I can see the status bar

Chapter 911 Free yourself

"Digestive tract bleeding?" Lin Yubin's daughter looked a little nervous, she tried to calm down, "My dad has a stomach problem, could it be stomach bleeding?"

"It doesn't look like blood." Sun Li'en answered briefly, and then asked Lin Yubin, "Have you had stomach pain recently?"

Lin Yubin's complexion was not very good-looking, and his reaction was a little slow.He waited a moment before replying, "No."

Lin Yubin's daughter also confirmed her father's statement, "He has a very good appetite recently, and there is no sign of stomach trouble at all."

Sun Lien frowned, "Then it might not be stomach bleeding..."

Judging from the current conditions, it is almost impossible to save a patient with gastric bleeding of at least 1000ml.His only chance of surviving is to be sent to the third-class hospital at the foot of the mountain immediately, and then receive treatment.However, after initial questioning, Sun Lien temporarily ruled out the possibility of stomach bleeding.He thought it was more likely to be upper gastrointestinal bleeding than stomach bleeding.

Panting, the waiter rushed to the scene dragging a huge first aid kit.Sun Lien immediately opened the box and began to rummage through it for the medicines he needed.

20mg of norepinephrine was injected into a 200ml plastic bottle of normal saline.After confirming that the injection was complete, Sun Lien pulled out the syringe, and then began to shake the bottle of normal saline with supplements vigorously.

Just when everyone thought he was going to hang a bottle for Lin Yubin, Sun Lien used the syringe in the box to draw out 40ml of normal saline, and then took another cup from the box.Squeeze the saline from the syringe into the cup.

"Drink this." Sun Li'en signaled Lin Yubin to open his mouth, and then put the half cup of salt water to his mouth, "Drink it slowly, and lie down directly after drinking it."

"What is this?" Lin Yubin's daughter asked just right. She looked at Sun Lien feeding her father water, and felt a little uneasy in her heart - such a glass of water doesn't look like a life-saving magic medicine.

"Noradrenaline saline solution." Sun Lien watched Lin Yubin drink the last drop of normal saline in the cup, glanced at the time on the watch, and then explained, "Norepinephrine can stimulate submucosal blood vessels Contraction, oral administration of norepinephrine diluted with normal saline, can play a hemostatic effect."

"This...does it work?" Lin Yubin's daughter looked at the water glass suspiciously and asked, "Is there any medicine that can be injected?"

"He's bleeding a lot. If possible, it's best to get a blood transfusion." Sun Lien put down the cup and began to search in the box again, "But we don't have this condition now." Just after saying this, Sun Lien felt a little bit Regret - I didn't make it clear once, it seems that I will have to explain what GVHD (graft versus host disease) is.

"Why not? My dad has type B blood, and so do I." Sure enough, the little girl who was influenced by TV dramas and novels immediately rolled up her sleeves, "I'm in good health, pump me!"

"You and your father's blood type are the same, but your cells are still different after all." Sun Lien sighed, continued to rummage through things, and explained, "Transfuse your blood into your father's body. Your lymphocytes will not be attacked by his immune system. But after a while, your lymphocytes will multiply in his body and start attacking his body-after the blood is collected in the blood bank, the blood will be irradiated According to the treatment, kill the lymphocytes inside to avoid this from happening. Although I have a lot of things in this box, I really don’t have this kind of professional radioactive source.”

After the explanation was completed, Sun Lien pulled out a whole pack of unopened 5% glucose solution from the box, and after taking a look to confirm that the shelf life was still more than one year away, he breathed a sigh of relief.

"Please let him lie flat on the ground. If you feel uncomfortable lying directly on the ground, you can add a pillow—the pillow should be thinner." Sun Lien instructed Lin Yubin's daughter to put her father on the ground.And he himself started the slightly clumsy infusion preparation.

Although Lao Bu is very predictable, he lacks experience in practicing medicine under such conditions.Judging from the medical supplies in the box, most of the medical supplies he prepared were trauma-related materials.There are a lot of bandage accessories, scalpels and even lidocaine gel, but there is really not much liquid for infusion.If Sun Li'en had to arrange it himself, at least three bottles of 706-generation plasma would be considered safe.

Without the plasma substitute, it is even less likely that there will be ready-made frozen plasma or suspended red in the box for him to use.Then we can only temporarily infuse some glucose solution to make up the patient's lost blood volume first.

