Jiang Yurong is not here when she was working on night shift today. After all, she was already on duty for the last night shift, so this time the night shift is Ruan Bin, Wei Haiyang, and Zhao Zinong, the attending physician who is studying in progress, as well as several interns.

Just after the shift was handed over, the emergency phone rang.

"Several doctors, the patient, 90 years old, had difficulty breathing, shortness of breath and chest tightness. They have a history of severe emphysema and multiple lung bulla! There is also high blood pressure, and they need to go to the hospital urgently!" The front nurse told Wei Haiyang and others.

"Severe emphysema combined with multiple bullae? And hypertension!" After hearing this, the three of them looked at each other, and their faces became solemn.

Not to mention hypertension, if the patient has coronary heart disease, difficulty breathing may cause myocardial infarction of coronary heart disease!

There is also a history of severe emphysema combined with multiple lung bulla. Chronic obstructive emphysema combined with lung blisters is a disease that affects the quality of life. Due to poor lung quality in patients, if they are infected or coughed, the surface of the lung will rupture, causing gas to enter the chest cavity. If the gas is not drained in time, the patient will hold his breath and even induce respiratory failure and death, and it will occur repeatedly, which is extremely difficult to cure, endangering the patient's quality of life and life safety!

"Who is going?" Wei Haiyang looked at Ruan Bin and Zhao Zinong.

"I'll go!" Ruan Bin said.

If the patient changes during the journey, he can rely on some trouble. They will probably be able to wait for the hospital when they go.

"OK!"

Three minutes later, Ruan Bin and Zhao Yaxue got into the ambulance and set off.

This time the driving was the amateur driver, Li Sang-he.

This guy is indeed very professional in driving, much faster than Brother Tao.

If it weren't for the fact that this was driving an ambulance, this girl would have been drifting.

It was originally an 18-minute journey, but he rushed to the downstairs of the patient's family in 13 minutes.

The patient was on the 20th floor and it took another 3 minutes to get on the elevator.

When I entered the door, I saw that the three families were all in a state of turmoil.

A young couple and an old man in his sixties.

The 90-year-old patient was lying flat on the bed, with a portable chest vial next to it. Its function was to help discharge gas in the chest cavity. It seemed that the 90-year-old man's chronic obstructive emphysema and lung vesicular should have reached a very serious level.

"Doctor, my dad is getting more and more difficult to breathe." Zheng Dajun, who is in his sixties, said anxiously.

"Let me see, don't panic." Ruan Bin quickly went over and began to investigate.

I found that the old man was indeed very difficult to breathe and his consciousness was not very clear.

This situation will cause shock at any time and may even cause cardiac arrest!

He found that the other party's heart rhythm was not very stable.

"Send to the hospital first!"

Everyone carried the person downstairs and sent him to the ambulance.

Zheng Dajunsui's ambulance went to the hospital together, and the young men drove and followed him.

Get in the car and head straight to the hospital.

Inside the car.

"Give oxygen inhalation and get an electrocardiogram." Ruan Bin said to Zhao Yaxue.

"good."

Soon, when the electrocardiogram came out, Ruan Bin frowned: "The heart rhythm is a little low, but it's not bad, just rehydrate~"

"Okay." Zhao Yaxue immediately started to rehydrate the 90-year-old man named Zheng Shoumin.

"Your father has such severe emphysema and multiple bullae. Why don't he be hospitalized? It's easy to get into trouble at home!" Ruan Bin asked Zheng Dajun with his head raised.

"Doctor, I actually brought my dad to the Demon City for medical treatment! This afternoon, my dad and I just arrived at the home of my son and daughter-in-law in the Demon City, and were planning to go to the large hospital in the Demon City tomorrow, but I didn't expect that my dad would be like this after just after dinner! Alas..." Zheng Dajun sighed.

"In fact, my dad has been hospitalized for repeated chest tube drainage for three months. Especially last month, the condition was serious. The chest tube was still unable to be removed after half a month of hospitalization. However, the situation improved a week ago. After being discharged from the hospital a few days ago, I immediately took my dad to the Demon City today, but I didn't expect..."

"The hospital in my hometown saw that my father had poor lung function and could not tolerate traditional surgery. After going to several places, he said he could not perform surgery. He suggested that we go to the major hospital in Modu City, Beijing or Yangcheng for treatment." Zheng Dajun continued.

"So that's it!" Ruan Bin nodded. It turned out that the other party did not live in the Demon City, no wonder.

In fact, if you suffer from this emphysema and multiple lung bullae, you usually use lung volume reduction surgery and surgical treatment methods for pulmonary bullae resection, and even lung transplantation. The two methods of treatment are not only expensive, but also high mortality rate, but also difficult to guarantee.

"You are here for a lung transplant?" Zhao Yaxue asked curiously after finishing her work.

"No, no, the cost of lung transplant surgery is too high, and the source of lung is difficult to find." Zheng Dajun shook his head and said.

"It should be a one-way valve flap implantation under bronchoscopy!" Ruan Bin said lightly.

"Yes, yes, this handsome doctor is right. It seems like this is the operation." Zheng Dajun slapped his thigh and said, "By the way, doctor, can your hospital do this operation, right?"

Ruan Bin did not answer immediately after hearing this, because he didn't know if the doctors in his hospital would have the surgery.

Chronic obstructive emphysema and large lung swelling are very common in the elderly population. There are 43 million patients nationwide, of which 10% will develop into refractory pneumothorax. Senior patients usually take conservative treatments because they are difficult to tolerate surgical procedures, but not only are they poor, but they also need to be hospitalized for a long time, which causes great hindrance to life. One-way valve flap implantation not only has little trauma, few complications, quick recovery after surgery, and the cost is also lower than conventional surgery, which can greatly improve patients' exercise ability and quality of life. At present, this technology is only carried out in a small number of hospitals in first-tier cities in Beijing, Magic City, and Yangcheng.

However, as the first affiliated hospital of the Magic City, there should be someone in this surgical hospital because of the top 30 reasons in China?

"Yes!" Ruan Bin thought about it and replied. Even if other people in the yard don't know, he will!

Just when the ambulance arrived a few minutes away from the hospital.

Ruan Bin found that the elderly patient's breathing became weaker and weaker!

"Has the shock passed?" Ruan Bin was slightly shocked, and his face suddenly became gloomy.

The situation is not optimistic!

If you cannot help in time in the past, you may eventually turn into respiratory failure and death!

"Li Xianghe, turn it on quickly. The patient needs to continue to drain the chest tube!" Ruan Bin said loudly. Obviously, the exhaust of the chest bottle that the old man carried with him was no longer effective.

It should be because the condition is worsening and the gas enters the chest cavity too much, so the chest vial cannot drain gas in time!

"good!"

boom……

Three minutes later, arrive at the hospital.

Everyone sent the patient to the emergency room.
Chapter completed!