Masks, hats, gastroscopy instruments that have just been unpacked.

Although the gastroscopy room is similar to the operating room, there is generally no need to wear a surgical gown.

After all, the intestines are inherently connected to the outside world, and there is no need for the standard sterility of the operating room.

But the nurse who wore two white coats and a helping nurse still put on a surgical gown and goggles that were not commonly used.

Seeing these things that Zhang Tianyang ordered to prepare, the senior brother of the gastroenterology department was not too surprised.

He knew very well what Zhang Tianyang meant-

Fear that blood will come out, on the exposed skin, into the eyes, and affect the patient's rescue.

After all, from the beginning of vomiting blood to the present, the patient's hemoglobin has been dropping, and all the blood has accumulated in the stomach.

It all relied on the three-lumen and two-sac tubes to block the outlet, so that the blood did not spill out.

Now the gastroscope is going to enter, and God knows how much blood will spurt out in that instant!

In this battle, the difficulty is not only to successfully find the bleeding point and perform precise banding.

Poking the gastroscope into it is a super difficult thing in itself!

"Let's get started!"

Senior Brother Gastroenterology took a deep breath, and the frown that had just been furrowed immediately relaxed.

There was a large red mark on his eyebrows, because the driver was driving too fast, he didn't grasp it steadily, and it crashed out.

frowned, and suddenly grinned under the mask in pain.

But he didn't choose to rest first, but walked forward directly, holding the operating handle of the gastroscope with one hand and the gastroscope with the other.

This thing that looks like a gamepad usually allows him to control the direction of the gastroscope and observe the patient's various pathologies.

And now, it is a weapon in the hands of the gastroenterology brother, used to fight against the abominable esophageal and gastric variceal bleeding.

Zhang Tianyang had already put his hands together and tilted the patient's head back, exposing a small opening specially reserved for the endotracheal tube.

The three-lumen two-capsule tube comes out of the nostrils, while the gastroscope goes in through the mouth.

As the gastroscope deepened little by little, the picture gradually appeared on the screen.

The yellow rubber tube is also taut in the body, and the gastroscope sinks along it, little by little.

Through the oropharynx, through the esophagus, and when entering the lower esophagus, the road in front is blocked.

Three-lumen two-capsule tube, as the name suggests, has two capsules.

A stomach pouch that is inflated and blocked in the stomach.

An esophageal sac that is inflated and filled into the lower esophagus.

What you see now is the esophageal sac that fills the esophagus.

To continue down into the stomach, the gas in the esophageal sac must be removed.

"Need help. ”

The gastroenterology senior brother controls the direction of the gastric lens with one hand on the joystick, and pinchs the long tube of the gastroscope with the other hand to control the depth of entry.

There is no extra third hand to do the work.

But as soon as his words came out, he found that Zhang Tianyang had prepared a 50ml syringe and was on standby at the end of the three-lumen two-capsule tube that fell on the bed.

The senior brother of the gastroenterology department was stunned for a moment, and was a little caught off guard.

He subconsciously turned his head to look around.

But this look, I found that there was only one nurse behind her, and there were silently a few more white coats.

Zhang Tianyang naturally noticed these white coats a long time ago.

His eyes swept over the badges of these white coats, and he found that they were all gastroenterological.

Like, there's also a director.

They didn't know when they came in, they didn't make a sound, they didn't question it, they just stood silently behind them, watching.

Perhaps, this is another kind of support.

Zhang Tianyang didn't speak, just nodded at them, and then focused on the patient again.

He pinched the tail end of the three-chamber two-capsule tube with one hand to prevent it from slipping, and with the other hand handed a transparent tube to the senior brother of the gastroenterology department.

"Connect the aspirator. ”

"It's connected!"

Behind him, the director of the gastroenterology department silently helped turn on the switch connected to the transparent tube, and the suction came from the tube.

Almost instantly, streams of translucent liquid were sucked out of the tube and into the large jar on the ground.

This is a saline solution that is continuously injected to be able to see the intestines clearly and smoothly under the camera.

The little nurse was already in place next to several large bags of saline that had been hung, "Do you want to change the filling speed?"

"No change!"

Zhang Tianyang replied in a deep voice, and then gestured to the senior brother of the digestive department.

"And here I go?"

"Let's go!"

"Start deflating!"

The picture on the screen is fairly clear.

With Zhang Tianyang's movements, it was visible to the naked eye that the esophageal sac gradually became shriveled from fullness.

Threads of blood began to seep out around the deflated esophageal sac, diluted with saline, and then sucked by the suction device.

Soon, the esophageal sac was completely deflated.

Zhang Tianyang stopped suctioning and clamped the nozzle shut.

Now, then, the last pouch remains.

The two sacs of the three-lumen and two-sac tubes are not only to compress and stop the bleeding, but also to block the passage of blood flowing retrograde down the esophagus.

Now the screen is exposed to the cardia part of the stomach, which looks like a small meat mouth.

This is the part where the stomach connects to the esophagus, and it is also the part of the gastric sac that is enlarged and blocked by the three-lumen two-sac tube.

"Further down, it's the fundus. ”

Zhang Tianyang spoke softly, and then looked at the senior brother of the gastroenterology department.

The palms of the senior brother of the gastroenterology department were a little sweaty.

The little nurse watched from the side and involuntarily clenched her fists.

Although the white coats in the back were already very quiet, if you pay close attention, you can find that they are breathing more and more carefully, for fear of affecting the operation in front.

Everyone knows that the first and most difficult pass has arrived.

What was blocked by the stomach pouch was a bulging stomach that had been bleeding for more than ten hours and was supported by the amount of bleeding that could make the patient hypovolemic shock!

The pressure on the stomach lining is so great that you can imagine it!

Once the stomach pouch deflats a little, the blood inside finds an outlet and will spurt out in an instant!

A scene even more terrible than a flash flood!

In that instant, bright red will fill the entire screen!

And what they have to do is to spurt the gastric pouch down, the blood spurts out, and creates a channel at the moment, and successfully sends the gastroscope to the designated location!

Because once the vision is stained red with blood, there is no way for them to successfully locate it!

One chance!

The gastroenterology senior brother kept taking a deep breath to adjust his state.

He has seen Zhang Tianyang's amazing operation, and he also believes that he can successfully see the direction of the bleeding flow and find the bleeding point with the help of "fluid mechanics".

But if he can't even find the correct vision, no matter how powerful Zhang Tianyang is, if he can't see it, how can he judge it!

"Senior brother, can you?"

Zhang Tianyang stared at the senior brother of the gastroenterology department, his eyes were sharp.

Behind is a group of gastroenterology doctors watching, but Zhang Tianyang is not ready to save face for the gastroenterology brother.

At this time, it's not a matter of giving or not giving the other party, okay is okay, no is no good.

The senior brother can't do it, so he goes on his own.

You must not joke with the patient's life!

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Stealing incense