Since 1981 Health School Chapter 685

Chapter 685 The debridement took 8 hours

  In the intensive care unit.

Logically speaking, Chen Qi and the others have taken over all the patients, so the doctors in Xiangjiang can retreat.

But apparently the four papers aroused the strong curiosity and competitiveness of these colleagues in Hong Kong. They wanted to see for themselves how these mainland doctors saved people? How is it different from what they consider to be mainstream burn treatment?

 So when Zhong Peiyang proposed that they wanted to "study and learn" next to him, Chen Qi had an indifferent attitude.

This is not the world of folk art. You cannot steal anything from others. The purpose of medicine is to benefit all living beings. Of course, the more people learn, the better.

  Chen Qi, as the leader, began to direct from the center:

"Director Luo, you start hibernation therapy immediately. Because the situation is urgent, all oral medical orders are now used. Can the young doctor help us copy the prescription? Because I know that your prescription is in English, so I need to trouble you."

After all, Chen Qi doesn't know what this process looks like on their territory, and Chen Qi doesn't know what medicines are available in this hospital.

 This aspect had to draw on the strength of the Sanatorium and Hospital, so Chen Qi directly captured the young men.

Even if you don't care about Chen Qi's face, you also want to care about the Ke family's face. The little doctor who was named did not refuse. He picked up the prescription paper and medical records and got into work:

 “OK, I'll record it.”

Director Luo Yuyang immediately said to the young doctor:

“I now need to prepare a hibernation mixture. I need three drugs: chlorpromazine, pethidine, and promethazine. Oh, by the way, I also need to prepare pethidine..."

Seeing that Luo Yuyang had entered the state, Chen Qi turned to Zhang Xing and said:

"Xiao Zhang, you immediately recalculate the amount of fluid replacement and electrolytes according to the Yuezhong formula. In addition, you closely monitor various hemodynamic indicators. After removing the current fluid, you immediately use albumin injections and globulin injections to reduce swelling. Also, let them prepare whole blood, we won't use plasma yet.”

 Zhang Xing nodded: "Received, I will change the amount and type of fluid replenishment immediately."

 Chen Qi then turned to Zhu Huoyan and said:

"Mr. Zhu, the patient is now suffering from severe edema and the eschar is about to burst open, so you should perform eschar incision and tension reduction immediately. After the hibernation effect comes out, we will immediately perform debridement and try to remove all the eschar tonight. Remove it."

Zhu Huoyan nodded, picked up the handle of the scalpel, installed the blade, and began to perform horizontal and vertical tension reduction on the patient.

This technique is very demanding. The requirement is to cut through the eschar without damaging the underlying cortex or muscle layer. Generally, doctors with poor knife skills cannot bear to do it.

As Chen Qi issued orders one after another, the intensive care unit immediately became busy.

At this time, a young doctor from Xiangjiang brought over a pile of checklists that had just come out. Their lives were at stake, and they did not dare not cooperate or conceal anything. Doctors would abide by this professional ethics.

 Chen Qi took a look and then looked at the urine output. Although the creatinine on it was not abnormal yet, the blood nitrogen had increased. It was obvious that the kidneys had begun to fail.

 At the Vietnam-China Hospital, this matter would still have to be postponed, but in a top-level hospital as advanced as the Sanatorium and Hospital, what else can we say?

“Dr. Lin, the patient now needs to undergo hemodialysis. Please help me get a hemodialysis machine.”

Physical doctor Lin Fuhe responded quickly: "Oh, we are ready with the hemodialysis machine. Nurse Liang, help Dr. Chen push it over immediately."

The hemodialysis machine soon appeared at the bedside. No other doctor at the Yue Traditional Chinese Medicine Hospital knew how to operate this thing. Only Chen Qi did it himself.

 Fortunately, it is the latest model and can be considered a semi-automatic machine. After Chen Qi added various reagents, the hemodialysis machine started running on its own.

The doctors in Xiangjiang stood in the corner, watching the doctors in Yuezhong start to work, and they have been evaluating.

 First of all, they were very curious about this so-called "hibernation therapy". When they saw the paper, they were interested in learning. Now that the original author is implementing this new therapy in front of their eyes, the doctors in Xiangjiang are all wide-eyed.

　　After using the hibernation mixture, within half an hour Ke Rongwei, who had always been very irritable, began to calm down slowly.

Nurse Liu checked her body temperature and pulse before nodding:

“Dean Chen, Director Zhu, the effect of the hibernation mixture has appeared, and debridement can begin.”

At this time, Chen Qi and Zhu Huoyan had already changed into surgical clothes and started debridement work. The burn surgeon was particularly concerned about whether this new treatment, which was different from general anesthesia, was really that magical.

