Since 1981 Health School Chapter 638

  Ni Zhihua couldn't stand anymore, and hurried to the emergency ward.

  As the director of the Burn Department of Dongshan Hospital, when he heard doctors from other hospitals belittle Dongshan Hospital in such a contemptuous tone, how could Professor Ni accept it?

  Top burn experts in top hospitals naturally have their top self-esteem.

  At the same time, he was also angry, thinking that Deng Changle and the others were a group of freelancers, Yuezhong Hospital was fine, and two of his patients were about to die.

  No matter how good or bad it is to brag, it's useless. The data is there, which makes Professor Ni panic, so he doesn't care about it and goes to rescue the patient first.

  Seeing Professor Ni running away, Professor Peng also waved his hand:

   "Let's go, let's go and see if we can help. It doesn't matter whether the two hospitals are fighting or not. Patients are more important than anything else. Comrade, please help us look at our luggage."

   Several other professors nodded repeatedly, threw their luggage to the frontier, rolled up their sleeves and ran to the ward.

  Leave the frontier alliance and be confused:

   "Hey, old comrades, no, why did you throw all your luggage at me, I have surgery this morning, I..."

  Seeing a few old men running away without looking back, although the Border Alliance was in a hurry, judging from the temperament and clothes of these old men, they were definitely not ordinary people, so he also stopped a little nurse:

   "Hurry up, report to Dean Chen and Guo Shuji quickly, and say that a few new experts have arrived in the burn department, and they are probably more powerful than Deng Changle."

  When the little nurse heard this, she ran to the hospital office like flying.

   "You can't go in, the rescue is in progress..." With a click, the door of the ward was pushed open, and a little gray-haired old man walked in.

  As soon as Professor Ni entered the ward, everyone in the Dongshan Hospital team was shocked:

   "Director, why are you here?"

  Professor Ni did not say hello with a straight face, and asked directly: "What's the patient's condition?"

  Deng Changle is the deputy director after all, and he can act as the boss when he is away from home, but when the real boss comes, he can only stay low and be the junior:

   "Director, the patient was admitted to the hospital for 1 hour of burns. It has been 18 hours so far, and the total burn area of ​​the whole body has reached 90%, of which the third-degree burn area has reached 40%. The burns are especially serious on the right lower extremity.

  After admission to the present, we have given 10,000ml of rehydration solution, crystal gel ratio 2:1, and given penicillin and chloramphenicol to resist infection. The patient suffered cardiac and respiratory arrest 10 minutes ago, and we are performing emergency cardiopulmonary resuscitation. "

  Professor Ni looked at the patients on the hospital bed and the doctor who was sweating profusely trying to rescue them, but he couldn't express his anger.

  The patient's burn area was too large and severe, and there was no good flesh all over his body, and the exposed subcutaneous tissue was already yellowish-white.

  Even if such a patient dies, it is really a non-war crime, and it is definitely not because Dongshan Hospital is not up to standard.

   It's lovely, what I fear most is comparisons.

  The patients in Yuezhong Hospital are living well, but the patients in your Dongshan Hospital are dying. This difference comes out, and the impression given is also different.

  Everyone looked at their boss, Professor Ni sighed and his face improved a little.

  His subordinates are already working hard to save patients, but he can't say any cursing words, so he has to encourage them.

   "Everyone has worked hard, now I am here, and I am responsible for the rescue."

  At this time, Professor Peng and Professor Zhu also changed into their surgical gowns and entered the ward, "Old Ni, we will also help you."

  Outside the ward, Director Qi and his family members, who had blisters on the corners of their mouths, were all surprised when they saw old men with "expert looks" walk into the ward.

  Especially Director Qi is full of question marks, because he knows best if no other experts are invited to come, why are there so many suspected experts all of a sudden? How much does he have to prepare for this red envelope?

  So he grabbed a little doctor from Shanghai who came out of the ward.

   "Little comrade, what do the old gentlemen who just went in do?"

"Oh, let me tell you, you are really lucky. The most powerful experts in the burn department in the country just came in. They happened to be here for a meeting, so they rushed over to help. Usually, you can't hire them even if you spend money. of."

   Factory Manager Qi was excited when he heard it: "Okay, okay, we are very lucky, very good."

  The family members were also so nervous that they cried: "My old Lu is saved, my old Lu is saved."

  In the ward, the situation is not optimistic. Although the heartbeat and breathing of the worker Lu Wenjie has recovered, his life is dying and he may die at any time.

