I'm really an intern

Chapter 208 Perverted Zhang and Xuebaan

I don't know why, for a moment, the doctor in charge suddenly wished that he was dazzled.

It's not that I hope Zhang Tianyang won't be able to wear it, nor that I don't want the patient to be saved.

I just hope that Zhang Tianyang can wear it twice more.

In this way, he can still have some face.

However, the long silver needle went against his imagination and pierced through it all the way!

Zhang Tianyang didn't stop until the silver needle was only 1.5 centimeters out, and his right hand felt an obvious breakthrough.

Carefully fix the depth of the needle with the left hand, and pull out the needle core with the right hand.

"Tick! Tick!"

Some whitish liquid came out!

"Success!"

The two little white cats cried out excitedly.

The slightly unsteady one blurted out the thoughts in his heart again.

"Another victory created under impossible conditions without the disapproval of the superior doctor!"

"The boss frowned slightly, thinking that you are a rookie, and decisively let you go!"

"Boss, let's start."

"Boss succeeded!"

"What the hell are you talking about!"

The calm little white cat couldn't keep calm anymore, and went up and covered the mouth of the little white cat who was playing freely.

Then he looked back in horror, and looked at the head doctor called "Cabi".

Afraid of seeing the death stare of the doctor in charge.

However, the doctor in charge had no time to talk to them at the moment.

His eyes were fixed on the half drop of liquid hanging from the end of the puncture needle, and his mouth opened wide.

It really came out!

Two needles hit the nail on the head!

Shocked, he even forgot to pass the equipment to Zhang Tianyang.

Zhang Tianyang was calm, fixed his left hand to himself, and held the "7" shaped tube with his right.

Then pull out the puncture needle core naturally, connect the tube, and start measuring the patient's intracranial pressure.

Under the action of pressure, the liquid level rises rapidly.

The cerebrospinal fluid pressure of a normal person in the lateral position is usually between 80-180 mm water column.

And the cerebrospinal fluid level of this patient quickly exceeded 80, then exceeded 150, and finally exceeded 180, and it was still going up.

"The CSF pressure is elevated."

Zhang Tianyang frowned, staring at the still rising liquid level, and scolded casually.

"Be quiet!"

The excited little white cat, whose companion was covering his mouth to no avail, lost his voice in an instant.

Brother Yang has spoken, you must listen!

The doctor in charge also gradually broke away from the state of doubting life, and also stared solemnly at the still rising liquid level.

All of a sudden, five white coats were staring at the liquid level.

The two little white cats don't really understand the significance of the rising liquid level.

But Zhang Tianyang, Lin Ke'an, and the doctor in charge couldn't help but tighten a string in their hearts.

The patient suspected increased intracranial pressure, which was judged before the lumbar puncture was performed.

When intracranial pressure increases, the patient will present with projectile vomiting.

Although the two of them didn't really see the specific situation when the patient vomited, they can still infer one or two from the residual traces on the corners of the patient's mouth and clothing.

Mannitol has been used, but the effect may not be so fast.

Now, what the three of them are waiting for is how high the intracranial pressure is.

If it is still within the controllable range, after taking the cerebrospinal fluid sent for testing, you can continue to draw it to achieve the effect of reducing intracranial pressure.

But if the pressure is already high enough to exceed 300 mm water column, you can't put too much.

Otherwise, it may lead to dangerous situations such as brain herniation.

The level of pressure determines the choice of follow-up treatment for patients.

Where the eyes of the three people meet, the water level slowly rises.

190 mm

200 mm

Eventually, the liquid level stopped at the level of 210mm.

"It can be drained."

Slightly relieved, Zhang Tianyang replaced the "7" tube, held the three small test tubes he had inserted before, and began to receive the dripping cerebrospinal fluid.

"call--"

The voices of relief came from the front left and the rear right respectively.

"Whooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooh~"

The patient became agitated again.

But the needle has already entered the subarachnoid space, as long as the needle does not come out, a little movement is not a big problem.

Zhang Tianyang's left hand was as motionless as a mountain, counting the drops while moving the tube in his right hand.

Generally speaking, three tubes of cerebrospinal fluid will be taken for lumbar puncture for diagnostic purposes, each with 1-2ml.

Biochemical, microbiological, and general character inspections were carried out separately.

Soon, the three tubes were filled.

Lin Keyan, who had already prepared the lid, took it, pressed the lid tightly, and then correctly pasted the three labels that the nurse just handed over.

Zhang Tianyang glanced at it and found that there was no mistake. With a flick of his right hand, he picked up another syringe.

