Chapter 769 The fatal pleural reaction(2/3)
"Be patient!" said the thoracic surgeon, "just push it in once."
Ji Xiang was sweating profusely and said "Yeah" with all his strength.
He had closed chest drainage during his internship, and Ji Xiang also said what the thoracic surgeon said.
Indeed, some patients will struggle violently the moment the pleura is punctured.
But as long as the closed chest drainage bottle is connected and the gas and blood are discharged, the feeling of dying will disappear.
The last step! Ji Xiang encouraged himself in his heart.
The hemostats were a little cold and the lights in the treatment room were a little dim.
The next second, a "puff" sound came, accompanied by the "slight" sound of air leakage.
"Ouch~~~"
Ji Xiang screamed.
He was like a fish that was thrown up and then fell heavily on the bed in the treatment room.
"I'm too young and in good health. My pleura and intercostal muscles are extremely tight." The thoracic surgeon sighed, "I'll just put the chest tube in and I'll be fine."
Ji Xiang's eyes were filled with bright light.
As for what the thoracic surgeon said, he didn't hear clearly at all.
The soreness just now was so intense that Ji Xiang never expected that the moment his chest was punctured, he felt as if he had died.
The thoracic surgeon used hemostatic forceps to hold the chest tube and insert it into the cut and blunt dissection.
"snort!"
The thoracic surgeon worked hard to insert the chest tube.
But as he said, Ji Xiang was young, his muscles were tight, and his pleura was also tight. The thoracic surgeon did not insert the chest tube at once.
"Damn it!" the thoracic surgeon was a little angry.
Especially after he heard Ji Xiang's screams, he almost threw the equipment.
"Brother Wang, the cored chest tube used to be so useful, why is it gone?" The nurse asked in a low voice, a little unbearable.
"It's said that there is a problem with the procurement of high-value consumables. Medical insurance does not reimburse or something else. If you use one to compensate for one, it will be our bonus..." The doctor of thoracic surgery said depressingly, his voice getting smaller and smaller.
It's as subtle as a mosquito.
But Jixiang can guess what he said.
Ji Xiang almost cried.
If you have money, you can use a chest tube with a steel core!
There used to be a high-value consumable. The chest tube lumen was equipped with a steel core, which meant that the tube was hard and it would not be too convenient to poke into the chest cavity.
Nowadays, thoracic surgeons use hemostats to clamp the chest tube and use the metal part at the front of the hemostats to insert the chest tube.
The latter needs to be fought hard, otherwise it will not be sent in.
Ji Xiang was in pain + difficulty breathing and burst into tears.
Damn this surgery, end it now!
"Be patient, immediately." The thoracic surgeon said the word "immediately" again.
Ji Xiang wanted to say, you should shut up quickly and seize the time to insert the chest tube.
But the next second, the thoracic surgeon stabbed me hard with the strength of his body.
Ji Xiang's body moved a few centimeters, and even Ji Xiang felt that the medical bed beneath him was moving with the strength of the thoracic surgeon.
Although the force was sufficient, the chest tube was still not inserted.
Both Ji Xiang and the thoracic surgeon fell silent.
Ji Xiang's whole body was covered in cold sweat, as if he had just taken a shower, and he was shivering all over, uncontrollably.
Ji Xiang even wanted to stop empathizing with Mother Zhente's suffering and return to Meng Qingfei.
But Ji Xiang still didn't give in. He just had a flash of thought and stopped the idea of going back.
The empathy continues.
After three hellish attempts, Ji Xiang even thought that the thoracic surgeon was going to break his ribs before the chest tube was inserted into his chest.
"Even the chest bottle!" the thoracic surgeon said a little louder.
Finally, Ji Xiang heard the sound of bubbling in the bottle.
He knew very well that the air in his chest was being drawn out. The pneumothorax was cured and the lung tissue was opened. The subsequent healing and other matters were trivial matters. The most important thing was that he no longer had to suffer.
However!
Because of his sense of near-death, Ji Xiang forgot one thing - the condition of the patients he encountered in the emergency department.
As the air in the chest was drained out, Ji Xiang's body just relaxed, and then more serious symptoms swept through his body.
There was no strength at all, even the strength to breathe was suddenly taken away.
My eyelids couldn't be opened, my whole body was itching, my heart seemed to be beating in a big cavity, and the thumping sound was in my ears.
Moreover, his heart was beating faster and faster. Ji Xiang felt that his heart rate had reached about 180 beats/minute.
The situation in front of him was more serious than before, but Ji Xiang entered an ethereal state.
It was as if his soul had left his body, and his whole body became quiet.
Is this a state of traumatic shock?
Is the shock state caused by gas, fluid discharge, vagus nerve dysfunction, and the body's misjudgment after closed chest drainage?
It should be.
Ji Xiang never expected that a small treatment, not even surgery, could cause him to go into shock!
"Huh? What's going on?" The thoracic surgeon looked at Ji Xiang in confusion.
"It seems something is wrong."
"Enter ECG monitoring," said the thoracic surgeon. "Hurry up and push Saab over."
Saab...
Ji Xiang hasn't heard this name for a long time.
There is no Saab in the emergency department of the Second Affiliated Hospital. He met him in the Affiliated Hospital during his internship.
The full name is Saab CPR, which uses a machine to perform heart compressions instead of manual ones.
I never thought that one day I would have to use Saab.
This thing is indeed good, but there is only one drawback - it is very expensive.
While Ji Xiang was thinking wildly, the ECG monitor had been connected, and the thoracic surgeon frowned at the values on it.
"Push 5mg dexamethasone."
"Any allergies?" the nurse asked.
"Push it in first and prepare epinephrine." The doctor from the thoracic surgery department said, "It should be fine. It's caused by a pleural reaction. It doesn't look serious, but you still have to be careful."
"It's rare to see patients in this kind of situation." The little nurse asked as she didn't understand.
"During the pleural puncture process, patients may experience a series of reactions such as dizziness, chest tightness, paleness, sweating, and even fainting. Pleural reaction is a serious complication during pleural puncture. Through nursing intervention on the patient, the pleural reaction can be obvious
reduce."
"..."
"I heard this question was asked during your nursing department exam, but you didn't memorize it?"
"No time..."
The little nurse stopped talking. She lowered her head and was busy.
As the drug was injected, Ji Xiang felt much better after an unknown amount of time.
This kind of good is not the kind of good that the disease disappears like a thread, but a sudden cliff-like improvement, the whole person escapes from the state of near death and is full of energy.
"Doctor, I seem to be fine." Ji Xiang said tentatively.
"I was shocked." The thoracic surgeon saw Ji Xiang speaking quickly. Although the vital signs on the monitor had not fully recovered, he knew that everything was fine and he breathed a sigh of relief.
"I'm fine..."
"Is everything okay?" The thoracic surgeon leaned against the window sill with his arms folded, taking a break and chatting with Ji Xiang.
Although Ji Xiang seemed fine, the thoracic surgeon did not dare to leave. Who knew what would happen next second.
"When I was rotating in the thoracic department during my internship, a classmate removed a patient's chest tube. He just pulled out the tube and tied it with the reserved thread. It was such a big operation, but something happened."
"Huh? What happened?" Of course Ji Xiang knows that removing the chest tube is easy, because Ji Xiang always did similar things during his internship.
Although he had just been brought back from the brink of death, Ji Xiang had been infected with Bagua syndrome by Shen Lang, and his ears had stood up unknowingly.
To be continued...