Chapter 154: Priority

The situation took a turn for the worse, although he said that he was fine, but only a few minutes after getting into the car, Xiaoyu fell directly into a coma.

Chen Shen didn't expect that the biggest threat to Xiaoyu's life was not the external enemy, but her own injuries.

It seems that the "beaten after the substitution" she said lightly is actually not that simple at all.

Thinking of what she said, "two broken ribs", Chen Shen's heart immediately swelled with extremely uneasy emotions.

Her performance like this is not what she said about "internal bleeding" at all.

It's almost exactly the same as a tension pneumothorax!

This is arguably one of the most serious consequences that can occur after a "broken rib".

The broken rib punctures the lung, causing the alveoli to "leak", and the air enters the pleural space and cannot escape, and the accumulated air puts pressure on the pleural space, causing most of the affected lung to collapse.

Pain and blood loss are trivial, and more seriously, this pressure can displace the heart and large blood vessels, affecting the function of the heart and lungs, leading to severe breathing difficulties, circulatory failure and even death.

Chen Shen frowned.

If that's the case, he's probably going to have to give Xiaoyu some hellish work.

The chest of the small fish must be pierced with a needle to urgently release the air in the pleural cavity to relieve pressure and restore normal heart and lung function.

The operation was difficult and could cause great pain without anesthesia, but he had no choice.

Chen Shen took a deep breath, helped Xiaoyu to a sitting position, quickly removed her body armor, and then pressed his ear to her back, trying to judge the severity of the pneumothorax by the sound of her breathing.

He was nervous because he was really afraid, afraid that the first real "comrade" he met in northern Myanmar would die in front of him.

——

But fortunately, after listening to her back for a round, Chen Shen found that her situation was better than he imagined.

Breath sounds, though faint, are still distinct.

This shows that her lungs are indeed worn, but perhaps because of her good physique, or perhaps because the wound is relatively small, the closed pneumothorax has not yet developed to the level of tension pneumothorax, and the lungs are still working normally.

As Xiao Yu said, he can't die for the time being.

The current coma is most likely a compound reaction caused by various reasons including severe malnutrition and physical exhaustion.

But that doesn't mean it's not a big deal.

Because this "temporary" is to calculate the length in hours!

Chen Shen frowned, he knew very well that if Xiaoyu's symptoms were allowed to continue to develop and could not be treated in time, if he delayed it for a while, even if he sent her back to the north, he might not be able to save her life.

In order to solve her problem and not stay in the dangerous Dachili, it must be sent to Meng Bin as soon as possible, and the doctor should evaluate whether to perform thoracotomy or perform professional thoracosuction.

Time is life, and at this moment, it is really vividly embodied.

Chen Shen did not hesitate, he immediately decided the route, and the principle of choosing the route was to avoid all conflicts and all unnecessary interference.

There is no need to go to the small pastoral village for the time being, and directly let the old pig be stationed there to defend and wait for the follow-up reception.

The pursuit team will return to Meng Bin with the captured loot first!

The convoy turned and drove onto the Tangyi-Dachili highway, and after passing a small road, Chen Shen bypassed the most likely location for an ambush and drove directly onto the NH4 highway.

The performance of the Marauder was squeezed to the limit, and on the flat road, the car soared to 90 kilometers per hour.

For such a heavy mine-protected anti-ambush vehicle, this speed, I'm afraid it won't appear many times in its long life.

Fortunately, the convoy did not encounter any accidents.

Chen Shen meticulously controlled every turn, every choice of road, and avoided all the checkpoints controlled by the Burmese army.

It took less than 3 hours for the convoy to reach the vicinity of Jingdong.

At this time, Xiaoyu also woke up from a coma.

She subconsciously rolled over, the sharp pain in her chest and lungs made her face almost contorted, and she coughed violently a few times, and Xiaoyu spat out a mouthful of blood.

Li Bang handed over a piece of gauze, Xiao Yu wiped his mouth casually, and asked:

"Where are we going now?"

"Jingdong, let's go directly from Jingdong to Meng Bin, this is the fastest route."

Hearing Chen Shen's answer, Xiao Yu was stunned.

"Don't go to the small pastoral village? Didn't you say you were going to receive the loot? ”

Chen Shen couldn't help but roll his eyes.

