Chapter 410: Even if I'm sick and lying on the operating table, I'm going to-

The patient's eyes widened and he stared straight at him.

Even if Zhang Tianyang had a buff of calm +1, he was still taken aback.

Nearly died on the spot.

But he reacted quickly.

"Are you alright, can you hear me?"

Zhang Tianyang's fingers had been pressed on the side of the patient's carotid artery, and the regular pulsation he felt on the ventral side of his finger made him feel a little calmer.

At least the patient's heart rate and blood pressure should be okay.

"Yes. ”

The woman on the operating table whispered, her eyes rolling gray.

Seeing a few green villains surrounded by a big enemy with their faces, she looked a little weak.

It feels like you're doing something wrong......

"Are you feeling anything wrong?"

Zhang Tianyang slowed down his voice, but his subordinates were not slow at all, and quickly connected the ECG monitoring that had not been on before.

When the screen began to show a steady and regular waveform, the woman whispered a sentence again.

"I'm just, a little bit of a stomachache, nothing else. ”

"Is there an aggravation?"

Zhang Tianyang's eyes swept back and forth between the monitor and the patient's face, recognizing expressions while looking at the data.

"It didn't make ...... aggravated"

The expression on the woman's face did not show much pain, and the abdominal pain should not be very serious.

But the tangled color is a bit serious.

Zhang Tianyang cautiously continued to ask.

"Has there been a change?"

"There are no changes ...... either"

"Didi, Didi"

The dripping sound of the monitor follows the heartbeat, regular and steady, the waveform beats beautifully, and the blood oxygen and blood pressure soon show normal.

The three of them quietly breathed a sigh of relief.

The little nurse with a somewhat grumpy temper just went down in one breath, and the other breath immediately came up, and her tone was a little impulsive at that time.

"Then why don't you hum anymore? Didn't you hum all the time just now?

"I ......"

The woman bit her lip weakly, with an expression full of mistakes and admitting punishment, "I'm sorry......"

"You ......"

Seeing that the patient was so weak, the little nurse couldn't get up, and sighed helplessly, "There has to be a reason, right?"

"I ......"

The woman cautiously raised her head, went to see Zhang Tianyang, who was sitting back in front of the computer to look at his medical history, and explained in a small voice.

"Aren't you talking about gossip, I'm just going to hear about it......"

Little Nurse: "......"

Senior Brother Qiu Ming: "......"

Yes, the reason is strong!

The little nurse silently rolled her eyes, turned around and prepared to continue her work.

"Huh. ”

The woman on the operating table was a little restless, and reached out and grabbed the corner of the little nurse's clothes.

She tried hard to signal to Zhang Tianyang with her eyes.

"You guys, no more discussions?"

Senior Brother Qiu Ming, who was watching from the sidelines, was immediately speechless.

Sisters, how much gossip you have!

Even if I am sick and lying on the operating table, I have to shout in a hoarse voice and gossip about me?

But the woman on the operating table continued to whisper, "Didn't you say that it is difficult to recognize people? I just saw the doctor, and he reached out and wiped the man's chest, and he recognized the person." ”

"Huh?"

The little nurse put away the impatience on her face, and Senior Brother Qiu Ming also pricked up her ears.

The woman's eyes sparkled a little, and she reached out to show something.

"And I also saw that another doctor went to look for this, but he didn't find it. ”

The little nurse and Senior Brother Qiu Ming came up and saw the light blue wrist strap lying in her palm.

The wristband is the most important evidence to identify the patient, and the wristband will be printed with the patient's name, age, gender, ID and other information.

This wave of patients' wristbands are not really in place, either pinched in the patient's hand or caught in the medical record.

If what the woman saw was true, Zhang Tianyang would just wipe it casually, and it would be impossible to see the wristband.

So, how did Zhang Tianyang recognize who was the two male patients?

By body type?

However, the medical record information does not provide information about the patient's body type!

And although the two male patients are fat and thin, they look about the same age.

By virtue of the consciousness of the situation?

But when they came, the two male patients didn't seem to be very conscious?

Qiu Ming was confused.

At that time, the situation was so urgent, how did Zhang Tianyang recognize it in seconds?

The little nurse was much more direct, and ran directly to Zhang Tianyang's side.

"Doctor, how do you pick out which one is a ruptured esophagus?"

How can you tell who's who?

Zhang Tianyang raised his head, met the curious eyes of the three people, and blinked innocently.

"It's subcutaneous emphysema. ”

"Huh?"

Qiu Ming was a little stunned, and then thoughtful.

The little nurse knew a certain amount of the word, but still couldn't figure out why.

The woman on the operating table had her eyes wide open, her eyes full of bewilderment.

"Okay, I'll explain it to you. ”

Zhang Tianyang sighed softly, "Let's prepare, say while preparing." ”

"Okay!"

The little nurse was highly motivated and took the initiative to take off the woman's pants on the operating table.

The woman seemed a little shy, but in order to listen to the gossip, she was stunned and cooperated.

Zhang Tianyang noticed this and couldn't help but feel Buddha.

"It's actually quite simple. ”

He helped to adjust the patient's position, and his mouth kept talking.

"In a patient with a ruptured esophagus, food, liquids, and gas leak out of the ruptured esophagus.

When the injury is to the cervical esophagus, there will be subcutaneous emphysema in the posterior neck space.

When the esophagus is injured in the thoracic segment, there will be mediastinal emphysema or fluid pneumothorax. ”

"At this time, if you touch the corresponding part, there will be obvious signs, which we call the snow grip.

If you touch it, you will naturally tell who is who. ”

"I see!"

The little nurse was a little surprised, it turned out that the principle was so simple after explaining it clearly.

But at the same time, I am also a little happy, if it is so simple, won't I also master this new skill in the future?

Happy!

Senior Brother Qiu Ming pursed his lips and didn't speak, but his eyes were full of affirmation when he looked at Zhang Tianyang.

Although this kind of theoretical knowledge is not difficult, it can be learned and applied, even when it is so urgent just now, Zhang Tianyang's clinical experience is so rich......

Sure enough, Senior Brother Zhang really never let him down.

But, it's still that question-

Where did he gain experience?

"Dr. Khoo. ”

The little nurse recovered from her surprise and joy, and took the initiative to ask Zhang Tianyang's heels.

"Is this the new doctor? What ward is he?

The woman whose pants were half faded also secretly looked down.

This doctor seems to be quite powerful, and it is best to take the opportunity to listen to his name, and it is better to let him take care of himself.

But Senior Brother Qiu Ming's face showed a look of obvious embarrassment.

"This ......"

"What is this, what is this!"

The grumpy little nurse frowned on the spot, "Why did Dr. Qiu push back, didn't he want to tell me?

Qiu Ming shook his head and explained, "No, no, it's just ......"

"It's just what!"

The little nurse couldn't wait, so she left Senior Brother Qiu Ming and asked directly about the main master.

"Doctor, where are you in our gastroenterology department?"

"Well, how can I say that? ”

Zhang Tianyang looked at the inquiring eyes of the little nurse and the cautious gaze of the woman on the operating table, revealing a harmless smile.

"Actually, I was still an intern. ”

"What's that?"

The little nurse's eyes widened.

Zhang Tianyang smiled modestly.

"I said, I don't have a gastroenterology department, and I haven't had my turn yet.

I'm still an intern. ”