Doctor of Healing

Ji Xiang's whole body was drenched in cold sweat, as if he had just taken a bath, and he was shaking uncontrollably.

Ji Xiang even wanted to stop empathizing with what happened to the real mother and return to Meng Qingfei.

But Ji Xiang still didn't hesitate, he just had a flash of thought, and he curbed the idea of ​​going back.

The empathy continues.

After three purgatory attempts, Ji Xiang even felt that the thoracic surgeon was going to break his ribs, so the chest tube was inserted into his chest.

"Even the chest bottle!" The voice of the thoracic surgery doctor was a little louder.

Finally, Jixiang heard the sound of bubbling in the chest bottle of gurgling.

He knew very well that the gas in his chest was drawn out, the pneumothorax was healed, the lung tissue opened up, and the rest of the healing was trivial, the most important thing was that he didn't have to suffer any more.

however!

Because of his near-death feeling, Jixiang forgot one thing—what happened to the patients he met in the emergency department.

As the air in the chest was drawn out, Ji Xiang's body just relaxed, and more serious symptoms swept his body immediately.

There was no strength at all, even the strength to breathe was taken away at once.

The eyelids could not be opened, the whole body was itchy, the heart seemed to be beating in a large cavity, and the sound of thumping was right next to my ears.

And the heart beat faster and faster, Jixiang felt that his heart rate had reached about 180 beats per minute.

The situation in front of him was more serious than before, but Ji Xiang entered an ethereal state instead.

It was as if his soul had come out of his body, and his whole body became quiet.

This is the state of traumatic shock?

The shock state caused by gas and fluid discharge after closed thoracic drainage, vagus nerve dysfunction, and misjudgment of the body?

should be.

Jixiang never expected that a small treatment, not even an operation, could make him go into shock!

"Huh? What's the matter?" The thoracic surgery doctor looked at Ji Xiang suspiciously.

"It doesn't seem right."

"Enable ECG monitoring." The doctor in the thoracic surgery department said, "Hurry up and push Sabo over."

Saab...

Ji Xiang has not heard this name for a long time.

There is no Sabo in the emergency department of the Second Affiliated Hospital, and he met him in the Affiliated Hospital during his internship.

The full name is Saab cardiopulmonary resuscitator, which uses machines instead of manual heart compressions.

I didn't expect that one day I would use Saab too.

This thing is really good, but there is only one downside - it is expensive.

When Ji Xiang was thinking wildly, the ECG monitoring had been connected, and the doctor in the thoracic surgery department frowned and looked at the above value.

"Push 5mg dexamethasone."

"Any allergies?" the nurse asked.

"Go ahead and have a look, and get ready for adrenaline." The thoracic surgery doctor said, "It should be fine. It's caused by a pleural reaction. It doesn't look heavy, but be careful."

"It's rare for patients to have this kind of situation." The little nurse asked without understanding.

"During the process of thoracentesis, the patient has a series of reactions such as dizziness, chest tightness, pale complexion, sweating, and even fainting. Pleural reaction is a serious complication during pleural puncture. Through nursing intervention on patients, pleural reaction can be obvious. reduce."

"..."

"I heard this question when you took the exam in the Nursing Department, did you memorize it?"

"Do not have time……"

The little nurse stopped talking, she lowered her head and was busy.

With the injection of the medicine, I don't know how long it took, Ji Xiang felt much better.

This kind of goodness is not the kind of goodness when the illness disappears like a silk thread, but a sudden cliff-like improvement, the whole person escapes from the dying state and is full of energy.

"Doctor, I seem to be fine." Ji Xiang said tentatively.

"Scared me." The thoracic surgeon saw that Ji Xiang was speaking sharply. Although the vital signs on the monitor had not fully recovered, he knew he was fine and let out a sigh of relief.

"I'm fine..."

"All right?" The thoracic surgeon leaned against the window sill with his arms folded, chatting with Ji Xiang while resting.

Although Ji Xiang looked fine, the thoracic surgeon didn't dare to leave at all, who knows what will happen in the next second.