  Professor An Yongchun from Xiangya Hospital looked at the examination report and reminded:

   "Old Ni, if you look at these test indicators, combined with the patient's clinical manifestations such as high fever, shock, and bleeding, sepsis can basically be confirmed. I am afraid there may be disseminated intravascular coagulation. It is dangerous."

  The burns are terrible enough, but now the complications of the burns come out one by one, which really makes the doctor collapse.

  Professor Ni has not loosened his brows since he entered the Yue Hospital of Traditional Chinese Medicine, because the patient's heartbeat and breathing stopped suddenly, which means that the patient is already on the verge of death.

  So what is the culprit of the deterioration of the condition? Is it shock? Systemic infection? Or multiple organ failure?

   Here comes the question, why did Dongshan Hospital rescue for almost a day and a night without any effect? Is it really because the condition is too serious and there is no way to recover? But why is the situation at Yuezhong Hospital so calm?

  Professor Peng Yongyan put down his stethoscope and expressed his judgment:

   "Old Ni, I think this patient has over-replenished fluids. I have already heard obvious crackles and a gallop. This is typical heart failure. I am afraid that the patient may suffer cardiac arrest at any time."

   "Too much rehydration?" Professor Ni Zhihua was obviously not convinced.

"How could it be over-replenishing? Our Dongshan Hospital strictly follows the formula for rehydration. It is normal to have wet galloping sounds. Heart failure is a common complication in patients with such extensive burns. How could it be associated with rehydration? Woolen cloth?"

  Professor Peng is a representative of the Chongqing formula, and Professor Ni is a representative of the Shanghai formula. It is normal for the two sides to have differences.

  The literati are less important than each other, not to mention that it is related to whose "formula" can obtain the mainstream position, and whoever can establish their own position in the academic world of burns, and no one will be convinced.

  Peng Fangyan just shook his head with a wry smile when he heard Ni Zhihua's rebuttal without hesitation.

  Professor Wang Qizheng from the No. 2 Hospital of Hai Medical University hurried out to smooth things over:

   "Everyone, don't go to the emergency room for rehydration. Look at these inflammatory indicators. How to deal with infection is also very important now. Let's look at the patient's right limb."

  Squad leader Lu Wenjie was dug out of the rubble, his right leg was crushed, and due to the pollution of various dust and dirt and the corrosion of molten iron, his entire right leg was rotten from top to bottom.

  Professor Wang added: "The right leg must be amputated at a high level."

  Professor Ni clicked his tongue, mouth full of bitterness:

   "One just died, another amputated, and his life is in danger at any time. Alas, it is too difficult to treat patients with extensive burns."

  Wang Qi is an expert at the Second Hospital of Haizhou Medical University. In theory, he and Chen Qi belong to the "same school".

   "How about, let's go to the two patients admitted to Yuezhong Hospital? See if they have better methods and experience?"

  The other professors' eyes lit up when they heard it. Didn't they come to Yuezhong to see the difference in treatment between the two hospitals?

  Professor Zhu Lianggong from Jishuitan Hospital nodded with a smile: "That's a good idea, let's hurry over and have a look."

  Professor Zhu knew that Yuezhong Chen Qi and his old colleagues, Wei Cheng, Ye Jinxin and others from the Department of Hand Surgery of Jishuitan Hospital were very unhappy, but so what?

  Professor Zhu has nothing against Chen Qi. The old man is aboveboard, and he hates others who are not as skilled as others to engage in conspiracies.

  Guo Yuanhang, Chen Qi, and Zhu Huoyan got the information and just rushed to the burn surgery ward, just in time to see several professors coming out of the ward.

  Accompanied by Deng Changle, he introduced in a low voice with embarrassment: "The youngest one here is Chen Qi."

  Chen Qi hurriedly walked ahead, feeling a little upset: Grandma, what is Dangyue Hospital of Traditional Chinese Medicine? Come when you want, leave when you want? What dogs and cats can come to the Yue Hospital of Traditional Chinese Medicine for consultation?

  He thought that the Yue Steel Factory had invited some foreign aid.

  Professor Peng, who took the lead, stretched out his hand in advance, and said with a smile:

   "Hello, hello, you are Comrade Chen Qi, right? I'm sorry that we evil guests come here uninvited. I'm Peng Yongyan from Southwest Hospital."

   "Peng Yongyan?"

  Chen Qi was still in a daze, and old Comrade Guo rushed up with a sword step, holding Professor Peng's hand excitedly:

"Professor Peng, oh, hello, hello, we have met the great master. Chen Qi, Lao Zhu, come, let me introduce you, this is Professor Peng from the Third Military Medical University, a star-level, or A member of our country's faculty, an authority in burn surgery."

