129 Detonating lung injury

Detonation lung injury is a very common combat injury on the battlefield, and is also a very serious combat injury with a high mortality rate.

However, this was the first time Su Yang saw such an injured person. He had no chance to see him before. In China, he was peaceful and safe at all times. Where did the explosion come from?

Many war injuries are not seen even if you want to see them.

This is also the reason why the US military's battlefield rescue is the strongest in the world. People have wars every day and see various war injuries at all times. Naturally, there will be more research, and the relevant level will naturally be very superb. In this regard, we have to admit that the people are far away and must catch up.

Su Yang first examined the injured.

No trauma was found in the injured person's chest wall or forehead, but the person was already in a state of drowsiness, had extremely difficult breathing, spitting white phlegm, and hemoptysis;

This is due to severe damage to the pulmonary circulation and leading to right heart failure or acute myocardial infarction due to coronary artery air thrombosis, causing serious heart rhythm disorders and hypotension;

The shock waves of the explosion can also cause contusions in the brain and spinal cord;

Cerebrovascular qi thrombosis and respiratory circulatory failure can cause cerebral ischemia and cause coma.

Shock waves can also break the eardrum and cause gastrointestinal bleeding.

Because there is no professional equipment to conduct a comprehensive examination of the injured, Su Yang can only diagnose the injured through the system.

"Ding--The injured person's x-ray chest X-ray found that there were widespread opaque spot-like shadows in the entire lung; electrocardiogram found atrial or ventricular heart rhythm disorders and myocardial ischemia; laboratory examination showed hemoglobin and red blood cells decreased due to extensive bleeding in the lung and gastrointestinal tract, blood oxygen analysis showed severe hypoxia and acidosis, and increased myocardial enzyme spectrum... Diagnostic conclusion: The injured person suffered very severe knocking lung injury and multiple organs were injured, so he must be rescued immediately!"

After reading the systematic diagnosis, Su Yang couldn't help but shake his head secretly. He was another difficult patient!

Regarding knocking lung injury, Su Yang had some knowledge of some of the books he bought and went to the military hospital for advice.

Patients with lung blast injury should be given special care, monitoring of breathing, blood pressure, pulse and blood gas, place a nasal catheter or mask to inhale 100% concentration of oxygen, clean and attract secretions from the mouth, nose and pharyngeal cavity to keep the respiratory tract unobstructed, insert the nasal and gastric tube to observe gastrointestinal bleeding, strictly control the infusion volume to reduce pulmonary edema, place central venous catheter as much as possible, and continuously monitor central venous pressure to adjust the incoming fluid volume and speed.

To prevent lung infections, intravenous antibiotics can be initiated.

The patient's small bronchus and alveoli in the lung blast injured the patient communicate with the lung small blood vessels due to rupture. It is prohibited to use artificial assisted breathing, otherwise it may cause serious systemic qi thrombosis.

If conditions permit, it should be sent to the hyperbaric oxygen chamber for treatment.

But it is obvious that Su Yang did not have such conditions at this time.

It can be seen that the damage caused by the explosion is very terrible, so before discovering the explosion, Tathagata should not hide, and immediately lie down on the spot or in a nearby depression, with his feet facing the explosion point, his body bent, and his abdomen cannot be touched.

In this way, being in a dead corner area other than the fan-shaped shock wave can reduce or avoid damage from shock waves.

The treatment principles for first aid, bleeding, wound bandage, and anti-shock are the same as those for general combat injuries.

Chest blast injury causes respiratory and circulatory dysfunction, resulting in the patient's death within a short period of time after the injury, maintaining breathing in the early stage, and stable circulatory function are the key to rescue.

Because the injured person was injured in many parts of his body, the first thing Su Yang had to do was to clarify the key points, which one must be dealt with immediately and which ones could be temporarily put away.

The injured person has serious chest trauma, such as lung rupture, hematophithroat, rib fractures, chest wall defects, etc. Therefore, Su Yang must follow the damage control strategy, implement damage control, concise surgery, organ function support, including hemostasis and lobectomy.

The source of the bleeding should be clarified during the operation and the bleeding should be stopped completely.

This is the first time Su Yang has encountered such a complicated operation, which is very difficult.

If it were in the hospital, this operation should have been combined with multiple departments, but now, he is the only one in the entire operating room, so the difficulty of the rescue can be imagined.

But Su Yang will never give up.

A doctor is like a soldier fighting against the enemy on the battlefield. You must never give up or retreat. You must face difficulties.

Fortunately, Su Yang also has an operating training room, so for this difficult operation, he can first conduct training, find the best solution, and then return to reality to save people.

"Open the training room!" He issued instructions to the system.

The training room will open soon.

In the first step, Su Yang first opened the chest and abdomen of the injured.

This is Su Yang's habit. The first step is to have a comprehensive understanding of the experimental subject, knowing where there is a problem, where the problem is the most serious, where it must be solved immediately, and where it can be temporarily placed so that the next surgical plan can be targeted.

After looking at it, Su Yang frowned. The situation of the injured was really bad, and the worst thing was that his equipment and medicine were very limited at this time. In other words, some treatments could not be carried out at all at this time.

well!

He sighed helplessly.

I can only protect the car!

I can only save this guy's life. As for the others, I can only give up what I can!

The most helpless thing about battlefield rescue is that in order to save your life, many things must be abandoned. For example, due to limited conditions, many treatments for the injured cannot be carried out, and the relevant parts can only be removed.

This choice is really sad, but this is the reality and must be endured!

Su Yang quickly came out of that bad mood. As a military doctor, what if he didn’t have the ability to bear it?

He immediately formulated a first aid plan and immediately selected a brand new experimental subject for treatment.

This time he was very lucky and was successful.

However, this is just because his plan is very correct, but if you want to do the best surgery, you still need to practice, because the more proficient he is, the faster he is. The faster he is, the less damage the injured person will suffer and the higher the postoperative survival rate.

Su Yang had been training in the training room six times before he returned to reality for the operation. Sure enough, this time he was very fast and smooth.

After completing the relevant follow-up work, Su Yang opened the door.

Hearing the door, a dozen people outside turned their heads and looked at him.

"How is it? Have you saved it?" Little Balang was the first to rush up to ask.

Saved!

Su Yang nodded.

After a pause, he said, "But I can only save his life. Many organs on his body have been removed! In addition, he has lost too much blood and must be transfusion immediately. Who of you has type B blood?"

Rescued?

Xiao Balang and the soldiers who had been injured on his back were all stunned. Everyone only heard this sentence, and no one behind them listened to them.

This is not the first time they have seen such a wounded person. Because several tribes have been in conflict for many years, people are injured by bombs from time to time. Before that, no one of them survived by the bombs, but-

Oh my God!

How could this guy have such a superb medical skills?
Chapter completed!