I'm really an intern

Chapter 420 Hello Death

The red on the screen is the familiar red.

Brother Qiu Ming was in a trance, feeling as if he was still in the time when Zhang Tianyang was treating the four patients with ruptured and bleeding esophageal and gastric varices.

But the next moment, he reacted again.

This is a ruptured esophagus.

This is a more dangerous operation!

He looked around, and everyone had a lot of expressions on their faces.

But no one dared to disturb Zhang Tianyang.

It seemed that he was shocked by Zhang Tianyang's words just now.

Or maybe because of something else.

The operating room, which was full of soldiers and horses, was so abrupt that it became quiet.

"Didi, Didi"

Only the monitor is left, still doing its duty, drawing out waveforms.

When he was immersed, Zhang Tianyang entered his own small world again.

He identified the blood flow on the screen, and the modeling in his mind continued to fine-tune, and finally gradually overlapped.

The mirror in his hand turned the lens slightly, and the range of entry and exit was controlled at about one centimeter, judging the spatial position.

The three-dimensional model gradually has more details.

Where is missing, where is protruding, where is uneven, where is surging.

The tearing of the patient's esophagus seemed to be shown in front of Zhang Tianyang through heavy blood mist.

So he had a plan in mind.

My heart, which was a little erratic before, suddenly settled down.

"Vascular clamp."

He reaches out.

"what?"

The little nurse who set up the stage didn't react.

Why do you need a blood vessel clip?

Isn't the screen still all red!

Doesn't this doctor wash the blood first, at least with a partial view before processing it?

Now I can't see anything, where should I get the blood vessel clamp? !

The first-line doctors and the second-line doctors didn't respond, "Why do you need a blood vessel clamp now?"

"I come!"

Only Senior Brother Qiu Ming didn't have any doubts at all.

The moment Zhang Tianyang made the request, he quickly found two packages among the pile of consumables "borrowed" by the doctor on duty in the first district just now.

"Do you want the green one or the purple one?"

Green vascular clips are small and purple vascular clips are large.

Zhang Tianyang cast a glance, "Green!"

"it is good!"

Brother Qiu Ming didn't hesitate at all, and unpacked it with a "tear".

"Really caught?"

The little nurse's eyes widened, her face full of disbelief.

But he still took the vascular clip nimbly, put it on the handle, and asked again worriedly.

"Doctor, are you sure?"

"Ah."

Zhang Tianyang stared at the screen and installed the operating handle from the corner of his eye. He didn't look at the little nurse the whole time, but just hummed casually as an answer.

But the little nurse somehow felt relieved.

"Are you going to fuck blind?"

The second-line doctor's face was serious, and he wanted to explode in an instant.

But Senior Brother Qiu Ming got in between him and Zhang Tianyang in time, pulled him aside, and communicated in a low voice.

A few words of conversation between the two can be heard vaguely.

"You didn't tell me to fuck blindly before!"

"no!"

"Ah, it's him"

"but"

Soon, Qiu Ming came back with the second-line doctor in his arms.

The second-line doctor still had a troubled look on his face, and took a deep look at Zhang Tianyang.

But Zhang Tianyang didn't pay attention to him at all.

The subtle touch feedback from the fingertips and the viscous blood flow on the screen helped him confirm the position again.

"click"

The first vascular clip is in place.

Then the second, and the third.

"Change."

After three vascular clips, the consumables were changed to titanium clips.

Zhang Tianyang squinted, his chest rose and fell regularly, and his hands were always steady.

If it feels right, the main ruptured blood vessel should have been clipped.

The most difficult time of the whole operation is over.

All that remains is to clip or suture the torn esophageal wall.

In fact, in all fairness, clamping the blood vessels, clamping or suturing the torn esophagus was not difficult for him, or for the several attending doctors present.

The hard part is finding the right spot.

For other doctors, the screen is full of blood and they can't see anything at all!

But for Zhang Tianyang, when the blood-red mist was gradually cleared in front of his eyes, the operation was only a simple labor.

"click"

"click"

The expected rupture of the esophagus was huge, so Zhang Tianyang went step by step, putting on shelves one by one.

The blood flowing on the screen, which is obviously slowed down and even swirls, shows his achievements.

The tactile feedback from his fingertips verified his progress.

He can even separate his mind and think about something deeper.

For example, why did the patient end up in such a dangerous situation?

The patient's emergency medical records flashed through Zhang Tianyang's mind.

Dongfang Hospital is not the first stop for patients after they get sick.

"Vomiting, chest pain followed by difficulty breathing and vomiting blood"

After the patient develops symptoms, he should go to the nearest emergency department of the hospital as soon as possible.

Imaging studies and the first gastroscopy were performed in an outer hospital.

Unexpectedly, the gastroscope at the local hospital saw a horrible scene of esophageal rupture, but he was unable to deal with it, so he had to be transferred to another hospital immediately.

Therefore, as soon as the patient comes, the emergency department of Dongfang Hospital can clarify the cause of the patient.

But it was also because it was not dealt with immediately, it may have delayed the time.

It may even cause secondary damage when entering and exiting the gastroscope.

Plus the time it took to transfer from the outer courtyard

A combination of various reasons led to severe bleeding of the patient, obstructed surgical field of view, and gastroenterologists were at a loss what to do.

During the period, there were two more emergency cases in the thoracic surgery department, the manpower was insufficient, and the director of the gastroenterology department was blocked halfway.

Speaking of which, this patient is really "certainly to die"!

It's like death is coming.

if i'm not there

Thinking about what is there and what is not, Zhang Tianyang is methodical.

"click"

Another titanium clip in place.

"Come again."

Zhang Tianyang stretched out his hand, breathing steadily.

"How's it going."

The second-line doctor couldn't help but ask.

There was anxiety and tension on his face.

The front-line doctor and the little nurse who set up the stage did not speak, but their faces were equally anxious.

Zhang Tianyang knew what he was doing, and he also knew the progress of the operation.

But others don't know!

Vascular clips and titanium clips were put on one after another, but the vision was not clear.

Zhang Tianyang's face was too young.

Can't help but they don't worry!

Only Senior Brother Qiu Ming, seeing Zhang Tianyang's methodical attitude, gradually calmed down.

Based on his understanding of Zhang Tianyang.

It should be stable now.

Sure enough, after the fifth titanium clip was put on, Zhang Tianyang didn't reach out to the little nurse again.

"Okay."

He breathed a sigh of relief.

"Rinse with saline."

The blood vessels had been clipped, and five titanium frames had been used where the esophagus had ruptured.

Clean up, rinse, rinse, and then you can step down.

Zhang Tianyang was in a relaxed mood.

The front-line doctor who had been holding back all this time suddenly jumped out.

"Wait!"

"Can't rinse!"

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Even after drinking, we must work hard to renew security!Thank you Caimei for being such a cute boy~

(End of this chapter)