The Godfather of Surgery

Yang Ping didn't even bother to eat, and immediately rushed to the Overseas Chinese Building. Director Kong took Yang Ping to the emergency ward, which was already crowded with people.

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

Mr. Ning has already received blood transfusion. Director Gan of the Department of Gastroenterology, along with doctors, nurses and anesthesiologists, has pushed the gastroscope equipment to the bedside and is preparing to do emergency bedside gastroscope to stop the bleeding.

Life is fragile and tenacious, and things in life are sometimes unpredictable.

With such a low hemoglobin, Mr. Ning was actually very awake, but his face was pale and his forehead was covered in sweat, which was very oily. He was lying on his side, his body kept twisting slightly, one hand was grasped by Miss Ning in the palm of his hand, and the other hand was firmly grasping the sheet, and he was doing the final struggle.

The anaesthetist wanted to do intravenous general anesthesia with propofol, which he refused.

What time is the flight? Kiki! Mr. Ning was very weak and seemed to be dying at any moment.

The plane took off at 15:55 pm Canadian time yesterday and arrived at Nandu Airport at 21:30 tonight. It should be 11 pm here. Miss Ning wiped the sweat from her father's forehead, which was very greasy.

I can't hold it for long, I know, I can't hold it this time! Help me! Can you hold on until the night? I'm really afraid that I won't be able to wake up after anesthesia. Please, Dr. Yang, please stay tuned. Can I be by the side? Seeing Yang Ping appear, Mr. Ning grabbed Yang Ping's hand.

Every time, Yang Ping can pull him back from the god of death. In his heart, Yang Ping is a god who can guard the fire of life and let it burn longer.

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

You can't do it without anesthesia, it's very painful.

Director Gan, with his assistant, has put on disposable sterile clothes, sterile caps, masks and sterile gloves, quickly prepared the instruments, and smeared lubricating oil on the lens.

I can do it! Mr. Ning was stubborn.

Miss Ning's eyes were full of tears. This time she was really going to leave. She suddenly grabbed Yang Ping's hand: Doctor Yang, please, think of a way.

She wanted her father and brother to meet for the last time, to break the knot in her father's heart for ten years, but to fulfill his last wish and leave this world without regrets.

She found that she was too excited and lost her temper, and immediately let go. 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 let him have hope and comfort in the last time.

Mr. Ning nodded and lay on his side. Colleagues in the gastroscope room moved quickly and were very skilled. The nurse had already laid out the disposable sterile sheet and sat beside him, holding Mr. Ning's head.

Open your mouth!

When Mr. Ning opened his mouth, Director Gan skillfully put it into the camera. The camera was like a snake, and immediately penetrated into the pharynx, sucked some phlegm, and then entered the esophagus. The esophagus may be stimulated by air, and the esophagus may be peristaltic. Director Gan did not wait. The peristaltic wave passed, and the gastroscope was directly and deftly advanced all the way to the stomach.

This kind of emergency gastroscope is very risky, especially without anesthesia, the stimulation of gastroscope can cause vomiting, and vomiting can cause aspiration! Director Gan said while doing it.

Don't be afraid, his lungs have almost stopped working now, and they are replaced by demon lungs. Let's do it. Yang Ping, watching the screen, also put on sterile clothes, hats, masks and gloves.

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

Can the family members 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, Yang Ping said, Let her be inside!

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

Director Gan didn't say anything anymore and started doing gastroscopy.

Looking at the source of the bleeding, it should be the rupture of the esophagus and fundus veins caused by portal hypertension. You can see that all blood is still coming out, very fierce. If it does not stop, blood transfusion is useless, and the coagulation factors are quickly consumed, causing diffusion. Intravascular coagulation is more dangerous. Director Gan asked Yang Ping to look at the screen.

The stomach on the screen was full of churning blood, and the attraction was simply too busy, sucked the blood, and poured out again.

It's rare to see such a fierce esophagus and gastric vein. Director Gan was not in a hurry, and the experience was there.

Ice salt water with adrenaline flush!

The assistant is ready, and the ice salt water is injected into the stomach along the forceps channel, that is, the device channel. It could have a certain effect of constricting blood vessels, but it seems to have little effect now, as before.

I'm still red-blind, and I can't find the bleeding place. Director Gan's operation is very skilled, but in this case, it's really hard to find.

Coagulation to stop bleeding can only be done at the approximate anatomical position.

The special electrosurgical knife under the gastroscope was inserted from the instrument channel and reached the bottom of the stomach very smoothly. With the usual rich experience, Director Gan coagulated a few times at the possible bleeding position.

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

After a few times of coagulation, it was slightly better, but it returned to its original state immediately, and it was still useless.

Titanium clip to stop bleeding!

