"What's the matter?"

Professor Yang stopped.

Zhang Tianyang looked her in the eyes, "I want to save him." ”

"Save whom?"

Professor Yang was a little stunned.

Zhang Tianyang has always been a very capable and assertive person in her impression.

All the previous things have confirmed this, but whenever there is a rescue, Zhang Tianyang will be the first to rush forward, and there is no need to wait for her to give orders.

And often, all his judgments and handling measures are correct.

So she has always been extremely relieved of Zhang Tianyang.

But now, the other party suddenly said, "I want to save him".

Professor Yang reacted for a while, and then suddenly came to his senses.

"You mean, the patient with cirrhosis of the esophageal and gastric varices who is bleeding and is now using a three-lumen two-cyst tube to compress and stop the bleeding?"

"Yes!"

The two were still in the rescue room and did not go out.

As soon as he turned around, he could see that on the bed facing the door, the old man was lying on his back, and a yellow tube protruded from his nostrils and hung up, pulling half of his body into the air.

Two respiratory cardiac arrests, two first aid chest compressions, and his ribs have been broken.

The entire chest cavity is soft and soft, and it will rise and fall slightly with the action of the ventilator.

Just now, he carefully checked the results of the patient's various examinations, and the hemoglobin continued to decrease.

The ruptured blood vessels in the stomach are still bleeding fatally.

As a medical worker, I know his condition, and now looking at him, it is as if I can see a trace of black death coming out of his body little by little.

Professor Yang was a little helpless.

"I want to save him too, but ......"

"I can give it a try!"

Zhang Tianyang directly interrupted her, "I want to give it a try!"

The speed of his speech quickened in vain.

"When I was in the Department of Infectious Diseases before, I tried a patient with cirrhosis of the esophageal and gastric varices and vomiting blood, and gave him a gastroscopy to do a bandage. ”

"At that time, too, the gastroscopy was full of blood, and the speed of blood sucking was not as fast as the speed of bleeding, and the doctor who did the gastroscopy was ready to give up. ”

He took a deep breath and grabbed Professor Yang's arm, showing her his eyes.

"Teacher Yang, believe it or not, my eyes are better than ordinary people, I can see the direction of blood flow, and according to fluid mechanics, I can infer the bleeding point!"

Then, he showed Professor Yang the various patient data that he had just hurriedly printed.

"The current patient, although he has a history of 20 years of liver cirrhosis, is not very old after all, and this rupture is because he swallowed a hard jujube pit, which is a hard scratch. ”

"It didn't reach the point where the tension of the blood vessels was extremely high, and it broke at the slightest touch, and it was not saved!"

"And now the patient's indicators are not too ugly, mainly the reduction of hemoglobin, and the final cause of death is 90% due to excessive blood loss. ”

"If he can successfully ligate the bleeding spot, he can live for a while!"

Professor Yang was trying to keep up with Zhang Tianyang's rhythm, and was carefully looking at the A4 paper full of data stuffed by Zhang Tianyang in his hand.

"I know you definitely don't believe it, so I just asked Professor Zhu from the Department of Infectious Medicine to help me contact the doctor on duty in the gastroenterology department who was doing the gastroscopy with me at the time. ”

Zhang Tianyang flipped out his mobile phone and showed Professor Yang the call record just now and the WeChat chat record behind.

"Fortunately, he rested today, but he didn't leave Guangdong Province, and he was already on his way back!"

"Teacher Yang, he believes in me and is willing to do another gastroscopy for this patient with me, try it!"

After finishing his statement at a very fast pace, Zhang Tianyang stopped.

His eyes were a little red, and his breath was slightly disturbed.

Even the heart seems to be beating uncontrollably in the chest.

Since getting the system's Calm +1 special skill, he has rarely lost control of his emotions several times like he did today.

But he didn't feel ashamed.

Faced with the possibility of rescuing a mortal patient, no doctor can remain calm!

Professor Yang was silent for a moment.

Zhang Tianyang's words played quickly in her mind and deconstructed.

I don't know why, but now there are no patients who need to be rescued, but her blood seems to be a little hot.

As soon as she opened her mouth, she asked the key.

"You came to me and begged me what do you want me to do?"

"I need your help to get the leader's approval!"

Zhang Tianyang's fists clenched, and his knuckles were a little white.

The most difficult part of this matter is not to put the gastroscope down smoothly and find the bleeding point.

He had a successful experience once, and he was sure of it.

The most difficult part of this matter is that this patient has been "sentenced to death".

It is well known that patients with cirrhosis of the esophageal and gastric variceal bleeding have only two outcomes.

A: The degree of esophageal and gastric varices is not so severe, after rupture and bleeding, blood flows out, the pressure decreases, and the blood vessels slowly heal automatically.

This kind of patient, even if it is not treated, will slowly get better on its own.

As long as the risk of re-rupture is prevented, regular follow-up is good.

There is also a ruptured esophageal and gastric variceal bleeding, but the pressure cannot be effectively relieved, and the ruptured wound will continue to lose blood.

And because the bleeding point is in the stomach, there are soft tissues everywhere, even if three lumens and two cysts are placed, it cannot effectively stop the bleeding.

This kind of patient can only do his best and obey the destiny of God.

And in the end, they often can't escape the end of dying due to excessive blood loss.

The Abel in front of him, who has already suffered two cardiorespiratory arrests due to reduced circulating blood flow, is obviously the latter.

When all the doctors thought he was "dead," an "intern" popped up and said, "I can cure it!"

The reality is not, who wants you to "try?"

If you don't get it right, it's a "medical malpractice"!

What's more, this matter was originally recognized as a hopeless thing.

"Mr. Yang, I'm just an intern. ”

Zhang Tianyang's hand was trembling slightly, but his voice was firm.

"You should know what I'm capable of, and you know that I won't do things that I'm not sure of. ”

Professor Yang nodded, "I know." ”

"Yes, you know, but no one else knows. ”

Zhang Tianyang took a deep breath, "In the eyes of others, in the eyes of senior doctors who have never contacted me, in the eyes of hospital leaders, and even in the eyes of family members, I am just an intern. ”

"Even if we add that senior brother, I guess the gastroscopy room will not let us push the patient in at all, and will say that we are messing around. ”

"In case of trouble, the Academic Affairs Office and the leaders of the college will definitely think that we are messing around. ”

Zhang Tianyang doesn't need to practice these things at all to know the results.

In fact, it was the same with him.

Not to mention other interns, he can't even believe in the ability of some graduate students and senior brothers and sisters of regular trainees!

"But that's a life!"

Zhang Tianyang looked at Professor Yang fixedly.

"I want to try to save him. ”

"Can you help me?"

Professor Yang also looked at Zhang Tianyang fixedly.

"Are you really sure?"

"I can!"

In the eyes of this young doctor, she saw firmness, and a long-lost light.

So, she made a decision in an instant.

"Then try!"

From this moment on.

Starting with two white coats that have been tired for a long time and should have gone off work to rest.

A vigorous rescue.

Here we go.

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Stealing incense