Bai Mingming still had some experience in emergency care, so he asked Su Quan: "How is the patient's blood oxygen?"
When you have difficulty breathing, the first thing you need to pay attention to is blood oxygen saturation.
Su Quan looked anxiously and found that the patient's blood oxygen saturation had been hovering between 60% and 80%.
The blood oxygen saturation of a normal person is generally above 98%.
If it is lower than 94%, the blood oxygen saturation is insufficient.
If it is less than 70%, the patient is in a state of hypoxia.
Needless to say, the dangers of hypoxia can range from damage to organs and tissues to life-threatening consequences.
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 has been put on the highest level of oxygen inhalation equipment, a ventilator.
The patient's blood oxygen saturation actually remained at a very low level, which is extremely abnormal.
Unless the patient's lungs have serious problems.
But 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 if three lobes are removed, a person can still breathe.
Because it was a traumatic injury, Bai Mingming and Su Quan had already asked the patient to take a chest X-ray before performing closed chest drainage.
There were no signs of damage except that the lung tissue was compressed due to fluid accumulation.
Overall, it was a relatively minor chest injury.
That's why the two of them didn't call for a consultation with a chest specialist.
I thought that after closed chest drainage was performed, the fluid accumulation would be cleared, the compression would disappear, and the lung tissue would quickly re-expand. With the addition of intubation to assist breathing, the patient would soon be able to breathe smoothly and the condition would be relieved.
But I never expected that the patient's condition did not improve at all.
Bai Mingming and Su Quan were a little panicked.
Emergency care is sometimes like solving a crime.
Various 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 at all now.
He was very worried that the chest X-ray had not been taken properly and the patient still had lung problems.
He hesitated and said to Su Quan, "How about another chest X-ray review."
Su Quan nodded in agreement. He also felt that the patient still had lung problems.
Emergency chest X-ray review, it will come out soon.
Bai Mingming and Su Quan took a look and found that the effect of closed chest drainage was obvious. The patient's originally compressed lung tissue had expanded.
This would have been good news.
But the two of them were not happy at all.
The patient still has difficulty breathing and his blood oxygen level is low.
At this time, the always polite Bai Mingming couldn't help but cursed, "TMD, this is really weird. Everything is fine, but the blood oxygen can't rise."
Su Quan said nothing, and he also frowned.
Cao Xin suddenly shouted: "The blood oxygen is 60%."
Su Quan couldn't help it anymore and said: "Go to Team Leader Zhou. We are in big trouble."
Bai Mingming nodded feebly.
Zhou Sheng and Cao Xin arrived at the emergency room.
While checking the patient's condition, he listened to Bai Mingming and Su Quan introduce the previous situation.
Judging from Su Quan's introduction, Zhou Shengsheng found that there were no problems with his and Bai Mingming's operations.
This chest injury is indeed 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 Shengsheng looked at the chest X-ray and started the system scan.
Zhou Shengsheng had seen two chest X-rays before and after the operation, and 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.
Now let’s look at the results of the system auxiliary check.
A few minutes later.
System assistance provides comprehensive inspection results.
Treatment methods have been taken: chest puncture and drainage, assisted breathing
Suggested treatment plan: Increase oxygen supply.
Zhou Sheng was stunned for a moment when he saw the result.
Not enough oxygen?
I have been put on a ventilator and my oxygen supply is insufficient.
Could it be said that this ventilator is fake?
Zhou Sheng immediately set his sights on the ventilator.
The machine must be normal.
So what is the problem?
Zhou Sheng continued to look, and finally his eyes fell on the trachea.
Generally speaking, intubation tracheas come in various models to suit different groups of people.
Starting from the smallest diameter of 2.5mm for newborn tracheas, to over 8mm for adult tracheas, there are many types.
Zhou Sheng's visual inspection revealed that the patient was tall and tall, but the trachea used by Su Quan and the others should be the 8mm trachea used by normal adults. Comparing it with the patient's body shape, the first impression was that the trachea was too small.
The size of the trachea definitely affects the amount of oxygen delivered.
Could this be the problem?
Zhou Sheng has no experience in this area.
However, the system reported insufficient oxygen supply.
Zhou Sheng could only think of this possibility.
Zhou Shengsheng immediately said: "Is there a bigger pipe? Try a bigger pipe."
Bai Mingming and Su Quan were stunned for a moment.
They both asked in unison: "Is it a pipe problem?"
Zhou Sheng said: "The lungs are normal, but I am on a ventilator, but my blood oxygen is not enough. I suspect that the tube is too thin, so I will try changing it first."
Now Zhou Yisheng is the authority in the emergency center.
Bai Mingming and Su Quan had no better explanation.
The two immediately accepted Zhou Sheng's opinion.
Su Quan found a large trachea and put it on the patient.
As a result, a miracle occurred, and the patient's blood oxygen level rose steadily.
70%…
80%…
90%…
Finally it reached 96%.
Bai Mingming and Su Quan both took a deep breath.
I didn't expect that what seemed like such a serious problem was actually caused by a pipe.
Sure enough, the clinical practice of emergency medicine is full of knowledge.
One sentence from Zhou Zhou resolved the burning issue between Bai Mingming and Su Quan.
The two people's admiration for Zhou Sheng in their hearts went even further.
Bai Mingming thought to himself, a great god is a great god. Not only is he great at operating a knife, but he is also more experienced than ordinary people when inserting a trachea!
Bai Mingming's admiration still lingered in his heart.
Su Quan was already screaming, "Awesome! Team Leader Zhou! How did you know that the problem was with the tube? Teacher Bai and I were worried to death just now. If it doesn't work again, we will call the people from the thoracic surgery department.
.”
Zhou Sheng smiled and said, "I have no experience in this kind of thing, but I just made an inference. They are both on a ventilator, and the blood oxygen is not enough. If there is no problem with the machine, it can only be the tube."
"Awesome!" Su Quan gave a thumbs up, "Brother is like the Di Renjie of the emergency center!"
A small incident was resolved quickly.
It didn’t involve too much energy from Zhou Yisheng.
After processing, it's time to get off work.
After the handover was completed, Bai Mingming, Su Quan and others left the emergency center.
Zhou Sheng did not leave.
He still has something very important to do today.
He left the emergency information room and went directly to the ward outside the heart...