Chapter 438: The hand rises, the knife falls
There was a brief pause in the operating room.
The scalpel that was handed to the center reflected the light of the shadowless lamp straight, which was a bit dazzling.
"Director?"
Zhang Tianyang was a little unsure if he had heard it wrong.
But the director of the Department of Urology stared straight at him and repeated it word by word.
"Xiao Zhang, you come. ”
"Director!"
This time, everyone heard clearly, and the first to react was Zhao Tianwang.
I saw that his wheezing was thickened, and the limited exposed skin began to change color a little, obviously emotional.
"Huh?"
The director of the Department of Urology turned his head to look at Zhao Tianwang, his eyes narrowed.
"Dr. Zhang's hands are steady, and he has had many experiences of stopping bleeding without a visual field under the microscope, Dr. Zhao, do you think it's inappropriate?"
"I ......"
Zhao Tianwang instinctively wanted to make a shocking roar, but Zhang Tianyang's various operations flashed in his mind today, he hesitated for a moment and slowly lowered his head.
"Xiao Zhang, come on. ”
The chief director looked at Zhang Tianyang again, the seriousness and sharpness on his face disappeared instantly, and there was encouragement and trust in his eyes.
"Good. ”
Zhang Tianyang did not shirk and withdrew the scalpel.
But he didn't go under the knife immediately, but turned his head to look at Pan Anesthesia, who was looking at the monitor not far away.
"Anesthesia teacher, I need you a favor. ”
Zhang Tianyang pointed to the treatment table at the door of the operating room, "There is a clean towel I just took from the handwashing place on that table, please ask the anesthesia teacher to help bring it." ”
"Huh? This towel is ......."
Pan was a little stunned, but obediently took a few towels as he said.
"That's it. ”
Zhang Tianyang pointed to his protective mask.
"Wait until the blood spurts out, it will affect the field of vision, and we may need to trouble the anesthesia teacher to help you wipe it for us. ”
"Oooh......"
Pan Anesthesia nodded stunned, thinking that this stinky boy was quite thoughtful, and Zhang Tianyang had a new task on his side.
"Also, Mr. anesthesiologist, I need you to come over with a towel and help me wrap around the top half of the mask first.
This way I can still see the bottom half of the field of vision, and when the blood spurts out, you can take the towel away and I can keep the field of vision all the time. ”
Pan began to be stunned again.
This stinky boy, I really want to praise him for being a little clever ghost!
Pan Anesthesia obediently carried the towel, stood behind Zhang Tianyang, raised his hands high, and helped him wrap around the towel.
At the same time, half of his body is still twisted to the side, always paying attention to the patient's vital signs on the monitor, which can be called conscientious.
"Teacher. ”
Zhang Tianyang began to call the nurses in the audience again.
"There's a couple of other towels on the table over there, and I'll need your help wiping the blood from the shadowless lamp later.
Oh yes, the cloth I've put on top of the shadowless lamp is stacked, and you can pull it when the first wave of blood sprays up, so that the blood from the ceiling doesn't drip down and pollute it. ”
"By the way, the blood in the blood transfusion department will be freed up, so you must urge it again. ”
"Teacher on the stage, let's pick out the equipment I want to use later, and put it here so that I ......can take it."
Zhang Tianyang rarely chatters so much, but at this time he has to think about everything.
After all, it was the first time he had encountered such a patient in reality.
The director of the Department of Urology looked at Zhang Tianyang's orderly arrangement, and forcibly looked calm.
Although I knew that this occasion was inappropriate, I still couldn't help shouting in my heart-
I want him! He's mine! It's mine!!
Zhao Tianwang seemed to be a little out of line, and at this time he watched silently, his eyes were complicated, and his mouth opened unconsciously.
"Original...... It's all prepared in advance......"
It took him a while to come back to his senses.
Then silently calmed down and stared down at the patient's big belly.
A person who does not learn and knows no skills is always jumping in front of you, and you will feel that he can't tell the difference between the situation, and it is annoying and obstructive.
But what if a very capable person arranges his work in an orderly manner?