"You're dead, you know? At least it's a severe pneumothorax, what kind of loot does it matter? ”

"To put it bluntly, you'll be able to last up to 10 hours. If something happens along the way, I'll have to cut my chest out without anesthesia. ”

"Don't you have anti-strike training? Such an important position on the chest will not be protected first? ”

"Big brother, my hands are handcuffed."

Xiaoyu spat out a mouthful of blood, and her hair soaked in cold sweat stuck to her face, setting off her bloodless face, which looked extremely terrifying.

Her body had begun to lose temperature, which was the first manifestation of typical circulatory collapse shock.

There is no way to transfuse blood, there is no way to perform any on-site first aid, because in the case of serious increase in the burden on the heart, blind operation may make her die faster.

I can only wait, and when her chest really can't hold it anymore, then open her chest and let it out.

Chen Shen glanced at her through the rearview mirror and continued to speak:

"Teach you a trick, without blocking with your hands, you can use chest breathing to expand your lungs as much as possible, and the alveoli will provide elasticity and cushioning to the bones, avoiding breakage as much as possible."

"Even if it is broken, the probability of alveol damage will be greatly reduced."

"What kind of evil martial arts."

"Bajiquan, you know a hammer. Stop talking, lie down, and every word you say will save you a minute. ”

Chen Shen didn't want to take care of Xiao Yu anymore, and Xiao Yu slowly leaned back on the seat.

The white dog and Li Gang on the side immediately moved out of the way and held her body flat on the ground.

Her breathing began to grow rapid, and her condition deteriorated rapidly, most likely exacerbated by her previous struggles at the Regina Hotel.

Looking at her rising and falling chest, Li Bang said as if asking for help:

"Commander, what should I do?"

"You come and drive!"

Chen Shen stepped on the brakes without hesitation, and then quickly switched positions with Li Bang.

He straddled the fish and tore the clothes off her chest, then leaned down and pressed the skin on her chest carefully.

Without X-rays, the location of the alveolar leak can only be determined by the elasticity of the lungs in the chest.

Generally, pneumothorax is punctured from the upper part, but in some special cases, the chest cavity is adherent, and air may collect in the lower part.

Chen Shen had to confirm it, because this was a detail that must not be mistaken.

Xiao Yu didn't care about his movements at all, but suddenly said in a daze:

"Shipwreck, get me a gun, I saw an armed sentry before."

Chen Shen paused, and kept disinfecting the syringe with alcohol, and then began to wipe Xiaoyu's skin with alcohol.

While rubbing, he replied:

"There's an MP5-K, you can use it first, and you can only use this one now. But your body armor is of the second class, which is better than nothing, and I do not recommend that you go directly to the war. ”

"If you really fight, just find a place to hide."

The body armor that Xiao Yu took off was taken off from the body of the drug dealer Rechina, and it was not at the same level as the body armor worn by the Dongfeng Corps, not to mention the machine gun bullets flying around under the high-intensity conflict, even the most ordinary Bayi bar, which could be pierced casually.

——

But of course, Chen Shen wasn't struggling with her about the allocation of tactical positions at all now, he just wanted to maintain communication with Xiaoyu, lest she pass out directly.

"Okay, I'll hide myself."

Xiao Yu replied with difficulty, and then continued to ask:

"What's the route now? Going to the small pastoral village? ”

Xiaoyu's mind has fallen into confusion, and the lack of pumping blood in the heart has begun to affect the blood supply to the brain.

She doesn't remember what she said, she doesn't remember what others answered, and her thinking ability is low to the limit in the state of cerebral hypoxia.

In a sense, her words and actions are even controlled by instinct.

If this state lasts for more than 10 minutes, she will inevitably enter a state of circulatory failure.

When the time comes, there will simply be no way to salvage!

Chen Shen's hand holding the needle was extremely stable, he gave the jackal and the white dog a look, and the two immediately understood what he meant, and stepped forward to press Xiaoyu's shoulder and arm.

And he went on to reply:

"Go to Mengbin, not to the small pastoral village. There's nothing in the little countryside that can save your life. ”

"Shut your mouth, I'm going to get a needle."

Hearing his words, Xiaoyu blinked.

Chen Shen took a deep breath, the needle found the right position in the midclavicle of the upper part of the chest, carefully avoided the ribs and arteries, and then slowly pushed it down.

