Guo Xiang went to the end of the carriage. There was a crowd of people on the inner and outer floors.
What's the matter?
Guo Xiang walked over and shouted, "give way, give way, I'm a doctor."
As soon as the people in front heard that a doctor came again, they all made way. Guo Xiang took the opportunity to look at it.
I saw a piece of ceramic falling on the ground in front of me. There was a man lying on the ground with a piece of porcelain inserted in his stomach. A woman was pressing the injured man's neck with a handkerchief. It should be that his neck was also injured.
"What's going on?" Guo Xiang asked the people nearby.
"The young man brought a box of porcelain. When he arrived at the next stop, he took his luggage. Unexpectedly, one accidentally smashed the whole box and hit him. The porcelain was broken and people were stunned."
"Just now he fell to the ground. When we turned him over, we found that porcelain chips were inserted in him. We didn't dare to move. The girl said she was a doctor and came over."
Guo Xiang took a closer look. Isn't this Chen Yu who met at the gambling quarry? Unexpectedly, she is also a doctor?
Looking at the people on the ground, his chest fluctuated very weakly and his breathing seemed to be poor. Chen Yu didn't seem to understand what was going on. He said something to himself.
Guo Xiang listened carefully. What she said seemed to be English and seemed to rule out any possibility.
She went over, squatted down and said, "it's tension pneumothorax."
Chen Yu raised her head and was surprised to see that it was Guo Xiang. "Is it you?"
"How did you know?"
Guo Xiang pointed to the man's arm. Maybe he came from southern Yunnan and wore less. The man rolled his sleeves to his upper arm.
There are some blue and purple in the left arm. Guo Xiang opened the fluoroscopy, and the vein in the left arm ruptured. Although there is breathing in the chest, the chest activity is abnormal, and there should be abnormal in the left lung.
Fluoroscopy shows traumatic pneumothorax in the left lung.
It should be caused by the box falling down.
Guo Xiang opened the injured man's clothes and pointed to the left arm to the left chest. "The vein dilated, which was caused by increasing the internal pressure in the chest. It should be that the box fell just now, causing the tear of the lungs, causing the air to enter the pleural cavity around the lungs instead of the lungs, resulting in pneumothorax."
"What now?" Chen Yu asked, there is no way to operate here.
"Wait for me!" Guo Xiang stood up. "By the way, give him artificial respiration first, or he will be out of breath immediately."
After taking two steps, Guo Xiang turned back, "don't do cardiopulmonary resuscitation. You can't press the chest."
"I know!" Chen Yu nodded.
Guo Xiang quickly ran back to his position, picked up his bag and ran.
"Daughter in law, what's the matter?" Gu Zhennan asked in the back.
"It's all right. I'll save people!" Guo Xiang answered and ran to the rear of the carriage.
Take out the simple operation bag from the bag. She usually takes it with her when she goes out, and she also takes some medicine.
There's a small bottle of alcohol, but it's not enough now.
"Do you have any high Baijiu?" Guo Xiang looked at the crowd.
Everyone shook their heads.
"Help me, please, highly Baijiu, I can buy it, save people." Guo Xiang said that it was used as alcohol disinfection.
"Can I have a bottle of 53 degree Erguotou?" Someone asked.
"Yes, bring it right away!" Guo Xiang said as he took out his simple surgical bag.
Chen Yu was surprised to see that she still took these things with her. She must be a surgeon.
Guo Xiang first took cotton wool and gauze to Chen Yu and asked her to wrap the injured person's neck so that she didn't have to keep pressing it all the time.
Then he took out the scalpel and soaked it in alcohol.
"Who has a hose? It's better to be new. " Guo Xiang asked again.
"I have, for the workshop I just purchased." Someone said.
"No oil?" Guo Xiang asked.
"No, it's new." The man answered.
"OK, cut me a foot or so!" As Guo Xiang said, he opened Erguotou and poured it in front of the injured person's chest, focusing on the ribs. Later, he will make an incision between the two ribs.
He poured half a bottle, poured some on the hose and cleaned it. Then he put one end of the hose into the bottle and threw it to Chen Yu. "I have medical tape in my bag. Seal the mouth of the bottle!"
"Good!" Chen Yu nodded and immediately took over.
Guo Xiang poured out the small bottle of alcohol, washed his hands, picked up the scalpel and cut it between the two ribs on the left side of the injured.
The blood gushed out immediately after the knife cut.
"Ah -" someone exclaimed.
Others turned their heads and didn't dare to look. It's too scary.
"Pipe!" Guo Xiang held out his hand.
Chen Yu immediately put the sealed bottle and tube into Guo Xiang's hand.
Guo Xiang stuffed one end of the tube into the part just cut between the ribs.
I saw bubbles coming out of the bottle.
"What's going on?"
"How did the wine in the bottle bubble?" Someone screamed.
"How strange!"
At this time, the injured "Oh", his chest obviously fluctuated and breathed.
"Live, live!"
"What a miracle doctor!"
Guo Xiang took cotton wool and tape to wrap the wound between the ribs.
There were bubbles in the bottle. "What's going on?" Someone asked.
"The injured is pneumothorax. This is the air in the lungs coming out!" Chen Yu explained that she looked at Guo Xiang with admiration. It's a pity that she could think of this method.
"What is pneumothorax?"
Chen Yu can't explain. People who don't study medicine can't understand what they say.
"Then why put it in the wine? Just let the gas out? " Asked the man with the pipe just now.
"This is a self-made check valve!" Guo Xiang said, "the gas in the lung comes out, but it may also go back. Use a pipe to lead the gas out of the lung and enter the wine. Of course, it's ok if it's water."
"When the bottle mouth is sealed, the outside air will not enter the bottle again, and the air in the wine can not return to the tube, so it will not cause pneumothorax again."
Chen Yu nodded and admired Guo Xiang. Others may not understand it, but she was a doctor and understood the principle very well.
"Did anyone inform the conductor?" Asked Guo Xiang.
"I've been informed. He said he would arrive at the station immediately and call the doctor as soon as he arrived, but you've saved it, so don't use it?" Someone said.
"I still want it." Guo Xiang pointed to the injured man's abdomen, "there are still injuries here, and this porcelain piece can't be pulled out. In case it hurts the abdominal artery, we can't stop the blood here."
Chen Yu also nodded, so she didn't rush to do it just now. She just pressed the injured vein on her neck.
After a while, the train arrived at the station. The conductor rushed down immediately and called the doctor to carry the injured down first. The ambulance was not so fast, so he had to wait at the station.
Guo Xiang, they will continue to take the bus back to Beijing. Naturally, they will not take care of it any more.
"I didn't expect to see you again, and I didn't expect you to be such a skilled doctor." Chen Yu looked at Guo Xiang.
"You too!" Guo Xiang smiled, "who studied abroad?"
"How do you know?" Chen Yu was surprised.
"I heard you talking to yourself just now. You speak English. Should you be used to it?" Guo Xiang smiled.
Chen Yu's face was slightly red. "Yes, I'm used to following foreign teachers."