Infusion is generally performed by nurses.The last time Sun Lien gave someone an injection was in Africa.But fortunately, his skills are not too unfamiliar - after two attempts, he successfully completed the opening of the first vein channel.And soon opened the second one.

The two intravenous channels began to infuse 5% glucose solution into the patient at the same time, and Sun Lien turned over the "field medical kit" for the third time.After about 30 seconds, he moved out of the box two boxes that seemed to be half the size of a desktop computer.

When he saw these two boxes, Sun Lien's resentment towards Dr. Bruen for not filling the plasma substitute completely disappeared.What remained in his heart was only deep admiration—he really deserved to be an emergency doctor who had been a itinerant doctor in the Caribbean.Take a look at this configuration!
In the deepest part of the medical box, lay two machines.One is an oxygen concentrator that can provide 5% oxygen at a total volume of 95L per minute, while the other is a small non-invasive ventilator.

The work of assembling these two machines was not complicated, but Sun Lien was still sweating from the work - it was his first time to install and configure a ventilator.If it weren't for the fact that the ventilator is well designed and basically operated by fools, Sun Lien was really worried that he would be too busy.

After completing the arrangement of oxygen inhalation, Sun Lien finally had time to speak, "The patient's condition should be a little more controllable now, but without esophagoscopy, it is still impossible to determine the bleeding point and amount." He stood up and said to the side "Arrangements must be made as soon as possible for him to come down the mountain and go to the hospital for treatment," the resort manager said.

The manager of the resort held two mobile phones in her hand, and she also looked very busy, "It's definitely not possible to go down the mountain directly-I just asked the driver, there is too much ice on the downhill slope, and it is too dangerous to drive down the mountain." She said He frowned and asked, "Can we wait until twelve hours before sending us to the hospital? We are now sending people to sprinkle salt on the road to melt the ice, and it will take about ten hours."

"The sooner the better." Sun Li'en shook his head, and he said seriously, "Sprinkle salt to melt the ice, just for a while. It's still snowing outside now, if your front feet melt the ice, the snowflakes behind will freeze on the ground again. You have to think of another way."

"Then we can only call a helicopter transfer." The manager thought for a while, and then said to Lin Yubin's daughter, "The helicopter transfer depends on the weather. It's only snowing now. If there is no wind, maybe you can try it. If Ningyuan, who provides medical services General aviation can't fly... then you can only call the troops to see if they can send a plane over, it all depends on your luck."

Lin Yubin's daughter didn't hesitate, she nodded immediately and said, "No problem."

"If you send it to the hospital, you can only send it to Ningyuan Fourth Hospital." The manager nodded, and she said while contacting the helicopter, "It's unrealistic to fly to other places in this weather."

"It doesn't matter, as long as you can arrive." Lin Yubin's daughter said seriously, "The most urgent thing now is to send my dad to the hospital, and other things can be discussed later."

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Connecting helicopters to transport patients is not an easy job.In heavy snow, it is even more difficult to make the helicopter accurately park on the helipad on the top of the mountain.

Ningyuan General Aviation said that the current snowfall intensity has exceeded the airworthiness intensity that their aircraft can carry, and the weather conditions on the mountaintop where the resort is located are changeable, and it is difficult for civilian aircraft to dock—if patients can be transported to the foot of the mountain, and If the snow stops, then they can send a plane to transfer.

The resort manager has stayed with Lin Yubin's parents all the time, and has been telling everyone about her contact.Sun Li'en rolled his eyes when he heard this passage - if it's already downhill, and the snow has stopped in a face-saving manner, then why do you need a helicopter?Give Sun Lien 20 minutes, and he can drive his Volvo back to the courtyard.

"The Ministry of Human Resources and Armed Forces said that they can coordinate with the garrison." After about half an hour, there was finally some good news, "There seems to be a flight plan in the army. They are going from the Huaqingping training ground in the west to Ningyuan City. Fly, the route coincides with ours. See if we can coordinate and let them take Mr. Lin to the hospital."

"Can they come?" Miss Lin, who was tormented by the news of rejection for half an hour, looked unhappy, "I think the snow outside seems to be heavy again."

"They will definitely come back." Sun Lien was very confident about this, "Just trust the People's Liberation Army at a time like this."

