I'm really an intern

Chapter 474 Pan Anesthesia: After all, it was a wrong payment

No, no, no, no!

Pan Narcotic roared crazily in his heart, and stood there dumbfounded.

But, but

Although everyone is packed tightly in the operating room, there are surgical gowns, masks, and hats.

But with this body shape and these eyes, he can recognize it even when it turns into ashes!

It's clearly Zhang Tianyang, who has good skills but has a dark face!

What's more, Zhang Tianyang still wore the same surgical gown under his white coat!

Pan's anesthesia's eyes were wide open, and the force was too great, so that the blood in the eyeballs protruded.

However, at the end of the long table, Zhang Tianyang also noticed him.

Is the familiar anesthesiologist on duty today?Not bad, not bad, there is a tacit understanding in cooperation.

This thought flashed across Zhang Tianyang's mind, and he felt a little relieved, subconsciously nodding to Pan Anesthesia as a greeting.

Pan Anesthesia:! ! !

In his eyes, Zhang Tianyang's face continued to enlarge, and he even started to grin, "Are you surprised or surprised?"

rely on rely on rely on!

In an instant, Pan Narcotics thought of countless scenes dominated by the "bad luck" brought about by Zhang Tianyang's "black face"!

He froze, petrified by the wind.

In my ears, the shocking BGM sounded involuntarily——

"North Wind~Xiao~Xiao~Snow Flakes Gone~Gone~"

Finished!

This patient has a big problem tonight!

Pan Narcotic's eyes darkened, his legs softened, and he collapsed on the chair.

Thinking of how exciting it would be in the operating room later, his face turned pale and he broke out in a cold sweat.

"Ok?"

Next to him, Professor Liu, who was looking at Zhang Tianyang, who was talking like an old father, couldn't help turning his head away because of the too much movement around him.

He didn't know the doctor who just arrived by his side.

But the other party was the only one in the surgical gown besides my own Xiao Zhang among the doctors present.

So the identity is self-evident - an anesthesiologist!

But this anesthesiologist

Professor Liu frowned and looked at his ugly face, pale skin, and cold sweat, and suddenly felt familiar.

When I had hypoglycemia and was rescued by Zhang Tianyang, didn't I behave like this!

The anesthesiologist might have hypoglycemia!

Professor Liu frowned, realizing that this was not an easy matter, he quickly fumbled in his pocket.

Since the last time he suffered from hypoglycemia, he has developed the habit of keeping a few chocolates in his pocket.

It just happened to be taken out at this moment, and it was handed over directly.

"Eat something, take it easy?"

Professor Liu thought about how he felt when he was so uncomfortable that he couldn't stand upright and couldn't speak. He was afraid that Pan's anesthesia would not even have the strength to raise his hand, so he automatically and consciously pushed the chocolate away and handed it to his mouth.

Pan anesthesia, who had lost his soul, felt something sweet and fragrant on the side of his mouth. He subconsciously took a bite, only to realize that it was chocolate.

He turned his head to look at Professor Liu beside him in a daze.

My heart is full of chocolate.

skillful!gram!force!

Pan Narcotic suddenly remembered!

That goddamn Zhang Tianyang, he he he he he left a piece of chocolate for himself this afternoon!

so

Did he really have premeditated it!

yes!

At this moment, Pan Anzhen was chewing the sweet chocolate in his mouth, but his heart was filled with bitterness.

sloppy

Should have known, that chocolate shouldn't be eaten!

On the opposite side, Zhang Tianyang naturally noticed that something was obviously wrong with Pan Anesthesia.

But the person sitting next to him is Professor Liu, and he ate the chocolate, so it shouldn't be a big problem.

The anesthesiologist should not be replaced, the tacit understanding is still there!

Zhang Tianyang reassuredly focused on the medical records again.

The medical history of this patient is really simple, but the condition is very complicated.

Therefore, what Zhang Tianyang mainly introduced was also the inspection results that he had just urged.

There was no objection to the results of the biochemical examination, and the background display of the doctor's workstation was clear.

The results of the patient's white blood cell and infection items have all gone up a lot, which means that he is in a state of infection.

The hemoglobin has dropped to 90g/L, and the blood pressure has still dropped to 86/54mmHg on the basis of fluid replacement, which represents the patient's state of massive blood loss.

The patient obviously had no trauma, and there was no redness all over his body.

So where did all the blood go?

The minds of the doctors present all flashed the patient's huge and somewhat excessive belly.

Zhang Tianyang continued to report the data.

"In terms of kidney function, creatinine is 431 μmol/L!"

Creatinine is an important indicator of renal function. The creatinine level of normal people is generally below 80, and in fact, it is best not to exceed [-] normally.

In the Department of Nephrology, patients with creatinine over 100 were already in the stage of kidney failure and needed treatment, but for this patient, the creatinine jumped directly to 431!

What is even more frightening is that it is said that his previous physical examination data showed no abnormalities in his kidney function.

Jumped hundreds of data directly from the normal value, then his kidney

Zhang Tianyang paused and continued to report.

"10 minutes ago, the patient underwent right lower abdominal puncture and drainage of 1500ml of dark red bloody fluid"

Before surgery, conservative treatment should be tried as much as possible.

The paracentesis in the emergency department was done quickly after he asked the little doctor to ask the superior doctor for instructions.

There is a little effect, but the patient has such a big belly, which is enough for a child of ten treasures, so what is the use of 1500ml?

Not enough for a treasure!

However, the pericentesis cannot be drained all the time, and a sudden drop in pressure will cause a series of reactions.

Moreover, the bleeding point in the patient's abdominal cavity still exists, and there is bleeding there, and there is no time to pump it here.

Still have to go to the operating table!

The doctors present frowned, and they probably had a clue in their hearts.

Blood routine, liver and kidney function, six ion items, two infection items, blood gas analysis, B-ultrasound results

Zhang Tianyang reported the data one by one, and finally read the bottom of the briefing on his condition.

He paused and continued reading.

"Whole abdominal enhanced CT showed a huge cystic lesion in the left mid-abdomen with multiple septa and calcification, which was considered to be from the retroperitoneum, but the left kidney was not clearly displayed.

The right kidney has multiple stones and hydrops.

Abdominal effusion.

Multiple nodular shadows in both lungs. "

Enhanced CT did indeed.

The images did come out, too.

Text results can't be that fast.

So, this is the result of his own reading of the film.

After a pause, Zhang Tianyang naturally raised his head and made a conclusion.

"The patient had a history of suspicious left kidney trauma before this injury, but the family members did not have a clear description and no previous medical records, which made the condition complicated.

The patient's abdominal tension level is high, and it is considered that the left kidney ruptured to intrarenal and perirenal hemorrhage and hematoma, and the retroperitoneum is currently in a state of extremely high pressure.

Abdominal visceral hypertension can lead to organ dysfunction, abdominal compartment syndrome, resulting in serious consequences such as ischemia, multiple organ dysfunction and even necrosis.

At present, it is considered that emergency surgical exploration, hemostasis, resection of the left kidney with no normal anatomical structure, and decompression are needed.

The patient is currently in critical condition, please consult with the teachers. "

The voice fell.

Two surprised eyes fell over.

Zhang Tianyang looked at each other calmly.

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The role of Pan Narcotics is online, everyone compares their hearts~

(End of this chapter)