The purpose of writing this article is to promote the awareness of an emergency surgical case in thoracic surgery – hemopneumothorax, where timely resuscitation saves a life and is better than building a seven-level pagoda; witnessing the loss of a precious life is disturbing! Therefore, when you see a patient with hemopneumothorax, your brain should be tensed up, and when it is time to operate to stop the bleeding, you should make a decision immediately, and now every city is facing the embarrassing situation of blood supply tension to varying degrees. Flat Respect life and save life Thoracic surgery successfully rescued a critical patient with hemopneumothorax At 13:30 on October 13, 2010, location: thoracic surgery – respiratory medicine It was a slightly quiet moment in the ward, the thoracic surgeon on duty rang an urgent phone ring, pick up the phone is a patient in respiratory medicine need urgent After putting down the phone, immediately from the tenth floor down the stairs quickly towards the sixth floor respiratory medicine, to the ward patient bedside, after asking the medical history, it turned out to be a 21-year-old male patient working in Wujiang County, Jiangsu Province, the patient suddenly appeared in the morning of October 12, 2010 chest pain, chest tightness symptoms, in Wujiang County, the local hospital to take a full chest X-ray, suggesting that: the left side of the liquid pneumothorax, the left lung is compressed about 20%, pleural effusion About 300ml, the patient was not hospitalized in the local hospital, that is, from Jiangsu Wujiang to do train back to Lu’an, the car to Hefei because there is no bus back to Lu’an, plus the patient’s cell phone has no electricity, and the family can not contact, the night only to stay in Hefei, October 13, 2010 morning and then back to Lu’an by car, the patient arrived in Lu’an to see the Department of Respiratory Medicine, Respiratory Medicine Yan Gang gave the patient the left side of the chest cavity closed The patient arrived in Lu’an and consulted the Department of Respiratory Medicine, Yan Gang of the Department of Respiratory Medicine gave the patient a left-sided closed thoracic drainage, immediately drained about 1100 ml of non-coagulable hemorrhagic fluid, immediately telephoned the Department of Thoracic Surgery for consultation, bedside examination: blood pressure 102/56 mmHg, heart rate 115 beats/min, the patient’s consciousness was clear, indifferent, pale, heavily anemic appearance, the whole body was wet and cold, considering the patient’s large amount of thoracic bleeding, decided to immediately transfer the patient to the Department of Thoracic Surgery for left-sided dissection. At 13:40 on October 13, 2010 Location: Thoracic Surgery Department The patient slept on a trolley and was transferred by elevator from the sixth floor to the tenth floor Thoracic Surgery Department, right at the door of the physician’s office, Yang Zhengfang and Yu Wei, who were on duty, were immediately notified to give the patient an emergency blood type identification to prepare for red blood cell transfusion, due to the patient’s blood loss and collapsed peripheral veins, no blood was drawn for the first time, and the blood specimen was drawn from the thicker femoral vein for the second time. The patient was urgently given two sets of infusion routes to establish infusion of Hess and hemostatic agents, and this side immediately called the operating room to inform the thoracic surgery department that there was an emergency cesarean exploration operation. October 13, 2010 13:50 Location: Operating Room The operating room quickly arranged for a trolley to pick up the patient to the first operating room. Chen Qiaofang and Wu Xiaoyan, who were on duty, quickly prepared surgical instruments and items, although they had not rested since they went to work at 8:00. At the same time, they called in the operating room to discuss with the transfusion department to give emergency blood transfusion support, filling in the emergency blood transfusion, and learned that the patient’s blood type came out – type A, the type A which was particularly scarce recently. Although the blood supply was not enough, we were relieved a little. Because it was clear in my heart that in a patient with hemopneumothorax, the actual blood accumulated in the chest cavity is more than what is seen in the drainage, or even much more, because the blood clots in the chest cavity often do not drain out, and after the surgery to stop the bleeding in the chest cavity, it is necessary to correct the anemia, improve microcirculation and prevent hypoxia by transfusing red blood cells. After the intense and orderly pre-surgical preparation, the patient was lifted onto the surgical bed, and Li Jia-kuan, Liu Ze-hong and Wu Qing-ling from the Department of Anesthesiology quickly inserted the tracheal intubation for the patient, connected to the anesthesia machine for mechanical ventilation and implemented good anesthesia. October 13, 2010 14:10 Location: operating room Bin Lv, Heping Huang, and Yu Pan of the Department of Thoracic Surgery quickly disinfected the skin, selected the patient’s 5th intercostal anterolateral incision and quickly entered the chest, explored the thoracic cavity and saw a total of about 900 ml of non-coagulated blood and blood clots, quickly aspirated the accumulated blood, after removing the blood clots, found that the left lower lung ligament and the left thoracic roof each have a bleeding point, both are thoracic adhesion ties due to pneumothorax The lung was compressed and stretched and broken, so the ligation and electrocoagulation were done quickly to stop the bleeding. October 13, 2010 at 15:10 Location: Thoracic Surgery Department The patient was pushed back to the custody bed of the Thoracic Surgery Department, at which time the patient’s family and medical staff were clear in their hearts that the life-threatening alarm had been lifted, and sitting in the chair could not help but make people think: First of all, more people should know the common sense that hemopneumothorax is a critical condition and should be treated in the first place in the nearest hospital, not carrying a “Secondly, the patient is the signal to the doctor, and once the signal is sent, a tense and orderly battle will be fought, which requires a cool head and excellent technology to win the battle. Finally, it reminds us of the words of Hippocrates, the famous ancient Greek physician who is revered as the “father of medicine”, that no matter where we go, no matter whether the patient we treat is a man or a woman, a free people or a slave girl, I treat them all equally, and my only purpose is to make them happy.