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Chapter four hundred and seventy-eight the world has its own true feelings

"The patient's heart rate is 120/time, blood pressure is 148/80mmhg, breathing is 29/min, and blood oxygen saturation is 91%.

The nurse reported the ECG data.

The atmosphere in the rescue room, which had originally become quiet, became heavier in an instant.

"The blood oxygen is only 91%?"

The emergency doctor repeated the question.

"It's still going down, and it's only 90% at present."

Nurse said.

Wang Yang did not continue to be with Meng Yuewencun and began to work.

"The patient's condition is initially considered pneumothorax, and wait for the X-ray machine to come and take a chest x-ray on the bedside."

Wang Yang began to take the initiative from the emergency doctor.

The emergency doctor nodded in agreement. You should know that the blood oxygen saturation of normal people is 99%-100%, which means that the red blood cells in the blood are filled with oxygen, but now the patient's blood oxygen saturation has dropped to 91%, which is enough to show that a large part of the red blood cells in the patient's body do not carry oxygen.

Considering the patient's left chest pain, it is possible that the patient's inhalation of insufficient oxygen due to pneumothorax.

"Go and urge me, why haven't the X-ray machine arrived yet?"

Wang Yang glanced at the electrocardiogram and urged him.

Meng Yue went to urge the instrument, while Wang Yang began to ask about the patient's condition.

“Have you ever taken a chest radiograph before?”

"No, I used to take medicine in my own clinic. There is no chest radiograph in the clinic."

After the patient finished speaking, he started coughing violently again.

Wang Yang used a stethoscope to listen to the patient's left chest cavity with almost no sound, while the right chest cavity was filled with drums.

"Doctor, is my wife really pneumothorax?"

Fatty Xiao asked worriedly.

As a doctor who can open a clinic, he is familiar with this common thoracic symptoms, and pneumothorax is life-threatening.

"Well, I will not know exactly when I finish my chest X-ray."

Although Wang Yang confirmed through the system that the patient was pneumothorax, the patient was only open pneumothorax, which did not cause sudden sudden death like tension pneumothorax.

However, Wang Yang cannot determine the cause of the disease. He does not know whether it is a cough caused by pneumothorax or a pneumothorax caused by lung rupture. Both are possible.

"If it is confirmed that it is pneumothorax, you must go through the closed chest drainage surgery as soon as possible, and you need to sign a notice of serious illness."

Wang Yang asked the emergency doctor to prepare a serious illness notice.

The patient sent by the family members is different from the patients in the disaster situation. The county hospital's responsibility is to save the person first and then notify him. However, Fatty Xiao's wife was sent by himself. The disease has nothing to do with the disaster situation. If the surgery is performed, the medical staff will bear the corresponding responsibility.

The surgeon must sign a notice of serious illness and surgery before the surgeon dares to perform the operation, which is also to avoid suspicion.

After signing the notice of serious illness, Qin Wen and Meng Yue pushed the X-ray machine over, and Qin Wen began to take pictures of the patient's breasts by the bedside.

After the chest radiograph came out, Wang Yang began to explain to Fatty Xiao. The patient's left lung was already black, and there was no texture of the lung tissue at all. The lungs were severely atrophy, and the mediastinum was also moved to the tendon side, which was 100% confirmed as pneumothorax.

"Patients must immediately perform closed chest drainage, release gas from the left chest cavity, relieve lung compression, and restore lung tissue supply to alleviate the patient's condition, otherwise other situations will occur."

After Wang Yang was diagnosed, he told Fatty Xiao and his wife directly.

Fortunately, the Fatty couple is not too old, only about forty years old. If they were older, they would hardly be unable to operate the left lung. Blood pressure, heart rate, and blood oxygen saturation would drop to a terrifying value and they would not be able to stay in the hospital at all.

"Prepare for the surgery."

Unlike other emergency doctors, Wang Yang would say anything else to comfort patients. In Wang Yang's eyes, as long as the surgery can be successful, it is better than ten thousand comfort words.

In the operating room.

Wang Yang untied the patient's clothes on the chest, put on sterile gloves, disinfected and laid a towel, and after local anesthesia, he inserted the puncture needle directly into the patient's left chest cavity, connected to the water sealing bottle, and saw bubbles constantly coming out of the tube.

The gas accumulated in the patient's chest cavity is the original invasion of the patient's chest pain. After drainage, the patient's chest cavity will relieve the compression and the lungs will swell again.

Fatty Xiao’s wife’s expression gradually calmed down and her eyebrows no longer frowned.

"The patient needs to stay in the hospital for a while."

After doing all this, Wang Yang took off his gloves and said, "To prevent lung cancer, the patient's lung rupture will definitely not be casual. There may be a reason, but the cause still needs to be observed."

"Thank you, thank you doctor."

Fatty Xiao stood outside the operating room, looking at Wang Yang walking out, and kept thanking him.

Wang Yang glanced at Fatty Xiao and felt familiar, so he nodded without saying anything.

Fatty Xiao looked at Wang Yang's back and looked at his wife who was pushed to general surgery. Fatty Xiao gritted his teeth and called.

"You count the antibiotics and anti-inflammatory drugs in the clinic now and send them all over. Yes, I'm in the county hospital now."

After hanging up the phone, Fatty Xiao was about to go to the general surgery department when he saw the medical staff leaning against the corner and taking a nap. This scene even touched Fatty Xiao's mind.

Thinking of the phone call he made, Fatty Xiao felt relieved, but fortunately he woke up was not too late.

On the other hand, after Wang Yang arranged for Fatty Xiao’s wife to be admitted to the hospital, Wang Yang went to the emergency department to find Meng Yue.

"Don't take risks next time, have you heard?"

Meng Yue helped Wang Yang sort out the wrinkles on his white coat.

Wang Yang nodded and said, "No more."

Just as Meng Yue and the others were warming up in the fire escape, the mobile phone in Wang Yang's pocket trembled.

Wang Yang took a look at the number of Sichuan Province and answered the phone.

"Doctor Wang, I am Zhong Yujie. Two old men were in a coma in the welfare home in the county. We need to send medical staff to check it out. Dr. Liu..." "Okay, I'll go there right away."

Before Zhong Yujie could finish speaking, Wang Yang hung up the phone directly. He raised his head and saw a resentful look at him.

"You promised me not to take risks anymore."

"This is not an adventure, there are two old men in the welfare home who are in a coma. We need to go over and take a look, but the caregivers over there can't handle it."

Wang Yang touched Meng Yue's little head.

"Since you said it's not dangerous, I'm going to go too."

Meng Yuedao.

Wang Yang was stunned for a moment and agreed to Meng Yue's request to go to the welfare home to see the elderly. How dangerous it would be.

When Wang Yang arrived at the emergency office, he saw the tired Zhong Yujie.

"Doctor Zhong, I am willing to lead the team to the welfare home."

Wang Yangdao.

Zhong Yujie looked at Wang Yang blankly and said with a smile: "Doctor Wang, you are too impatient and didn't listen to me in the second half. I told you that Dr. Liu and the others have already gone, you and I are staying at the hospital."
Chapter completed!
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