Chapter 415: Hello Death

The red on the screen is a familiar red.

Senior Brother Qiu Ming was in a trance, and he felt as if he was still stuck in the time when Zhang Tianyang had just done the four patients with esophageal and gastric variceal bleeding.

But the next moment, he reacted again.

This is a rupture of the esophagus.

This is an even more dangerous operation!

He looked around, and the expressions on everyone's faces were rich.

But no one dared to disturb Zhang Tianyang.

It seems to have been shocked by Zhang Tianyang's words just now.

Or maybe it's something else.

The chaotic operating room was so abrupt and quiet.

"Didi, Didi"

Only the monitor remained, still doing its duty, drawing out waveforms.

......

When he was immersed, Zhang Tianyang entered his own small world again.

He recognized the blood flow on the screen, and the modeling in his mind continued to fine-tune until it finally coincided.

The mirror in his hand rotates the lens slightly, and the amplitude of entry and exit is controlled at about one centimeter, judging the position of the space.

The three-dimensional model gradually gained more detail.

Where it is missing, where it is bulging, where it is uneven, where it is surging.

The patient's esophagus tear seemed to be displayed in front of Zhang Tianyang through a heavy blood mist.

So he had a score in his heart.

The heart that had been a little fluctuating before suddenly settled down.

"Vascular clips. ”

He stretched out his hand.

"What?"

The little nurse on the stage didn't react.

Why do you need a vascular clip?

Isn't the screen still all red!

Doesn't this doctor wash the blood first and have at least part of the field of vision before dealing with it?

I can't see anything now, where do I want to clip the blood vessels?!

The first-line doctors and second-line doctors also didn't react, "Why do you want vascular clips now?"

"I'm coming!"

Only Senior Brother Qiu Ming did not have any doubts at all.

At the moment when Zhang Tianyang made his request, he quickly found two packages in a pile of consumables "borrowed" by the doctor on duty in District 1 just now.

"Green or purple?"

The green clip is small, and the purple clip is large.

Zhang Tianyang glanced at it, "Green!"

"Good!"

Senior Brother Qiu Ming did not hesitate at all, and unpacked the package with a "tearing" sound.

"Really on the clip?"

The little nurse's eyes widened with disbelief.

But he still took the vascular clip with his hands and feet, put the operating handle on it, and asked again uneasily.

"This ...... Doctor, are you sure?"

"Hmm. ”

Zhang Tianyang stared at the screen with his eyes, installed the operating handle with his peripheral vision, and did not look at the little nurse during the whole process, but just replied casually.

But the little nurse was inexplicably relieved.

"You're going to do it blindly?"

The second-line doctor's face was serious, and he wanted to blow it up instantly.

But Senior Brother Qiu Ming stood between him and Zhang Tianyang in time, pulled him aside, and communicated in a low voice.

You can still vaguely hear the two of them talking.

"You didn't tell me you were going to do blind before!"

"No way!"

"Ah, it's ...... him"

"But ......"

Soon, Qiu Ming walked back with the second-line doctor in his arms.

The second-line doctor still had an embarrassed look on his face, and glanced at Zhang Tianyang deeply.

But Zhang Tianyang didn't pay attention to him at all.

The subtle touch of his fingertips and the viscous blood flow on the screen helped him reconfirm the location.

"Click"

The first vessel clamped into place.

Then the second, the third.

"Change. ”

After the three vascular clips, the consumables were replaced with titanium clips.

Zhang Tianyang squinted, his chest rose and fell regularly, and his hands were always very steady.

If this is not the case, the main ruptured vessel should have been clamped.

The hardest part of the whole operation is over.

The rest is to clip or suture the torn esophageal wall.

In fact, in all fairness, clamping blood vessels, clipping or suturing the torn esophagus, for him, for several attending doctors present, is actually not difficult.

The hard part is finding the right place.

For other doctors, the screen is full of blood, and they can't see anything at all!

But for Zhang Tianyang, when the blood-red fog is gradually lifted in front of his eyes, the operation is only a simple labor.

"Click"

"Click"

The expected scope of esophageal rupture was huge, and Zhang Tianyang followed the steps, one shelf after another.

The blood flowing on the screen was noticeably slowed and even swirled, indicating his results.

The tactile feedback at his fingertips validated his progress.

He was even able to distract himself from thinking about something deeper.

For example, why did the patient end up in such a dangerous situation?

Zhang Tianyang's mind flashed through the patient's emergency medical records.

The Oriental Hospital is not the patient's first stop after the onset of the disease.

"Vomiting, chest pain, followed by difficulty breathing, vomiting blood"

As soon as the patient develops symptoms, go to the nearest hospital emergency department.

Both the imaging and the first gastroscopy were done in the outer hospital.

Who knew that the gastroscopy in the local hospital went down and saw the terrifying scene of esophageal rupture, but he was unable to deal with it, so he could only transfer to the hospital immediately.

Therefore, as soon as the patient comes, the emergency department of Dongfang Hospital can determine the cause of the patient.

But because it wasn't dealt with right away, it may have been delayed.

It is even possible to cause a secondary injury when entering and exiting the gastroscope.

Plus the time it takes to be transferred from the outer courtyard......

The combination of various reasons led to serious bleeding and obstruction of the surgical vision, and gastroenterologists were helpless.

During this period, there were two more emergency cases in the Department of Thoracic Surgery, which was understaffed and the director of the gastroenterology department was blocked in the middle of the road......

Speaking of which, this patient is really "certain to die"!

It's like death is coming.

If I'm not there......

Thinking about these things that he didn't have, Zhang Tianyang was methodical in his hands.

"Click"

Another titanium clip in place.

"Come again. ”

Zhang Tianyang stretched out his hand, his breath steady.

"How's it going. ”

The second-line doctor couldn't help but ask.

The face was scorched, and nervous.

The front-line doctor and the little nurse who set up the stage did not speak, but their faces were equally anxious.

Zhang Tianyang knew what he was doing, and he also knew the progress of the operation with this clamp.

But others don't know!

Vascular clips and titanium clips are clamped one after another, but the vision is not clear.

Zhang Tianyang's face is too young.

They can't help but be worried!

Only Senior Brother Qiu Ming, seeing Zhang Tianyang's methodical attitude, gradually calmed down.

With his understanding of Zhang Tianyang.

It should be stable now.

Sure enough, after the fifth titanium clip was clamped, Zhang Tianyang did not reach out to the little nurse again.

"That's it. ”

He breathed a sigh of relief.

"Let's rinse with saline. ”

The blood vessels had been clamped and five titanium frames had been used where the esophagus had ruptured.

Pack up, rinse, rinse, and get off the stage.

Zhang Tianyang was in a relaxed mood.

The front-line doctor, who had been holding back and not speaking, suddenly jumped out.

"Wait!"

"Can't rinse!"

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It's a drink and you have to work hard to renew Ann! Thank you for being a lovely boy~