Zhao Tianwang felt that he might have preconceived before.
Who says young doctors are unreliable?
This Dr. Zhang may be trustworthy.
"That's probably it, please cheer up the teachers, we'll cooperate later. ”
Zhang Tianyang finally assigned the task, turned his head, and looked at the patient's stomach again.
He took a deep breath -
"So...... I'm here I go!"
Hold your breath and lift your knife.
The light of the shadowless lamp shines.
A circle of heavily armed blue figures was engrossed.
"Didi-Didi-"
In the quiet operating room, only the monitor is working.
Knife, falling.
Glide gently and flexibly across the skin.
The sharp tip of the knife flashed a few bits, and then quickly became dipped in bright red.
"Whew-"
The circle of people even seemed cautious about breathing.
But Zhang Tianyang maintained a very steady force, and the tip of the knife only cut through the skin, and did not reach the lower layer.
A long red line appeared on the patient's belly, and a row of blood beads slowly emerged.
The patient's blood pressure is not enough.
So much so that the small superficial blood vessels are cut, and the speed of bleeding is very slow.
"Zizi-"
The electric knife was swept over, and the small bleeding spots were treated one by one.
"I'm going in. ”
Zhang Tianyang informed and picked up the scalpel again.
The patient is suspected of bleeding and rupturing the left kidney, so the place where Zhang Tianyang went under the knife was in front of the rectus abdominis muscle on the left side.
The tip of the knife is slowly pressed down.
The skin that had been cut open slowly opened outward due to the huge tension.
The subcutaneous tissue and anterior rectus abdominis sheath are quickly cut and cleaned.
The tissues of the abdominal wall, which should have been soft and thick, are now stretched thin and swollen by constant tension.
Zhang Tianyang carefully separated the rectus abdominis muscle, but the speed was not slow at all.
Less than half a minute, he spoke again.
"It's going to be in the abdominal cavity. ”
The big director and Zhao Tianwang on both sides consciously acted as assistants and hurriedly followed.
After lifting the peritoneum with 2 lifts, the abdominal cavity appears in front of you.
Gently opening the retroperitoneal part of the omentum and intestinal tube, Zhang Tianyang pulled them out of the incision range, and at the same time stretched out his hand to the side.
"Warm salt water gauze!"
"It's coming. ”
The director had already prepared it with the instrument nurse on the stage, and at this time he hurriedly pinched the gauze and protected the omentum and intestinal tube wrapped by Zhang Tianyang.
"The adhesion is a bit severe. ”
Zhao Tianwang frowned, and his face was not very good.
In the eye, the omentum and the abdominal wall are adhered in many places and squeezed together.
Zhang Tianyang didn't speak, but his subordinates didn't stop, and soon, the adhesions of the omentum were loosened.
Zhao Tianwang looked up, slightly confused.
Further down, part of the intestine appears to be patchy, apparently due to congestion and bruising caused by the intense tension.
Zhang Tianyang frowned, opened another section of intestines, and his face was slightly gloomy.
Under that section of the intestine, there is a high raised retroperitoneal area, and hematomas and bruising are all over the field of vision.
"Whew-"
Beside him was the heavy breathing of the Great Director and Zhao Tianwang.
"It's supposed to be an emergency operation...... Otherwise......"
The small murmur in his ears seemed to come from the big director, Zhang Tianyang did not squint, and pushed the intestinal tube to the right with both hands, and then quickly separated the adhesion band.
Zhao Tianwang's eyes flashed with confusion again.
"It's going to be in the posterior peritoneum. ”
Zhang Tianyang paused slightly and turned his head to look around.
"The anesthesia teacher, the teacher on and off the stage, the last layer, everyone cheers up. ”
"Towels can be wrapped around. ”
"Remember to prepare the cloth on your head. ”
"Let's speed up the rehydration. ”
"The suction device is a little more powerful. ”
"Whew-"
Zhang Tianyang took a deep breath again, his eyes stared,
"Let's go!"
The hand rises, and the knife falls.
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Lalala~
It is diligent and hard work (??????????)
Stealing incense