Yang Ping didn't care about eating, so he immediately rushed to the Overseas Chinese Building, and Director Kong took Yang Ping to the emergency ward, which was already full of people.

Upper gastrointestinal bleeding, hemoglobin is only 45g/L, because of the use of artificial liver and magic lung, continuous anticoagulation, now heavy bleeding, relying on the body's self-coagulation function, it is impossible to stop bleeding, so conservative treatment is difficult to work, must be gastroscopy to stop bleeding.

Mr. Ning has been transfused with blood, and Director Gan of the Department of Gastroenterology, with doctors, nurses and anesthesiologists, has pushed the gastroscopy equipment to the bedside and is preparing to do an emergency bedside gastroscopy to stop bleeding.

Life is fragile and tenacious, and life is sometimes unpredictable.

With such a low hemoglobin, Mr. Ning was actually very sober, but his face was pale, and his forehead was full of sweat, and the sweat was very shiny. He was lying on his side, his body twisting slightly, one hand was grabbed by Miss Ning in the palm of his hand, and the other hand was clutching the sheets, and he was making his final struggle.

The anesthesiologist offered to do a general intravenous anesthetic with propofol, which he refused.

"What time is the plane? Kiki! "Mr. Ning is very weak and seems to be dying at any moment.

"The plane at 15:55 p.m. Canada time yesterday arrived at Nandu Airport at 21:30 tonight, and it should be 11 p.m. here." Miss Ning helped her father wipe the sweat from his forehead, which was very greasy.

"I won't be able to last long, and I know I can't make it this time! Help me! Is it okay to help me stay up until the night? I'm really afraid that once I am anesthetized, I won't be able to wake up, so I'm sorry for you, Dr. Yang, can you stay by the side? Seeing Yang Ping appear, Mr. Ning grabbed Yang Ping's hand.

Every time, Yang Ping could pull him back from the god of death, and in his heart, Yang Ping was a god who could protect the fire of life and make it burn a little longer.

"It's okay, I'll stay here!" Yang Ping patted the back of Mr. Ning's hand with his other hand.

"It's not okay without anesthesia, it's painful."

Director Gan and his assistants have already put on disposable sterile gowns, sterile caps, masks and sterile gloves, quickly prepared instruments, and smeared lubricating oil on the lens.

"I can do it!" Mr. Ning is very stubborn.

Miss Ning's eyes were full of tears, she was really going to part this time, she suddenly grabbed Yang Ping's hand: "Doctor Yang, please trouble, think of a way." ”

She wants her father and brother to see each other for the last time, untie the knot in her father's heart for ten years, fulfill his last wish, and leave this world without regrets.

She found that she was too excited and out of shape, so she immediately let go again, Yang Ping nodded: "Don't worry, I'll find a way!" Director Gan, don't need anesthesia, let's start, he can do it. ”

What can be done, only to let him have a hope and a comfort in the last time.

Mr. Ning nodded, lying on his side, the colleagues in the gastroscopy room moved quickly and skillfully, and the nurse had already laid out the disposable sterile sheet, sat next to him, and held Mr. Ning's head.

"Open your mouth!"

When Mr. Ning opened his mouth, Director Gan skillfully put the lens, the camera was like a snake, immediately went deep, to the pharynx, sucked out some sputum, and then entered the esophagus, maybe the stimulation of the air, the esophagus appeared peristalsis, Director Gan did not wait for the peristaltic wave to pass, and directly and dexterously pushed the gastroscope into the stomach.

"This kind of emergency gastroscopy is very risky, especially without anesthesia, the stimulation of the gastroscope will cause vomiting, and vomiting will cause aspiration!" Director Gan said as he did it.

"Don't be afraid, his lungs have almost stopped working now, relying on the demon lungs to replace them, do it." Yang Ping was on the side, looking at the screen, and also put on a sterile gown, a hat, a mask, and gloves.

Ms. Ning also encouraged Director Gan: "We have signed the informed consent, and we are willing to bear the consequences if anything happens." ”

"Can you go out for a while?" Director Gan heard Miss Ning's voice and found that there were family members inside.

