"It's really worn out!"

"It worked!"

"The old lady is saved!"

The three white coats around him couldn't control their emotions for a moment.

One or two laughed like a New Year's holiday.

Song Changkong is the old lady's bedside doctor, and he is not only happy for the old lady, but also happy for the old man who is now anxiously waiting outside the ICU ward.

The attending doctor was also happy for the patient, but he was even more happy for the fact that he decisively fished Zhang Tianyang over.

Sure enough, you are wise!

Lin Ke'an was also laughing.

His eyes were staring at Zhang Tianyang, shining brightly.

Only Zhang Tianyang remained calm, and his brows were even slightly furrowed.

He adjusted the depth of the needle to control the rate at which the old lady's cerebrospinal fluid flowed out.

Then, like a normal lumbar puncture, he began to take samples of cerebrospinal fluid from various biochemical microorganisms and general conditions.

But no one present would think that this was just an ordinary waist piercing.

This is a waist piercing related to the fate of the old lady.

If you wear it out, the old lady has a good chance of living.

I can't wear it, so I can basically prepare for the future.

"Worn out?"

The nurse station and the nurse in charge of the bed went and returned, with surprise in their tones.

But when it became clear that the person in charge of the waist piercing was not the attending doctor, but the little doctor just now, the tone of the nurse's station changed to fright.

"Why, why did you wear it out, didn't everyone get started yesterday, why did you ...... today?"

The head nurse has always been not afraid of attending doctors, and there is no way to stop talking.

The attending doctor's face was slightly scornful.

I was too happy just now, and I was busy thinking about how to trick Zhang Tianyang into staying in the neurology department.

didn't react for a while, Zhang Tianyang's needle went down, and it pierced the cerebrospinal fluid, but it hit his face!

But he soon laughed again.

"That means Xiao Zhang is amazing!"

It's a good thing that a younger generation of doctors can produce a thief and a powerful pervert!

Director Song Changkong and Director Song silently observed everyone present, and continued to hold down half of the old lady's body dutifully, vowing not to participate in the discussion.

Talk less, talk less, say more and maybe you will be held against yourself......

Lin Ke'an has been staring at Zhang Tianyang with bright eyes, he was afraid of affecting his operation before, but now he can't wait.

"Zhang Tianyang, don't you explain?"

In an instant, the attending doctor, who was playing haha with the head nurse, fell silent.

Song Changkong also pricked up his ears and cheered up.

Not only Lin Ke'an was curious, but they also wanted to know why Zhang Tianyang wore the waist wear that so many doctors didn't wear.

The needle was in place, and the cerebrospinal fluid was dripping unhurriedly.

Zhang Tianyang's heart also relaxed, and his face was no longer as serious as before.

"Maybe it's luck. ”

He explained with a smile, "Didn't the old lady suddenly drop her blood oxygen saturation yesterday, and finally found out that the drainage tube was clamped for too long and the intracranial pressure increased?"

"I'm thinking, if it was really blocked by a clotted blood clot, and the intracranial pressure that was so high yesterday was compressed to the respiratory center, it should be able to rush away, right?"

It seems to make some sense.

The attending doctor nodded frequently, and the self-doubt in his heart gradually faded.

Song Changkong continued to look at his nose and nose.

Lin Ke'an didn't believe it at all, and came up directly.

"Then what are you doing with the 20ml syringe that you have adjusted so many times!"

The little yellow chicken guy who just cooked last night is still lying next to him!

She witnessed Zhang Tianyang seeing the cerebrospinal fluid with two needles when the patient was extremely uncooperative and kept twisting his body.

The old lady in front of her, who will not resist and has underdeveloped muscles, is logically much easier to wear than the little yellow chicken man.

But Zhang Tianyang behaved cautiously, and repeatedly adjusted the needle several times, and even sucked twice with a syringe before penetrating the normal cerebrospinal fluid.

If it was really because of the increased intracranial pressure in the morning that the blood clot was washed away, he needed to be in such trouble?

That's definitely a hit the nail on the head!

Zhang Tianyang smiled, avoiding the important and light.

He can pull it out, of course, it has something to do with his technique and feel!

But isn't it offensive to say this?

So he just explained his actions.

"After adjusting the position of the needle, I saw a blood-colored liquid, but it came out very slowly, barely moving. ”

"So I guessed that there might be a blood clot up and down at the puncture site, so I took a syringe and pumped it. After the blood clot comes out, the cerebrospinal fluid is smooth. ”

"If you don't believe you have gloves, you can pick up that syringe and look at it. ”

The attending doctor was suspicious, put on gloves himself, and pinched the syringe from the trash can, which had only drawn a shallow layer.

In order to see the contents clearly, he looked left and right, and finally chose to go to the sink and continue to draw some water into the syringe.

With the clear liquid against the backdrop, the contents of the syringe are quickly revealed.

In addition to the red cerebrospinal fluid that quickly melted into the fluid, there were several slender red threads of blood clotted in the middle.

Come to think of it, this is the clot that Zhang Tianyang pulled out, and it turned out to be a clot blocking the cerebrospinal fluid pathway.

"I see. ”

The three white coats nodded in unison.

Zhang Tianyang looked a little violent when he sucked the blood clots, which made the attending doctor excited for a while.

Now it seems that without violence, this clot just can't be extracted.

But if you don't have the confidence, who would dare to do this?

Zhang Tianyang kept moving his hands, and after collecting three tubes of cerebrospinal fluid step by step, he casually handed the three small test tubes with triangular cardboard stents to the attending doctor next to him.

And the attending doctor who had just washed his hands naturally took it over, and then helped him cover the lid and label it.

After he subconsciously finished these "assistants' work", he suddenly reacted.

Wait, no, isn't it me the master?

But Zhang Tianyang was already frowning again and giving orders.

"I need a 50ml syringe and two vials of water for injection. ”

didn't have time to dwell on the question of who was the senior doctor, the attending doctor subconsciously responded, and then went to find the corresponding thing.

After the things were in place, Zhang Tianyang didn't forget to explain to him.

"Since the lumbar puncture has been successful, I will draw some cerebrospinal fluid to reduce the intracranial pressure, and then I will use water for injection to rinse it again to replace the blood as much as possible. ”

Only when there is no blood in the cerebrospinal fluid that can clot into a blood clot and block the reabsorption of arachnoid particles can the old lady's illness have any hope of improvement.

Song Changkong was shocked when he heard this.

Zhang Tianyang's tone doesn't seem to be asking for instructions, but giving orders!

How could a junior doctor dare to speak like this to a senior doctor!

But the attending doctor didn't feel happy at all, and even nodded in agreement.

"Yes, I think it should be. ”

In his heart, perhaps Zhang Tianyang is no longer an intern, but a colleague and comrade-in-arms in the same class as him.

Zhang Tianyang continued to talk about his follow-up treatment plan, and the attending doctor also continued to echo.

"The drain can be clamped without being withdrawn. ”

"Uh-huh, I agree. ”

"Then for the next two days, I'm going to do a lumbar puncture twice a day for her to see if it works, and then withdraw if I can. ”

"Yes, that's it, I'm sorry for you. ”

......

The two of them are like this, the intern tells the matter, and the attending doctor says OK.

It's extremely inconsistent, but it seems very natural.

Beside them, the two white coats, which had lost their sense of existence, glanced at each other.

Then slowly retract his gaze.

The eyes look at the nose, and the nose looks at the heart.

Suddenly, I felt bored for a while......

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Stealing incense