followed Lin Yue back to the ward, and Zheng Xiaoyu was still puzzled on the way.

"What's the matter if the puncture needle can't get in?" Lin Yue said,

"It's that every time I want to get a piercing, the patient always dodges!" Dodge? Li Xiyang, who came with him, was a little puzzled,

"Didn't you say that the patient was a high paraplegic and couldn't move from the neck down?" Lin Yue nodded, that's right.

But... Hey, you'd better see for yourselves. Lin Yue said that the patient did not seem to be unconscious. Soon, the three of them came to the ward.

The patient, Xu Xiaofeng, is in her twenties, with good looks and beautiful youth. It should have been the best age, but because of Lian Yujia, he collapsed in bed.

"Dr. Zheng!" When Xu Xiaofeng saw Zheng Xiaoyu, he also shouted politely. Zheng Xiaoyu nodded, and then went straight to the point.

"Lin Yue, you puncture again, let me and Doctor Li take a look."

"Good!" Lin Yue nodded, and then picked up a burst of slender induction needles from the electromyography instrument next to the bed.

"Patient, I'm going to give you a needle right now and do a muscle exam." Hearing Lin Yue's words, Xu Xiaofeng's face was full of nervousness and fear.

But still nodded. Then Lin Yue picked up the induction needle and stabbed it at the patient's thigh muscles, this time it may be because Zheng Xiaoyu and Li Xiyang were there, so the patient did not hide.

But the two could see clearly that when the puncture needle pierced the patient's thigh muscles, the corners of the patient's mouth were pulled, and there was obviously pain.

She's sentient! Zheng Xiaoyu and Li Xiyang exchanged glances, this woman is pretending to be sick? For a while, the two thought of various reasons.

In the hospital, I see people who are pretending to be sick every day, and some of them are skipping classes and skipping classes, so I hope to get a fake note in the hospital.

And even worse, in order to cheat insurance. But there is no conclusive evidence at the moment, and it is difficult for them to directly puncture it.

At this time, Zheng Xiaoyu thought about it, walked to the instrument tray and picked up a larger needle, not to mention the patient, Lin Yue on the side looked panicked.

That's the largest type of intravenous indwelling needle, also called

"Trocar" is also called in some areas

"Catheter needle", this kind of needle is a kind of vascular access device with better clinical infusion, which can reduce the pain caused by repeated puncture of scalp needles, and can be applied to patients of all ages for long-term infusion.

But the patient had never seen such a large needle, and immediately shouted anxiously,

"Dr. Zheng, what are you doing here?" Zheng Xiaoyu smiled,

"The needle just now was too thin, and it had no effect, and you have to use a big needle for your disease!" As he spoke, he stabbed the patient's leg, but just as he was about to pierce it, the patient's leg shrank and he dodged.

Seeing this scene, Zheng Xiaoyu's face immediately became gloomy,

"Miss Xu, are you pretending to be sick!"

"No, no, I... I'm not pretending to be sick! Zheng Xiaoyu didn't want to argue with her, so she said directly,

"The emergency room is very tight, you better get out of the hospital as soon as possible!" Whatever her reason, making jokes about her health is simply the greatest disrespect to their doctors.

And for her condition, she could be said to have broken her head. Isn't that funny! But the patient is still insisting,

"Dr. Zheng, you must believe me, I really didn't pretend to be sick!" Didn't pretend to be sick? said that he was a high paraplegic, and there was no problem with the examination report, and this leg could still be retracted.

You're trying to tell me it's a reflex, are you? Zheng Xiaoyu didn't want to waste time on this fake patient, so he turned around and was about to leave the ward.

At this moment,

"Patient, what's wrong with you?" Lin Yue's anxious voice sounded. Zheng Xiaoyu looked back and found that the patient who was fine just now suddenly convulsed on the hospital bed.

"Teacher, she can't seem to get up anymore!" What?! Zheng Xiaoyu hurriedly returned to the bed,

"Miss Xu, can you hear me? Miss Xu? Zheng Xiaoyu shouted several times in succession, but the patient did not respond.

In the next second, her chest began to rise and fall violently, and the whole person seemed to be choked by someone's neck, and her face was swollen and red and breathless.

Zheng Xiaoyu panicked, could it be that he blamed the patient? But just now... Zheng Xiaoyu couldn't figure it out, but he also knew that now was not the time to think about this, and he had to take first aid measures quickly.

Otherwise, looking at the patient's appearance, it is likely to suffocate. But what's the problem? If there is no problem with the patient's examination report, why does he suddenly have difficulty breathing?

At this time, Li Xiyang, who had been silent in the room, finally spoke, he stared at the patient's chest and frowned,

"The chest is constricted, there may be effusion." Chest effusion? Zheng Xiaoyu was stunned. Pleural effusion is a common clinical condition characterized by pathological fluid accumulation in the pleural space.

The pleural cavity is a potential gap between the visceral layer and the parietal pleura, there is 5~15ml of fluid in the pleural cavity of normal people, which plays a lubricating role during respiratory exercise, and there are 500~1000ml of fluid formation and absorption in the pleural cavity every day, and the pleural effusion can be produced if the fluid production in the pleural cavity is increased or the absorption is decreased for any reason.

According to the amount of fluid, it is divided into a small pleural effusion, a moderate pleural effusion, and a large pleural effusion.

