Krafft's Anomaly Notes

Chapter 213
With the distinctive sideways movement, Kraft immediately recognized the identity of the patient.Before the time of the two punctures, the man was still sitting in the consultation room, asking if there was any possibility of treatment.

He murmured, trying to squeeze out a few words between short, rapid gasps.Despite enduring the pain and exhausting his strength, the breath he exhaled was still as thin as a gossamer, and it was difficult to complete the correct articulation.

Kraft hurried to his side and listened carefully to what was said, but what caught his ear was not the description of the illness, but the words "church" and "cemetery".

"I need you to tell me what happened and how I feel now!" the confused doctor yelled, trying to pull the person back from the so-called mental state.

"No cemetery."

Now that he finally understood what he was talking about, Kraft asked the young man who helped him to help him, and moved him to lie on the bed halfway, so that the guy who prematurely asked about the real estate issue after his death calmed down.

"Are you?" The other party's enthusiastic appearance is not like simply seeing a grievance, at least they should know each other.

"This is my father. He just happened to be like this on the road just now." The young man looked at the doctor anxiously, he was at a loss for words for a while, and imitated what he saw by imitating the side of his chest. It seemed that the patient had a sudden chest pain while walking. No matter how far he went, he was sent back.

【Hell, I'm not in the emergency room】

He urgently recalled the posture of the patient when he met him again, subconsciously leaning to protect the right side, consistent from front to back.Like a change in a pre-existing disease.

"A lot of hemoptysis?" David asked on the side, opened the patient's lips, but found no blood filling the mouth.

Not quite, even if one of the blood vessels involved happens to rupture at this very moment, it shouldn't be.Kraft simply took out the knife from the box, cut and tore off the jacket, and casually tore off the pendant that was in the way, and observed the entire upper body.

The chest cavity on both sides is obviously not symmetrical. The right side where breathing should be restricted is now fuller. The trachea is not in the center, but slightly bent and shifted to the left. The jugular veins on both sides are filled and raised under the skin.

In most areas of most of the lung fields on the right side under the earpiece, the breath sounds have completely disappeared, just like after puncture infusion, but the range is much wider, so large that there is no room for the lungs to relax.

"pneumothorax."

"But didn't we give him an artificial pneumothorax?"

"Then guess why it's called an 'artificial' pneumothorax."

The chest cavity is a closed space. In addition to piercing the chest wall from the outside to let the gas enter, of course there can also be another situation—air leakage from the inside.

"His lungs burst." The lungs eroded by tuberculosis formed various lesions, structural damage and damage, and even invaded the pleura in this case, like an aging skin sac.

When the patient does strenuous exercise, such as suddenly walking for a long distance, breathing heavily, the weak point can no longer withstand the increased air pressure, and suddenly ruptures, and the gas inhaled into the lungs rushes into the chest cavity along the opening, and vice versa. compresses the lungs.

However, the speed and severity of the current case is obviously not ordinary pneumothorax. A large amount of gas has accumulated in the chest cavity in a short period of time, reaching the point of being fatal.

【Tension pneumothorax】

When the opening is ventilated, but not completely ventilated, a very special valve structure may be formed.

Air can enter the chest cavity when inhaling, but cannot be squeezed out along the opening when exhaling. It operates in a form similar to a one-way valve, resulting in only entering and not exiting.

This process of inflating the chest cavity is uncontrolled.We all know that if you don't breathe you will die, and every breath you take is fueling the disease, making it harder to breathe and gradually increasing the pressure in your chest.

The increased pressure compresses not only the lungs, but everything else in the chest cavity, including the heart, filling the vessels with blood that cannot return, causing visible bulging veins.

"Needle, leather tube." Kraft took out the remaining half bottle of alcohol, poured it on the patient's right chest without hesitation, and poured clean water into the empty bottle.

David handed over the leather tube with the needle connected, and watched him insert the other end of the tube into the water bottle, "Do you want anesthesia?"

"Hold him!" Congratulations to this patient for becoming the second person to challenge a chest puncture without anesthesia. I hope he can have the will of the old prince. Now he has no time to slowly inhale anesthesia with an ether bottle.

Of course, considering the emotions of the patient's family members, Kraft continued to explain a few sentences with both hands, "Your father has air in his lungs, and now it is pressing his heart and lungs. I have to use a needle to release it. It will be a bit difficult." pain."

The young man, who hadn't realized what Kraft was going to say, was stunned by the sudden illness, so he nodded yes.

In the next second, Kraft's hand was already on the desired position, fixing the skin, and the needle pierced it, "Don't be nervous, it will be fine soon."

Obviously, not everyone in this world can bear pain calmly, especially the pain of a thick needle piercing the chest wall. shift.

This time the puncture can be much bolder, the lungs have been compressed to a very small size, and the chest wall is full of air, coupled with skilled techniques, it can be pierced quickly and accurately.

A series of large bubbles popped out of the water inserted into the catheter like boiling, and the high pressure in the chest cavity found a vent outlet, and the gas gushed out along the catheter.

As fast as the onset, the patient's condition improved visible to the naked eye after a few minutes.

His breathing gradually turned from depressive and rapid to steady, and his mind also turned from the ignorant state of hypoxia, groping around his neck.

Kraft found the pendant by the pillow, an old-fashioned ring of wings, and slipped it into his hand.The patient holding the amulet speaks his first full sentence after waking up.

"I don't want to be buried there."

"No, you are lucky to be alive." Kraft wrapped the puncture point with a damp cloth to seal it, and handed it to David to fix it.

It's really lucky, if a blood vessel is broken by the way, and it evolves into a pneumothorax, there is really nowhere to cry.No one has the ability to open the chest cavity to find the bleeding point to stop the bleeding.Kraft may be able to find the bleeding point by cheating, but there is nothing he can do.

"Then when can I pull this out?" Seeing my father looking back from the gate of heaven, with an iron needle stuck in his chest, it was a bit scary.

"It's very early. Before he doesn't leak air, this thing has to be tied. Once it's taken off, it will be the same as before. I suggest hospitalization. Well, stay here for a few days and observe." Now it's time to have an artificial pneumothorax I did it, and I gave myself a pneumothorax for what I shouldn't have done.

To be honest, Kraft didn't think the patient's prognosis would be good. He might have pleurisy, empyema, trauma and infection within a few days, and no one could help.It can only be placed under the nose, and it will be a day if it can be fished.

"David, this one gives black elderberry juice three times a day, let the family members feed the thinner one slowly, so as not to choke."

During this period of time, he had no choice but to have some understanding of "primitive internal medicine", and he was able to proficiently prescribe the medieval version of Radix Isatidis, perhaps with some vitamin C.

The situation has almost subsided. Before leaving, Kraft became a little curious about the cemetery that the patient was thinking about. "Just now he said 'church' and 'cemetery'. What exactly does he mean?"

The young man explained: "My father was devout all his life and wanted to get closer to the Lord, but now it seems that it is probably more difficult."

"Does it matter?"

"That's right, professor, you may not be clear about it. It's very difficult for us tuberculosis patients to be buried in church cemeteries and ordinary cemeteries." David approached and explained.

"why?"

David avoided the crowd and lowered his voice: "The view of the church is that the great plague will be inherited. They think that highly contagious patients, such as tuberculosis and syphilis, are unclean and can only be arranged in specific cemeteries. Compared with the church, the conditions are indeed a bit worse."

"All contagious patients?"

"For the most part, if the status is special, it can be accommodated."

"I see. Is that so?"

(End of this chapter)