Zhang Tianyang felt that he was very innocent.

I don't know why, just now his sixth sense made him vaguely feel a wave of resentment that had just risen.

Did he do anything else that was remembered?

Probably not, right?

He just saved someone, the seventh-level floating slaughter came.

The attending doctor calmed down and prepared to let the more reliable Director Song make an ending.

Before he could speak, a female voice suddenly came from behind a white coat.

"Cerebrospinal fluid (CSF) is produced by the choroid plexus, which first fills the ventricles, then flows into the subarachnoid space along the ventricular pores that communicate with the outside, and finally is absorbed by the villous particles of the arachnoid and re-enters the bloodstream, which is the circulation of cerebrospinal fluid. ”

Very confident and process answers, very standard answers.

The attending doctor couldn't help but nod in agreement, and the white coats around him subconsciously turned around and made way for a passage.

Lin Ke'an was not stage frightened, and directly took two steps forward along the vacant seat that gave way.

answered the questions asked by the attending doctor in her mouth, but her eyes were staring at Zhang Tianyang.

It's not that she wants to pretend to be forced, but she thinks the attending doctor is too abrasive.

Although she felt that she had guessed the whole thing, Zhang Tianyang was the one who experienced it firsthand and made the right operation.

She desperately wanted his answer.

It's like after an exam, even if you know that you have a perfect score nine times out of ten, you want to match the standard answers.

So without waiting for the attending doctor with a happy face to say anything, Lin Ke'an took the initiative to take it.

"On this old lady, the subarachnoid hemorrhage, and now the cerebrospinal fluid that is draining out is not normal colorless and transparent, but dark red. ”

This indicates that her subarachnoid hemorrhage is more severe and more abundant. ”

She spoke quickly, her eyes staring at Zhang Tianyang's face.

It is not only blocking the mouth of the attending doctor, but also comparing it with the "standard answer".

"In this case, the clot may block the passage between the ventricles and the outside, and the old blood may also block the cerebrospinal fluid absorption structure, the arachnoid particles. ”

"Cerebrospinal fluid (CSF) is constantly produced at a normal rate, but it cannot be absorbed, which causes a sharp increase in intraventricular pressure.

The ventricles enlarge, hydrocephalus occurs, compressing other brain tissues, thus endangering the patient's life.

That's why this old lady needs to drain the cerebrospinal fluid. ”

After saying it like a cannon, Lin Ke'an completely ignored the exclamation that lowered his voice and the faces that suddenly realized and waited for the following.

She even ignored the smiling doctor who wanted to praise her.

just stared at Zhang Tianyang tightly, waiting for the "correct answer".

Zhang Tianyang raised his eyebrows.

No wonder this girl is called a scholar, there is still something.

He bowed his head slightly, and continued.

"This old lady had just gone for a CT and needed to be transferred four times from the bed to the flat car, and between the flat car and the CT machine. ”

"Typically, in order to maintain intracranial pressure, not to overdrain cerebrospinal fluid, and to prevent too little drainage, the bottle should be at the same level as the patient's head. ”

"When passing through the bed, the balance is not easy to control, and in order to avoid the regurgitation of the cerebrospinal fluid that has been drained, the drainage tube will be clamped. ”

Speaking of this, some of the white coats who reacted fairly quickly suddenly widened their eyes.

I see!

That's why!

Lin Ke'an's frowning brows gradually relaxed.

Eight or nine is not far from ten.

Zhang Tianyang continued to explain.

"On the way to the patient, there were bumps, and in the same way, the drainage tube was clamped. ”

"For at least half an hour, the drain has been clamped and closed, and the cerebrospinal fluid that should have been drained is trapped in it and can neither be absorbed nor drained, which will lead to hydrocephalus. ”

"The swollen ventricles pressed on the patient's respiratory center, causing what we see as a sharp drop in oxygen saturation. ”

"When the clamping is lifted, the cerebrospinal fluid accumulated in the ventricles has a channel for outflow, the ventricular pressure falls, the volume decreases, the compression is relieved, and the patient is naturally healed. ”

After explaining in one breath, Zhang Tianyang shrugged his shoulders.

Sure enough, he saw a look of "shock", "sudden realization", and "so it is" on his face in a white coat.

"That's what happened!"

"Why didn't I think of that?"

"Oh my God, if I don't explain this in detail, how can I think of it!"

"It's good not my patient......"

In this regard, Zhang Tianyang was noncommittal.

Clinical practice is a process of bold guessing and careful verification.

In the process of daily diagnosis, in fact, it is the same, through various evidences to rule out various similar diseases, and finally make a correct diagnosis.

When he first guessed the reason, he couldn't believe it.

Why does cerebrospinal fluid accumulate to the point where it compresses the respiratory center?

But as it turned out, it was so.

The attending doctor struck while the iron was hot, and hurriedly used Zhang Tianyang's words to beat this group of little bastards.

"Everyone should learn from Xiao Zhang in the future, observe more, think more, and practice more. ”

"I'm not kidding you. ”

"This is the neurology ICU ward, and the patients here are in danger of dying at any time. ”

"When a patient has an accident, the doctor in charge of the bed may not necessarily be there, after all, people always have to eat, drink, and sleep. ”

"But I hope that if something happens, no matter which of you is with the patient, you will take today's events as a wake-up call. ”

"Call the senior doctor quickly and use your own brain at the same time. ”

"Like Xiao Zhang and this classmate Xiaolin, try to have rescue ideas or measures before the senior doctor arrives. ”

If you do well, you will be rewarded, and if you do not do well, you will be punished.

The attending doctor glanced at the little white cats and gave instructions.

"In order to strengthen your abilities, from today onwards, I will assign daily tasks, and everyone will give me a good reading book after they go back, and check it the next day!"

"Isn't it!"

"Don't!"

"Oh my God!"

A low wail suddenly came from below.

Faced with the resentment that came to his face, Zhang Tianyang blinked, indicating that he was innocent.

"What a howl, continue to do rounds!"

With a wave of his hand, the attending doctor continued to complete the rest of the ward rounds with a group of tearful little white cats.

Zhang Tianyang's footsteps paused slightly, and he looked at Lin Ke'an, who was also stopped in place and staring at him.

"You're amazing. ”

This seems to be the second time that Xuebaan has expressed his approval of him.

Zhang Tianyang thought about her well-organized train of thought today, and replied seriously.

"You're not bad either. ”

It's a genuine compliment.

After all, he has been in clinical practice for two months, and it seems that others have always praised him for being good, and he has never praised others.

But it was only a small episode, and his eyes were fixed on the old lady who had recovered his composure for a moment, and his brow furrowed.

The top priority now is the condition of this old lady.

After thinking for a moment, his eyes were clear, and he resolutely chased in the direction of the attending doctor's rounds.

()

Stealing incense