I'm really an intern

Chapter 170 Damn Bleeding Point!succeeded?

"Brother, can you please say something!"

The gastroenterology brother kept inhaling, and Zhang Tianyang also took a deep breath.

Regardless of whether the senior brother can adjust his state well, he must make two-handed preparations.

His eyes glanced at the senior brother's handle and the entry scale of the gastroscope.

Then he glanced at the black and white abdominal plain film hanging next to him.

The structure of the patient's digestive system gradually formed a 3D model in his mind.

The gastroscope that was already hovering at the door also appeared in the model.

He quickly figured out the depth to enter, and how much the lens needs to be twisted by operating the handle.

If the senior brother really can't do it, he can take over at any time!

But under his sharp eyes, the gastroenterology brother gradually calmed down.

He manipulated the handle, tried to adjust the angle of the lens to practice, and then carefully paid attention to the depth scale of the gastroscope.

In the end, the camera was sent back to Cardia by him.

He looked up, his eyes determined.

"no problem."

"Then, I'm ready to let go."

Zhang Tianyang also nodded at him.

Select the tube connected to the gastric pouch, put it into a 50ml syringe, and grasp the connected place.

At the same time, step forward with your feet, bend your knees slightly, and take the most stable lunge.

Then, he turned his head and signaled to the little nurse next to him who was still pinching the salt water.

"Later, pay attention to protecting the sprayed blood. After the blood is sprayed out, there is no need to pinch the salt water. It can help block the blood sprayed from the patient's mouth."

"it is good."

Finally, he looked at the group of white coats behind him.

"Stand back, step back outside the gastroscope room, and close the door. Don't be splashed with blood."

It seemed that someone's breathing was disturbed for a while, and he wanted to say something.

But the director of the digestive department took a deep look at Zhang Tianyang, and even took the lead to retreat.

The director took the lead, and the remaining few white coats had to follow suit.

The door of the gastroscopy room was closed, and they looked inside through the transparent glass on the door.

And Zhang Tianyang is ready.

He looked at his senior brother, and said——

"Get ready, start deflation!"

At the same time, the syringe in his hand was quickly sucked by him.

At the moment when the stomach sac deflated slightly, the strong pressure in the stomach forced a stream of blood to squeeze out a channel, turning into a sharp blood arrow, rushing out from the edge of the stomach sac!

In an instant, half of the screen was dyed bright red.

But the eyes of the two heavily armed white coats on the stage lit up at the same time.

"It's now!"

"Go in!"

At this moment, everyone in the gastroscope room and outside the gastroscope room involuntarily held their breath and clenched their fists!

Zhang Tianyang's hand still kept on pumping air quickly, providing a passage for the gastroscope to enter smoothly for the brother who had lost his vision in just a few milliseconds.

As for the gastroenterology brother, he delivered the gastroscope with his right hand accurately, and gently swung the operating handle with his left hand!

Relying on the experience of his gastroenterology brother who has done no less than a hundred cases of gastroscopy all year round, and relying on Zhang Tianyang who has practiced countless judgments in his own hanging room.

Although the field of vision has been submerged in blood red, the two white coats know it, it's done!

The next moment, the unblocked blood turned into a blood arrow and shot out from the small opening reserved for the patient's tracheal intubation.

The little nurse had sharp eyesight and quick hands, discarding the salt water that she no longer needed to pinch, and quickly blocked the gauze in her hand from the only way the blood arrow must pass.

"Puff thick!"

In an instant, blood was dripping on her gloves and gauze.

But the blood didn't stop gushing at all.

Although Zhang Tianyang's subordinates continued to pump, the channel for blood to flow out became wider and wider, and the pressure was not as strong as before, changing from "small jets" to "big gushing springs", but the amount of bleeding was still astonishing.

Soon, the three-chamber and two-capsule tube was so deflated that it couldn't get stuck in the esophagus, and under the gravity of the heavy water bag on the bed, it flew out of the patient's nasal cavity!

Then with a "snap", it fell into the hands of the little nurse and was firmly grasped.

Zhang Tianyang quickly removed the pressurized water bag, threw the three-cavity and two-capsule tube aside, and then rushed to the digestive department brother who had been struggling to maintain the posture just now, ready to take over.

The three-chamber two-capsule tube has been completely withdrawn, and the blood accumulated in the patient's stomach is unobstructed, and it flows out through the mouth continuously.

If the patient hadn't been intubated with the trachea, which blocked the passage of the trachea and esophagus, the blood volume could flood the trachea in minutes, leading to suffocation.

"Why so much blood!"

The little nurse was startled.

But Zhang Tianyang was not surprised at all.

Think about it, in the state of esophageal and gastric varicose veins, the pressure of the blood vessels is already high.

Once ruptured, the rate of bleeding is lethal.

But this patient has been bleeding for more than ten hours, and even suffered two cardiac and respiratory arrests, all relying on fluid rehydration to continue his life.

One can imagine how much blood was stored in his stomach.

One can imagine how difficult it is to find the bleeding point in this situation.

The gastroenterology brother has always maintained the posture where he just poked the gastroscope in, and dared not move at all, for fear that if it shakes a little, the field of vision that he finally found will be biased.

"Junior Brother, I can only do this. Later, it's up to you."

"it is good."

The gastroenterology brother let Zhang Tianyang catch the operating handle and the gastroscope from him respectively, and he relaxed, only to realize that his back was soaked.

It was really with great perseverance that he restrained his hands from shaking.

The pressure is too much!

But now, the pressure has been transferred to Zhang Tianyang's hands.

The screen has turned bright red.

After waiting for a while, the blood inside was allowed to flow out, the pressure dropped, and the little nurse was again assigned to pinch the salt water.

The suction tube is always sucking.

The colorless salt water poured in continuously, and the dark red liquid was continuously pumped into the large jar at the feet, but the vision did not intend to become clear at all.

The gastroenterologist almost found something to lean against, his eyes fixed on the screen.

But even though he has spent a lot of time studying fluid mechanics recently, he still can't see the direction of blood flow.

Not to mention finding that damn bleeding spot!

The blood red on the screen dazzled his eyes, and he returned to that night not long ago in a trance.

The old man who was awakened from his sleep and took over an old man who also suffered from liver cirrhosis, ruptured and bleeding esophageal and gastric varices, and he felt hopeless.

But just when he was about to give up and put a three-cavity and two-pouch to do his best to obey the fate, the junior brother appeared and said, I'll come.

"Give me the clamp!"

Zhang Tianyang's voice was like a memory, but also like reality, and the gastroenterology brother was a little confused.

"Seeing the direction of the blood flow so quickly, have you found the bleeding point?"

"I'm afraid I'm hallucinating?"

But soon, there was a crisp sound in my ear - "Crack!"

The gastroenterology brother forced himself to recover, and saw Zhang Tianyang pulling something out.

He couldn't help but speak.

"Success?"

(End of this chapter)