Krafft's Anomaly Notes

Chapter 189 Artificial Pneumothorax

It is a good thing to have ideas, but how confident you are does not depend on the doctor himself, but on another group of people whose hair volume has suffered a huge blow during this period.

After reporting to the duke the work progress in the past two weeks and learning about his condition, Kraft took a piece of bread from his lunch plate and went to the workshop non-stop to check the results of the craftsmen's work.

The jeweler with a bad face showed him something unexpected.

"How did you do this?" Kraft carefully pinched the slender silver tube in the velvet cushion with two fingers, and looked at the light.

The light penetrating through the middle shows that it is indeed a hollow tube, with uniformly thin walls, a sharp end, and a polished surface.Slight traces of hammering suggest that it may have been worked from stamped silver.

He thought he would never see such fine things in his life.A brush with the dreadful fate of making needles out of feathers or thin bones.Although the diameter of the patient's blood vessels is too high for this thing to be used as a syringe, it barely meets the standard for thoracic needles.

The only concern is the strength of the material. It's okay to bend it, but it's really a big problem if it breaks.

The needle was attached to a wooden peg that matched the connecting leather tube that Kraft had requested.They made this tube out of rolled thin leather, and some kind of adhesive was used on the overlapping surface. Compared with the rubber tube, the texture is tougher and inconvenient to bend, but the airtightness is trustworthy.

"Will this glue melt?"

"You can even use it to blow bubbles underwater."

The craftsman's guarantee reassured Kraft a lot, and he couldn't imagine what would happen if the pipe fell apart halfway through the operation.

As for the gas storage device simply reduced to a large skin bag, anyway, the volume of the lung cavity is only a few liters, so there is no need to specially toss a multi-component inflator, which cannot guarantee the sealing ability and is difficult to do.It's just that this somewhat tests the operator's skills.

These few things can basically meet the minimum requirements of Kraft's operation, and artificially create a pneumothorax state under a controllable degree.

The specific operation steps are not complicated, basically it is reversed on the basis of thoracentesis.

He needed to use the needle connected to the leather tube to pierce the Duke's chest wall, penetrate the layer of pleura next to the chest, and reach the middle of the two layers of pleura.Then the next step is to pump the air in, and the lungs are "squashed" by the air pressure.

This process will not be completed overnight, and scoring several gas injections also means that the patient will receive a few more injections.The experience without anesthesia wasn't much better, to put it mildly, but since the duke had survived the enema and bloodletting, it made sense to place some faith in his endurance.

Looking back now, the original plan is basically in line with the current demand.Under the elevated air pressure, the lungs will be gradually compressed, and the cavity in the lungs will also shrink and close up synchronously, leaving less and less space for the fungus to live comfortably until it voluntarily abandons this increasingly deteriorating living environment.

In theory it is true.

But this brings up another question: how will it move?

In the most ideal situation, germazim will control the main mycelium ball, enter the bronchi from the tuberculosis cavity, the main bronchi, and all the way up into the trachea.Then it will crawl through the longest section of the trachea, and this period of time will probably not be too short.

It is best to ensure that the airway is open and not blocked by the dilated hyphae.Coincidentally, there is such a thing that can be used off-the-shelf.

"The leather tube is well made. Let's make another one, and add a few metal rings inside to support it. It will be harder, but not too hard." Toughness also has the advantage of toughness, and it is just used for tracheal intubation.

"what?"

……

……

"Your Excellency, before everything starts, I must inform you of the purpose and risks of this operation."

"As I said before, this is a treatment measure to temporarily relieve the symptoms of your lung disease. It cannot completely cure the disease, and it may not even make you feel better." Kraft explained layer by layer Open the equipment bag and wipe it with strong alcohol.

The guarantee that the craftsman gave him did not include that it could be used after being sterilized with boiling water, and that it had to be wiped by hand in the end, and the effect would be worse.A strong to almost pungent smell of alcohol diffused in the room.

The Duke closed his eyes and nodded to show that he was listening, but his expression was much more relaxed than that of the doctor, like an irrelevant bystander, "This smell reminds me of when I was young, and I had to quit after I got lung disease."

No, that's unlikely, I'm afraid I won't live to get tuberculosis if I drink this kind of wine.Kraft groaned.