"During my internship, I rotated in the chest department. A classmate pulled out the chest tube for the patient. He just pulled out the tube and tied it with the reserved thread. Such a fart operation ended up in an accident."

"Huh? What happened?" Of course Ji Xiang knew that it was easy to remove the chest tube, because Ji Xiang always did similar things during the internship.

Although he had just been pulled back from the brink of death, Ji Xiang had already been infected with gossip syndrome by Shen Lang, and his ears had been pricked up unknowingly.

"The chest tube was pulled out, a small amount of bright red blood gushed out of the incision, and the patient suddenly passed out.

At that time, we were shocked, and a family member of the patient went to the doctor immediately.

I pressed the wound immediately, and the bleeding stopped. The bleeding was about 50ml. I measured the blood pressure immediately, and the blood pressure dropped sharply to 90/50mmHg.

The teacher rushed over, immediately gave a rapid infusion and subcutaneous injection of epinephrine, and then the blood pressure dropped to 50/30mmHg, which was not responded to, and he immediately performed cardiopulmonary resuscitation. Half an hour later, the cardiopulmonary resuscitation failed and he was declared clinically dead. "

"Wipe!!!" Ji Xiang was surprised.

"Finally, it was determined that it was caused by a pleural reaction." The thoracic surgeon's eyes were fixed on Ji Xiang. "The possibility of extubation causing a pleural reaction is very small, and the probability may be about the same as winning the lottery."

"My teacher also said that he has been doing chest surgery all his life, and he has never encountered a similar situation. But when he did, it was [-]%."

The thoracic surgeon said it simply, but Ji Xiang understood what he meant.

"You say you are a man, why are you so nervous." The thoracic surgeon complained.

"Nine out of ten who do the same operation are men. If you replace the matter of having children with men, the population will be reduced by at least half." Ji Xiang retorted.

"..." The thoracic surgeon laughed, "What you said is true. Women are really tolerant. Some people say that the pain threshold is high."

"Perhaps the race with a high pain threshold in men and a low pain threshold in women may have died out long ago."

Ji Xiang is really healed, he has the energy to talk and laugh with the thoracic surgeon.

Even though he was still weak in speaking, he was full of energy to talk nonsense.

Next, Ji Xiang asked a lot about the case of sudden death of a patient who had a chest tube pulled out during his internship as a thoracic surgeon.

The thoracic surgeon just got out of the tension, chatted with Ji Xiang, and said a lot of things.

This is all clinical experience, and Ji Xiang wrote down everything that should be written down.

Although it is estimated that there will be no chance to do thoracic surgery in this life, but in case of encounter in the future, there is also a reference.

Pleural reaction, shock, although the probability of occurrence is not high, but if you buy a lottery ticket, as long as there is no mischief, there will always be a lucky one.

It's this "luck" that doesn't seem so good.

After a while, Ji Xiang gradually fell silent.

Because the excitement after the near-death feeling disappeared, the hormone level in the body decreased, every time Ji Xiang took a breath, he could feel the chest tube poking his lungs.

A little uncomfortable, a little uncomfortable, and the pain caused by the chest tube compressing the intercostal nerve.

Of course, Jixiang knew that his experience was caused by many coincidences, and patients with so many clinical symptoms were rare.

As the vital signs stabilized, the thoracic surgeon was relieved and let Ji Xiang carry the chest bottle by himself.

"Attention, the chest bottle should be lower than the chest wall, otherwise the water inside will pour back into the chest cavity."

"Well, I know." Ji Xiang skillfully carried the hook on the breast bottle and followed behind the doctor.

"It's okay, you scared me just now." The thoracic surgeon said with lingering fear, "Once something bad happens to you, bad luck to you, and bad luck to me."

"Doctor, can't it be prevented in advance?" Ji Xiang asked.

"How to prevent it? Most thoracic surgeons will never encounter it in their lifetime. We have to go to the ICU to prepare in advance?" The thoracic surgeon seemed to have a lot of complaints. He hesitated, "I chose the wrong profession in this life. If there is a next life, I will not be a doctor at all."

