I'm really an intern

Chapter 23

"Fuck!"

This is the third time Zhang Tianyang called shit today.

This is really a fountain!

His heart was beating wildly, but his hands were not slow, a stack of gauze directly pressed the fountain.

In an instant, the white was infiltrated by red at a speed visible to the naked eye.

Professor Zhou blinked vigorously, and looked at the patient's neck with vigor.

The little nurse Lin Lin was scared back two steps by the bloody fountain just now.

At this time, he walked to the hospital bed again, staring at Zhang Tianyang with a pair of eyes.

If resentment could kill, Zhang Tianyang might have died hundreds of times by now.

Zhang Tianyang vaguely felt the little nurse's resentment, and suddenly raised his head.

Lin Lin quickly looked away.

"Xiao Lin, keep an eye on the patient's blood oxygen saturation!

Also, give credit to the professor.

Do you have a flashlight?Use your phone if you don't have one. "

"Ok!"

Nurse Kobayashi nodded frantically, and quickly turned on the flashlight of her phone.

The light is much better than before.

Professor Zhou's eyes widened, and he looked for the bleeding point along the direction of the bleeding.

Zhang Tianyang followed to find it.

Fortunately, the patient's bleeding slowed down, and the bloody fountain did not appear again.

Zhang Tianyang guessed that this was because a lot of blood accumulated in the neck after the blood vessel ruptured, and only a small part could seep out through the channel between the internal jugular vein indwelling tube and the skin.

This patient had internal jugular vein catheterization done yesterday.

If the ruptured blood vessel was damaged at that time, then the blood forming the bloody fountain has accumulated for most of the day.

Now that the skin is cut, the blood that has accumulated here spurts out, forming a fountain.

And in the same way, clean up the deposited blood, and the newly seeped blood will appear to be greatly reduced.

"It feels like a bleeding point in this direction?"

Zhang Tianyang stared while thinking, and vaguely felt that the new blood seemed to seep from the patient's jaw.

"I think it's here too, but I can't find the bleeding point."

Professor Zhou agreed.

Because of Zhang Tianyang's unusual calmness and proficiency, Professor Zhou subconsciously regarded him as a senior doctor.

After continuing to observe for dozens of seconds, he asked Zhang Tianyang for his opinion.

"Why don't you cut it a little more?"

The current incision is only 3cm, and the direction is from the skin entry point of the internal jugular vein catheter to the patient's chin obliquely, but both of them felt that the bleeding point was more upward.

Professor Zhou added, "I did puncture in this direction when I inserted the tube yesterday."

"I think it can be cut."

Zhang Tianyang nodded, and then asked the little nurse Lin Lin for an extra bottle of lidocaine.

Pumping drugs, exhaust, infiltration anesthesia.

Except for the patient's commotion during the anesthesia, the patient remained quiet during the rest of the time.

Professor Zhou praised, "The anesthesia technique is good."

"Cut it?"

After receiving the scalpel from Zhang Tianyang, Professor Zhou also made an oblique incision about 3cm away from the incision just made.

The speed of the blood gushing out was a little faster.

Zhang Tianyang quickly filled it with gauze, and then threw the blood-stained gauze aside.

There was already a pile of blood-colored gauze like a hill.

But the hearts of the two have settled down.

The direction should be correct, and the bleeding point should be nearby.

Professor Zhou bent down slightly, grasped the patient's neck tissue with tweezers in both hands, and opened his eyes wide to look for the bleeding point.

But after all, it is living flesh and blood, blood is everywhere, and the newly seeped blood keeps coming out, interfering with judgment.

Professor Zhou stared until his eyes were sore, but he couldn't find any bleeding point.

"call--"

He exhaled a foul breath, straightened up and wanted to rest, but his body swayed.

"professor."

Zhang Tianyang took a step to avoid the sterile gloves on his hands, and supported Professor Zhou who was standing unsteadily with his back.

Professor Zhou also looks to be in his fifties and sixties, his hair has turned gray a lot, and his physical strength has declined severely.

After searching for so long, Professor Zhou has been bending over, which should be uncomfortable.

Zhang Tianyang signaled the little nurse Lin Lin to support her, and then asked tentatively:

"How about I come? You take a break."

"Okay, let's take a look."

Professor Zhou didn't try to be brave, he felt a little dizzy just now.

At this time, it is unrealistic to forcefully search for the bleeding point. According to his current state, he can't find it either.

The little nurse Lin Lin moved the chair, and Professor Zhou took a rest.

Zhang Tianyang took over Professor Zhou's position, stood alone in front of the hospital bed, and began to look for bleeding spots with tweezers.

There are not only blood vessels in the bloody flesh, but also nerves and muscles. The connective tissue wraps them together, regardless of each other.

Even with the system's "eyesight +1" bonus, Zhang Tianyang had a hard time finding it.

"DiDi! DiDi! DiDi!"

The old lady's monitor suddenly screamed, and the little nurse screamed beside her.

"The patient's blood pressure has dropped! It's already 90!"

The blue number representing the blood pressure above the monitor has changed to 90/56mmHg, Zhang Tianyang quickly glanced at it, and his hands are still very stable.

"Xiao Lin, go to the nurse's station!"

"I just asked the nurse over there to prepare the liquid and dopamine, you take it and connect it to her!"

Just now, he seemed to have vaguely found a spot where the direction of blood flow was not normal. If there were no accidents, the bleeding point should be there.

almost!

The nurse's station is next to the intensive care unit, and Zhang Tianyang can hear a commotion coming from there.

Ten seconds later, little nurse Lin Lin ran over with a bunch of things and started operating on the treatment cart.

Quickly connect the patient with liquid, and adjust the drip speed to the fastest for rapid rehydration.

Dopamine and epinephrine have also been placed in the treatment cart, waiting for the doctor to prescribe the injection.

Nurse Kobayashi stared at the patient's monitor with a sad expression on her face.

"Blood pressure is still dropping! Now it's 85!"

Zhang Tianyang didn't speak.

Professor Zhou didn't speak either.

This is obviously due to decreased blood pressure and shock due to reduced blood flow in the circulation. Fluids have been replenished, but it takes time to take effect.

Conversely, as long as the bleeding point can be found and ligated, the patient's condition will recover sooner or later.

Look at Zhang Tianyang!

Professor Liu couldn't help but waved his fist to cheer him on.

In fact, Professor Zhou had already rested, but he didn't ask Zhang Tianyang to give up his position, but just stood behind Zhang Tianyang and watched him operate.

He didn't know why he trusted Zhang Tianyang.

Maybe it's due to staying in the clinic for a long time, depending on people's intuition?

Zhang Tianyang concentrated on staring at the bloody mess under his hands, ignoring what happened around him.

He had a hunch that he was about to find it.

Move your fingers flexibly to lift a small piece of tissue

"It's you!"

Replace the hemostatic forceps, clamp on both sides of the end of the blood vessel——

One second

Two seconds

three seconds

There was no new blood in sight.

"The bleeding has stopped!"

Professor Zhou's eyes lit up as he watched from the side, "It's this blood vessel!"

(End of this chapter)