I'm really an intern

Chapter 479

There was a brief freeze in the operating room.

The scalpel handed to the center reflected the light of the shadowless lamp straightly, making it look a little dazzling.

"director?"

Zhang Tianyang was not sure if he heard it wrong.

But the director of the urology department stared straight at him and repeated every word.

"Xiao Zhang, come here."

"director!"

This time everyone heard clearly, and it was Zhao Tianwang who reacted first.

I saw his panting became thicker, and the limited exposed skin began to change color, obviously emotional.

"Ok?"

The chief director of the urology department turned his head to look at Zhao Tianwang, squinting his eyes.

"Dr. Zhang has a steady hand and has many times of experience in hemostasis without vision under the microscope. Doctor Zhao, do you think it's wrong?"

"I"

Zhao Tianwang instinctively wanted to make a terrifying roar, but Zhang Tianyang's various operations since today flashed through his mind, he hesitated for a moment, and slowly lowered his head.

"Xiao Zhang, come on."

The chief director looked at Zhang Tianyang again, the seriousness and sternness on his face disappeared instantly, and there was encouragement and trust in his eyes.

"it is good."

Zhang Tianyang did not refuse, and withdrew the scalpel.

But he didn't move the knife immediately, instead he turned his head to look at Pan Anesthesia who was looking at the monitor not far away.

"Mr. Anesthesiologist, I need your help."

Zhang Tianyang pointed to the treatment table at the door of the operating room, "There is a clean towel I just took from the washing-washing place on that table, please help the anesthesiologist to bring it here."

"Huh? This towel is"

Pan Narcotics was a little dazed, but obediently brought a few towels over as he said.

"so."

Zhang Tianyang pointed to his protective mask.

"In case the blood spurts out later, it will affect the vision. I may need to ask the anesthesiologist to wipe it for us."

"oh oh"

Pan Narcotic nodded blankly, thinking that this brat was quite thoughtful, and Zhang Tianyang had a new task.

"Also, teacher anesthesiologist, I need you to come here with a towel, first help me wrap the upper part of the mask.

In this way, I can still use the lower part to see the field of vision. After the blood spurts out, you just take the towel away, and I can keep the field of vision all the time. "

Pan Anesthesia started to be dazed again.

This brat, I really want to praise him for his cleverness!

Pan Narcotic obediently carried the towel, stood behind Zhang Tianyang, raised his hands high, and helped him wrap the towel around him.

At the same time, half of the body is still twisted to the side, always paying attention to the patient's vital signs on the monitor, which can be called conscientious.

"Teacher under the stage."

Zhang Tianyang started calling the nurses off stage again.

"There are a few other towels I took on the table over there, and I will need your help to wipe the blood sprayed on the shadowless lamp later.

Oh, by the way, the cloth I put on the shadowless lamp is folded, after the first wave of blood sprays on it, you can tear it off, so as not to let the blood drip down from the ceiling and pollute it. "

"By the way, the blood at the blood transfusion department will be available later, so we must press it again."

"Teacher on the stage, let's pick out the equipment I'm going to use later, I'll put it here so I can get it"

Zhang Tianyang seldom rambled like this, but this time he had to think about everything.

After all, it was the first time he encountered such a patient in reality.

The chief director of the Department of Urology looked at Zhang Tianyang's orderly arrangement and forcibly calmed down.

Although I knew that this occasion was inappropriate, I still couldn't help shouting in my heart——

This little Zhang!I must have him!he's mine!be mine! ! !

Zhao Tianwang seemed a little offline, watching silently at this moment, with complicated eyes and unconsciously opening his mouth.

“It turned out that this was all prepared in advance”

After a while, he came back to his senses.

Then silently and calmly, he lowered his head and stared at the patient's pregnant belly.

An uneducated person is always jumping in front of you, you will feel that he can't tell the situation, annoying and in the way.

But what if a very capable person arranges the work in an orderly manner?

Zhao Tianwang felt that he might have been preconceived before.

