Section 113

The ambulance door was opened.

A faint smell of blood spread out.

Everyone saw that it was a little girl about eight or nine years old.

She was covered in mud and blood stains, which was obviously caused by a car accident!

Looking down, the right calf was gone!

The girl was breathing rapidly, her face was pale, and her heart rate on the ECG monitor was as high as 153!

Blood pressure 80/50mmhg!

It was shock!

"Quickly bring Wan Wen here!"

The doctor from the Second Hospital immediately took over and prepared for rescue.

"It was a car accident, the right calf was broken and fractured, here."

As he said, the emergency doctor picked up the yellow medical waste bag in his hand and showed it to everyone.

Inside was a broken calf.

"Her mother was in the car behind. The mother and daughter were crossing the road on an electric bike and were hit by a small truck. The mother may have a closed pneumothorax.

The daughter's lower leg was broken and she was in hemorrhagic shock. It is not known whether there are any organs damaged. Let's quickly replenish blood and rescue her!"

The doctor from the Second Hospital nodded repeatedly.

This person is Tang Xiaocheng.

"Did you bring Wan Wen? Hurry up and give this child a transfusion!" Tang Xiaocheng urged.

Wan Wen is a kind of plasma replacement.

It can be used in an emergency when blood is needed but blood has not arrived yet.

But don't use too much.

Because its principle is to dilute the patient's remaining blood to achieve a buffering effect.

Buy time for the subsequent blood transfusion.

What can really relieve hemorrhagic shock is whole blood, red blood cells and plasma, platelets, etc.

"Here it comes! Wan Wen is here!"

The nurse ran over in a hurry and added Wan Wen to the transfusion.

The girl's right leg has been simply bandaged by the emergency doctor.

But the specific situation needs to be called to the orthopedic surgeon for consultation.

Chapter 89: Dissociated powder source: self?5,8.5ュ6发?

Book%Novel&Little girl with a group fracture

Before the director of orthopedics came for consultation.

The nurse came over quickly with two bags of whole blood.

"Hurry up and give a blood transfusion!"

The blood was still cold, but at this critical moment, we could only cover it with our hands while transfusing it.

"Xiao Fen, go and notify the imaging department and ask them to make room for us. After the blood pressure of this little girl comes up, send her to an emergency check-up."

"Okay."

"Also, establish another intravenous channel and use an epinephrine!"

"Okay!"

Tang Xiaocheng has a lot of first aid experience.

There was no panic in the emergency.

Five minutes later, the little girl's blood pressure rose a little.

From 7hg to hg.

(Normal blood pressure is within the range of 140/90mmhghg. It should not be higher than 140/90, and it should not be lower than 90/60.)

Seeing that the girl's blood pressure recovered a little, Tang Xiaocheng also breathed a sigh of relief.

What a young child, she finally saved her life.

I just don't know about this leg...

Oh!

Looking at the calf in the yellow medical waste bag beside.

There was a lot of mud and debris on the severed part, and the entire epidermis, fascia, and muscles had been damaged to varying degrees.

Tang Xiaocheng also has a daughter.

When he thought that the child's leg was cut off by the truck...

He couldn't help but feel distressed.

I hope the orthopedic doctor can connect her.

Soon, the orthopedic doctor came for consultation.

The person who came was Li Cheng, the director of orthopedic surgery.

He has worked in the Second Municipal Hospital for nearly 30 years and has always been rooted in orthopedics.

In addition to being good at surgery.

I heard that he also learned some Chinese orthopedics from his master in his early years.

In short, he is a very skilled doctor.

Li Cheng walked to the bedside, looked at the gauze wrapped around the little girl's right leg, frowned and asked:

"Have you taken the film?"

Tang Xiaocheng handed the examination form he had just received to Li Cheng.

Li Cheng looked at it and frowned.

There were two films in total.

One was a proximal limb and the other was a distal limb.

The proximal limb showed that the part connecting the tibia and fibula under the knee was completely comminuted and the muscle was torn.

The distal limb also showed that the tibia and fibula were comminuted.

In other words, both sections of this calf were completely comminuted.

This is just a bone problem.

Blood vessels, muscles, nerves, etc. have not yet been examined.

In the emergency room, on the bed not far from the girl, was her mother who had just been sent in.

The results of her mother's examination were also out.

It was indeed a closed pneumothorax with soft tissue contusion.

The injury was not as serious as the girl's.

Closed pneumothorax is divided into spontaneous and traumatic.

The woman in front of me was obviously caused by trauma.

It means that the broken end of the rib pierced the lung tissue after the rib fracture.

The lung is the human respiratory organ.

Although it is injured, it still needs to breathe continuously and absorb oxygen from the outside to maintain the needs of the entire body.

Therefore, the inhaled gas will flow into the entire chest cavity from the wound of the lung tissue.

As people continue to breathe, more free gas will accumulate in the chest cavity.

When the gas reaches a certain level, it will begin to squeeze the original lung tissue and cause lung collapse.

In this way, a series of symptoms such as chest tightness and difficulty breathing will occur.

A small amount of pneumothorax is not a big deal and will be absorbed by itself in 1-2 weeks.

But a large amount of pneumothorax must be done immediately for thoracentesis.

To put it simply, a tube is inserted into the chest to expel the gas first.

This can quickly relieve the patient's dyspnea.

At this time, the woman had already had a chest tube inserted.

After the chest tightness was relieved, the person became much more sober.