"After the start, there is a probability that some situations that are not subject to subjective control will occur, such as leakage of fluid, persistent fever, aggravated chest pain, dyspnea, etc. in the long term, and subcutaneous emphysema may occur in the short term, and in severe cases, blood vessels may be injured, causing vascular embolism. life."

In fact, the probability is not high, the puncture and gas injection will be carried out under the guidance of the spiritual senses, but the notification process must be completed.

Hearing the last item, the old prince raised his eyelids slightly, "May I ask, have any patients been scared off by this before?"

"This is by no means a fabrication, but a real risk."

"If you are lucky or unlucky to go to the battlefield in the future, please remember not to talk to your soldiers like that." As required, he lay down on his left side, opened his robe, and exposed the right side of his chest that will be treated, "West Duke Min has given his consent to this treatment, and you may begin, Dr. Kraft."

"Thanks for your trust."

Count to the eighth intercostal space with your fingers from top to bottom, extend to the side of the body to the armpit, select the needle entry point on the upper edge of the ribs, and try to avoid the nerves and blood vessels that run along the lower edge of the rib groove.

A mass of cold stuff sticks to the skin.

"Please relax a bit, just clean up the skin now." The cotton ball soaked in alcohol centered on the puncture point, and the range was expanded circle by circle, and a large circle of chills appeared on the back.

"Now, you need to be patient for a while and reduce your activities as much as possible." Kraft spread the hole towel, took out the puncture needle connected to the leather tube, and the tube was temporarily clamped and sealed with small forceps, "I suggest that the guard hold you down, Failure to do so may result in unnecessary damage."

Of course, this suggestion was not adopted.

After confirming that the preparations were complete, he connected his spiritual senses, fixed the skin at the puncture point, and held the needle against it for a few seconds to ensure that the patient was mentally prepared before starting to insert the needle.

Since he was standing on his back, he couldn't see the Duke's expression, but he could clearly feel the change of the body from relaxing to straightening as the needle tip pierced the epidermis, the muscles contracted and swelled, and the breathing stagnated.

Except for the slight creak of clenched teeth, all he could smell was his heartbeat.

The mind "sees" how the metal penetrates the subcutaneous tissue, easily pokes a slippery path through the thin layer of fat, penetrates into the tense muscles, and after being blocked for a little bit, continues to break through the chest wall and intercostal muscles , restrained through a layer of film attached to the chest.

The sense of emptiness was synchronously fed back to his hand, indicating that he had successfully entered the pleural cavity, and the needle tip was now stopping in front of the lung, less than three fingers away from the cavity where the verdazim lived.

The fungal sphere adheres to the hollow wall woven by necrotic hyperplasia tissue and granulation through silk feet, as peaceful as a hibernating field mouse in the nest, unaware of what happened.

Connecting the leather tube to the mouth of the airbag, Kraft tried to loosen the clamp, allowing the gas to flow into the pleural cavity as evenly and slowly as possible, "You can continue breathing, Your Excellency."

With the rhythm of the ups and downs of breathing, less pronounced air is mixed into the process compared to the amount in and out, and the expansion of the lungs becomes limited.

At present, the form is not obvious. If you can take a chest x-ray here, it will probably appear as a narrow peripheral dark band that needs to be enlarged to find it. The distinction from the lung field is very low, and the fine texture of the lungs ends in front of the dark area. The translucent bounds of the .

Every time a short burst of gas is injected, Kraft will pause for two breath intervals to observe, assess the degree of compression and the status of bacterazim.

Probably because it is used to the periodically changing air pressure in the lungs, it seems that this thing is far less sensitive to pressure changes than other stimuli.It didn't react violently until the amount of air injected was close to half of the Duke's calm breathing in and out.

At this time, the degree of compression has achieved initial results. There is a difference in the expansion of the elastic lung tissue and the scar tissue during inhalation, which produces a preliminary compression effect on the cavity.He vaguely felt the turmoil of the mycobacterium velvet with the reduced activity space, and seemed to be about to wake up.

Kraft stopped the gas injection in time, pulled out the needle, pressed the puncture point with a cotton dressing, and ended the first gas injection.

"Your Excellency, please lie down and rest for a while, at least I don't want to see you show extraordinary courage until the next meal."

(End of this chapter)