Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 267 A Sudden Car Accident!
Wang Guang glanced at her again: "Well, the situation is urgent now, we can give him a dialysis first, but the family members must come over for subsequent hospitalization.

You should notify his immediate family right now, okay? "

The girl bit her lower lip and glanced at the young man on the hospital bed in confusion.

Finally, he nodded, took out his cell phone and started calling.

The hemodialysis machine was turned on, and the nurse made puncture points on the side of the boy's arms.

Connect the catheter of the hemodialysis machine.

Soon, the machine was working.

A large amount of red blood flowed from the body and then entered.

Seeing the nephrology doctor come to help, Lin Yi and Wu Jiang were able to find time to go to the cafeteria for lunch.

On the way to the cafeteria, Wu Jiang was still feeling emotional.

"This young man has kidney failure and uremia at such a young age, it's really rare, it's a pity.

If his situation continued to deteriorate, he probably had no choice but to transplant a kidney. "

"Ah."

Lin Yao nodded.

………………

After get off work in the afternoon, Lin Yao went out with Wang Qiaoya and walked towards the bus stop.

At this moment, a harsh brake sound suddenly sounded!
In the next second, there were screams, dull impacts, and the sound of foreign objects falling to the ground from the intersection ahead!
Lin Yi paused, subconsciously thinking that there should be a car accident!
After the sound disappeared briefly, the roar of the engine sounded again!
Then I saw a red supercar passing by the intersection, and it disappeared in the blink of an eye!
At this time, Wang Qiaoya took the lead and said:

"Oh my god, it seems to be a car accident ahead, and it seems to be a hit-and-run!"

At this time, Lin Yi didn't have time to see the escaped car. As a doctor, he should go to see the scene first.

I ran forward in two or three steps, and found that the faces of the passers-by at the intersection in front of me were full of shocked expressions!

Just now!

Right under their noses!
A sports car ran a red light and hit a mother and daughter riding an electric car!
Moreover, he was not responsible for hitting someone, and ran away!
There were not many passers-by watching around, maybe a dozen or so.

They all patted their chests with a look of fear.

It seems to be saying that fortunately they didn't cross the road just now...

Otherwise, they are the ones lying on the ground now...

At this moment, besides the broken electric car, there was also a mother and daughter lying on the ground.

Mother's gray-blue uniform coat was stained with mud and dust, and the trousers on the knee and right leg were torn.

I don't know where the forehead was knocked, and it was bleeding to the temple.

This is just a visible injury.

Lin Yi hasn't watched the internal injury yet.

At this moment, she struggled to get up from the ground and prepared to find her daughter.

And the one who fell on the ground three or four meters away from her was her daughter.

She looks ten years old, about the same age as Feifei.

Because I didn't wear a safety helmet and I was still sitting on the back seat of the electric car, I was thrown a little far away.

And unfortunately hit the back of the head.

Lin Yi quickly walked over to have a look. The child had a brain contusion and cerebral cortical vein rupture and bleeding.

And there is still continuous bleeding!
Because brain contusion sounds simple, but it is a real damage to the blood vessels and cortex of the brain.

Within 2 minutes there will definitely be a subdural mass!

This child's situation is more dangerous than her mother's!The bleeding must be stopped immediately to reduce the intracranial pressure!

But how can there be medicine now!

Lin Yi quickly took out his mobile phone and called 120 for first aid. He was a little unclear about the exact location, so he could only ask the passers-by.

"That big intersection in front of Shuncheng Road, here is Feiyu Hotel! Hurry up, a mother and daughter are in a car accident!"

After the passer-by hung up the phone, he handed the phone to Lin Yi and said:

"They said they would send a car over right away!"

Lin Yi nodded, but he was still anxious.

No matter how he looked at the little girl's bleeding, he was not optimistic.

Behind him, uncle and the others stood in the crowd and watched Lin Yi silently.

It was completely dark now, and there was no trace of blood on the asphalt-colored asphalt road.

The lights at the intersection were not bright enough, and many passers-by standing there who wanted to help were using flashlights, trying to move the little girl to the side of the road.

Lin Yi hurriedly stopped them:

"Don't touch her! She has a head injury, so don't move!"

Lin Yi stepped forward and turned the little girl's head to one side to prevent suffocation from falling behind her tongue.

Except for this move, don't touch other places at all to avoid secondary damage.

But at this moment, when Lin Yi noticed the condition of the little girl's brain again, his pupils couldn't help shrinking slightly!
It turned out to be really lumpy!
The mass location was still between the pia mater and arachnoid mater.

