Chapter 145 The difference between a genius doctor and a quack doctor
At this time, everyone else surrounded him and asked anxiously: "How is it, how is Brother Yang? What's going on? Is it serious or not?"
These people were naturally divided into two factions. Everyone from Ye Feiyang asked the emergency doctor who came with the ambulance, while Luo Tianxing, Guan Ruyu and others chased behind Long Fei's butt and asked nonstop.
"Pericardial filling, puncture surgery must be performed immediately! Otherwise, it will be dangerous." Long Fei had already arrived at the ambulance while he was speaking, and the stretcher truck pushed it directly into the ambulance.
When Long Fei answered the questions from Guan Ruyu and others, Tian Liexian was also answering the questions from a group of young masters: "At present, I only know that it is internal bleeding, but what internal bleeding is still needed to be further examined."
"So is Mr. Yang filling the pericardium?" Someone asked, and they also heard Long Fei's words.
"This is very likely." The doctor said with a tough bullet. As the attending doctor in a Grade A hospital, after Long Fei's reminder, he of course had already seen that Ye Feiyang was pericardial tampon, but he dared not like him now
Long Fei said it out loud directly and affirmatively!
Because as long as he tells everyone that this is pericardial tampon, he must immediately perform pericardial puncture on Ye Feiyang. However, pericardial puncture is a relatively dangerous operation. Once the puncture is over and punctures through the heart, it is likely to cause heavy bleeding.
It's totally troublesome!
According to routine, before pericardial puncture surgery, CT or ultrasound examination must be performed to determine the puncture location and estimate the degree of effusion in order to control the depth of the needle and avoid puncture through the heart. The most serious thing is that Ye Feiyang is now in a coma and is very ill during the operation.
Severe coughing or deep breathing may occur, which can also cause great danger!
Tian Liexian dare not take this risk!
As Tian Liexian talked to everyone, Long Fei had already arrived in the ambulance. Seeing this, Tian Liexian hurriedly rushed up and closed the car door.
"Old Li, drive quickly and get to the hospital as soon as possible!" Tian Liexian immediately said to the driver as soon as he got in the car. He could only pray that Ye Feiyang could hold on to the hospital now.
"No! I said that Ye Feiyang is pericardial tamponade, and he must undergo a puncture surgery immediately to discharge the effusion! Otherwise, he will not be able to hold on to the hospital at all!" Long Fei said firmly.
"Are you leaving or not?" the driver turned his head and asked. He didn't know who he would listen to.
"Can't leave!"
"Must leave right away!"
Long Fei and Tian Liexian said in unison.
"You are just a resident in the Third B Hospital. Why do you command the ambulance in our one-person hospital? Lao Li, leave! It will be too late if it is too late! Who will bear this responsibility then?" Tian Liexian said with his eyes glaring at Long Fei.
The driver thrust the car and started it and was about to set up gears.
"You can leave. If Ye Feiyang can't support the hospital and dies on the road, I will sue you for improper rescue and cause death!" Long Fei said without hesitation.
"You..." Tian Liexian didn't expect Long Fei to be so difficult. In fact, he also saw that Ye Feiyang's danger was coming, but he really didn't want to take this risk, so he insisted on letting the driver drive. After all, if he didn't have surgery now, he would not have the surgery now
, If something goes wrong on the road, no one except the doctor knows why, so he doesn't have to take responsibility. But if something goes wrong during the operation, he must be responsible.
"Don't you know the danger of pericardial puncture? If an accident occurs, who is responsible? Now there is no one to sign the operation!" Tian Liexian said in a piss off.
"I only know that now he has a puncture surgery, and he still has hope of survival. If he plans to send him to the hospital for further surgery, then he will be dead!" Long Fei said with his eyes staring at Tian Liexian.
"Okay, I have to do it! Anything has nothing to do with me!" Tian Liexian said angrily, thinking in his heart: "Damn, since you are so awesome, just do it for Ye Feiyang. There is no instrument scan to confirm the diagnosis, no
Knowing the depth of the effusion, I will see if you have the ability to complete the puncture surgery successfully.”
Long Fei suddenly understood why he opposed the operation immediately after listening to this guy. The guy in front of him was not unaware that Ye Feiyang was pericardial tampon, nor did he see that Ye Feiyang was in danger, but he just didn't want to bear the operation.
risk!
"I didn't plan to let you do this surgery!" Long Fei said contemptuously, then turned his head and said to the nurse: "Miss Nurse, prepare the chest puncture bag right away!"
Although Tian Liexian is not really a good doctor, this beautiful nurse is really a good nurse. In just a moment, she not only provided an electrocardiogram monitor for Ye Feiyang, but also hanged it up a little!
"Okay." The nurse agreed and immediately put a chest puncture bag in front of Long Fei, and then completely untied Ye Feiyang's competition suit.
When Long Fei was speaking, he had already found sterile surgical gowns and sterile gloves from the car. In an emergency, everything was simple, washing his face and hands, disinfecting his body, etc. were all avoided!
