The car accident collarbone fracture is preparing for surgery, and the more the doctor finds it, the more wrong it is: immediate rescue!

At three o'clock in the morning, an ambulance brought in a patient who had been injured in a car accident.

Dr. Li, who received the call, opened his eyes with difficulty.

Yes, this time period is the most sleepy time for people.

The other side of the phone said: In a moment, there was a fracture of the collarbone that needed surgery.

Hearing this, Dr. Li was very displeased. This is because this operation can be arranged during the day. A fractured collarbone can't be a big problem.

Dr. Lee also understood that orthopedic surgeons did not want to have surgery the next day in order to get off the night shift early. If you have this surgery the next day, you may leave work in the afternoon. In this way, it takes 24 hours to rotate continuously.

Dr. Li can fully understand this selfishness. After all, everyone is in the trenches, and everyone knows the hard work of even spinning.

Dragging his shaky body, Dr. Lee washed his face, trying to make himself more awake.

After seeing the patient, Dr. Li began to ask about various medical histories.

But to his chagrin, the man looked just like he had been drinking.

At this point, he was very conflicted: the patient was injured on a motorcycle. If you drink alcohol, isn't that drunk driving? However, no one seems to have noticed the problem.

The man in front of him was like the people who bragged about all kinds of things at the wine table.

Perhaps, some people will feel that people who drink alcohol cannot be anesthetized. In fact, Dr. Li is not worried about this. Anesthesiologists who are good at using drugs will not worry about this effect. His main concern is whether the patient will be able to cooperate during the anesthesia. If you can't cooperate, you can only general anesthesia.

But as we talked, Dr. Li felt more and more that something was wrong: this person didn't seem to have any alcohol at all. Instead, the oxygen saturation on the monitor caught his attention.

He saw that the oxygen saturation of the blood gradually decreased. After a while, the effort has dropped from the normal 99% to 95%.

Some people say that 95% is also OK.

You know, he was taking oxygen at this time! How can a person in his 40s, who takes oxygen, have a blood oxygen saturation of only 95%?

There must be a problem!

After making a mental judgment, Dr. Li began to look for the reason for the decline in blood oxygen saturation:

Moving probe, no abnormality. To verify that the machine was good, he even tried it with clips on his fingers.

After confirming that the machine was good, he highly suspected that the patient himself was wrong.

After looking at the clavicle fracture pieces, he suddenly thought of a question: Will it be pneumothorax?

So he picked up the stethoscope and listened carefully to the breath sounds of the two lungs.

However, it doesn't sound like much of a problem. The breath sounds on both sides are slightly different, but this is also present in normal people.

Is it not qi, is it blood?

Thinking of this, Dr. Li struck a "spirit" in his heart.

If the hematochorax causes a decrease in blood oxygen saturation, the amount of blood loss must not be low!

Combined with the patient's drunken state of excitement, Dr. Li was more certain of this judgment.

I opened my eyelids and it was white!

Feel the pulse, fine speed!

The hands are not as warm as a man's hands!

All kinds of signs made Dr. Li almost certain that the patient had a major blood loss.

However, doctors are evidence-oriented. So he asked the nurse to immediately draw blood and gas for examination.

After a few minutes, the blood gas analysis came out. The obvious abnormal indicator is the specific product of red blood cells. Only 30% of the red blood cell product is obviously not the value that a man should have.

After quickly informing the orthopedic surgeon of the situation, the orthopedic surgeon also felt that the matter was important.

The level of anesthesiologists, they are aware. Since the anesthesiology department suspects that there is a problem in this regard, it must be taken seriously. After all, with the differentiation of disciplines, the task of saving lives is mainly undertaken by the anesthesiology department.

Since there were no obvious trauma to other parts of the body, the target was a fracture of the clavicle.

At this time, everyone agreed that it was very likely that the clavicle fracture punctured the blood vessel and punctured the pleura, resulting in major blood loss.

I wanted to do CT again, but I was stopped by my family. The family said that an hour ago, I just took a CT, why do I have to shoot it?

The orthopedic doctor explained: When I was first admitted to the hospital, the amount of bleeding may be very small, and that CT did not find major bleeding. Now, a variety of presentations in patients suggest the possibility of major bleeding. A fracture of the collarbone is fatal, but bleeding can be fatal.

Hearing the doctor say this, the family did not dare to stop it any longer.

In the patient's constant shouting of "I'm okay, I'm okay", everyone forced him into the ct machine's examination hole.

As a result, liquid was found in the chest cavity!

Immediately, the chest department was brought to consult.

At four o'clock in the morning, the thoracic and orthopedic departments gathered in the operating room. A rescue operation officially begins.

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