This is a mass caused by blood flowing into the pia mater after cortical venous hemorrhage!
Also called subarachnoid hemorrhage!

The layers from skull to brain tissue are skull, dura mater, arachnoid, pia mater, and brain tissue.

Subarachnoid hemorrhage is a very dangerous cerebral hemorrhage that can be both traumatic and internal.

And even if the operation is successful, the prognosis is not ideal, the fatality rate is still as high as 45%, and most patients will be left with sequelae of disability.

Lin Yi knelt down and looked at the little girl in front of him with anxious eyes.

Already in a coma, his entire face was abnormally pale, and there were serious abrasions elsewhere, but none of them were fatal.

This subarachnoid hemorrhage is the deadliest!

Lin Yi could only pray that the ambulance would come quickly and take the little girl to the hospital for surgery.

At this time, the crying mother who had been sitting next to the little girl looked at Lin Yi, endured the pain and asked:
"You... are you a doctor..."

Lin Yi nodded affirmatively:
"Yes! I'm a doctor! Don't talk, you're injured too, just lie down and wait for the ambulance to come."

"Save...save my daughter...save her, please doctor..."

The mother was flustered and sad when she saw her daughter lying motionless on the ground.

She can only beg Lin Yi.

But to be honest, Lin Yi has nothing to do about it.

It is best not to carry the wounded, he has neither a scalpel in his hand nor is he in the operating room.

He really wants to save it!
But there is nothing in hand, isn't it difficult for a clever woman to cook without rice!

Hey!
How anxious!

The ambulance comes quickly!
But at this moment, the mother who could hold back the pain just now suddenly started panting!

And inhale long and exhale short.

There is a posture of not being able to exhale after inhaling air.

Lin Yi realized immediately, this woman doesn't have a pneumothorax, does she? !

Take a closer look, sure enough!

Oh, hello, just now I only cared about the girl's injury and ignored the mother!

It turned out that she had a closed pneumothorax!
That is, traumatic closed pneumothorax, after the rib was broken by impact, the broken end punctured the lung tissue.

The air that causes the injured person to inhale frees from the damaged lung tissue and enters the chest cavity.

This kind of closed pneumothorax must be ventilated and drained in time.

Otherwise, the gas in the chest cavity will accumulate more and more, which will cause the lung tissue to be squeezed, making it impossible to exhale or inhale, and it can also cause the lungs to collapse.

At the beginning, the injured may not be aware of it, and the first-aid doctors tend to overlook this small difference.

But when the gas in the chest cavity accumulates more and more, the injured will have symptoms of shortness of breath and difficulty breathing.

Under normal circumstances, the body can absorb the gas in a small area by itself.

However, a large area or a pneumothorax that has caused lung collapse must be surgically drained immediately.

Draining the air in the chest cavity can relieve the patient's symptoms of dyspnea.

At this moment, Lin Yi couldn't see how much gas had accumulated in the mother's chest.

But he can see how collapsed the lungs are!

Patients with a collapse degree below 30% have no obvious symptoms.

When the collapse reaches 50%, there will be slight dyspnea.

If it is more than 50%, there will be symptoms of hypoxemia such as chest tightness and shortness of breath.

Worse still suffocate to death.

And the mother in front of her is very close to 50%.

I have to find a way to drain it quickly!
Although this disease is a common disease in emergency critical illness, as long as it is rescued in time, the patient's life will not be in danger.

But conversely, if the drainage is not timely, it will also die!
At this time, 120 minutes had passed since Lin Yi called the 10 emergency call.

The ambulance hasn't come yet!

But the situation of the mother and daughter is getting worse and worse!

The little girl was unconscious due to cerebral hemorrhage, and the girl's mother had pneumothorax with collapsed lung.

How to do!
How to save without tools? ?

Seeing the mother lying on the ground gasping for air as if she was about to suffocate, the passers-by couldn't help being afraid.

"Ouch... what happened to her? Oh, the ambulance is coming soon!"

"Young man, are you a doctor? Think of a way to save people."

"Yes, yes, this mother and daughter are so pitiful, the damn driver actually ran away!"

"Don't worry, the driver won't be able to run away. Where is he going to be monitored everywhere?"

People around were talking.

At night, the street lights were dim, and no one recognized Lin Yi.

Suddenly, Lin Yi looked at the mother who was about to suffocate, and a bold idea popped into his mind.

I saw Lin Yi suddenly raised his head, and asked the passers-by who were watching:

"Does anyone have a knife? Just the kind of fruit knife will do!
There are also straws, the kind of bendable straws for drinking drinks or drinking milk, if you have them, please give them to me!

