I'm really an intern

Chapter 64

clap la la la-

The wheels of the flat car rubbed against the ground, and the sound filled the entire corridor.

Numerous patients woke up from their sleep.

Looking at the flat car passing by in the corridor and the white clothes behind him, he fell into silence.

Then, spontaneously, put your hands together.

"Although I don't know if it will be useful, but I hope it will be alright..."

……

On the 59-bed hospital bed, the 59-bed old man who watched the old man leave was stunned for a while, his eyes were red.

Suddenly, he bounced off the hospital bed at a speed that shouldn't be possible at his age.

He grabbed the "mineral water" secretly brought to him by the old man on the table next to the hospital bed, and poured it into the toilet.

"What are you doing!"

The uncle on bed 58 was taken aback, and hurriedly followed, and saw the uncle on bed 59 unscrew the cap of the bottle, and poured the "mineral water" into the toilet.

A smell of alcohol spread.

58 The bed uncle was stunned, "You..."

After pouring the mineral water, the old man slowly turned his head, and cloudy tears fell from his eyes.

care, speechless...

After a long time, he opened his mouth and his voice was hoarse.

"If, I swear, I don't drink alcohol from now on, and start doing charity after I leave the hospital... My old man, he, can he come back alive?"

"I do not know either……"

58 The bed uncle didn't know the grievances between the two old men, but he watched the white coats push the old man away as if they were facing an enemy, and his heart was filled with panic.

Silently walking back to the chair and shrinking back on it, the uncle with bed 58 sighed.

"When the nurses are done, ask them to change the sheets for me..."

……

On the sixth floor, at the entrance of the gastroscope room, second-line doctors and gastroscope doctors are looking forward to it.

"I'm coming!"

The grunting sound of the flat car came from the corner of the elevator. The gastroscopy doctor turned around and ran to the gastroscopy room, while the second-line doctor went to the elevator.

"is it him?"

"It's him! Before coming up, the blood pressure was 95/56mmHg, the heart rate was 95 beats/min, black stools, dizziness, thirst and fatigue, and no hematemesis for the time being!"

"Leave it to me! You go back and fill up the doctor's order and the course of the disease! Apply for blood from the blood transfusion department immediately!"

"it is good!"

Zhang Tianyang responded, handed over the patient and the medical records, took a look at him, and then turned around and got into the elevator that hadn't had time to close the door.

Gastroscopy is very important, because if things are not irreversible, varicose or ruptured blood vessels can be ligated under gastroscopy.

It's like blocking a wide-open faucet, the patient will no longer bleed, and slowly his life will be out of danger.

But in case the amount of bleeding is already a lot, the speed of blood suction under the gastroscope is not as fast as the bleeding speed, and a clean field of view cannot be seen, so there is no way to ligate the ruptured blood vessel.

Only a dead horse can be used as a living horse doctor to compress it with a three-chamber two-capsule tube.

But the stomach wall is soft all around, so how can it really stop the bleeding?

Zhang Tianyang really wanted to do a gastroscopy, but it was also important to contact the blood transfusion department to get blood.

Patients with liver cirrhosis will have complications of the spleen, impaired hematopoietic function, and a decrease in the three systems is common.

I was already anemic, and then the esophageal and gastric fundus veins ruptured, causing massive bleeding. Fluid replacement alone would definitely not make it up, so blood transfusion was necessary.

Now Senior Brother He can't do anything, so he is the only one who can do this kind of thing.

He quickly called the blood transfusion department, and then ran to get blood in the dark.

Generally, things like blood products are picked up by a special support center and then delivered.

But Zhang Tianyang couldn't wait.

The newly retrieved blood was frozen, so he put it in his arms regardless of the cold.

Cold blood cannot be used directly by patients.

Many people feel that their hands and feet are cold and uncomfortable during infusion, but the infusion liquid is almost at room temperature.

If you really transfuse cold blood directly, the patient will give you an impressive lesson on the spot.

He ran back to the infection building with the blood in his arms, and when he rushed into the gastroscope room, the blood was already warm.

The little nurse who followed quickly hung up the patient, but Zhang Tianyang's eyes stopped on the screen.

In the field of vision, it was bright red.

Looking at the feet again, the blood pumped out is already half a jar.

"It can't be done, the bleeding is too fast, so I have to use a three-chamber two-capsule tube."

The doctor who was manipulating the handle sighed and was about to give up.

In fact, as a doctor in the gastroscope department of the Department of Infectious Diseases, he has seen this kind of situation too much.

Patients with liver cirrhosis routinely undergo gastroscopy to check the condition of esophageal and gastric varices. If it is too serious, preventive ligation is required.

However, for some patients, when the gastroscope is probed down, the blood vessels burst when they are slightly irritated, and the field of vision is instantly scarlet.

There are also patients like today's patient who are already bleeding, and the gastroscope is all red, and nothing can be seen.

I could only use the three-chamber two-capsule tube to compress it, but in the end, I still couldn't escape the end of death.

"Is it really that bad?"

The second-line doctor really didn't want a patient to have an accident in his class, so he couldn't help but ask one more question.

"Can't you see it? There's no vision at all! Who can do it? Can't see anything? Is it a blind cover?"

The doctor who did the gastroscopy was also a little grumpy.

"I don't know what's going on today, the third one was put in the three-chamber two-capsule tube! Really, should I go to worship Buddha?"

The gastroscopy doctor doubted his life for a while, and was about to retract the ligation tool, and then started to put the three-chamber two-capsule tube, and asked casually.

"What should I do? Will this patient be pushed back to you or sent to the emergency department?"

While speaking, the gastroscopy doctor wanted to retract the tool, but his hands were pressed against his.

"Ok?"

The gastroscopy doctor turned around and saw Zhang Tianyang's calm face.

He couldn't help frowning, "Why, don't you give up?"

"Brother." Zhang Tianyang kept staring at the screen, "I can't use it for the next patient after I take it back, so why not give it a try."

After the words fell, Zhang Tianyang grabbed the gastroscope doctor's hand a little bit forcefully and changed positions.

The field of vision is indeed covered with blood, and under normal circumstances, there is really nothing to do.

However, his eyesight was increased by 2 by the system.

I have been staring at the screen just now, and I can vaguely see the direction of the blood flow...

Although he's not sure if it's feasible, but he's making his own decision now, even if he fails, it's just a matter of being scolded, but if it succeeds, it will be the patient's life!

"Blood spurts from the ruptured vessel, swirls on the opposite stomach wall, and is sucked out..."

"If you speculate in reverse, it should be in this direction..."

Zhang Tianyang fixed his eyes on the screen, trying to grasp the slight changes in blood flow.

In his hand, the gastroscopy doctor had already broken free, and simply handed over the operating handle to Zhang Tianyang.

He stepped back and folded his hands on his chest. Although he was amazed that Zhang Tianyang was actually using the handle decently, he still had no hope in his heart.

"It's impossible to change any doctor to do gastroscopy, and it's impossible to save him!"

As soon as the words fell, Zhang Tianyang suddenly clenched his hands.

"Crack!"

A slight sound indicates that the ligation tool has been used.

Three white coats and a little nurse couldn't help but look at the scarlet screen.

Is it really possible?

It's not possible...

(End of this chapter)