Who says young doctors are unreliable?

This Dr. Zhang may be trustworthy.

"Probably that's it. Teachers, please cheer up. We will cooperate later."

Zhang Tianyang finally assigned the task, turned around, and looked at the patient's stomach again.

He took a deep breath—

"Then I start!"

Hold your breath and lift the knife.

The shadowless lamp shines brightly.

A circle of fully armed blue figures are engrossed.

"Drip-drip--"

In the quiet operating room, only the monitor is working hard.

Knife, drop.

Gently and flexibly across the skin.

The sharp tip of the knife flashed for a moment, and then was quickly dyed in bright red.

"call--"

A group of people seemed to be cautious even breathing.

But Zhang Tianyang maintained a very steady strength, the tip of the knife only scratched the skin, and did not penetrate to the lower layer.

A long red line appeared on the patient's belly, and a row of blood beads emerged slowly.

The patient's blood pressure is not enough.

As a result, the superficial small blood vessels were cut, and the bleeding speed was very slow.

"Zizi-"

The electric knife was swept across, and the tiny bleeding spots were dealt with one by one.

"I'm going in."

Zhang Tianyang informed, and picked up the scalpel again.

The suspected hemorrhage and rupture of the patient was the left kidney, so Zhang Tianyang cut the knife in front of the left rectus abdominis.

Slowly press down on the tip of the knife.

The skin that had been cut open slowly opened due to the huge tension.

The subcutaneous tissue and the anterior sheath of the rectus abdominis muscle were rapidly dissected and cleared.

The tissue of the abdominal wall should be soft and thick, but now it is stretched thin and swollen due to the continuous tension.

Zhang Tianyang carefully and bluntly separated the rectus abdominis, but the speed was not slow at all.

In less than half a minute, he spoke again.

"It's about to enter the abdominal cavity."

The chief director and Zhao Tianwang on both sides acted as assistants consciously and hurriedly followed.

The 2-lift method lifts the peritoneum and cuts it retroperitoneally, and the abdominal cavity appears in front of the face.

Gently opening the retroperitoneal part of the greater omentum and intestinal tube, Zhang Tianyang pulled them out of the incision range, and at the same time stretched out his hand to the side.

"Warm salt water gauze!"

"coming."

The chief director had already prepared it together with the equipment nurse on the stage. At this time, he quickly squeezed the gauze to wrap and protect the omentum and intestinal tube pulled out by Zhang Tianyang.

"The adhesion is a bit serious."

Zhao Tianwang frowned, his expression was not very good.

Into the eye, the greater omentum is adhered to the abdominal wall in many places and squeezed together.

Zhang Tianyang didn't speak, but his subordinates kept going. Soon, the adhesion of the greater omentum was released.

Zhao Tianwang looked up, slightly confused.

Looking further down, a part of the intestine is mottled, obviously due to congestion and bruising caused by the huge tension.

Zhang Tianyang frowned, opened another section of bowel, his face darkened slightly.

Under that section of intestine, there is a high raised retroperitoneal area, with hematoma and blood stasis spreading all over the field of vision.

"call--"

Surrounded by the heavy breathing of the chief director and Zhao Tianwang.

"It should be an emergency operation...or else..."

The whisper in the ear seemed to come from the chief director, Zhang Tianyang kept his eyes open, pushed the intestinal tube to the right with both hands, and then quickly separated the adhesions.

Confusion flashed again in Zhao Tianwang's eyes.

"It's going into the retroperitoneum."

Zhang Tianyang paused for a moment, then turned his head to look around.

"Teacher anesthesiologist, teachers on and off the stage, the last floor is here, everyone cheer up."

"Towels can be wrapped around."

"Remember to prepare the cloth on the head."

"Speed ​​up the rehydration speed."

"The power of the attractor should be increased."

"call--"

Zhang Tianyang took another deep breath, his eyes fixed,

"go!"

Hand up, knife down.

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la la la la la la ~

It's hard work Ann()

(End of this chapter)