Miss Ning was reluctant to let go, and Yang Ping said, "Let her be inside!" ”

Director Kong has already greeted Director Gan, this patient trusts Yang Ping the most, and any treatment as long as Yang Ping is there, it will be more convenient.

Director Gan didn't say anything anymore and began to continue to do gastroscopy.

"Look at the source of bleeding, it should be the rupture of the esophageal and gastric fundus veins caused by portal hypertension, you see that it is all blood, it is still coming out, it is very ferocious, if you don't stop, blood transfusion is useless, and the coagulation factors are quickly consumed, causing disseminated intravascular coagulation, which is more dangerous." Director Gan asked Yang Ping to look at the screen.

The stomach on the screen is full of churning blood, which is too busy to attract at all, sucking away the blood and gushing out again.

"It's rare for the esophageal and gastric veins to be so fierce." Director Gan is not in a hurry, and the experience is there.

"Ice saline, with an adrenaline rinse!"

The assistant was ready, and the ice saline was injected into the stomach along the forceps, that is, the instrument channel, which could have played a certain role in constricting blood vessels, but now it seems to have little effect, the same as before.

"I'm still red blind, I can't find the bleeding." Director Gan's operation is very skilled, but this situation is really difficult to find.

"Electrocoagulation to stop bleeding can only be done in the approximate anatomical position."

Under gastroscopy, the special electric knife stretched through the instrument tube and reached the bottom of the stomach very smoothly.

The emergency department has an emergency way of thinking, and Director Gan has also encountered this situation, and he knows how to deal with it.

After a few electrocoagulations, it was slightly better, but it immediately returned to its original state, and it still didn't work.

"Titanium clips stop bleeding!"

This is the last resort, and the most effective, to directly send the titanium alloy clamp into the stomach and clamp the bleeding area.

"It's really not good, I'll send a few more clips in, I can always clip it, stop the bleeding first and save my life, how much is the blood pressure?" Director Gan held the operating end of the mirror with his left hand and the handle of the holder with his right hand, and sent the titanium clip from the instrument channel into the stomach.

“82/40mmHg!” Although there is no anesthesia, the anesthesiologist is responsible for monitoring.

Didi, there is only the sound of machines in the room.

Estimating the approximate bleeding position, a titanium clip was clamped, a buckle, the titanium clip was in place, and the holder was pulled out.

"Go on, one more." Director Gan is very stable and not chaotic in the face of danger.

The blood still came out, and Director Gan put on three titanium clips in a row, but it was still useless.

"What's going on today?" Director Gan's confidence was shaken.

The doctor is like this, the trick is sent out, and there is no expected response, and the confidence is naturally reduced.

Yang Ping is not engaged in gastroscopy, and it is not easy to interfere, but the microscopic operation has something in common, every time he is sucked out of the blood, he can see the bleeding point, which is the sensitivity trained by the systematic examination.

"Look, that's a bleeding spot!" Yang Ping pointed out to show them.

"Where? Can not see clearly! Director Gan followed Yang Ping's finger.

"Shall I try?" Yang Ping proposed.

It was an inappropriate proposal, but there was no way, he believed that he could stop the bleeding, they couldn't see clearly, he could see clearly.

Director Gan turned his head to look at Yang Ping, he is also a knowledgeable person, at this time, try it, a dead horse is a live horse doctor, he can't do it, he doesn't let people try, he is the most trusted doctor of the patient, and he has signed a letter of exemption, maybe the surgeon's hand is really flexible, he is so confident, he must have done gastroscopy before, multiple people are involved, and it is good to share the risk.

"Here, Dr. Yang, you try." Director Gan gave him the place.

Yang Ping took the mirror and instrument in his hand, moved the instrument slightly, looked for the feeling, and soon there was a feeling in his hand, arthroscopy and gastroscope have the same, the basic principle is the same, they are both hand-eye separation operations.