Xiao Yu frowned suddenly, but the sharp pain seemed to make her sober up a bit.

She opened her mouth and asked:

"How did Sang Kang die?"

"The pursuit of us was near the Wangnam Phuoc River on the Mekong River, where we were ambushed and killed."

"10 against 300, a tactic that you Haibao will never learn."

Chen Shen's hand steadily pulled the piston of the needle, and after making sure that it was blood foam mixed with air and not blood, he directly pulled out the piston and let the needle connect to Xiaoyu's chest.

Under the huge pressure, the gas and blood foam sprayed directly on Chen Shen's face, he raised his hand to wipe it away at will, and then immediately covered the upper edge of the syringe with gauze.

The pressure in his chest plummeted, and in just a few seconds, Xiao Yu's face regained a trace of blood.

It looks like a flashback.

She looked down at the syringe in her chest, and continued:

"First of all, I'm an informant, Thai-Chinese."

"Secondly, why did Sang Kang hunt you down?"

"Because we blew up his fleet, a big explosion."

"How big?"

The small fish's breathing became rapid again, but this was completely different from the previous shortness of breath caused by tension pneumothorax, but due to air leakage caused by damage to the chest cavity and lungs.

"The oil tanker exploded, blew up more than a dozen ships, and directly killed and injured more than 100 people – but they were all drug dealers."

"Okay."

Xiaoyu closed her eyes, and her hands kept shaking.

She really didn't have the strength to speak anymore.

In just a few seconds, she fell into a coma again.

Chen Shen calmly reached out and touched her carotid artery, silently counted for 30 seconds, and finally breathed a sigh of relief after making sure that the heartbeat had returned to a basically normal level.

Life saved for the time being.

However, he only survived the situation of a tension pneumothorax eruption.

The danger is far from over, and chest wall penetration is not a life-saving method, but a stopgap measure.

Because, the danger of an open pneumothorax is no less than that of a tension pneumothorax!

If tension pneumothorax is a slow accumulation and sudden eruption, then an open pneumothorax is a complete chronic asphyxia.

It can delay death, but it cannot eliminate it.

"Pleural patch."

Chen Shen stretched out his hand to Li Bang, who immediately tore open the patch in the first aid kit and handed it to him, Chen Shen pressed Xiaoyu's chest slightly, squeezed out the excess air in the chest cavity, and then pulled out the needle and quickly pasted the pleural patch.

His hand rested on Xiaoyu's chest, feeling the heaving of the latter's chest.

It's still weak, but at least, it's in the normal range.

He knew it wasn't the end.

Before reaching the Monbin, the deflated, closed operation will be continuously circulated.

Until the hospital can give her professional treatment.

Chen Shen quickly glanced out the car window, and then said to the white dog:

"Contact Ho Bangxiong and ask him to negotiate with the Burmese side and let us go."

"Tell him that whether he can do it or not, he must notify me as soon as possible, and I must have a backup plan."

"Jackal, you've been in contact with the Burmese army, try to contact them and see if there's a way to talk."

"We have a lot of cash, and if we can buy a road with money, we spend it."

"Right now, keeping this woman alive is our number one priority."

"As long as she lives, all of us will not only be rich!"

"Understood!"

The jackal and the white dog immediately replied, and at this time, the convoy had completely entered the Jingdong area.

Less than 10 kilometers from the city, the Burmese military's control has become more and more tightened, and the checkpoints are one after another, and the convoy finally can't escape.

The marauders stopped a short distance in front of the checkpoint, and the Burmese army swarmed up, their heavy machine guns aimed at the well-armed convoy, which was somewhat exaggerated.

Xiao Yu was awakened by a series of shouts, and she saw the people around her get out of the car one by one.

She realized that things had changed, or rather, that she was aware of the crisis that was taking place.

So, she struggled to sit up, reached out and picked up the body armor on the ground and put it on her body.

Later, she found the MP5-K that had been mentioned in her vague memory, and grabbed it in her hand with difficulty.

She didn't plan to get out of the car, because even when her consciousness was almost completely distracted, she knew very well that if she appeared on the battlefield, it would be a pure burden and flaw.

She just wanted to be as effective as she could.

However, she soon fainted again.

The last image she saw before her vision went completely black was a face with a mask on it

(End of chapter)