Doctor Peerless

Chapter 657 Di Renjie in Emergency
Bai Mingming still has emergency experience, so he asked Su Quan, "How is the patient's blood oxygen?"

Difficulty breathing, the first thing to pay attention to is blood oxygen saturation.

Su Quan was anxious to see that the patient's blood oxygen saturation had been hovering between 60% and 80%.

The blood oxygen saturation of normal people is generally above 98%.

If it is lower than 94%, the blood oxygen saturation is insufficient.

And less than 70%, the patient is in a state of hypoxia.

It goes without saying what harm is caused by hypoxia, ranging from damage to organs and tissues, to life-threatening in severe cases.

It has reached the level of 70%.

At this time, it is generally necessary to inhale oxygen to increase blood oxygen saturation.

But at this moment, the patient is already on the highest level of oxygen inhalation device, ventilator.

The patient's blood oxygen saturation has been maintained at a very low state, which is too abnormal.

Unless, the patient's lungs have serious problems.

But the human lungs are still very strong.

A normal human body has a left lung and a right lung.The left lung has three lobes and the right lung has two lobes.Even with three lobes removed, a person can still breathe.

Because it was a traumatic injury, before the closed thoracic drainage was performed just now, Bai Mingming and Su Quan had the patient take a chest X-ray.

There was no sign of damage other than the lung tissue was compressed due to fluid accumulation.

Overall, it was a relatively minor chest trauma.

That's why the two didn't call someone outside the chest for consultation.

I thought that after closed thoracic drainage, the effusion would be cleared, the compression would disappear, and the lung tissue would expand quickly. Coupled with intubation to assist breathing, the patient should soon be breathing smoothly and the condition would be relieved.

But it never occurred to me that the patient's condition did not improve at all.

Bai Mingming and Su Quan panicked a little.

An emergency room can sometimes be like solving a crime.

All kinds of clues are placed in front of you, and you have to find the culprit, which is the cause of the disease.

Bai Mingming has no clue now.

He was very worried whether the chest X-ray was not taken just now, and the patient still had problems with his lungs.

He hesitated for a moment, and said to Su Quan, "Why don't we have another chest X-ray examination."

Su Quan nodded in agreement.He also felt that the patient still had problems with his lungs.

The emergency chest X-ray was reviewed and came out soon.

Bai Mingming and Su Quan saw that the effect of the closed thoracic drainage was obvious, and the patient's originally compressed lung tissue had re-expanded.

This would have been good news.

But neither of them was happy at all.

The patient still has difficulty breathing and hypoxemia.

At this time, Bai Mingming, who has always been gentle, couldn't help but swear, "Fuck, this is really weird. Everything is fine, but the blood oxygen can't rise."

Su Quan didn't speak, and he was also frowning.

Cao Xin suddenly shouted at this moment: "Blood oxygen is 60%."

Su Quan couldn't bear it anymore, and said, "Let's find Team Leader Zhou. We're in big trouble."

Bai Mingming nodded weakly.

Zhou Sheng and Cao Xin went to the emergency room.

While checking the patient's condition, he listened to Bai Mingming and Su Quan's introduction of the previous situation.

According to Zhou Sheng's introduction from Su Quan, he and Bai Mingming did not have any problems with the operation.

This chest injury is really not too serious.

A puncture and drainage should solve the problem.

Why does this result occur?

Zhou Sheng was also a little puzzled.

At this time, Bai Mingming handed over two chest x-rays.

Zhou Sheng turned on the system scan while looking at the chest X-ray.

Before and after the operation, Zhou Sheng had seen two chest X-rays, and he was more sure that there was no problem with Bai Mingming and Su Quan's judgment and treatment, and that the patient's lungs were normal.

The following is the result of the system auxiliary inspection.

After a few minutes.

System assistance gives comprehensive inspection results.

Condition: Chest tightness, dyspnea.

Etiology: Thoracic trauma caused continuous exudation of pleural effusion and insufficient oxygen supply.

Treatments taken: thoracentesis and drainage, assisted breathing

Suggested treatment plan: increase oxygen supply.

Seeing the result, Zhou Sheng was taken aback for a moment.

Lack of oxygen?

Already on a ventilator, not enough oxygen.

Could it be that this ventilator is fake?

Zhou Sheng's eyes immediately fell on the ventilator.

The machine is definitely normal.

That's what went wrong.

Zhou Sheng continued to look, and finally his eyes fell on the trachea.

Generally speaking, there are various types of intubated trachea to suit different groups of people.

From the smallest diameter of 2.5mm for the trachea of ​​newborns to the trachea of ​​more than 8mm for adults, there are many types.

According to Zhou Yisheng's visual inspection, the patient is tall and big, but the trachea used by Su Quan and the others should be the 8mm trachea used by normal adults. Compared with the patient's size, the first feeling is that the trachea is too small.

The size of the trachea definitely affects the amount of oxygen delivered.

Could the problem be here?
Zhou Sheng also has no experience in this area.

However, the system gave insufficient oxygen.

Zhou Sheng could only think of this possibility.

Zhou Sheng immediately said, "Is there a bigger tube? Try using a bigger one."

Both Bai Mingming and Su Quan were stunned for a moment.

They both asked at the same time: "Is it a pipe problem?"

Zhou Sheng said: "The lungs are normal, but the blood oxygen is not enough. I suspect that the tube is too thin. Try changing it first."

Now Zhou Sheng is the authority in the emergency center.

Bai Mingming and Su Quan couldn't explain better.

The two immediately accepted Zhou Sheng's opinion.

Su Quan found a large trachea and replaced it with the patient.

As a result, a miracle happened, and the patient's blood oxygen level rose slowly.

70%...

80%...

90%...

Finally all the way to 96%.

Both Bai Mingming and Su Quan took a deep breath.

I didn't expect that the seemingly serious problem was caused by a pipe.

Sure enough, the clinical practice of emergency department is full of knowledge.

One sentence from Zhou Yisheng solved the burning buttocks between Bai Mingming and Su Quan.

The two people's admiration for Zhou Sheng in their hearts went one step further.

Bai Mingming thought to himself, a great master is a great master. Not only is he good at using a knife, but he is also more experienced than ordinary people in inserting a trachea!
Bai Mingming's admiration is still stuffed in his heart.

Su Quan had already yelled, "Awesome! Team Leader Zhou! How did you know that the problem was with the tube. Just now, Teacher Bai and I were so worried. If it doesn't work, we'll call the thoracic surgeon. .”

Zhou Sheng smiled, "I have no experience in this kind of thing, but I just inferred. They are all on the ventilator, and the blood oxygen is not enough. If there is no problem with the machine, it can only be the tube."

"Bull!" Su Quan gave a thumbs up, "Brother is simply Di Renjie from the emergency center!"

A small episode, quickly resolved.

It didn't involve Zhou Sheng's too much energy.

Finished, it's time to get off work.

After the handover, Bai Mingming, Su Quan and others left the emergency center.

Zhou Sheng did not leave.

He still has a very important thing to do today.

He left the information room of the emergency department and walked directly to the ward outside the heart...

(End of this chapter)