The system's long-term training of Yang Ping can not only improve his skills, but also invisibly improve his talent value, so his self-confidence is not blind, and he really gets started quickly.

"Vampire, keep succumbing!" Director Gan is commanding on the side, he wants to find a step down, I came to do a gastroscopy, I didn't take it, you wait to take it, now I say a few words in my mouth, and I also have my own credit, mainly because of face.

Taking advantage of the gap between the blood sucking up, in the blink of an eye, Yang Ping immediately clamped the bleeding point, hit it with one blow, and soon, with the blood sucked out, there was really no bleeding.

Buckle the titanium clip, exit the holder, and a titanium clip solves the problem.

"No more bleeding, Dr. Yang, your hand is really miraculous, and it deserves to be replanted." Director Gan is refreshing.

Advertise, it's really good, it's worth pretending, after all, there are many sources, all books, and fast updates!

"Where, I've had better luck these days, so I want to try, it's not that Director Gan can complete it, if you don't command it well, it's hard to complete it with me." Yang Ping said politely, give a step at the right time.

"That's too!" Director Gan went downstairs quickly.

"Blood drawing, emergency blood routine and DIC full set, once an hour, dynamic monitoring." Director Gan gave a verbal medical order, and the nurse immediately carried it out.

Miss Ning wiped away her tears: "Have you stopped the bleeding?" ”

"Alright, stop." Yang Ping handed over the instrument to Director Gan.

Rinsed with ice saline, Director Gan carefully checked again, there were no other bleeding spots, pulled out the gas in the stomach, put down a gastric tube, and then pulled out the mirror.

Mr. Ning kept retching uncomfortably, and when the mirror was pulled out, like vomit being pulled out by the mirror, he vomited violently, all bloody salt water, and the bed and floor were all over.

The nurse also got used to it, and immediately cleaned it, and the nurse next to her moved quickly and went over to help.

Director Gan's assistant packed up the equipment and pushed the machine to evacuate, the nurse was busy cleaning up the garbage, the nurse aunt mopped the floor with a wet mop, and then mopped it dry with a dry mop, except for the doctor in charge of the bed and the doctor and nurse who managed the demon lung, the others exited the room.

Mr. Ning wanted to say something, but he vomited too hard just now, and after the gastroscopy, he turned over the river and the sea, and he couldn't speak for a while, just pointed his finger at Yang Ping.

Miss Ning immediately caught up with Yang Ping's pace: "Doctor Yang, please stay in trouble!" ”

Yang Ping stopped: "Director Kong, I'll stay for a while." ”

Miss Ning felt guilty that she was always bothering him: "I'm sorry, Dr. Yang, Dad seems to have something to say to you." ”

This time, it was Dr. Yang who helped him get through the danger, and Mr. and Miss Ning kept it in their eyes and hearts.

Yang Ping walked to the bedside, any patient, at this time, he would stop, in his eyes, there are no billionaires, only patients.

Mr. Ning's hand pointed downward.

"You may be seated!" Miss Ning moves her chair.

Yang Ping sat down, what Mr. Ning needs now is comfort, when life is dying, people always want to grasp something, some people think of God, and Mr. Ning thinks of Yang Ping.

"Can you stay with me?" Mr. Ning prepared for a long time before saying this sentence, and he had to wait a long time for the next sentence.

Yang Ping nodded: "I've been sitting here, don't worry." ”

Mr. Ning nodded slightly, with a smile on his face.

Miss Ning's face was slightly embarrassed, she was a doctor and let the family guard her, but her father asked for this, and there was a satisfied smile on her face, she said, "Doctor Yang, it's really troublesome." ”

"It's okay! I'm sitting here! ”

Yang Ping knew that so much blood had just come out, and then a lot of blood had been transfused, which might soon cause disseminated intravascular coagulation, and he couldn't survive tonight.

Really, I can't hold on anymore this time, what reason do I have to refuse a small request from a dying person.

"What time is it?"

"It's past noon."

"It's been so long."

Mr. Ning squinted his eyes and lay down.