No, no, no, no!

Pan Anthesia's heart roared wildly, and he stood on the spot.

But, but ......

Although everyone is tightly wrapped in the operating room, it is a surgical gown, a mask and a hat.

But with this size and these eyes, he can recognize them when they turn to ashes!

It's clearly Zhang Tianyang who has good skills but a black face!

What's more, Zhang Tianyang is still wearing a surgical gown that has not been changed under his white coat!

Pan's eyes were round, and the force was so great that the bloodshot in his eyeballs bulged out.

However, at the end of the long table, Zhang Tianyang also noticed him.

Today is the familiar anesthesia teacher on duty? Yes, yes, there is a tacit understanding with each other.

This thought crossed Zhang Tianyang's mind instantly, and his heart was a little relieved, and he subconsciously greeted Pan with a small jaw.

Pan Anesthesia: !!

Zhang Tianyang's face in his eyes continued to enlarge, and he even began to smile, "Surprised, surprised?"

Rely on it, rely on it!

In an instant, Pan Anesthesia remembered countless pictures dominated by the "bad luck" brought about by Zhang Tianyang's "black face"!

He stiffened, petrified in the wind.

In my ears, I couldn't help but sound a shocking BGM-

"North Wind ~ Xiao ~ Xiao ~ Snowflakes Drifting ~ Drifting ~"

Finished!

Tonight, this patient, big problem!

Pan's eyes were dark, his legs were weak, and he collapsed in the chair.

The thought of waiting in the operating room would be very exciting, his face turned pale and he broke out in a cold sweat.

"Huh?"

Next to him, Professor Liu, who was staring at Zhang Tianyang who was talking eloquently opposite him with the eyes of an old father, couldn't help but be forced to turn his head because the movement around him was too great.

He didn't know the doctor who had just arrived next to him.

But among the doctors who were present, except for his own Xiao Zhang, the only one was wearing a surgical gown.

So the identity is naturally self-evident - anesthesiologist!

But this anesthesiologist ......

Professor Liu frowned and looked at his ugly face, pale skin, and cold sweat, and suddenly felt familiar.

When I was rescued by Zhang Tianyang when I had low blood sugar, isn't this the same performance!

This anesthesiologist is afraid that it is not hypoglycemia!

Professor Liu frowned, realizing that this matter was not simple, and hurriedly groped in his pocket.

Since the last time he had a low blood sugar deficit, he had developed the habit of keeping a few chocolates in his pocket.

I just took it out at this moment and handed it over directly.

"Eat some, slowly?"

Professor Liu thought about how he felt that he was so uncomfortable that he couldn't stand still and couldn't speak, for fear that Pan Anesthesia wouldn't even have the strength to raise his hand, so he automatically and consciously pushed the chocolate away and handed it to his mouth.

Pan, who had lost his soul, felt that there was something sweet and fragrant in his mouth, and subconsciously took a bite, only to find that he was eating chocolate.

He turned his head to look at Professor Liu beside him in a daze.

But my heart is full of chocolate.

Skill!

Pan anesthesia suddenly remembered!

That Zhang Tianyang, he left a piece of chocolate for himself this afternoon!

So......

Was he really premeditated?

Yes!

At this moment, Pan was chewing sweet chocolate in his mouth, but his heart was bitter.

It's sloppy......

If you should have known, you shouldn't have eaten chocolate!

......

On the other side, Zhang Tianyang naturally also noticed Pan's anesthesia, which was obviously a little wrong.

But the other party was sitting next to Professor Liu, and he also ate chocolate, so it shouldn't be a big problem.

The anesthesia teacher should not be replaced, the tacit understanding is still there!

Zhang Tianyang reassured himself to focus on the medical records again.

The history of this patient is really simple, but the condition is complex.

Therefore, Zhang Tianyang mainly introduced the results of the various examinations that he had just urged.

There is no objection to the results of the biochemical examination, and the background display of the doctor's workstation is clear.

The results of the patient's white blood cells and infection both floated up a lot, indicating that he was in a state of infection.

The hemoglobin has dropped to 90gL, and the blood pressure has still dropped to 8654mmHg on the basis of rehydration, which represents the patient's state of massive blood loss.

The patient obviously had no external injuries, and there was no red on his body.

So, where is all this blood lost?

The minds of the doctors present were all crossed by the patient's huge and somewhat excessive belly.

Zhang Tianyang continued to report the data.

"In terms of kidney function, creatinine is 431 μmolL!"

Creatinine is an important indicator of kidney function, and the creatinine level of normal people is generally below 90, in fact, it is best not to exceed 80 for normal.

When I was in the Department of Nephrology, a patient with more than 100 creatinine was already at the stage where the kidney was bad and needed treatment, and this patient, creatinine jumped directly to 431!

What's even more frightening is that it is said that his previous physical examination data did not have abnormal kidney function.

jumped directly up from the normal value to hundreds of data, then his kidneys ......

Zhang Tianyang paused and continued to report.

"Ten minutes ago, the patient underwent a right lower quadrant puncture and catheter to drain 1500ml of dark red bloody fluid......"

Conservative treatment should also be tried as much as possible before surgery.

The abdominal puncture in the emergency department was still done quickly after he instructed the little doctor and asked him to consult the senior doctor.

There is a little effect, but the patient has such a big belly, which is enough for one child and ten treasures, what is the top of this 1500ml?

It's not enough for a treasure!

However, abdominal puncture fluid cannot be released all the time, and a sudden drop in pressure can cause a series of reactions.

Moreover, the patient's intra-abdominal bleeding point still exists, and there is bleeding there, and there is no time to pump here.

Still have to go to the operating table!

The doctors present frowned, and they probably had a spectrum in their hearts.

Blood routine, liver and kidney function, six ions, two infections, blood gas analysis, and B-ultrasound results......

Zhang Tianyang reported the data one by one, and finally, he read the bottom of the medical profile he prepared.

He paused and continued reading.

"Full-abdominal contrast-enhanced CT showed a large cystic lesion in the left mid-abdomen, with multiple septations and calcifications, which were not clearly shown in the left kidney, considering retroperitoneal origin.

Multiple stones and fluid accumulation in the right kidney.

Effusion in the peritoneal cavity.

Multiple nodular opacities in both lungs. ”

Contrast-enhanced CT did it.

The image did come out, too.

Text results can't be that fast.

So, this is the result of his own reading of the film.

After a pause, Zhang Tianyang naturally raised his head and made a summary.

"The patient had a history of suspected left kidney trauma before the injury, but the family members were unclear and had no previous medical records, resulting in a complicated condition.

At present, the patient's abdominal tone level is high, and he is considered to have a rupture of the left kidney to intrarenal and perirenal hemorrhagic hematoma, and is currently in a state of extreme retroperitoneal hypertension.

Abdominal visceral hypertension can lead to organ dysfunction, abdominal compartment syndrome, and serious consequences such as ischemia, multi-organ dysfunction and even necrosis.

At present, it is considered that emergency surgical exploration, hemostasis, resection of the diseased left kidney without normal anatomy, and decompression are required.

At present, the patient is in critical condition, please consult with the teachers. ”

The voice fell.

Two surprised glances fell.

Zhang Tianyang looked at each other calmly.

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Pan's role is online, and everyone is more than happy~