I don't know why, but for a moment, the head doctor suddenly wished he was dazzled.

It's not that I hope Zhang Tianyang can't wear it, and it's not that I don't want the patient to be saved.

I just hope that Zhang Tianyang can wear it two more times.

In this way, he can still have a little face.

However, the long silver needle went against his imagination and pierced all the way in!

It wasn't until the silver needle was only 1.5 centimeters outside and his right hand felt an obvious sense of breakthrough that Zhang Tianyang stopped.

Carefully fix the needle depth with your left hand and pull out the needle core with your right hand.

"Tick! Tick!"

Some whitish liquid came out!

"It worked!"

The two little white cats barked excitedly.

The one who was a little not calm blurted out the thoughts in his heart again.

"Another victory created under impossible conditions, excluding the disapproval of senior doctors!"

"The big guy frowned slightly, thinking that you were a vegetable ratio, so he decisively let you get up!"

"The big guy starts operating. ”

"The big guy succeeded!"

"Damn, what are you talking about!"

The calm little white cat couldn't keep its composure anymore, and went up and covered the mouth of the little white cat that was playing freely.

Then he looked back in horror and looked at the doctor in charge who was called "Caibi".

I'm afraid to see the death stare of the head doctor.

However, the head doctor had no time to pay attention to them at the moment.

His eyes were fixed on the half drop of liquid hanging from the end of the puncture needle, and his mouth couldn't help but open wide.

It's really worn out!

Two Needles!

Shocked, he even forgot to hand Zhang Tianyang the instrument.

Zhang Tianyang was calm, his left hand was fixed, and his right hand held a "7" shaped tube.

Then, with a natural movement, the needle core is pulled out, the tube is connected, and the patient's intracranial pressure is measured.

Under the action of pressure, the liquid plane rises rapidly.

The CSF pressure in the lateral decubitus position in a normal person is usually between 80 and 180 mm of water.

And the patient's cerebrospinal fluid fluid level soon exceeded 80, then 150, and finally 180, and it was still going up.

"Cerebrospinal fluid pressure is elevated. ”

Zhang Tianyang frowned, his eyes stared at the liquid level that was still rising, and scolded casually.

"Be quiet!"

It was useless for the companion to cover his mouth, and the excited little white cat lost his voice in an instant.

Brother Yang has spoken, you must listen!

The doctor on duty gradually got out of the state of doubting life, and stared at the still rising liquid level with a solemn face.

For a moment, the five white coats were staring at the liquid plane.

The two little white cats didn't quite understand the meaning of the liquid level rise.

But Zhang Tianyang, Lin Ke'an, and the doctor on the main shift couldn't help but tighten a string in their hearts.

Patients suspect increased intracranial pressure, which is diagnosed prior to lumbar puncture.

When intracranial pressure is high, patients may present with projectile vomiting.

Although the two of them did not really see the specific situation of the patient when he vomited, it can still be inferred from the residual marks on the corners of the patient's mouth and clothing.

Mannitol is already on the table, but the effect may not be as fast.

Now, the three of them are waiting for how high the intracranial pressure is.

If it is still within the controllable range, after the cerebrospinal fluid sent for laboratory testing is obtained, it can be continued to be extracted to reduce intracranial pressure.

But if the pressure is already high enough to exceed 300 mm of water, you can't put too much of it.

Otherwise, it may lead to dangerous conditions such as brain herniation.

The level of pressure determines the choice of follow-up treatment for patients.

Where the eyes of the three people met, the water level slowly rose.

190mm......

200mm......

Eventually, the liquid level stopped at the 210mm level.

"You can drain the liquid. ”

With a little relief, Zhang Tianyang replaced the "7" tube, pinched the three small test tubes he had inserted before, and began to pick up the cerebrospinal fluid that dripped out.

"Whew-"

Breathing a sigh of relief came from the front left and the rear right, respectively.

"Woo woo, woo woo, lalala~"

The patient begins to be agitated again.

However, the needle has already entered the subarachnoid space, and as long as the needle does not come out, it is not a big problem to move it slightly.

Zhang Tianyang's left hand did not move like a mountain, counting the drops while moving the tube in his right hand.

In general, lumbar puncture for diagnostic purposes involves taking three tubes of cerebrospinal fluid (CSF) of 1-2 ml each.

Biochemical, microbiological, and general traits are examined.

Soon, the three tubes were full.

Lin Ke'an, who had already prepared the lid, took it smoothly, pressed the lid tightly, and then correctly applied the three labels that the nurse had just handed over.

