Chapter 405: If you take the initiative, we will have a story
If you heard it right......
The "click" just now is the sound of the clamp being banded?
Yes, yes, right?
Zhang Tianyang bandaged so neatly, what are you doing with what you just said!
Smash the table!
There was a momentary twitch on the cold Tang Zhizhi's face.
If he hadn't been wearing a mask and a hat, maybe his personality would have collapsed.
The chubby Senior Brother Long was keenly aware of his old buddy's subtle facial expressions.
In an instant, my mind was balanced.
It seems that in front of Mr. Zhang, he is not the only one who has lost his temper.
Senior Brother Qiu Ming also smiled innocently.
He had a somewhat relaxed smile on his face.
Because according to his understanding of Zhang Tianyang, there are also two experiences.
This patient is probably stable.
"What's wrong?"
Zhang Tianyang winked innocently at the three people with different expressions, and handed the blood-stained handle to Nurse Xiao Xu, who had been prepared a long time ago.
"Dr. Zhang succeeded?"
Nurse Xiao Xu smiled with crooked eyebrows.
Among these people, she is the only one who simply worships Zhang Tianyang.
"It should be. โ
Zhang Tianyang's expression also became a lot more relaxed.
Judging from the blood flow, there should be no mistake in positioning.
And when the clamp is closed, the feel is also right.
"Let's get ready to put the liquid. โ
Zhang Tianyang adjusted the position of the bucket at his feet.
Nurse Xiao Xu diligently connected the mirror with a tube with normal saline.
Senior Brother Qiu Ming stood still in front of the two large bags of saline, ready to squeeze after a while.
These two people unconditionally believed Zhang Tianyang's statement that he "succeeded".
Realizing this, the dragon ruler looked horrified.
Really have 0 vision throughout the whole process, and then really trust Mr. Zhang completely?
But he quickly adjusted his expression management.
It's okay, it's okay, it's not a big problem.
He's just a tool guy for video recordings.
I, no feelings!
In comparison, the cold Tang is a little difficult to suppress.
In particular, Zhang Tianyang casually grabbed Zhuang Ding, "Senior Brother Tang, please adjust the patient's rehydration faster." After that.
Tang paused in front of the infusion set.
"Teacher Zhang, are you sure?"
He tried to suppress the suspicion in his tone, but naturally insisted.
"If the bleeding point is not determined, it is not good to rashly increase the pressurization, right?"
Zhang Tianyang couldn't help but glance up at him.
After a pause, he nodded.
"Okay, then I'll wait. โ
Patients with esophageal and gastric variceal bleeding often suffer from massive blood loss and decreased circulating blood volume, resulting in shock.
Therefore, fluid rehydration and vasopressor therapy are often required.
But at the same time, the blood pressure of such patients should not rise too high, or even rise to the normal blood pressure range.
Because the ruptured blood vessel continues to bleed, the higher the blood pressure, the more bleeding and the faster it will die.
Barely keeping your blood pressure at the lowest possible level is the best option doctors can make.
Zhang Tianyang can understand Tang's worries.
After all, the other party is thinking about the patient.
Then you won't be afraid to delay these two minutes.
Zhang Tianyang was silent, and then unscrewed the gastroscope's discharge channel.
"Poofโ"
The red water rushed out in an instant.
"Bang la la" don't want to rush out like money.
Tang Zhizhi frowned for a moment, opened his mouth, and finally did not stop it.
The patient's stomach is enlarged by the collected blood, which is actually a kind of pressure, which can counteract the blood pressure on the other side of the ruptured bleeding to a certain extent, so that the blood loss is not so fast.
Rashly release the liquid, maybe......
But if you don't put liquid, there is no way to verify whether the clip is clamped or not.
The cold Tang squinted his eyes and stared at the screen.
"Blablah-la-la-"
Yin Hong's liquid took a small half bucket, and Zhang Tianyang greeted Nurse Xiao Xu and Senior Brother Qiu Ming.
"It's time to fill saline. โ
"Okay!"
Nurse Xiao Xu quickly flipped the switch for the water flow in, and Senior Brother Qiu Ming grabbed two large bags of normal saline with both hands and began to exert force.
At the same time, Zhang Tianyang had the liquid from the patient's stomach still flowing out.
All eyes are on the screen.
Serious, focused, as if a flower can really bloom on the red screen on the screen.
One second, two seconds.
One minute.
"It's shallower!"
Nurse Xiao Xu suddenly cheered.
"Dr. Zhang really succeeded!"
Qiu Ming's eyes widened consciously, and a second later, he also laughed.
Indeed, the color has become lighter.
Senior Brother Zhang is really as reliable as ever!
The chubby dragon is the first time to witness this miracle, and the mouth under the mask has been greatly opened.
But he still remembered his identity as a tool man and conscientiously kept the video.
It's just that look, one moment on the screen, and the other time it drifts to Zhang Tianyang's young face.
The cold Tang Zhizhi also widened his eyes.
After confirming that the field of vision on the screen was indeed gradually clear, his face froze for a moment, and then all his emotions gradually converged, and finally returned to his expressionless appearance.
His right hand was hidden at his side, out of sight of everyone.
Fingertips trembled slightly.
And then quietly, quietly, a thumbs up.
......
When the vision was finally completely clear, the red liquid of different richness had already received a small half basin.
More than half of this is saline.
But even if only a small half of the blood is left, this amount of blood loss is enough for the patient to be uncomfortable.
"Alright, call the next patient, right?"
Zhang Tianyang had already taken off his gloves and turned out the imaging data of the second patient.
Nurse Xiao Xu and Senior Brother Qiu Ming automatically and consciously cleaned up the mess.
The chubby Principal Long and the cold Principal Tang glanced at each other, and both of them suddenly remembered Zhang Tianyang's request to call the patient before.
Do the critically ill first.
Compared with before watching this gastroscopy operation, the two of them suddenly have more tastes now.
"Senior Brother Qiu, Senior Brother Tang, do you want to model?"
Over there, Zhang Tianyang greeted.
"Come on, come on, old dragon, please pick up the next patient!"
Qiu Ming knew that he had missed the modeling of the first patient, and he was extremely positive at this time.
But before he could run over, there was a flower in front of him-
The cold Tang didn't know when he flashed and appeared in front of him.
"Teacher Zhang, you speak. โ
Qiu Ming stiffly stopped his pace and gasped.
Don, you're so proactive!
Do you really want a cold character?!
As if sensing something, Tang Zhuzhi suddenly leaned over and glanced at Qiu Ming.
Then, if there was nothing, a sound like a mosquito screaming came into Qiu Ming's ears.
"Only when you take the initiative will there be a story. โ
Qiu Ming: "!!"
He was shocked.
"Old Tang, you've changed!"
Tang Zhizhi shifted his eyes lightly.
"I just want to have a story with Mr. Zhang.
I don't want to talk to you. โ
Qiu Ming: ?? _??)
Stealing incense