After being separated from my family, I became a darling of the military region thanks to my medical
Chapter 535 Catheterization to Protect the Lung, Do You Dare?
The splashing water stopped.
Ye Zhen had just rinsed the blood off her hands.
The heavy iron door of the underground laboratory was suddenly pushed open, and the base's political commissar rushed in, covered in yellow sand.
"Dr. Ye!"
"They just dug one out at the temporary rescue point! It's Zhou Jianjun, Liang Gong's guard squad leader!"
Ye Zhen shook the water droplets off her hands and wiped them with a dry towel.
Where are they?
"Right in the corridor outside! The medic is trying to save him, but he's about to die!" The political commissar's eyes were red-rimmed. "When the explosion happened, Xiao Zhou threw himself on top of Liang to protect him. Metal shrapnel pierced his right chest, and he has a large crush injury on his back!"
Ye Zhen strode out of the laboratory.
The corridor was filled with the pungent smell of blood.
Two military searchlights shone brightly on the makeshift stretcher.
The young soldier lay flat on his back, his uniform front soaked in blood, and his right chest collapsed horribly with each weak breath.
Several local military doctors stood on both sides, sweating profusely with anxiety.
"Quickly! Put him on a ventilator! Positive pressure ventilation!"
An older military doctor grabbed the intubation kit, about to forcibly establish an airway.
"stop!"
Ye Zhen took two steps forward and firmly pressed down on the military doctor's right arm, which was holding the laryngoscope, with one hand.
She had immense strength, and the military doctor's wrist went numb from being pressed down, leaving him completely unable to move.
"The wounded are severely oxygen-deprived; their blood oxygen level has dropped to 60. They'll suffocate if we don't give them oxygen soon!" the military doctor shouted anxiously.
Ye Zhen ignored him and directly lifted the tattered fabric covering Zhou Jianjun's chest.
The right chest wall appeared strangely swollen. Pressing down on it, the fingertips felt a distinct sensation of grasping snow, indicating extremely severe subcutaneous emphysema.
"Look at his chest," Ye Zhen pointed to the injured man's right clavicle line. "Is this simple pleural hemorrhage? The trachea is deviated to the left, and the jugular veins are distended—this is tension hemopneumothorax!"
The military doctor holding the laryngoscope was stunned.
Ye Zhen took the stethoscope and placed it on the wounded man's right chest.
No normal breathing sounds could be heard through the stethoscope; all that could be heard was a hollow, drum-like sound, mixed with the bubbling of blood.
"His right main bronchus is completely ruptured, along with a ruptured branch of the pulmonary artery," Ye Zhen said in a short, forceful voice. "Air and blood are simultaneously being pumped into his chest cavity. If you intubate him now and apply positive pressure ventilation, a large amount of positive pressure oxygen will be blown directly into the pleural cavity through the bronchial rupture."
Ye Zhen snatched the laryngoscope and threw it back into the plate.
"He'll suffocate from the oxygen you pumped in within three minutes."
The senior military doctor gasped, a cold sweat breaking out on his back.
Just then, a series of footsteps came from the end of the corridor.
A group of people wearing military overcoats and carrying medical kits walked quickly towards them.
"Director Luo, he's right ahead!" Director He from the local area quickly went to greet him.
This is the expert team from Xi'an Military General Hospital who braved the sandstorm and rushed over overnight. The team leader, Director Luo Jingshan of Thoracic Surgery, strode to the stretcher.
Luo Jingshan didn't even glance at Ye Zhen, and directly gave the order to Director He.
"Get the injured person to the operating room quickly, I'll take over!"
Director He looked troubled and pointed to Ye Zhen beside him.
Luo Jingshan then turned his head and looked Ye Zhen up and down, his brows furrowed tightly.
"You're Ye Zhen from Beicheng?" Luo Jingshan said, "You just finished Liang's surgery and you're severely exhausted. You're not suitable to continue as the lead surgeon in this condition. Go and rest for a while."