And mineral water!Bottled mineral water, if you have it, please give it to me too!I'm here to save people! "

Lin Yi's words immediately attracted everyone's attention.

Everyone heard the conversation between Lin Yi and this mother just now.

Lin Yi personally admitted that he was a doctor. I believe that at this juncture, no one would pretend to be a doctor to gain a sense of presence here, right?

So everyone present believed in Lin Yi.

"I have mineral water in the car!" A delivery boy took a bottle of mineral water from his yellow trunk and handed it to Lin Yi.

"I have this kind of knife in my bag, do you think it's okay?"

A passing maintenance worker holds a utility knife that slides up and down.

Lin Yi looked at it, and then nodded and accepted it.

One more straw!
At this time, a passing young girl looked at the milk tea in her hand and asked weakly:
"Doctor, my used straw... is it okay?"

Lin Yi glanced, it happened to be a bendable straw!
"Yes! It can still be used after washing in special circumstances!"

Now it's ok!
There are knives, straws, and water bottles!

Next, Lin Yi's bold move is to directly use these three things to make the simplest closed chest drainage device!

Closed thoracic drainage means that in patients with traumatic pneumothorax and the degree of lung collapse is about 50% or more than 50%, a hole is made in the intercostal space on one side of the patient's chest cavity, and then the drainage tube is inserted into the chest cavity and then connected to the chest cavity. Water sealed bottle.

This device must be formally sterile in the hospital.

But it would be nice to find these few things at the scene of a car accident.

It's important to save people first!
Lin Yi can't care about the girl now, so he can only save her mother first.

"You relax first, try to inhale as little as possible, because the more you inhale, the more uncomfortable you will be.

I'll save you first, it will hurt a little, hold back! "

Lin Yi squatted beside the mother and talked to her.

She was short of breath and had dyspnea, but was conscious.

After hearing what Lin Yi said, she opened her mouth and nodded with a painful expression.

Afterwards, Lin Yi first lifted off the mother's blouse.

Find the fifth and sixth intercostal spaces under the right armpit, and place a drainage tube at this position to drain the accumulated gas and oozing blood.

There was no disinfectant at the scene, so Lin Yi could only force it with a knife!

"Hold it, don't move, I'm saving you!"

After speaking, Lin Yi held up the knife and stabbed into the skin between his ribs!
"what!!"

"Ouch!!"

The mother yelled in pain, and cold sweat broke out on her forehead immediately.

"Don't move, hold back."

Lin Yi knew that the wound was painful, but if it didn't hurt, he couldn't save people.

Passers-by around also came forward to help hold the mother's hand.

On the one hand, he encouraged her, and on the other hand, he held her down to keep her from moving.

At the scene, the crowd of onlookers gradually increased.

Worried about Lin Yi's poor vision, some people spontaneously turned on the lights of their mobile phones to illuminate the scene.

Blood flowed out from the incision, and even stained Lin Yi's hands.

Seeing that the incision had reached the abdominal cavity, Lin Yi pulled out the knife.

I can only say that it is fortunate that this mother is not fat, otherwise the knife will be full of fat instead of subcutaneous.

Pulling out the knife, Lin Yi immediately took the rinsed straw and put it in.

The two ends of the straw, one end is docked to the chest cavity, and the other end is put into the water bottle.

"Come on, everyone help, carry this eldest sister to the steps over there, the bottle must be lower than her chest."

"well!"

"I'm here to help!"

"I'm coming too!"

Everyone is very positive.

While several people worked together, Lin Yi controlled the position of the water bottle and straw to prevent them from falling off.

The maintenance worker who handed the knife just now saw this scene and took out a roll of dark green adhesive tape from his bag.

"Doctor, I still have adhesive tape here, which can be fixed."

"Okay, thank you!"

Lin Yi took the adhesive tape and glued the straw part at the incision to the straw part in the water bottle.

This is more stable and standard.

After doing all this, Lin Yi also heaved a long sigh of relief.

Good guy!
The tools that were cobbled together were actually made!

It's not easy.

I saw that the mother began to breathe gradually under the gaze of everyone.

From time to time, gas would come out of the water bottle connected to the straw, and even the blood that flowed out after the lung tissue in the chest cavity was punctured was drained out.

This transparent mineral water has turned a faint red.

After doing this, Lin Yi looked back at the girl again.

Subdural mass, subarachnoid hemorrhage, bleeding volume about 15 ml.

(End of this chapter)