After Long Fei was dressed neatly, he tore the puncture bag, took out the puncture needle, put the latex tube, and connected the 50 ml syringe. Then Long Fei directly held the puncture needle with his hand and stabbed it from the fifth and sixth ribs on the left side of Ye Feiyang.
Go in!
Tian Liexian was stunned when he saw Long Fei's movements. He had seen many doctors perform pericardial puncture surgery, and he had also performed it himself. Those doctors, including himself, were all careful when performing pericardial puncture surgery, for fear of the injection too quickly.
If you pierce the heart, even if you don’t pierce the heart, it is very dangerous to hurt the myocardium.
But when he saw Long Fei's movements were surprisingly fast. Long Fei held the puncture needle and almost didn't think about it. It was like an intramuscular injection, so he directly stabbed the puncture needle into Ye Feiyang's chest cavity!
"My bastard, can't this bastard be a 25-year-old? Isn't this just playing with human life?" Tian Liexian suddenly thought.
After Long Fei quickly pierced the puncture needle into Ye Feiyang's chest, he immediately began to slowly twitch the piston of the syringe. The red blood flowed through the latex tube and entered the syringe, which was shocking.
Tian Liexian looked at Long Fei's actions with a hint of mockery in his eyes. He didn't think Long Fei's surgery had been successful. It was not a skill to pull out the blood from the human body. Do you know if the blood he drew was a heart-broken one.
What about it? Perhaps the needle has penetrated the myocardium and it is still unknown?
Long Fei ignored Tian Liexian at all, but focused on his surgery. A syringe was quickly filled. The young nurse standing next to him served quickly clamped the latex tube with surgical forceps.
"Good job!" Long Fei cast an admiring look at the beautiful nurse.
The young nurse is about the same age as Wang Xiaonan, with delicate facial features and clear eyes. She looks like a pure little girl. When she saw Long Fei's gaze, her face turned slightly red, but when she saw the electrocardiogram monitor, she immediately
He said anxiously: "Blood pressure began to drop sharply! But we have no extra plasma here! What should we do?"
After all, this is not a hospital. Although plasma is prepared in the ambulance, there are not many, and each blood type is only one or two bags. Ye Feiyang's blood type is a relatively rare RH yin blood, commonly known as panda blood. This ambulance
It was already surprising to be able to prepare a bag on it!
"I said I can't pierce here! What should I do if I have something like this happening? Even if I call the hospital immediately to send blood, it's too late! It's more than 30 kilometers away from the city, and Ye Feiyang is simply
If you can't hold on to the plasma, you will arrive!" Tian Liexian said with some gloating pleasure.
While the guy said, he thought to himself: "I said I can't operate here, you must not listen. Something happened now, right? I see how you ended! Don't blame me if there is an accident!"
The young nurse Otsuki Liexian rolled her eyes and said, "Doctor Tian, what do you mean is that if we don't do this puncture surgery here, will Ye Feiyang survive to the hospital?"
"you……"
Tian Liexian was speechless. Everyone saw that since Ye Feiyang used a monitor, Ye Feiyang's heart rate has been decreasing. It has nothing to do with whether he had a puncture surgery! Even if Long Fei did not do this puncture surgery, Ye Feiyang's heart rate was
It will still drop sharply, but it will still not be able to hold on to the hospital!
Tian Liexian smacked his lips and said embarrassedly: "If we had rushed to the hospital at the beginning, we would have been closer to the hospital now, right?"
"It's closer to the hospital, but it's closer to the God of Death!" the young nurse said again in a unforgiving tone.
"you……"
Tian Liexian's face turned red and he was speechless again, but he kept complaining in his heart: "Didn't the little girl movie just look at her handsome guy? Isn't it that way to stand there?"
Tian Liexian was complaining in his heart, but he saw that Long Fei had already taken off the blood-filled syringe from the latex tube, and quickly put another needle on the syringe, and then inserted the needle directly into the mouth of the blood bag!
Long Fei injected the blood drawn from Ye Feiyang's body into the blood bag!
"Hey! What are you doing? You will kill him like this!" Tian Liexian exclaimed as he looked at Long Fei's actions.
Long Fei's approach is actually allowed in medicine, which is called autologous blood transfusion. But the problem is that it is not in the sterile operating room now! Long Fei and the others are just wearing surgical gowns, but their bodies are not disinfected at all. Long
Fei is not sterile in this way, and it is easy to cause infection!
"I just know that if I don't do this, he will die soon!" Long Fei said coldly without looking at Tian Liexian!
What a fool who only knows how to copy dogma! As long as he can save his life now, who cares if he will be infected? There will always be a way to treat him if he is infected, but once his life is gone, everything will be over!
Tian Liexian stopped talking. He was originally the doctor in the ambulance, but now he felt that he was isolated, which seemed to be a joke.
Long Fei quickly pulled out a syringe blood from Ye Feiyang's body, and then injected it into the blood bag. Long Fei drew four syringes in a row, two hundred milliliters of blood, but Ye Feiyang's face became paler and breathing
It is getting more and more difficult! Although he has already put a ventilator on him, he can still see how hard he is breathing!