With his characteristic sideways movements, Kraft immediately recognized the patient's identity. Before the time of the two punctures, the man was still sitting in the consultation room, asking if there was a possibility of treatment.

He mumbled and tried to squeeze out a few words in the short, sharp intervals of breath. Despite the pain and the exertion of all his strength, the breath he exhaled was as thin as a gossamer, and it was difficult to complete even the correct composition.

Kraft hurried to his side and listened to what was being said, but it was not a description of his illness, but a "church" or "cemetery".

"I need you to tell me what's going on and how I feel now!" The confused doctor shouted in his ear, trying to pull the person back from his unknown mental state.

"Don't go to the cemetery."

Now that he finally knew what he was talking about, Kraft laughed and called out to the young man who had helped him to do him a favor, and moved the man to the bed to a half-bed, so that the guy who had prematurely asked for the property problem after death could calm down.

"You are?" The other party's enthusiastic appearance is not like a simple road, at least they should know each other.

"This is my father, he was on the road and suddenly did this." The young man looked anxiously at the doctor, and for a moment he was at a loss for words, and pressed his chest to imitate what he saw, as if the patient had a sudden chest pain while walking, and had not gone far and was sent back again.

[Hell, I'm not an emergency person]

He urgently recalled the posture of the patient again, and subconsciously leaned sideways to protect his right side, consistent with the coherent. Like what pre-existing conditions change aggravated.

"Massive hemoptysis?" David asked, opening the patient's lips and finding no blood filling his mouth.

It's not quite like that, even if at this moment, which of the blood vessels involved happens to break, it shouldn't be like this. Kraft simply fished out the knife from the box, cut open and tore off the shirt, and casually ripped off the obstructive pendant, observing the entire upper body.

The ribcages on both sides are obviously asymmetrical, and the right side, which should be breathing restricted, is fuller at this time, the trachea is not in the middle position, but slightly bent to the left, and the jugular veins on both sides are full and bulging under the skin.

In most areas of the lung field on the right side of the earpiece, the breath sounds have completely disappeared, as they did after the puncture, but the range is much larger, so large that there is no room for relaxation in the lungs.

"Pneumothorax."

"But didn't we give him an artificial pneumothorax?"

"Then guess why it's called 'artificial' pneumothorax."

The chest cavity is a confined space, and in addition to piercing the chest wall from the outside to allow air to enter, of course, there can also be another situation - leaking air from the inside.

"His lungs are broken." The tuberculosis-eroded lungs form various lesions, structural lesions and destruction, and even invade the pleura like an aging skin.

When the patient exercises vigorously, such as suddenly walking for a long distance, breathes heavily, and the weak area can no longer withstand the increased air pressure, it suddenly bursts, and the inhaled air in the lungs rushes into the chest cavity along the gap, which in turn compresses the lungs.

The speed and severity of the case in front of us are obviously not ordinary pneumothorax, and a large amount of gas has accumulated in the chest cavity in a short period of time, reaching the point where it is about to be fatal.

【Tension pneumothorax】

When the breach is ventilated but not completely, a very special valve structure may form.

Air can enter the chest cavity during inhalation, but cannot be squeezed out of the mouth when exhaling, and operates in a form similar to a one-way valve, resulting in only entering and not leaving.

This process of inflating the chest cavity is uncontrolled. As we all know, people will die if they don't breathe, and every breath is fueling the disease, making it more difficult to breathe, and the pressure in the chest cavity gradually increases.

The increased pressure compresses not only the lungs, but everything else in the chest, including the heart, and the blood that cannot be returned fills the blood vessels, causing the veins to bulge.

"Needles, tubes." Kraft took out the remaining half bottle of alcohol, poured it on the patient's right chest without hesitation, and poured clean water into the empty bottle.

David handed over the tube with the needle attached, and watched him insert the other end of the tube into the bottle of water, "Do you want anesthesia?" ”

"Hold him down!" Congratulations to this patient for becoming the second person to challenge the numb-free chest piercing, I hope he can have the will of the old duke, and now he has no time to hold the ether bottle and slowly inhale anesthesia.

Of course, considering the emotions of the patient's family, Kraft still kept explaining two sentences with both hands, "My father has air in his lungs, and now it is pressing his heart and lungs, I have to use a needle to release it, it will be a little painful." ”

The young man, who had not yet realized what Kraft was about to say, was already frightened by the sudden illness and nodded yes.

In the next second, Kraft's hand had been pressed to the desired position, fixing the skin, and the needle pierced with it, "Don't be nervous, it'll be fine right away." ”

Obviously, not everyone in this world can bear the pain calmly, especially the pain of a thick needle piercing the chest wall, and the patient struggles reflexively, but fortunately Koop lived up to his expectations and did not let the needle shift.

This puncture can be much bolder, the lungs have been compressed very small, the chest wall is full of qi, and with skillful techniques, it can be pierced quickly and ruthlessly.

The water inserted into the catheter boiled out a series of large bubbles, and the high pressure in the chest cavity found an outlet for catharsis, and gas gushed out down the catheter.

As rapid as the onset of the disease, there was a visible improvement in the patient's condition after a few minutes.

His breathing gradually changed from depressed and rapid to steady, and his consciousness also turned back from the obscurantist state of lack of oxygen, and he felt around his neck.

Kraft found the pendant next to the pillow, an old-fashioned wing ring, and tucked it into his hand. The patient holding the amulet uttered the first complete sentence after waking up.

"I don't want to be buried in that place."

"No, you're lucky to be alive." Kraft wrapped the puncture point in a damp cloth and sealed it and handed it to David to secure.

It's really lucky, if you break a blood vessel by the way and evolve into a hemopneumothorax, then there is really nowhere to cry. To open the chest cavity to find the blood spot to stop the bleeding, no one has the strength now. Kraft may be able to cheat to find the bleeding point, but there is nothing he can do.

"So when can I pull this out?" Seeing my father turn back from the gate of heaven with an iron needle in his chest, it was a little scary.

"It's very early, before he doesn't leak air, this thing has to be pierced, and once you take it off, it will be the same as just now, I recommend hospitalization. Well, stay here for a few days and observe. "Now I should do artificial pneumothorax, and I shouldn't do it myself.

To be honest, Kraft didn't think that the prognosis of this patient would be good, and he might have pleurisy, empyema, trauma and infection within a few days, and no one could do anything about it. It can only be put under the nose, and it can be fished for a day.

"David, this one gives black elderberry juice, three times a day, let the family feed it slowly, don't choke."

During this time, he had no choice but to have some understanding of "primitive internal medicine", and he was able to skillfully prescribe the medieval version of Banlangen, perhaps with a little bit of vitamin C.

The situation had almost subsided, and before leaving, Kraft became a little curious about the cemetery that the patient was thinking about, "What did he mean when he said 'church' or 'cemetery' or something?" ”

The young man explained: "My father was a lifelong religious, and he wanted to draw closer to the Lord, but now it seems to be more difficult. ”

"Does it matter?"

"Well, Professor, you may not know very well that it is very difficult for us tuberculosis patients to be buried in church cemeteries and ordinary cemeteries." David leaned in and explained.

"Why?"

David avoided the crowd and lowered his voice: "The church's opinion, the great plague will be inherited." They feel that people with virulent infectious diseases, such as tuberculosis and syphilis, are unclean, and can only be arranged in specific cemeteries, and the conditions are indeed worse than those of churches. ”

"All infectious people?"

"Most of them, if you have a special status, you can also be accommodating."

"I see. Is that so? ”

(End of chapter)