Chapter Ninety-Eight: Spleen Rupture (June 23, 1/1 Update) Ask for subscription

The young Tushi in the feathered coat was a shaman, and the elderly Tushi behind him was his grandfather and the great wizard of the entire tribe.

According to the young man, the Grand Wizard had been praying in the grass for hours earlier, asking for no one to be around. So the young man and the caravan scattered in other directions, intending to wait until the Grand Wizard's prayers were over before fetching him.

But a few hours later, when the young man and the other knights went to greet the Great Wizard, they found the spiritual pillar of the entire tribe, the Sixty-Year-Old Great Wizard, lying on the ground, with no reaction except for a slight heaval in his chest, as if he had returned to nature.

The young man and the knights of the horse team soon discovered the main reason for the Great Wizard's unconscious, there was a clear rut mark on the ground next to the Great Wizard, judging from the broken blades of grass next to the rut, the Great Wizard should have been hit by the vehicle for less than twenty minutes. What angered them the most was that there was no sign of interruption or turning of the car mask - the other party clearly saw the person in front of them, but did not have any intention of stopping or turning to prevent the accident.

It was as if they had deliberately aimed at the great wizard who was praying on the prairie and slammed the accelerator into it.

Before the other knights were completely carried away by the rage, the young man made his decision first. My grandfather hadn't died yet, and being hit by a car and killing him was clearly not in keeping with the tradition of wizards. The sorcerers of the tribe would take a wooden staff to find a male lion in the grassland, and then die in a fight with the lion. Grandfather, as the most respected elder and great wizard of the entire tribe, he should not have died in such a ...... This alien machinery.

The people are wary of everything in the outside world, except for the doctors, who are too difficult to get medicine and treatment in the savanna. The nomadic life has caused great damage to the body, and many great men who have been nomadic on the grassland have fallen ill when they are just over 40 years old. In the end, he died in agony, giving up his livestock and family to the rest of the tribe.

The young man decided to come and ask for help. Even though the Tushi tribe usually has little contact with the outside world, he has heard of the name of the medical team that helps Africa. This medical team from the East is highly skilled and can easily cure many of the conditions that witch doctors are unable to handle. And the team never charges anything – even when it comes to the use of precious medicines.

The young man and his grandfather trekked for more than half an hour, and finally arrived at the camp of the Chinese medical team with the horse team. And sent the grandfather to the "white-clothed" man. He had planned to solemnly promise the young doctor in front of him that as long as he could save his grandfather, it would not matter if he needed to take his name. But before he could speak, the young man hurried something to the Kathu who was the interpreter, and then turned and ran into the house.

Don't...... An ominous thought flashed through the young man's mind, could it be that his grandfather was no longer saved?

"You, call all your people. The young man's attempt to speak was interrupted again, and Felipe grabbed him by the arm and ran out the door, "All the people, all called." Don't take a weapon, keep your horse on a leash at the door. ”

"Why?" the young man finally had a chance to speak, and he looked a little overwhelmed. As the future leader of the entire tribe, he had to take into account all sorts of factors—his grandfather had said that when his grandfather was young, the whiteskins had set such traps. At that time, the Grand Wizard and the Guard, the most powerful tribe in the entire Tushi tribe, laid down their weapons and entered the manor of the Whiteskins. Five days later, the Great Wizard and the Guards were skinned off and then made into a dozen large drums by the Whiteskins.

"His injuries were severe, he had blood all over his stomach. Felipe pointed to the archwizard lying on the table, and said urgently, "We don't have enough plasma here for him, so we can only draw it from your body." ”

·

·

·

Chen Tianyang looked at the great wizard who was sent to the operating room with a grim expression.

The Grand Wizard was badly injured. Although Liu Tangchun and Sun Lien have ruled out the possibility that he may have a head injury and a spinal injury. But he is still in danger of hanging by a thread.

The Grand Wizard suffered several severe injuries to his body, the most obvious of which was his ribs, which had at least six broken ribs on his right chest. Every time the old man exhaled, a large lump of skin on his right chest bulged. This is a distinct flail chest manifestation. Coupled with the trachea that shifted to the left side, as well as the patient's obvious apathy, shallow breathing, and the disappearance of the costodiaphragmatic angle on X-ray, Chen Tianyang determined that the old man in front of him may still have a right hemothorax.

"Don't be stunned, stop stunned that this person is dead. Chen Tianyang took a look at the situation and immediately began to formulate the surgical plan, "I am not very familiar with chest surgery, but I can do it." Let Xiao Wang come over and help me, Xiao Hu, you go and prepare the equipment......" He turned his head to Liu Tangchun and asked, "How much blood is left in the blood bank?"

"He is positive for type O RH, but we don't have enough blood in our blood bank. Liu Tangchun frowned and replied, "The blood bank now has a total of twelve units of type A suspension red blood cells and eight units of type A plasma, all of which are ready for liver transplant patients in the afternoon." ”

"Organize blood donations right away. Chen Tianyang made a quick decision, he directly called all the medical staff in the operating room next door and announced the termination of the splenectomy on the next bed. "That spleen can't die tomorrow, so it's important to save this side first. ”

Hu Jia first decided to donate blood, "Draw mine, I'm type O blood." ”

Organizing blood donations is a common occurrence for doctors. In the entire medical team, in addition to Hu Jia, there is also an obstetrician and gynecologist and an internist with type O blood - Liu Tangchun himself is also type O blood.

"Hu Jia, you will draw later, let's donate blood first. Liu Tangchun pressed back Hu Jia, who took the initiative to donate blood, "We don't have a separator here, and we don't have blood collection equipment." You and your apprentices can only transfuse blood directly, and we will donate it first. ”

Sun Lien added, "I have already asked Felipe to organize a blood donation - there are fifty or sixty people who have come to our camp with this old man, and it should not be difficult to mobilize them to donate blood." ”

"You can handle the blood. Chen Tianyang showed the demeanor of a second-level surgery professor at this moment, "Is Xiao Wang here?" Let's quickly discuss the surgical plan - start the operation within five minutes. ”

The operating room was not ordinary, and Sun Lien, who was wearing a surgical gown, stood aside, scanning the skin of the patient's right upper abdomen over and over again.

The status bar indicates that the patient has symptoms of splenic rupture and bleeding, but in the absence of CT examination and X-ray without diagnostic basis, rashly mentioning spleen rupture will only make people feel that Sun Lien is talking nonsense. He could only keep a close watch and pray with all his might that he would be able to find the characteristic sign of splenic rupture—right upper abdominal muscle peritoneal irritation—before the operation began.

As long as he starts to develop peritoneal irritation, there is enough reason to perform ultrasound on the patient...... Sun Lien was suddenly stunned, the equipment carried by the medical team in Africa was limited. For such critically ill patients, it is natural that all the tests that can be done should be done so that the extent of the injury can be as clear as possible.

Anyway, there is no charge for the treatment of non-medical teams, so who would complain because there is no evidence to conduct ultrasound?

Sun Lien patted his head, turned around and went to push the B-ultrasound, and by the way, he also took the time to communicate with Liu Tangchun, "The hemothorax is so serious, maybe other abdominal organs are also damaged, I think it's better to add a B-ultrasound to be safe." ”

Liu Tangchun nodded approvingly, "Patients of this age should be careful......" Before he finished speaking, he frowned. Sun Lien's first exploration was the patient's right upper abdomen, and the results were also very straightforward - the rupture of the spleen and the subcapsular hematoma of the spleen were very obvious.

"Lao Chen, hurry up. After Liu Tangchun made sure that he was not dizzy with old eyes, he immediately urged Chen Tianyang, "This person still has a ruptured spleen!"