"Senior brother, it's okay, say something!"

The senior brother of the gastroenterology department kept inhaling, and Zhang Tianyang also took a deep breath.

Regardless of whether the senior brother can adjust his state or not, he must prepare with both hands.

His eyes swept over the handle of the senior brother and the scale on which the gastroscope entered.

Then he swept over the black and white abdominal slices hanging next to him.

Gradually, the anatomy of the patient's digestive system was formed into a 3D model in his mind.

The gastroscope, which was already hovering at the door, also appeared in the model.

He quickly figured out how deep he wanted to go and how much the handle needed to twist the lens.

If the senior brother really can't do it, he can take over at any time!

But under his fierce eyes, the senior brother of the digestive department gradually calmed down.

He manipulated the handles, tried to adjust the angle of the lens to practice, and then carefully paid attention to the depth scale of the gastroscope.

In the end, the camera was redirected to the cardia by him.

He looked up, his eyes determined.

"No problem. ”

"Well, I'm ready to deflate. ”

Zhang Tianyang also nodded at him.

Select the tube that connects to the stomach pouch, insert the 50ml syringe, and grasp the connection place.

At the same time, step forward with your feet and slightly bend your knees, making the most stable lunge.

Then, he turned his head and gestured to the little nurse next to him, who was still pinching the salt water.

"We will take care to protect the blood that shoots out. After the blood is squirted, there is no need to pinch the saline. It can help block the blood that spurts out of the patient's mouth. ”

"Good. ”

Finally, he looked at the group of lab coats behind him.

"Stand back, step outside the gastroscope and close the door. lest you spill blood. ”

It seems that someone's breath is disturbed for a while, and he wants to say something.

But the director of the gastroenterology department glanced at Zhang Tianyang deeply, and took the lead in retreating.

The director took the lead, and the remaining white coats could only retreat.

The gastroscopy room door closed, and they peered through the transparent glass on the door.

And Zhang Tianyang is ready.

He looked at his senior brother and said -

"Ready, start deflate!"

At the same time, the syringe in his hand was quickly sucked by him.

At the moment when the stomach pouch was slightly deflated, the strong pressure in the stomach forced a stream of blood to squeeze out a channel, turning into a sharp blood arrow and rushing out from the edge of the stomach pouch!

In an instant, half of the screen was dyed bright red.

But the eyes of the two heavily armed white coats on the stage lit up at the same time.

"It's now!"

"Get in!"

At this moment, in the gastroscopy room, outside the gastroscopy room, everyone involuntarily held their breath and clenched their fists!

Zhang Tianyang's hands were still non-stop, quickly inhaling gas, providing a smooth passage for the gastroscope to enter the gastroscope for the senior brother who had lost his vision in just a few milliseconds.

And the senior brother of the gastroenterology department, the gastroscope in his right hand is accurately sent, and the operating handle in his left hand is gently swinged!

Relying on the feeling that the senior brother of the gastroenterology department has done no less than 100 gastroscopies all year round, and relying on Zhang Tianyang's judgment that he has practiced countless times in his own house.

Although the vision has been submerged in a blood-red, the two white coats know that it is done!

The next moment, the unblocked blood turned into a bloody arrow from the small mouth reserved for the patient's tracheal intubation.

The little nurse was quick-eyed, discarded the salt water that she no longer needed to pinch, and quickly blocked the gauze in her hand from the path of the blood arrow.

"Poof!"

In an instant, blood was already dripping from her gloves and gauze.

But the blood didn't stop gushing at all.

Although with the incessant sucking of Zhang Tianyang's subordinates, the channel for blood to flow out became wider and wider, and the pressure was not as great as before, changing from "small jets" to "large springs", but the amount of bleeding was still amazing.

Soon, the three-lumen two-cyst tube was so deflated that it couldn't jam the esophagus, and under the gravity of the heavy water bag in the bed, it flew out of the patient's mouth!

Then there was a "snap" and it fell into the hands of the little nurse and was firmly grasped.

Zhang Tianyang hurriedly removed the pressurized water bag, threw the three-lumen and two-sac tube aside, and then rushed to the senior brother of the gastroenterology department who had been struggling to maintain the posture just now, ready to take over.

The three-lumen and two-capsule tubes have completely withdrawn, and the blood accumulated in the patient's stomach is no longer obstructed, and it continues to bubble out through the mouth.

If the patient had not been intubated with a trachea, blocking the passage of the trachea and esophagus, this amount of blood could have flooded the trachea in minutes and led to suffocation.

"Why so much blood!"

The little nurse was shocked.

But Zhang Tianyang was not surprised at all.

Think about it, in the state of esophageal and gastric varices, the pressure in the blood vessels is very high.

Once ruptured, the rate of bleeding is fatal.

This patient has been bleeding for more than ten hours, and even had two cardiorespiratory arrests, all of which relied on fluids to continue his life.

One can imagine how much blood was stored in his stomach.

One can imagine how difficult it is to find the bleeding point in this situation.

The senior brother of the gastroenterology department has always maintained the posture of poking the gastroscope into it, and he didn't dare to move, for fear that he would shake it a little, and the vision that he had finally found would be deviated.

"Senior brother, I can only do it here. Later, it's up to you. ”

"Good. ”

The senior brother of the gastroenterology department let Zhang Tianyang catch the operating handle and gastroscope from his hand respectively, and the whole person relaxed, only to find that his back was already soaked.

It was really with great perseverance that he restrained his hands from shaking.

It's just too much pressure!

But now, the pressure has been transferred to Zhang Tianyang's hands.

The screen has turned bright red.

After waiting for a while, the blood inside flowed out, the pressure decreased, and the little nurse was again assigned to pinch the saline.

The suction tube is suctioning all the time.

The colorless salt water poured in continuously, and the dark red liquid was continuously pumped into the large jar at his feet, but the vision did not mean to become clear at all.

The senior brother of the gastroenterology department almost found something to lean on, and his eyes were staring at the screen.

But even though he has recently spent a lot of effort studying fluid mechanics, he still can't see the direction of the blood flow.

Not to mention finding that damn bleeding spot!

The blood-red on the screen shook his eyes, and he was in a trance back to that night not long ago.

The old man he woke up from his sleep and took over an old man who was also suffering from cirrhosis of the esophagus and gastric varices and bleeding, and he felt hopeless.

But just as he was about to give up and let go of the three-chambered and two-bag personnel to obey the destiny of heaven, the junior brother appeared and said, I'm coming.

"Give me the clip!"

Zhang Tianyang's voice was like a memory, and it was like reality, and the senior brother of the digestive department was in a trance.

"Did you look at the direction of the bleeding flow so quickly and find the bleeding spot?"

"I'm afraid I'm hallucinating, right?"

But soon, a crisp voice sounded in my ears - "Click!"

The senior brother of the gastroenterology department forced himself to come back to his senses, and saw that Zhang Tianyang was pumping something out.

He couldn't help but speak.

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