Ji Xiang smiled.

When he came to the ward, Jixiang's eyes flickered, and he opened his eyes in the next second, and saw the system npc.

"Teacher, I'm back." Before Ji Xiang finished speaking with the chest doctor, he suddenly saw the system NPC and was taken aback.

"Put your hands down, don't be in the posture of holding the breast bottle, it looks uncomfortable." The system npc reminded Jixiang.

Ji Xiang was stunned, laughed, and rubbed his hands vigorously.

"Feel the severity of the pleural reaction?" The system npc asked jokingly.

"Not only the pleural reaction, but also pneumothorax. When the chest tube was put in, I felt like being tortured." Ji Xiang sighed, "Teacher, it would be great if I could not get sick."

"Yes." The system npc said.

Ji Xiang stared intently at the system npc, as if he had heard some secret.

"The patient's feelings are like this. If you encounter a similar situation in the future, don't take it for granted." The system NPC began to instill the worldview again.

Ji Xiang instantly activated his passive skills, shielding the NPC from the system's force-feeding.

I don't know how long it took, the system npc said with a smile, "There are not many cases of extubation and pleural reaction leading to the death of patients. According to my statistics, although there are more cases than heart tumors, when I was the director, I could meet with patients every year." After 2-3 times, it will reach the sky."

"so."

"What should be paid attention to should be paid attention to. Grasping the details in the middle is part of clinical experience." After the system NPC finished speaking, he waved his hand.

Ji Xiang returns to reality.

The voice of Pingche seems to be still echoing in his ears, but Ji Xiang's heart is no longer the same person he was just now.

"Xiaoji, do you know what the patient's problem is?" Meng Qingfei asked.

"A rare pleural reaction."

"..." Meng Qingfei was stunned for a moment.

Ji Xiang had an anxious expression just now, why did he suddenly say a definite diagnosis?

And looking at his appearance, it seems that he is determined in his heart, and there is something unspeakable hidden.

Chapter 767

"Mr. Meng." Ji Xiang scratched his head, "This kind of rare patient is difficult to deal with. What if he suffers a cardiac arrest on the way to the ward."

"Here, you know it's just in case." Meng Qingfei smiled, "There are not many cases where there is an extremely severe pleural reaction after the next tube, which leads to cardiac arrest and cannot be rescued. It is a bit conservative to say that, at least in the In my medical career, I have never encountered it once."

"It's equivalent to an urban legend. Of course, you are right to be careful."

"And if it is prevented early, I will send it with a first aid kit. If the surgery comes to the emergency department during this period, what do you say?"

"How many more doctors? Hehe."

It would be cumbersome to say this any longer, so Meng Qingfei changed the subject.

"Xiaoji, let me ask you a common question."

"Teacher Meng, tell me."

Meng Qingfei was not in a hurry, he washed his hands first, and then wiped his hands vigorously on the buttocks of the white suit. The two black marks became more obvious after being soaked in water.

Back in the duty room, Meng Qingfei opened the window, and the cold wind from outside rushed in.

"Smoking is bad at this point. The winter in the Northeast is too cold and the ventilation is not good. I rarely smoke when I am on duty." Meng Qingfei explained.

But in the next second, Ji Xiang had already taken out a cigarette and handed it to Meng Qingfei.

Meng Qingfei took a puff of cigarette and asked, "Xiaoji, you must have encountered family members of patients refusing to rescue them in the ward, right?"

Ji Xiang nodded.

"Let's assume a common scenario. For example, a patient is terminally ill and can only use a ventilator to maintain breathing. Because of the high cost of the ICU, the financial conditions of the patient's family, and other factors, the patient's family decides to give up treatment after comprehensive consideration. "

"Tell me, what do you do when you encounter this kind of thing."

With a cigarette in his hand, Meng Qingfei looked at Ji Xiang deeply, and asked a common clinical situation.

This question is not difficult, and Ji Xiang said seriously after thinking about it, "I will first ask all the immediate family members of the patient to see if their attitudes are unified.