Patients with increased intracranial pressure, appropriate drainage can help relieve symptoms.

Wei Wei with a little yellowish clear liquid was drawn out from the puncture needle. Miraculously, the patient was restless just now, but now he calmed down obediently.

Finally, the needle is drawn, sterilized, and the dressing is applied.

After the lumbar puncture, it is necessary to lie down on the pillow for six hours. Usually, this is what the patient tells. Now that he is in the emergency room, Zhang Tianyang just explained it to the doctor in charge.

The doctor in charge was a little helpless.

As the attending physician, he certainly knows the precautions after lumbar puncture.

But just now he didn't get it in for half an hour, and Zhang Tianyang got two stitches in place, so now he can only listen obediently.

Two little white cats are eating melons with great relish.

Now that the doctor in charge has arrived, he doesn't feel ashamed anymore.

He has adjusted his mentality.

After all, after what happened today, Zhang Tianyang's image of an "intern" in his mind has been replaced by a "pervert".

An intern slaps him in the face, and he's probably ashamed, maybe even pissed off.

But a pervert slapped him in the face, so why should he be ashamed?

Such a young perverted little doctor, even the director will have to be slapped in the face by him after he arrives.

My own face is not that expensive.

Didn't you see that last time when he insisted on doing gastroscopy for "mortal" patients, so many attendings in the group were slapped in the face one by one!

This time, I just acted as a background board for comparison, not a big villain who jumped out to obstruct in every possible way.

No problem!

After part of the cerebrospinal fluid was released, the patient's hyperactivity improved significantly.

I don't know whether it is due to Zhang Tianyang's injection of cerebrospinal fluid, or the drugs given before have played a role.

The patient's family members rushed over.

The doctor in charge, Zhang Tianyang, and the medical staff on duty explained the illness to the family members.

The classmates who ate at the same table and the owner of the restaurant worked tirelessly to call in surveillance cameras, and together they restored the scene at that time.

Many female patients in the emergency room also enthusiastically added details.

The patient's family members burst into tears and grabbed Zhang Tianyang's hand and begged him to save their son.

The force was so great that his hands were pinched with red marks.

As for why he subconsciously caught him instead of the doctor in charge

The doctor in charge expressed his composure, Zhang Tianyang is a pervert after all

The inpatients from the Department of Neurology also came in a hurry. After familiarizing themselves with the condition, they decided to arrange beds immediately and tighten up the Department of Neurology as quickly as possible.

All that remains is to wait for the results of the lumbar puncture to come out, then confirm the diagnosis and proceed to treatment.

In terms of diagnosis, hospitalization in the Department of Neurology always tends to trust Zhang Tianyang's judgment.

At 08:30 in the evening, a man and a woman who had been in the emergency department for a few extra hours for no apparent reason retired.

In the emergency room, the regular "didi" sound of the monitor kept coming and going.

The two little white cats gathered together and chatted about what happened just now.

The excited little white cat is holding the phone and screaming.

"Ah! I forgot to ask for the contact information of the Great God!"

A calm little white cat expresses comfort.

"It's okay, you can ask Xueba'an for it."

"Why does Xueba'an have the contact information of the great god? Huh? They shouldn't be a couple!"

The excited little white cat became excited again, but in a blink of an eye, the calm little white cat poured cold water on it.

"Emmm, one thing to say, I don't think it's possible."

"why?"

"Think about it, one mountain cannot accommodate two tigers, and when two attacks meet, one must suffer.

Do you think Brother Yang will succumb, or Sister An will succumb? "

"I am Cao!"

The excited little white cat thought about it carefully, and suddenly the side face of the great god and sister An's eyes appeared in his mind, and he couldn't help shaking his head violently.

"I don't think so!"

"What are you talking about?"

The voice of the doctor in charge came suddenly.

The calm little white cat turned his head stiffly, and before he could speak, the pig teammate next to him answered the question casually.

"Well, we were talking about whether those two great gods were a couple just now."

The voice fell, and there was silence all around.

The excited little white cat belatedly realized that he had said the wrong thing, and his eyes became terrified in vain.

"I, no, we"

"I think it's possible."

The doctor in charge didn't care at all. Instead, he frowned and thought seriously, and then gave his own opinion.

"Look, the two of them cooperate very well!"

The excited little white cat froze for a moment, then became excited again in an instant.

"Yes! I think so too!"

"I still don't think it's possible."

"Why is it impossible? I think it is possible!"

"It's just impossible"

In the emergency room, the three white coats enjoyed themselves happily.

"Drip-"

"Drip-"

The monitor continues to rise and fall, playing a stable movement

(End of this chapter)