This is the last resort and the most effective. The titanium alloy clip is directly sent into the stomach to clamp the bleeding place.

It doesn't work. I'll send a few more clips in. It can always be clamped. Stop the bleeding first and then save the life. What's the blood pressure? Director Gan held the operating end of the mirror in his left hand and the handle of the holder in his right hand. 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.

To estimate the approximate bleeding location, a titanium clip was clamped, and with a single button, the titanium clip was in place, and the applicator was pulled out.

Go ahead, another one. Director Gan was very stable, not chaotic in the face of danger.

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

What happened today? Director Gan's confidence was shaken.

That's how doctors are, sending out the tricks in the bottom line, without the expected response, the confidence will naturally be compromised.

Yang Ping is not a gastroscope, and he is not good at intervening, but the operation under the microscope has something in common. Every time he is sucked out, he can see the bleeding point. This is the acuity trained by the system physical examination.

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

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

Let me try? Yang Ping suggested.

This proposal is inappropriate, but there is no way. He believes that he can stop the bleeding. They can't see clearly, but he can see clearly.

Director Gan turned his head to look at Yang Ping. He is also a knowledgeable person. At this time, just give it a try. A dead horse is a living horse doctor. If you can't do it yourself, don't let others try it. They are the most trusted doctors of patients, and they all sign. With the disclaimer, perhaps the surgeon's hands are really flexible. He is so confident that he must have done gastroscopy before, and it would be good to have multiple people involved and share the risk.

Come on, Doctor Yang, try it. Director Gan gave him the seat.

Yang Ping took the mirror and equipment in his hand, moved the equipment a little, and looked for the feeling, and soon he felt the feeling in his hand. Arthroscopy and gastroscope have the same basic principles, which are both hand-eye separation operations.

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

Suck blood, keep sucking blood! Director Gan was instructing him. He wanted to find a step to go down. I came to do gastroscope. I didn't win it. The credit is mainly a matter of face.

Taking advantage of the gap between the blood sucking, Yang Ping immediately clamped the bleeding point in the blink of an eye, and hit it with one blow. Soon, as the blood was sucked out, it really stopped bleeding.

Snap on the titanium clip, exit the holder, and a titanium clip solves the problem.

No more bleeding, Dr. Yang, your hands are really amazing. You deserve to be replanted in the fifth stage. Director Gan was cheerful.

Where, I've had good luck these days, so I want to try it. It can't be completed without Director Gan's command. If it wasn't for your command, it would be difficult for me to complete it. Yang Ping said politely, giving a step at the right time.

That's right! Director Gan went downstairs quickly.

Draw blood, urgently check blood routine and a full set of DIC, once an hour, and monitor dynamically. Director Gan gave a verbal doctor's order, and the nurse immediately executed it.

Miss Ning wiped away her tears: Did you stop the bleeding?

Okay, stop. Yang Ping handed the equipment to Director Gan.

After rinsing with ice salt water, Director Gan carefully checked that there were no other bleeding spots. He took out the gas in his stomach, put down a gastric tube, and then pulled out the mirror.

Mr. Ning has been feeling uncomfortable and retching. When the mirror was pulled out, it was like vomit being pulled out by the mirror, and he vomited a pool of bloody salt water all over the bed and the floor.

The nurse was also used to it and cleaned it up immediately. 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 picking up garbage. The nurse aunt mopped the floor with a wet mop and then a dry mop. Except for the doctor in charge of the bed and the doctors and nurses who managed the demon lung, everyone else left the room. .

Mr. Ning wanted to say something, but it was too laborious to vomit just now. After the gastroscope was done, the river was overturned, and he couldn't speak for a while, just pointed Yang Ping with his finger.

Miss Ning immediately caught up with Yang Ping: Doctor Yang, please stay!

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

Miss Ning felt that she was always bothering him and felt guilty: Sorry, Doctor Yang, Dad seems to have something to tell you.

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

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 pointed his hand down.

Please take a seat! Miss Ning moved the chair.

Yang Ping sat down. What Mr. Ning needs now is comfort. When life is dying, people always want to catch something. Some people think of God, while Mr. Ning thinks of Yang Ping.

Can you stay with me? Mr. Ning prepared for a long time before saying this sentence, and the next sentence will take a long time.

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 had to be guarded by her. But her father asked for it, and with a satisfied smile on her face, she said, Dr. Yang, it's really troublesome.

It's okay! I'm sitting here!

Yang Ping knew that disseminated intravascular coagulation might soon be caused by the loss of so much blood just now, and he couldn't last tonight.

Really, this time I can't hold it any longer. What reason do I have to refuse a small request from a dying person?

what time is it?

It's past one o'clock now.

It's still so long.

Mr. Ning narrowed his eyes and lay down.