In the next two hours, Sun Lien made Lin Yubin drink two times of normal saline mixed with norepinephrine, 40ml each time.In the middle, in order to reduce the secretion of gastric acid so as to reduce the impact on possible bleeding points, Sun Lien also asked the staff of the resort for two omeprazoles - these medicines were taken by the staff of the resort themselves.After watching Lin Yubin take the omeprazole with demethyl saline, Sun Lien gradually couldn't sit still.

In two hours, Lin Yubin infused a total of 1200ml of 5% glucose.Sun Li'en counted the time, and then said to Miss Lin who was beside him, "Please leave for a while, I have to put a catheter on him."

Under normal circumstances, an adult will accumulate about 60 milliliters of urine in the bladder every hour.The human bladder normally has a volume of about 300ml.In other words, an average adult can go about five hours without worrying about urination.

But Lin Yubin has nothing to do with "normal" situations.Alcohol is a diuretic, which can inhibit the secretion of antidiuretic hormone, thereby prompting the body to drain water quickly.In other words, the amount of urine Lin Yubin produces per hour must be much larger than normal.

Although it is not clear how much alcohol Lin Yubin has ingested in his body, but... just looking at his unnatural expression, Sun Lien can guess that this feeling must not be very good.

The medical kit contains a catheter and urine bag, as well as lidocaine gel.After wearing rubber gloves and operating carefully for 3 minutes, Sun Lien successfully completed the implantation of the urinary catheter, and successfully saw about [-]ml of urine in the urine bag.

In this way, the amount of input and output is probably about the same.Sun Lien continued to hook up new glucose to Lin Yubin, but this time, he lowered the input amount a lot—as long as the venous channel is not blocked.

Lin Yubin shook his body on the floor, and then said to Sun Lien, "Can I... can I have something to eat?"

Since the morning, Lin Yubin has hardly eaten much.He was busy drinking Moutai during breakfast, but around noon, he basically vomited out everything he ate...not just beer and appetizers, he also vomited about 800ml of blood.

After such a toss up until now, at least Lin Yubin doesn't feel any special discomfort now.As soon as the tense nerves were relaxed, he felt a little uncomfortable in his stomach.

"Don't even think about eating." Sun Li'en refused Lin Yubin's request to eat without hesitation, "You have upper gastrointestinal bleeding, and you can't eat anything within 72 hours..." He paused and added, "Nothing but medicine."

"Is it okay to have some porridge?" Lin Yubin bargained hard, "I drank all the salt water, so it shouldn't be a problem to drink some porridge, right?"

"No." Sun Lien still shook his head, and tried to persuade him, "Even if you really want to drink, you have to wait until the hospital. If you don't listen to the doctor's advice and eat something secretly in the hospital, in case of more serious stomach bleeding , at least there are conditions for rescue. If you bleed again in the resort, even the gods will not be able to save you."

"Think about it, if you want to eat now, if you can't be rescued, you will be gone on the spot, and you won't be able to drink in the future." Seeing Lin Yubin's expression is not good, Sun Lien immediately began to coax and persuade , "I think your girl is very filial. If you are gone, people will definitely go to the grave to visit you during the New Year and holidays. At that time, you will bring Moutai, but you can only watch it inside - looking at the good Moutai wine Being spilled on the ground cup by cup. How distressing is that?"

"I'm just a little hungry, not out of my mind." Lin Yubin glanced at Sun Li'en with the look of a fool, "Just say you can't eat it. Why are you scaring me with such a thing?"

"Because this method is useful." The patient in front of him was not his own patient at all. Sun Li'en said that he let himself go and did whatever he wanted, "You still have a lot of bars at home? I remember that people who like to drink I like to stock up on wine at home - there are so many good wines, just waiting for you to taste them bit by bit. If you are gone, then these things will definitely be regarded as evil spirits by your wife and children, and you may lose them all later. Dumped it down the toilet."

These words immediately took effect, Lin Yubin seemed to have really seen that scene.He shivered suddenly, and then said firmly, "I won't eat!"

　Today is two 4K big chapters, and I have never expected to write until now...

　　After getting up, write a little bit at a low intensity. I guess tomorrow should...should...shouldn't it be interrupted?

　　
　
(End of this chapter)