I'm really an intern

Chapter 166 Then Go Try It

"what's up?"

Professor Yang stopped in his tracks.

Zhang Tianyang looked directly into her eyes, "I want to save him."

"Save who?"

Professor Yang was a little dazed.

Zhang Tianyang has always been a very capable and assertive person in her impression.

All the previous events have confirmed this point, Zhang Tianyang will be the first to rush forward whenever there is a need for rescue, there is no need to wait for her to give orders.

And often, all his judgments and handling measures are correct.

So she has always felt at ease with Zhang Tianyang.

But now, the other party suddenly said, "I want to save him".

Professor Yang reacted for a while, and suddenly came to his senses.

"You mean, the patient with liver cirrhosis whose esophageal and gastric varices ruptured and is currently being compressed with a three-lumen two-capsule catheter to stop the bleeding?"

"Correct!"

The two were still in the emergency room and did not go out.

As soon as he turned around, he could see the old man lying on his back on the bed facing the door, a yellow tube protruding from his nostrils, hanging up, pulling half of his body to float in the air.

Two respiratory and cardiac arrests, two emergency chest compressions, and his ribs have been broken.

The entire chest was soft, rising and falling slightly with the movement of the ventilator.

And just now he carefully checked the results of various examinations of the patient, and the hemoglobin was still decreasing.

The ruptured blood vessel in the stomach was still bleeding terribly.

As a medical worker, he is well aware of his condition, looking at him now, it seems that he can see traces of black dead air emerging from his body little by little.

Professor Yang was a little helpless.

"I want to save him too, but"

"I can give it a try!"

Zhang Tianyang interrupted her directly, "I want to give it a try!"

His speech speed increased in vain.

"When I was in the Department of Infectious Medicine, I tried a patient with liver cirrhosis who had ruptured esophageal and gastric varices and vomited blood. He was ligated under a gastroscope."

"It was the same at that time. The gastroscopy was full of blood, and the blood sucking speed was not as fast as the bleeding. The doctor who performed the gastroscopy at that time was ready to give up."

He took a deep breath, grabbed Professor Yang's arm, and showed her his eyes.

"Teacher Yang, believe it or not, my eyesight is better than that of ordinary people. I can see the direction of blood flow. According to fluid mechanics, I can deduce the bleeding point!"

Immediately afterwards, he showed Professor Yang the various data of the patient that he had just hastily printed out.

"The current patient has a 20-year history of liver cirrhosis, but he is not too old after all, and the rupture this time was due to swallowing a hard date pit, which is a scratch from a hard object."

"It hasn't reached the point where the tension of the blood vessels is extremely high, and it will burst when touched, and there is no way to save it!"

"And now the patient's various indicators are not too ugly, mainly due to the decrease in hemoglobin, and 90.00% of the final cause of death is due to excessive blood loss."

"If he can successfully ligate the bleeding point, he can still live for a while!"

Professor Yang was trying to keep up with Zhang Tianyang's rhythm, and was carefully looking at the A4 paper filled with data that Zhang Tianyang stuffed in his hand.

"I know you don't believe me, so I just asked Professor Zhu from the Department of Infectious Medicine to help me contact the doctor on duty in the Department of Gastroenterology who was doing the gastroscopy with me."

Zhang Tianyang took out his mobile phone, and showed Professor Yang the call record just now and the subsequent WeChat chat record.

"Fortunately, he rested today, but he didn't leave Guangdong Province, and he is already on his way back!"

"Ms. Yang, he believes in me and is willing to do another gastroscopy for this patient with me. Give it a try!"

Zhang Tianyang stopped after a very fast statement.

His eyes were a little red, and his breath was slightly disturbed.

Even the heart seemed to be beating wildly in the chest cavity.

Since he got the special skill of calmness +1 from the system, he seldom lost control of his emotions several times like today.

But he didn't feel ashamed.

No doctor can remain calm when faced with the possibility of bringing back a mortal patient!

Professor Yang was silent for a while.

Zhang Tianyang's words played quickly in her mind and were deconstructed.

I don't know why, although there are obviously no patients who need to be rescued, but her blood seems to be a little hot.

As soon as she opened her mouth, she asked the key.

"You came to beg me, what do you want me to do?"

"I need your help and get approval from the leader!"

Zhang Tianyang's fists were clenched, and his knuckles were a little white.

The most difficult part of this matter is not to put down the gastroscope smoothly and find the bleeding point.

Having had a successful experience, he has a certain degree of certainty.

The most difficult part of this matter is that this patient has been "sentenced to death".

As we all know, there are only two outcomes for patients with liver cirrhosis and bleeding from esophageal and gastric varices.

One: The degree of esophageal and gastric varices is not so serious. After rupture and bleeding, the blood will flow out, the pressure will decrease, and the blood vessels will heal slowly and automatically.

Even if this kind of patient is not treated, he will gradually get better on his own.

Periodic re-examination is fine as long as there is no risk of re-rupture.

There is another kind: esophageal and gastric varices are ruptured and bleeding, but the pressure cannot be effectively relieved, and the ruptured wound will continue to lose blood.

And because the bleeding point is in the stomach, there are soft tissues everywhere, even if the three-chamber two-capsule tube is placed, it cannot effectively stop the bleeding.

This kind of patient can only do his best and obey the destiny.

In the end, it is often impossible to escape the end of death due to excessive blood loss.

The Arbor in front of him, who had suffered two cardiac and respiratory arrests due to the reduction of circulating blood flow, was obviously the latter.

When all the doctors thought he was "dead", an "intern" suddenly jumped out and said, "I can cure it!"

Reality is not fiction, who will let you "try?"

A little bit of mishandling is a "medical malpractice"!

What's more, this matter was originally recognized as hopeless.

"Teacher Yang, I'm just an intern."

Zhang Tianyang's hands were trembling slightly, but his voice was firm.

"You should know my abilities, and also know that I won't do things I'm not sure about."

Professor Yang nodded, "I know."

"Yes, you know, but no one else knows."

Zhang Tianyang took a deep breath, "In the eyes of others, in the eyes of superior doctors who have never had contact with me, in the eyes of hospital leaders, and even in the eyes of family members, I am just an intern."

"Even if you add that brother together, I guess, the gastroscope room will not allow us to push patients in at all, and will say that we are messing around."

"In case the trouble comes to the top, the Office of Academic Affairs and the leaders of the school will definitely think that we are messing around."

Zhang Tianyang doesn't need to practice these things at all to know the result.

In fact, it's the same with him.

Not to mention the other interns, he can't even trust the abilities of some graduate students and fellow trainees!

"But, that's a life!"

Zhang Tianyang looked at Professor Yang fixedly.

"I want to try to save him."

"You, can you help me?"

Professor Yang also looked at Zhang Tianyang fixedly.

"Are you really sure?"

"I can!"

In the eyes of this young doctor, she saw firmness and a long-lost light.

So, she made a decision instantly.

"Then try!"

From this moment on.

Start with the two white coats who have been tired for a long time and should have gone to rest after get off work.

A vigorous rescue.

it has started.

(End of this chapter)