"it!"

This is the third time Zhang Tianyang has called a groove today.

This is really a fountain!

His heart was beating wildly, but his subordinates were not slow, and a stack of gauze directly pressed the fountain.

In an instant, the white is infiltrated by the red at a speed visible to the naked eye.

Professor Zhou blinked vigorously and looked at the patient's neck.

The little nurse Lin Lin had just been frightened back two steps by the blood-colored fountain.

At this time, he walked to the bedside again, staring at Zhang Tianyang with a pair of eyes.

If resentment could kill people, Zhang Tianyang might have died hundreds of times by now.

Zhang Tianyang vaguely felt the little nurse's resentment and raised his head suddenly.

Lin Lin hurriedly looked away.

"Xiaolin, you stare at the patient's oxygen saturation!

Also, give the professor a light.

Do you have a flashlight? If you don't have a mobile phone. ”

"Okay!"

Nurse Kobayashi nodded frantically and quickly turned on the flashlight of her mobile phone.

The light was a lot better than just now.

Professor Zhou's eyes widened, and he searched for the bleeding point in the direction of the bleeding.

Zhang Tianyang followed to find it.

Fortunately, the patient's bleeding slowed down, and there was no more blood-colored fountains.

Zhang Tianyang speculated that this was because a lot of blood accumulated in the neck after the blood vessel rupture, and only a small part could leak out through the passage between the internal jugular venous indwelling catheter and the skin.

This patient had an internal jugular vein catheter done yesterday.

If the ruptured blood vessel had been damaged at the time, then the blood that formed the blood-colored fountain had been accumulating for most of the day.

Now that the skin is cut, the blood that has accumulated here spurts out, forming a fountain.

In the same way, if the deposited blood is removed, the new blood will appear to be greatly reduced.

"Does it feel like a bleeding point in this direction?"

Zhang Tianyang stared as he thought, and vaguely felt that the new blood seemed to be oozing from the place where the patient's jaw was biased.

"I think it's this side too, but I can't find a bleeding spot. ”

Professor Zhou agreed.

Because Zhang Tianyang was unusually calm and skilled, Professor Zhou subconsciously regarded him as a senior doctor.

After continuing to observe for dozens of seconds, he asked Zhang Tianyang's opinion.

"Why don't you cut a little more?"

The current incision is only 3 cm, and the direction is oblique from the skin of the internal jugular vein catheter to the patient's jaw, but both of them feel that the bleeding point is further up.

Professor Zhou added, "When I placed a catheter on him yesterday, I did puncture in this direction. ”

"I think it's okay to cut. ”

Zhang Tianyang nodded, and then asked the little nurse Lin Lin for an extra bottle of lidocaine.

Aspiration, exhaust, infiltration anesthesia.

Except for some commotion when the patient was anesthetized, the patient was quiet the rest of the time.

Professor Zhou exclaimed, "The anesthesia technique is good. ”

"Cut?"

Taking the scalpel handed by Zhang Tianyang, Professor Zhou also cut diagonally about 3cm away from the incision just now.

The speed at which the blood gushed out sped up a little.

Zhang Tianyang hurriedly filled it with gauze, and then threw the bloodstained gauze aside.

There was already a mountain of blood-colored gauze there.

But the hearts of the two were settled.

The direction should be correct, and the bleeding point should be nearby.

Professor Zhou bent down slightly, pinched the tweezers with both hands and pulled the patient's neck tissue, and opened his eyes wide to find the bleeding point.

But after all, it was living flesh and blood, and there was blood red everywhere, and new oozing blood kept coming out, interfering with judgment.

Professor Zhou's eyes were sore, and he couldn't find a bleeding point.

"Whew-"

He exhaled a breath of turbid air and straightened up to rest, but his body shook.

"Professor. ”

Zhang Tianyang took a step under his feet, avoided the sterile gloves on his hands, and used his back to support Professor Zhou, who was unsteady on his feet.

Professor Zhou also looked like he was in his fifties and sixties, his hair was a lot grayer, and his physical strength had seriously decreased.

After looking for so long, Professor Zhou has been bending over, which should not be very comfortable.

Zhang Tianyang motioned to the little nurse Lin Lin to hold her behind, and then asked tentatively:

"Why don't you come and rest for a while. ”

"Okay, you can take a look. ”

Professor Zhou didn't act recklessly, and he felt a little dizzy in front of him just now.

At this time, it is unrealistic to force himself to find the bleeding point, and according to his current state, he can't find it.

The little nurse Lin Lin brought a chair, and Professor Zhou took a break.

Zhang Tianyang took over Professor Zhou's position, stood alone in front of the hospital bed, and began to hold tweezers to look for bleeding spots.

Blood-colored flesh contains not only blood vessels, but also nerves and muscles, and connective tissue wraps them together, indistinguishing them from each other.

Even with the bonus of "eyesight +1" in the system, Zhang Tianyang is very difficult to find.

"Didi!"

The old lady's monitor suddenly screamed, and the little nurse screamed beside her.

"The patient's blood pressure has dropped! It's 90!"

The blue number representing blood pressure above has become 90/56mmHg, Zhang Tianyang glanced at it quickly, and his subordinates were still very stable.

"Xiaolin, go to the nurse's station!"

"I just asked the nurse over there to prepare fluids and dopamine, you bring them over and pick them up for her!"

Just now, he vaguely seemed to have found a spot where the direction of blood flow was not normal, and if there was no accident, the bleeding point should be there.

Soon!

The nurse's station was next to the intensive care unit, and Zhang Tianyang could hear a commotion coming from there.

Ten seconds later, the little nurse Lin Lin ran over with a bunch of things and started to operate on the treatment cart.

Quickly deliver fluids to the patient and adjust the drip rate to the fastest for rapid rehydration.

Dopamine and epinephrine were also placed on the treatment cart, waiting for the doctor's order to prescribe the injections.

Nurse Kobayashi stared at the patient's monitor with a sad face.

"Blood pressure is still dropping! It's 85 now!"

Zhang Tianyang did not speak.

Professor Zhou did not speak.

This is obvious due to the decrease in blood pressure and shock caused by the decrease in circulating blood flow, and the fluid has been replenished, but it takes some time for it to work.

On the other hand, as long as the bleeding point can be found and ligated, the patient's condition will recover sooner or later.

Look at Zhang Tianyang!

Professor Liu couldn't help but wave his fist to cheer him on.

In fact, Professor Zhou had already rested, but he didn't let Zhang Tianyang give up his position, just stood behind Zhang Tianyang and watched him operate.

He didn't know why he trusted Zhang Tianyang.

Maybe it's been in the clinic for a long time, looking at people's intuition?

Zhang Tianyang stared intently at the blur of flesh and blood under his hands, ignoring what was happening around him.

He had a hunch and was about to find it.

Move your fingers flexibly to open up a small piece of tissue......

"That's you!"

Replace with a hemostat and clamp it on both sides of the end of the vascular segment -

One second

Two seconds

Three seconds

There is no new blood in the field of vision.

"The bleeding has stopped!"

Professor Zhou looked at it next to him, "It's this blood vessel!"