Chapter 109: Rui Beast Sun Lien (July 5, 1/1 more subscription)

Liu Tangchun visited four relevant government agencies in one afternoon, and things went fairly smoothly - at least the vice president, who was caught by him from the government building, took the matter very seriously, and has been working to promote the coordination of various departments since Liu Tangchun made the phone call.

But when it comes to managing the airspace, there is still a lot of coordination that needs to be done, even if the vice president doesn't eat or drink. The airspace fee for Polytavia is a huge revenue for the country, and it is a big task to find a gap in the many routes that are suitable for helicopter flights, and to adjust the flight time and sequence of other flights.

In view of the location of the sea area where the Daishan Island is located, as well as the consideration of route transfer and flight safety, the actual flight mileage of the entire flight is about 1,300 kilometers. During the voyage from the mouth of the Rufuma River to Port Melati, the aircraft will make its first refueling in Canduru. The refueling point on the return trip is a bit more cumbersome, and if you continue to refuel in Kanduru, it will lead to a very tight fuel supply on the last leg of the voyage - the return flight is a headwind flight, and the fuel consumption will be nearly 20% higher than a normal flight. By the time the plane arrives at the mouth of the Rufuma River, the fuel level may be reduced to an even dangerous point.

Even the vice president of Polytavia has no good way to deal with this problem. He even tried to get the military to set up a temporary fuel supply point about 240 kilometers northeast of Kanduru for the flight. However, the military said it did not have the ability to carve out a landing field suitable for the Z-8 in the jungle within 48 hours. Even if explosives are used to open up, it will take at least three days to level the landing field and transport oil for replenishment.

Liu Tangchun didn't expect that the whole plan would be ruined because of this kind of thing. The commanders and fighters on the Daishan Island were very enthusiastic, and even proposed a temporary modification of the aircraft and the installation of oil drums inside. But it's too risky to fly like this, unless there is no other way, Liu Tangchun really doesn't want to play such a play.

Exhausted, Director Liu returned to the camp and then called Sun Lien to inquire about the patient's treatment.

"How's the situation?" Liu Tangchun half-leaned back in his chair and stretched his legs with some effort, "Has the subsequent examination been perfected?"

"I did. Sun Lien nodded, and took out his diagnosis from the aluminum folder board in his hand, "The preliminary diagnosis is sports rhabdomyolysis with hypoglycemic coma, acute liver and kidney function damage, metabolic acidosis with hyperkalemia." ”

The symptoms were similar to Liu Tangchun's prediction, and he nodded, "In the past, when Ningyuan ran a marathon every year, several such runners would be sent to the hospital - but there were few who had rhabdomyolysis syndrome and hypoglycemic coma at the same time...... "He changed his words and asked, "What about the treatment plan?"

"Current treatment is based on oxygen inhalation, massive fluid rehydration, maintenance of water and electrolyte balance, alkalinization of urine, diuresis, and liver protection. Sun Lien frowned and said, "The dialysis machine has been installed, but the blood gas analysis results from an hour ago are still not very good - the pH value has risen to 7.31, but it is not yet the target value of 7.4 for alkalinized urine." ”

"The concurrent metabolic acidosis of acute renal failure is not completely reversed, which is a slow effort. Liu Tangchun shook his head, "We don't have CRRT (continuous renal replacement therapy) equipment here, so we can only use ordinary hemodialysis machines to top it first." "Pay attention to the working hours of the hemodialysis machine and actively monitor the changes in the patient's blood calcium and potassium concentrations." ”

"It's been six hours since the patient was admitted to the hospital. The amount of urine is very small – now it's 20 ml. Sun Lien continued, "I have already sent the data to Zhou Ce and them, so that the doctors in our hospital can see if they need to use some more...... Other means. ”

A patient with acute kidney failure can survive with the support of a dialysis machine, but it is simply impossible to keep a poor Polythanvian man on dialysis. If acute kidney failure cannot be reversed, there is no way out for him other than a kidney transplant.

Liu Tangchun also understood what Sun Lien meant, he shook his head and sighed, "Do your best to know the destiny of heaven, let's just work hard." ”

Sun Lien looked at the map of Polythanvia in front of Liu Tangchun and asked cautiously, "That'...... Transferring patients...... Do you have eyebrows?"

"It's still being discussed. Liu Tangchun also had nothing to hide, he pointed to the map and said, "The problem now is that our helicopter has not enough range, and if the weather is not suitable, maybe we will run out of fuel before we reach the estuary." ”

Sun Lien looked at the map, pondered for a while, and then pointed to a sign on the map and asked, "What is this?"

"That's where our peacekeepers are stationed. Liu Tangchun looked at Sun Lien's finger and replied, "There are probably two battalions of soldiers in the domestic peacekeeping force over there - if the situation in Polythanvia continues to deteriorate, this is one of our retreat routes." ”

Bringing the team to the camp of the peacekeeping force for evacuation is one of the cards that Liu Tangchun won when he returned to China this time. There's nothing to hide from other doctors. After all, in such a volatile country, one more hole card will make everyone's hearts much more stable. Although the peacekeeping force is more than 200 kilometers away from the camp of the Seventh Bureau, this team is really the biggest backer of the medical team - no one is as reliable as the people's soldiers. This is the unanimous view of almost all Chinese.

"Troops?" Sun Lien's eyes suddenly lit up, "Isn't it okay to replenish fuel in the camp of the peacekeeping troops? It's less than 400 kilometers away from the estuary area, right?"

"That can't be replenished by others, the peacekeeping forces are strictly neutral, and our planes are navy ......" Liu Tangchun first vetoed, then hesitated a little, and finally slapped his thigh, "What a good idea!"

Liu Tangchun had fallen into a misunderstanding, he had always believed that the Daishan Island and the planes on board could not be considered "neutral" because they were on active duty in the Navy and were tasked with transporting the wounded at the request of the Polytavian authorities. But now that he pondered it, Lao Liu suddenly tasted other flavors.

We're on a humanitarian mission, and the mission itself is to transport a wounded patient for treatment – it's a neutral operation, for sure!

"I'll get in touch with that side right now. Liu Tangchun happily took out the maritime satellite phone, and by the way, he stood up and patted Sun Lien on the shoulder, "You kid is really a beast, and you have solved a big problem for me in one sentence!"