Ye Zhen kept her hands in the pockets of her white coat and didn't move an inch.
"What does Director Luo plan to do?"
Luo Jingshan picked up the portable X-ray film that had just been taken and looked at it under the searchlight.
"The right main bronchus was ruptured and there was massive bleeding. There's no other way to treat this kind of extensive damage." Luo Jingshan pointed to the huge, high-density shadow on the X-ray. "Open the thoracotomy, remove the right lower lobe of the lung, and ligate the ruptured blood vessels. Saving his life is the priority."
Ye Zhen glanced at the film.
"no."
Two words: crisp and clean.
The Xi'an expert team in the corridor immediately stirred. Several young doctors felt that this girl from the north was too arrogant, daring to openly defy a key member of their military region.
Luo Jingshan's face showed anger as he suppressed his rage and asked.
"Why not? How can you control the bleeding points without removing the lung?"
Ye Zhen stared directly at Luo Jingshan.
"The injured person's blood pressure is currently only 960. His right lung function has been largely lost due to hemopneumothorax. If you open the chest and remove the lung now, the wound will be huge. Given his current deep shock state, he will be on the operating table as soon as the anesthesia is administered."
Ye Zhen pointed to the wounded man's bloodless face.
"He couldn't even get past the first hurdle of open-chest surgery."
Luo Jingshan retorted loudly.
"Without removing the damaged lung lobe, the bleeding and air leakage simply cannot be stopped! Do you have a better solution?"
"have."
Ye Zhen turned around and gave instructions to Lin Yi and Li Hong, who had just arrived.
"Prepare the catheter, number twelve."
Not only the experts in Xi'an, but even Li Hong was stunned.
"Teacher Ye, this is a chest injury, why would we need a catheter?"
"It's used to make a bronchial occlusion balloon." Ye Zhen spoke very quickly. "We don't need to cut the lung. We'll first perform a simple single-lung isolation, insert the urinary catheter through the endotracheal tube, and stop it above the tear in the right main bronchus."
"Inflate the balloon to plug the leak on the right side and ensure normal ventilation in the left lung."
"Then, the hilum was temporarily blocked, the accumulated blood was cleared, and a bronchial sleeve repair was performed combined with lung protection and hemostasis."
After Ye Zhen finished speaking, the entire corridor fell silent.
Using a urinary catheter as a tracheal occluder?
Performing sleeve repairs under extremely rudimentary conditions on the battlefield?
This is simply a fantasy.
Luo Jingshan laughed in anger, pointing at Ye Zhen.
"Nonsense! Utter nonsense! That's a urinary catheter; its diameter is completely incompatible with the trachea. If the blockage fails, the patient will die on the spot! I absolutely disagree with this kind of unscrupulous surgical approach!"
"I agree!"
A deep, cold, and authoritative voice came from the back of the corridor.
Commander Peng, the top leader of the base, strode over with his communications officer, still clutching the receiver cable of the secure red-telephone he had just put down.
Commander Peng strode to the center of the crowd, his gaze sweeping over Luo Jingshan before settling directly on Ye Zhen.
"Just now, Vice Minister Li of the Ministry of Health and the leaders of the Central Military Commission personally issued a direct order," Commander Peng's booming voice echoed through the makeshift underground passage. "Today, in this base, all rescue missions will be based solely on Comrade Ye Zhen's judgment!"
Commander Peng turned to look at Luo Jingshan.
"Director Luo, your expert team from Xi'an is currently tasked with assisting Dr. Ye. Her plan will be the final plan for the base."
Luo Jingshan's face turned pale and then red, his anger caught in his throat by those words, leaving him speechless for a long time.
Ye Zhen didn't waste any time looking at Luo Jingshan's expression.
The pulse oximeter on the wounded soldier had emitted a deadly low-pitched alarm.
"Lin Yi." Ye Zhen reached out her hand, her gaze fixed on the wounded man's slightly heaving chest.
"Give me the size 12 catheter."
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