  The real Professor Peng passed away in 1998. He was long gone when Chen Qi was working, so it is understandable that Chen Qi didn't know about it.

  But a member of the academic department can know the weight of Professor Peng, because the member of the academic department is the predecessor of the academician.

  Academician, if an academician came to visit your hospital, he would not be regarded as a grandfather, especially since Yuezhong Hospital is a local hospital.

  So Chen Qi also changed his face in an instant, and put on a smile: "It turned out to be Professor Peng. It's a pleasure to meet you, and I have admired your name for a long time."

  Peng Yongyan was also easy to talk to. After shaking hands with Guo Yuanhang and Zhu Huoyan, he shook hands with Chen Qi:

   "You are Comrade Chen Qi? I should be the one who has heard your name for a long time. You are now a double director of the International Medical Association and the vice president of the Endoscopy Branch. This academic status is much higher than us old men, ha ha."

  The members of the Faculty are the best in China, and the director of the International Medical Association is the best in the world. This weight is still different.

  Both sides introduced each other, and Professor Ni Zhihua, who was eager to know the secret weapon of Yuezhong Hospital, was the first to hold back:

"Comrade Chen Qi, I heard that the two burn patients taken over by your Yuezhong Hospital have more complicated conditions and larger burn areas, but the treatment work has been going smoothly. Do you have any secret tricks? I wonder if you can give us some Can the old man introduce you?"

  If someone else changed, they might still have secrecy, hiding it from others.

   But Chen Qi wants to promote the progress of the domestic medical industry, especially to promote standardized and scientific diagnosis and treatment, so of course he hopes that as many people as possible will come to visit and study.

   "Okay, professors, let's change the isolation suits, and I will show you around."

  A large group of people entered the sterile ward, and a burn patient with exposed wounds all over his body was lying there. This is actually a bit illegal.

  So when Chen Qi disinfected the group of old men, he eliminated them again and again, and he personally introduced them to reduce the number of people who went in.

  After Professor Peng and Professor Ni entered the ward, they felt different instantly.

  Dongshan Hospital's wards are in a mess because they are rescuing patients, and there is no way to mention any aseptic operations.

  In the ward of Yuezhong Hospital, in addition to the patient lying quietly, the machine was beeping, which seemed quiet and orderly.

  In fact, this is the biggest difference between manual diagnosis and treatment operations and modern diagnosis and treatment operations.

   There is another obvious difference, that is, the two patients on the hospital bed behaved very calmly. Comparing the two master workers in Dongshan Hospital, they can only be described as crying.

  The old professors wanted to ask too many questions, and they didn't know where to start.

  Chen Qi began to introduce the condition of the two patients. When he heard that the two patients used pot bottom ash and Chinese herbal medicine as dressings at home and treated them by themselves, they were all stunned.

   This is already a miracle of life.

   Then Chen Qi introduced the treatment after admission. For example, he introduced in detail the application of hibernation therapy in debridement, which stunned several professors for the second time.

   Then Chen Qi introduced the fluid rehydration situation after admission.

  Professor Peng's eyes lit up again, "Comrade Chen Qi, how do you calculate your fluid replacement?"

"It's like this. We refer to the Chongqing formula, that is, the amount of fluid infusion in the first 24 hours is: the patient's body weight in kilograms x burn area x burn coefficient, adult x 1.5, children over 2 years old x 1.8, plus another Add 2000ml of basic water."

  Chen Qi saw the mouth corners of Professor Peng from Southwest Hospital upturned, while the corners of Professor Ni's mouth from Dongshan Hospital were stretched downwards, so there was a reversal:

"However, we did not completely follow the Chongqing formula. For example, we advocate that the ratio of crystal gel to severe burn patients is 1:1. In addition, we used hypertonic saline instead of isotonic saline for the first bag of liquid; and One, we use whole blood instead of plasma or plasma substitute.

There is another important difference. The amount of fluid infusion is not fixed. The Chongqing formula I mentioned before is just a reference. The specific amount to be supplemented is adjusted according to the patient's needs. Pulmonary artery wedge pressure and other hemodynamic indicators to adjust. "

  Chen Qi said that the old men couldn't digest it for a while.

  Because the treatment at Yuezhong Hospital seems to be close to the Chongqing formula, but there is a big difference in essence.

  Professor Peng's interest greatly increased: "Comrade Chen Qi, you have created another Vietnam-China formula!" (End of this chapter)

Chapter end