gushed out of the incision, and the patient suddenly passed out.

We were so stunned that one of the patient's family members immediately went to the doctor.

I immediately pressed on the wound, the bleeding stopped, the bleeding was about 50ml, and the blood pressure was immediately measured, and the blood pressure dropped sharply to 90/50mmHg.

The teacher rushed over, immediately gave a quick infusion, injected epinephrine subcutaneously, and then the blood pressure dropped to 50/30mmHg. ”

"Wipe !!" Ji Xiang was surprised.

"In the end, it was determined that it was caused by a pleural reaction." The thoracic surgeon's eyes were fixed on Ji Xiang, "The possibility of a pleural reaction from extubation is very small, and the odds may be similar to winning the lottery." ”

"My teacher also said that he has been doing chest medicine all his life and has never encountered a similar situation. But when I met it, it was 100 percent. ”

The thoracic surgeon said it simply, but Ji Xiang understood what he meant.

"You said you're an old man, why are you so nervous." The thoracic surgeon complained.

"Nine out of ten people who are chirping in the same operation are men, and if they are replaced by men, the population will be at least half smaller." Ji Xiang retorted.

"......," the thoracic surgeon laughed, "what you said is true, women are really quite bearable, some people say that the pain threshold is high." ”

"Maybe the races with high pain thresholds for men and low thresholds for women have long since perished."

Ji Xiang is really good, he has a mental head and a thoracic surgeon to talk and laugh.

Even if he still has no strength to speak, he is full of.

Next, Ji Xiang asked a lot about the case of sudden death of a chest tube patient encountered during the thoracic surgeon's internship.

The thoracic surgeon had just come out of his nervousness, and he talked nonsense with Ji Xiang and said a lot of things.

This is all clinical experience, and Ji Xiang wrote down everything that should be written down.

Although it is estimated that there will be no chance to do thoracic surgery in this life, there is also a reference in case you encounter it in the future.

Pleural reaction, shock, although the probability of occurrence is not high, but if you buy a lottery ticket, as long as no one is troublemaker, there will always be a lucky person who will appear.

It's this "luck" that doesn't seem so good.

After a while, Ji Xiang gradually fell silent.

Because the excitement of the near-death feeling gradually subsided after the feeling of dying disappeared, the hormone levels in the body decreased, and Ji Xiang felt the chest tube poking his lungs with every breath.

A little uncomfortable, a little uncomfortable, and pain caused by chest tube compressing the intercostal nerves.

Of course, Ji Xiang knew that his experience was caused by many coincidences, and it was very rare for patients to have so many symptoms in the clinic.

As the vital signs stabilized, the thoracic surgeon was also relieved and let Ji Xiang carry the chest bottle by himself.

"Be careful, the chest bottle should be lower than the chest wall, otherwise the water inside will pour back into the chest cavity."

"yes, I know." Ji Xiang skillfully carried the hook on the chest bottle and followed behind the doctor.

"It's okay, you just scared me." The thoracic surgeon said with palpitations, "Once you encounter bad luck, you are unlucky, and I will be unlucky." ”

"Doctor, can't you prevent it in advance?" Ji Xiang asked.

"How can it be prevented? What the vast majority of chest doctors can't encounter in their lifetime, do we still have to go to the ICU to prepare in advance? The thoracic surgeon seemed to have a lot of complaints, and he hesitated, "I have chosen the wrong profession in this life, and if I have the next life, I will not be a doctor in anything." ”

Ji Xiang smiled.

When he came to the ward, Ji Xiang's eyes flashed, and the next second he opened his eyes and saw the system NPC.

"Teacher, I'm back." Before Ji Xiang finished talking to the chest doctor, he suddenly saw the system NPC and was stunned.

"You put your hands down, don't do the posture of carrying the chest bottle, it looks uncomfortable." The system NPC reminds Ji Xiang.

Ji Xiang was stunned, laughed, and rubbed his hands vigorously.

"Do you feel a severe pleural reaction?" System NPCs asked playfully.

"It's not just pleural reactions, hemopneumothorax is not good either. When I got under the chest tube, I felt like I was going to prison. Ji Xiang sighed, "Teacher, it would be nice if I didn't get sick." ”

"Yes." System NPC Channel.

Ji Xiang stared at the system NPC, as if he had heard some secret.

"That's how the patient feels, and don't feel indifferent when you encounter a similar situation in the future." System NPCs are starting to instill a worldview again.

Ji Xiang instantly turned on the passive skill and blocked the cramming indoctrination of the NPC of the system.

I don't know how long it took, the system NPC said with a smile, "There are not many cases of patient death due to pleural reaction in extubation, although there are more than heart tumors according to my statistics, but when I was the director in the past, I could encounter it 2-3 times a year." ”

"That's it."

"We should pay attention to it, and the grasp of the intermediate details is part of the clinical experience." After speaking, the system NPC waved his hand.

Ji Xiang returns to reality.

The sound of the flat car still seems to be echoing in his ears, but Ji Xiang's heart is no longer the self he was just now.

"Xiaoji, do you know what the patient's problem is?" Meng Qingfei asked.

"Rare pleural reactions."

"......" Meng Qingfei was stunned for a moment.

Ji Xiang had a fiery expression just now, why did he suddenly say a clear diagnosis?

And looking at his appearance, he seems to be sure in his heart, and there is something unspeakable.

(End of chapter)