Chapter 46

Xu Ze finished his cruel words, but he was in a daze when he looked at the patient. He was helpless to find that he could not do anything without his knife

"But even if the spleen is really ruptured, then under the conditions here, there is absolutely no way out. We can only see whether the ambulance can arrive in time..." Xu Ze comforted himself so much.

All the people are waiting for the ambulance to come. After all, the patient's condition is now. Without an ambulance, no one dares to move it at will.

Xu zeta holds his head and looks at the patient helplessly. At this time, he deeply realizes what is powerlessness. This patient is only in his twenties. If he is not rescued in time, his young life will be so helpless.

Looking at the patient's more and more white face, Xu Ze looked at the patient's more and more swollen and blue thigh. A trace of doubt flashed in front of him: "no How does this thigh swell like this? In general, even if it is a fracture, it is impossible to swell into this appearance in a short period of time, and it will turn blue quickly

At this time, Xu Ze seems to have grasped something. His eyes are bulging at the patient's thigh, and suddenly his eyes are bright: "is it Is it bleeding here? When the femur is fractured, the femoral artery or other large and medium-sized arteries are injured at the broken end, resulting in massive hemorrhage

"It's very likely that Otherwise, the thigh will not swell like this in a short time Xu Ze jumped up fiercely and said to the system, "start X-ray scanning..."

"Di X-ray fluoroscopy starts... " With the prompt sound of the system, the patient's thigh slowly became transparent under the scanning of Xu Ze's glasses.

On the lens, Xu Ze saw an obvious fracture and deformity in the patient's thigh and leg bone, that is, the lower end of the femur. Moreover, there were a lot of things around the leg bone that were obviously darker than the surrounding muscle tissue, which filled up the muscle tissue and made the whole thigh appear extremely swollen.

"Blood It must be blood. Generally speaking, the density of the human body is lower than that of the muscle tissue. Except for the gas, it is the blood. There is no wound on the surface of the patient's thigh. There is no air entering. Then it can only be the blood flowing into the body after the blood vessel ruptures. Except for a large amount of blood accumulation, it is absolutely impossible to be anything else! "

Xu Ze excitedly confirmed that the patient with hemorrhagic shock should not be bleeding from the spleen or other places, but from a large and medium-sized artery at the fracture of the lower thigh, and the bleeding was accumulated in the muscle layer. As long as the bleeding is stopped temporarily, the blood pressure can be stabilized, and the patient's life may be saved, so that he can support the hospital for surgery Blood therapy.

At the moment, Xu Ze was not sure whether the patient would be able to save his life after another minute or two of bleeding. So he ran to the patient, reached out to sister Luo and said, "syringe, quick..."

"Ah..." Luo Jie is stunned. She doesn't know what Xu Ze is going to do, but she responds quickly and quickly takes a syringe to Xu Ze from the infusion tray. Since the last time Xu Ze successfully rescued the coronary heart disease patient alone, she was extremely convinced of Xu Ze. She regarded Xu Ze as a real doctor. She never dared to neglect Xu Ze's prescriptions or medical orders.

At this time, old doctor Zhang and other family members as well as patients were attracted by Xu Ze's movement. Xu Ze took a syringe and put it into the patient's thigh.

The family members nearby were about to speak, but they remembered that Xu Ze was such a doctor, and that the old doctor Zhang looked at him seriously without stopping him. Instead, he didn't speak any more. He just looked at Xu Ze with his eyes bulging.

At this time, old doctor Zhang was full of doubts. He didn't know what Xu Ze was going to do. With this patient's situation, he was afraid that it would be very difficult to support the ambulance to the hospital. Now it's just the fate of the people. Did Xu Ze find out what's wrong?

Old doctor Zhang's heart jumped up again, staring at Xu Ze, watching his movements.

At this time, Xu Ze didn't care about anything. As soon as the syringe in his hand was inserted, he felt that the needle had penetrated through the muscle layer and reached the hematocrit cavity. He took a deep breath and gently stretched out his hand to hold the handle of the needle and draw it back.

With the withdrawal of the needle handle, a tube of bright red blood was rapidly accumulated in the needle tube.

Xu Ze stopped hesitating and quickly pulled out the needle tube. He stretched out his hand toward the side and said, "sister Luo, bandage Come on

Sister Luo looked at the needle in xuze's hand and didn't realize what was going on. However, listening to Xu Ze's words, she hurriedly took out a bandage from the side drawer and handed it over.

Xu Ze took the bandage, quickly broke it off, folded the bandage into four times. After confirming that it was strong enough in his hand, he reached out to pass the bandage through the upper part of the patient's thigh, crossed both ends, and then twisted it violently to bind the thigh.

Then he squeezed into the bandage with the syringe in his hand, twisted it slowly around the bandage, and locked the bandage with the twisting force.

With Xu Ze's action, he saw a deep impression on his thigh with bandage, and the skin and muscles on both sides of the bandage were extremely high.

Old doctor Zhang looked at Xu Ze's action and said in doubt: "Xu Ze, you can easily lead to necrosis of the whole thigh.""But if you don't tie it, you'll die It's no use having thighs! "

Hearing Xu Ze's words, old doctor Zhang's eyes coagulated. He thought of the tube of blood that Xu Ze had drawn from the patient's thigh fracture just now. He looked at Xu Ze in astonishment and said, "Xu Ze, do you mean that his hemorrhagic shock is due to the bleeding of the thigh here?"

"Yes Mr. Zhang, it should be that the fracture has injured the artery, so there will be a lot of blood and swelling here. If we can stop the arterial bleeding, he should have a glimmer of hope. " Xu Ze nodded and fixed the bandage with syringe in his hand, then looked at the old doctor Zhang.

Hearing Xu Ze's words, the family members nearby all looked at old doctor Zhang one after another, but they could not believe Xu Ze's words. After all, Xu Ze was still young, so they had to hope to look at old doctor Zhang and say, "is it true? Dr. Zhang? As long as the blood is stopped, the tiger will still be saved? "

Looking at the patient's swollen thigh, Dr. Zhang thought about it and nodded slowly: "if there is only bleeding here, then there is great hope. Now just a few minutes of observation, you'll probably know

Three minutes later, although the patient's face did not change much, his breathing and heartbeat were slowly stabilized. All the people began to get excited. In the eyes of all the people, Xu Ze took up the sphygmomanometer and measured the patient's blood pressure again.

"5035 mmHg" Xu Ze excitedly: "blood pressure began to rise, it seems that the bleeding has been temporarily controlled."

"Good..." Hearing Xu Ze's reward, Dr. Zhang was relieved. As long as the blood pressure began to rise, he could fully support the ambulance and then go to the hospital for surgery.

"Well, well Now it's good... " The family members of the patients were all excited and incoherent, and they quickly expressed their thanks to Dr. Zhang and Xu Ze.

And that middle-aged man, also specially to Xu Ze gratitude way: "little doctor, this time really owe you, if not for you, my son is really..." Say say, this man unexpectedly still choked up, see Xu Ze full face to sob.

At this time, the door finally came "ula Wula... " The voice of the ambulance, Dr. Zhang simply introduced the situation to the doctors who came to see him, and then he directed the people to carefully carry the patient to the ambulance.

Watching a family excitedly carry the patient to the car, Xu Ze can't help but sigh. Although it's not easy to be a doctor, it can save a person's life, and it's a happy thing to preserve the integrity and happiness of a family.

However, I really have to work hard. I can only use more resources if I advance to a higher level as soon as possible. Otherwise, if I don't notice those special cases today, without color Doppler ultrasound diagnosis, and judge that it is spleen rupture, and do not timely treat the thigh, then the patient will die.

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