Zhang Tianyang glanced at it and found that there was no mistake, so he shook his right hand and picked up another syringe.

In patients with increased intracranial pressure, appropriate drainage can help relieve symptoms.

A slightly yellowish clear liquid was withdrawn from the puncture needle, and the miraculous thing was that the patient was restless just now, but now he was obediently quiet.

Finally, the needle is withdrawn, sterilized, and the dressing is applied.

After doing lumbar puncture, you need to go to the pillow to lie flat for six hours, which is usually told to the patient, and now in the emergency room, Zhang Tianyang explained to the doctor on duty.

The head doctor was a little helpless.

As an attending physician, he certainly knows what to expect after a lumbar puncture.

But just now he didn't wear it for half an hour, Zhang Tianyang had two stitches in place, and now he can only listen honestly.

The two little white cats ate melons next to them with relish.

The doctor on duty has not felt embarrassed or anything.

He's adjusted his mentality.

After all, after today's incident, Zhang Tianyang's image of an "intern" in his mind has been replaced by "pervert".

When an intern hits him in the face, he may be ashamed, and maybe angry.

But a pervert slapped him in the face, what is he ashamed of?

Such a young perverted little doctor, when he arrives, even the director has to be slapped in the face by him.

His own face is not so expensive.

You don't see that the last time he insisted on doing a gastroscopy for a "mortal" patient, so many of the attending patients in the group were slapped in the face one by one!

This time, I just used it as a background board for comparison, and I am not the villain who jumped out and obstructed in every way.

Not a big problem!

......

After a portion of the cerebrospinal fluid was released, the patient's euphoria improved significantly.

I don't know if it's Zhang Tianyang's credit for releasing cerebrospinal fluid, or the drugs he gave before have a role.

The patient's family rushed in.

The doctor on duty, Zhang Tianyang, and the medical staff on duty explained the condition to the family.

The classmates who ate at the same table and the owner of the restaurant worked tirelessly to transfer the monitoring and restore the scene at that time.

Many female patients in the emergency hall also enthusiastically added details.

The patient's family members were in tears when they heard this, and grabbed Zhang Tianyang's hand and begged him to save their son.

With so much force, he pinched out red marks on his hands.

As for why he subconsciously caught him, instead of catching the head doctor......

The doctor on duty said calmly, after all, Zhang Tianyang is a pervert......

The general manager of the neurology department also came in a hurry, and after familiarizing himself with the condition, he decided to arrange a bed immediately and tighten the neurology department as quickly as possible.

The rest is to isolumbar puncture results come out, and then a clear diagnosis is made, and treatment is started.

In terms of diagnosis, the inpatient neurology department always tends to trust Zhang Tianyang's judgment.

At half past eight in the evening, a man and a woman who had inexplicably been on the emergency class for several hours left successfully.

In the rescue room, the regular "Didi" sound of the monitor came and went.

The two little white cats came together and chatted about what had just happened with their eyes shining.

The excited little white cat hugged the mobile phone and screamed bitterly.

"Ahh

The calm little white cat expressed comfort.

"It's okay, you can ask Xueba'an. ”

"Why does Xueba'an have the contact information of the great god? Hmm? The two of them shouldn't be a couple, right?"

The excited little white cat was excited again, but in a blink of an eye, it was splashed with cold water by the calm little white cat.

"Emmm, I don't think it's possible. ”

"Why?"

"You think, one mountain does not tolerate two tigers, and when two attacks meet, one will suffer.

Do you think Brother Yang will give in, or Sister An will give in?"

"I'm Cao!"

The excited little white cat thought about it carefully, and suddenly the side face of the great god and Sister An's eyes suddenly appeared in her mind, and she couldn't help but shake her head violently.

"I don't think so!"

"What are you talking about?"

The voice of the head doctor was sudden.

The calm little white cat turned his head stiffly, and before he could speak, the pig teammate next to him had already answered the question casually.

"Well, we're talking about whether those two great gods just now will be a couple. ”

The words fell, and there was silence all around.

The excited little white cat realized that she had said the wrong thing, and her eyes became frightened in vain.

"I, no, we ......"

"I think it's possible. ”

The doctor on duty didn't care at all, but frowned and thought about it seriously, and then gave his own opinion.

"You see, the two of them cooperate very well!"

The excited little white cat was stunned for a moment, and instantly became excited again.

"yes, I think too!"

"I still don't think it's possible. ”

"Why can't it? I think it's possible!"

"It's just impossible......"

In the rescue room, the three white coats were happy.

"Didi—"

"Didi—"

The monitor continues to rise and fall, playing a steady movement......

()

Stealing incense