When the effusion is small, there is significant chest pain, and when the effusion is large, the visceral and parietal layers of the pleura are separated, and the chest pain is reduced or disappears.

When the effusion is greater than 500ml, shortness of breath, chest tightness, cardiac seasons, dyspnea, and even orthopnea accompanied by cyanosis will occur.

Looking at the patient's current appearance, it is indeed consistent with the pleural effusion. Now that the cause is known, it's easy to do.

Zheng Xiaoyu quickly lifted the patient's upper body and asked her to stay in a sitting position. The purpose of this is to allow some oxygen to be sent from the patient's nose to the lungs.

Sure enough, after changing to a sitting position, the patient's heavy breathing sound really became much lighter, but the danger was not over, and pleural effusions of more than 500ml had to be closed drained or thoracentesis.

So Zheng Xiaoyu hurriedly shouted to Lin Yue,

"Prepare the puncture needle, quick!"

"Good!" Lin Yue hurriedly ran to the instrument tray and found a brand-new long needle tube. Zheng Xiaoyu took the needle and said to the patient,

"Miss Xu, I suspect that you have a pleural effusion, now help you puncture, it may be a little painful, you bear with it." Pleural effusion is caused by a variety of factors, and there is no time to figure out the cause, so a puncture must be done immediately.

When extracting the effusion, it is best for the patient to sit, and the doctor usually uses the lowest point of the chest cavity, which generally needs to be positioned under B ultrasound, and the patient's skin must be disinfected first and local anesthesia is done, but now these conditions are not available, seeing that the patient is about to suffocate, Zheng Xiaoyu can only be blindly pierced.

Just when Zheng Xiaoyu was positioning in front of the patient's chest, the light screen in front of Li Xiyang flashed. [Heart: What the hell, why did the blood run outside] [Liver: Big brother, you are the organ that pumps blood, who do you ask] [Lung: Help, the blood is flooding me here, and I can't breathe] [Heart: No, I don't feel that there is anything wrong with me, how did this blood become like this...] Seeing the dialogue of the organs, Li Xiyang Tong shrank.

In the next second, he directly grabbed Zheng Xiaoyu's hand. The needle that was about to be inserted into the patient's body stopped on the surface of the skin, which frightened Zheng Xiaoyu and Lin Yue on the side.

"Becoming an Immortal"

"Dr. Li, what are you doing?!" Li Xiyang didn't have time to explain, and snatched the needle from Zheng Xiaoyu's hand.

Quickly lower the patient's hospital gown that was lifted from underneath and untie it from above. Seeing this scene, Zheng Xiaoyu was frightened and hurriedly closed the curtain on the side of the bed.

Because the patient is initially diagnosed with high paraplegia, he cannot wear underwear with very tight restraints, otherwise blood clots will form in the body.

So apart from a hospital gown, the patient was wearing nothing. Li Xiyang now unbuttoned the patient's clothes, directly exposing the patient's privacy.

Not only that, Li Xiyang also pressed the patient who was originally sitting down on the bed.

"Dr. Li, what the hell are you going to do?" If he didn't understand Li Xiyang's personality, Zheng Xiaoyu would probably be crazy at this time.

But Li Xiyang still didn't answer, but in the shocked eyes of the two, he directly plunged the needle into the patient's left chest.

Li Xiyang, you're crazy, that's the heart! Zheng Xiaoyu opened his mouth wide, and his whole person trembled with fright.

But immediately after, I saw Li Xiyang start to twitch the needle. It wasn't fluid, it was blood!

And the color of the blood is slightly black. After a short shock, Zheng Xiaoyu immediately understood,

"It turned out that it wasn't a pleural effusion, it was a hemothorax!" As the name suggests, hemothorax is hemopleural cavity. But how could she have a hemothorax?

Unlike pleural effusions, effusions are not necessarily blood, but may be inflammatory or purulent.

There are many causes, such as inflammation, infection, trauma, or other diseases. Hemothorax, on the other hand, is often formed by bleeding from the heart, intrathoracic blood vessels, chest wall and lung tissue, and blood penetrates into the pleural cavity.

Causes can be thoracic trauma, surgery, coagulopathy, lung cancer, and spontaneous hemothorax.

But Zheng Xiaoyu checked the patient's medical history records, and there were no such problems before. Lin Yue on the side also nodded,

"The patient's heart echo is normal and there are no tissue abnormalities." She had seen all the previous examination reports by herself, and there was no anomaly at all.

And even if it is a hemothorax, it will not cause paralysis! At this time, Li Xiyang pulled out the needle, and as the pleural hemoplasma was withdrawn, the patient's breathing slowly recovered.

Li Xiyang put the patient's clothes back on, and then said to the two,

"Your biggest problem is that you trust the inspection report too much and ignore your own eyes!" Zheng Xiaoyu didn't understand, and Lin Yue also said that he didn't understand.

At this time, Li Xiyang pointed to the patient's toes,

"Take a closer look." Lin Yue approached. Still haven't found anything out of the ordinary! There is nothing strange about this patient's sudden bright red nail polish on both feet... Wait a minute, Zheng Xiaoyu's eyes were fixed on the patient's two big toes, although they were painted with bright red nail polish like the other toes.

But with the naked eye, the nails of those two toes were visibly thickened and cracked. This is not a natural phenomenon, it is a lesion.

"I see, she's scurvy!"