Chapter 480 Pneumothorax

Guo Xiang walked to the end of the carriage, where there were a bunch of people surrounded by three floors and three floors.

What the hell is going on?

Guo Xiang walked over and shouted as he walked, "Let me go, let me go, I'm a doctor."

When the people in front heard that the doctor was coming, they all made way, and Guo Xiang took the opportunity to look over.

I saw the ceramic shards that fell to the ground in front of me. There was a person lying on the ground with a piece of ceramic stuck in his stomach. A woman was pressing a handkerchief on the injured person's neck. It should have been injured on the neck.

"What's the matter?" Guo Xiang asked the person next to him.

"That young man came up with a box of china, it's not long before the next stop, he took his luggage, who would have accidentally smashed the whole box and hit him, the china was shattered, and people were knocked unconscious. "

"He fell to the ground just now. We turned him over and found that there was a piece of porcelain stuck on him. We didn't dare to move. The girl said she was a doctor and came over."

Guo Xiang took a closer look. Isn't this the Chen Yu I met at the casino? Surprisingly, she is also a doctor?

Looking at the person on the ground again, the chest rises and falls very weakly, and the breathing seems to be sluggish. Chen Yu doesn't seem to understand what is going on, and is talking to herself.

Guo Xiang listened carefully, she seemed to speak English, and seemed to be ruling out some possibility.

She walked over, crouched down, and said, "Yes; Pneumothorax (expandable pneumothorax)."

Chen Yu raised her head in surprise and was surprised to see Guo Xiang, "Is it you?"

"How did you know?"

Guo Xiang pointed at the man's arm, probably because he came from southern Yunnan and wore less clothes, so the man's sleeves were rolled up to his upper arm.

The left arm has some bluish purple, Guo Xiang opened the fluoroscopy, the left brachial vein was ruptured, although there was breathing in the chest, but the chest activity was abnormal, and the left lung should be abnormal.

Fluoroscopy, traumatic pneumothorax of the left lung.

It must have been caused by the box being smashed down.

Guo Xiang pulled the casualty's clothes away and pointed to the left arm to the left chest, "The dilated veins are caused by the increase in the intrathoracic pressure inside the chest cavity. It should be the lungs that were torn when the box fell and caused air to enter the lungs. the pleural space around the abdomen rather than the lungs,

cause pneumothorax. "

"Then what should I do now?" Chen Yu asked, there was no surgery here.

"Wait for me!" Guo Xiang stood up, "By the way, give him artificial respiration first, or he will be out of breath immediately."

After taking two steps, Guo Xiang turned back, "Don't do CPR, you can't press the chest."

"I know!" Chen Yu nodded.

Guo Xiang quickly ran back to his position, picked up the bag he was carrying, and ran.

"Daughter-in-law, what's the matter?" Gu Zhennan asked from behind.

"It's alright, I'll save people!" Guo Xiang replied and ran to the rear of the carriage.

Take out the simple surgery bag from the bag, she usually takes it with her when she goes out, and also brings some medicines.

There is a small bottle of alcohol, but it's simply not enough right now.

"Does any of you have high-level liquor?" Guo Xiang looked at the onlookers.

Everyone shook their heads.

"Help me ask, if you want high-quality liquor, I can buy it too, for saving people." Guo Xiang said, it was used as alcohol for disinfection.

"Can I have a bottle of Erguotou at 53 degrees?" someone asked.

"Okay, get it right away!" Guo Xiang said, taking out his simple surgical bag.

Chen Yu was surprised to see that she was still carrying these things with her, she must be a surgeon.

Guo Xiang first took cotton wool and gauze to Chen Yu and asked her to wrap the injured person's neck so she didn't have to keep pressing it.

Then he took out the scalpel and soaked it in alcohol first.

"Who has a hose? It's better to have a new one." Guo Xiang asked again.

"I have it for the workshop I just purchased." Someone said.

"Is it not stained with oil?" Guo Xiang asked.

"No, it's new," the man replied.

"Okay, cut me a foot or so!" Guo Xiang said while opening the Erguotou and pouring it over the injured person's chest, focusing on the ribs, and he would make an incision between the ribs later.

After pouring half the bottle, I also poured some on the hose to clean it, then put the hose into the bottle and threw it to Chen Yu, "I have medical tape in my bag, seal the bottle!"

"Okay!" Chen Yu nodded and immediately took over.

Guo Xiang poured out the small bottle of alcohol and washed his hands, then picked up the scalpel and cut it between the two ribs on the left side of the injured person.

The blood gushed out immediately after the knife cut.

"Ah-" someone exclaimed.

Others turned their heads and didn't dare to look, it was too scary.

"Pipe!" Guo Xiang stretched out his hand.

Chen Yu immediately put the sealed bottle and tube into Guo Xiang's hand.

Guo Xiang shoved one end of the tube into the part of the intercostal space that had just been cut.

I saw bubbles popping out of the bottle.

"what 's wrong?"

"Why did the wine in the bottle bubble?" someone exclaimed.

"How strange!"

At this time, the injured person made a "ha" sound, his chest rose and fell, and he was breathing.

"Live, live!"

"What a genius doctor!"

Guo Xiang took cotton wool and tape to bandage the wound between the ribs.

The bottle was still bubbling. "What the hell is going on here?" someone asked.

"The injured person is a pneumothorax, which is the air in the lungs!" Chen Yu explained, looking at Guo Xiang with admiration, it's a blessing that she could think of this way.

"What is a pneumothorax?"

Chen Yu couldn't explain it, and people who didn't study medicine couldn't understand it.

"Then why do you still put it in the wine? Why don't you just let the gas out?" asked the person who took the tube just now.

"This is a self-made one-way valve!" Guo Xiang said, "The air in the lungs comes out, but it may also go back, and the air in the lungs is drawn out with a tube, and it enters the wine, of course, if it is water. ."

"The mouth of the bottle is sealed, the outside air will not enter the bottle again, and the air in the wine will not be able to return to the tube again, so it will not cause pneumothorax again."

Chen Yu nodded, admiring Guo Xiang, others may not understand, but she is a doctor and understands this principle.

"Has anyone notified the conductor?" Guo Xiang asked.

"It has been notified. He said that he will arrive at the station immediately and call the doctor as soon as he arrives at the station, but you have already been saved, so don't you need it?" someone said.

"I still want it." Guo Xiang pointed to the injured person's abdomen, "There are still injuries here, and this tile cannot be pulled out. If the abdominal aorta is injured, we can't stop the bleeding here."

Chen Yu also nodded, so she didn't act rashly just now, but just pressed the injured vein in her neck.

After a while, the train arrived at the station, and the conductor rushed down immediately and called a doctor to carry the injured down first. The ambulance was not so fast and had to wait at the station.

Guo Xiang and the others will continue to drive back to Beijing, so naturally they will not care anymore.

"I didn't expect to see you again, and I didn't expect you to be such a skilled doctor." Chen Yu looked at Guo Xiang.

"You too!" Guo Xiang smiled, "Study abroad?"

"How do you know?" Chen Yu was surprised.

"I heard you talking to yourself just now. You only speak English. You should be used to it, right?" Guo Xiang laughed.

Chen Yu's face was reddish, "Yes, I'm used to following the foreign teachers."