  Many intensivists are paying attention to the new treatments adopted by mainland doctors.

They held the New England Journal of Medicine and Surgery in their hands, and a group of people gathered around to compare the new medical orders one by one.

“Hey, the ratio of crystal glue they chose is 1:1, but the Evans formula clearly states that it is 1:2.”

"More than that, after the albumin injection is used up, they actually use whole blood. The book says that whole blood cannot be used. Whole blood transfusion can easily cause blood flow to slow down, red blood cell concentration and blood viscosity to increase, which is not conducive to Blood flow will aggravate the condition."

“Look at the entire prescription, there is no hydroxyethyl starch injection. Are you planning to replace it with blood?”

"I know this. The paper clearly states that hydroxyethyl starch tissue residues are heavy and may increase patients' renal function damage and mortality, so it is recommended to use it with caution or not at all."                                                                                                                                                                                                              The treatment plan of mainland doctors is almost It's completely different from the international mainstream burn guide. I don't know whether it's the skilled people who are bold or the ignorant who are fearless.”

“Hush, please be gentle. That young Dr. Chen is a director of two major international medical associations, ICPF and WGO. Huserei, the highest international medical association position at our Sanatorium and Hospital is only a committee member.”

“I wonder, how come this plastic surgeon and gastroenterologist started practicing burn surgery? This is against the Physician Registration Act.”

"What kind of laws are there in poor places like the mainland? It's probably just random."

 “Hehehe~~~~”

Although Chen Qi cannot understand Cantonese, he can understand English. These Xiangjiang doctors joke in English from time to time, and Chen Qi can hear them.

Although these remarks are not biased against him personally, after all, his international status lies there, their contempt for the mainland and the Vietnam Traditional Chinese Medicine Hospital still makes Chen Qi difficult to understand.

So he raised his head and looked at Yang Xiuxiu:

“Xiuxiu, come here, tell these Xiangjiang doctors that now we need to perform full-body debridement. The sterile environment is very important. Please ask them to go out. If they want to observe our treatment, let them use closed-circuit live broadcast.”

 “Good dean.”

After a while, Dr. Xiangjiang walked out of the ward one by one. Knowing that everyone had heard his joke, he felt a little embarrassed.

Ke Rongwei's debridement work lasted for eight hours. When the debridement work was completed, it was already dawn outside the window.

Looking at the busy mainland doctors under surveillance, Ke Chengji and Mrs. Ke were quite moved. If they hadn't seen it with their own eyes, they wouldn't have believed it took the doctor so long to remove the eschar from their son's body.

They slept for a while last night after watching their son's scab removal treatment begin. When they woke up in the morning, they found that the mainland doctor was still sitting there debriding his son.

 8 hours is not to mention continuous and careful work. Even sitting for 8 hours is not something that ordinary people can bear.

Mrs. Ke burst into tears:

“Brother Ji, it seems that our son is saved. The doctors in Yanghe don't dare to touch our son at all. These mainland doctors directly help our son remove the dirt as soon as they come. This alone is better than the doctors in Yanghe.”

Ke Chengji also had sore eyes and held his old wife's hand with emotion:

"Yes, our son may be saved. I heard that Chinese medicine likes to use unconventional tiger and wolf medicine when there is no way to save it. Now I am afraid that mainland doctors are also using some powerful methods. Amei, we must be optimistic and do our best for our son. Be encouraging."

“Oh, right,” Ke Chengji said to the secretary next to him:

“Immediately contact the Four Seasons Hotel restaurant and ask them to arrange bird's nest porridge, lobster dumplings, seafood noodles, shark fin rice, etc. Anyway, let them order whatever is expensive, and send them all to the Sanatorium and Hospital, and treat these mainland doctors to breakfast.

In addition, the Four Seasons Hotel will also deliver all lunch, dinner, and midnight snacks later. Oh no, just ask them to send a chef over to cook directly in the Sanatorium & Hospital restaurant, on call 24 hours a day, so that mainland doctors can eat the freshest meals.

You can arrange for people to book the best VIP ward in the Sanatorium and Hospital for the mainland doctors to rest. In the past few days, you will personally follow the mainland doctors. You don't have to ask them what requirements they have, whether it is life or treatment. I satisfy them all. "

The secretary nodded heavily: "Okay, boss, I'll do it right away."

 So this morning, the doctors and nurses of the Vietnam Traditional Chinese Medicine Hospital had such a luxurious breakfast for the first time in their lives.

After Chen Qi drank a glass of milk said to be imported from New Zealand, he looked at his dull-looking subordinate and shouted:

"Why are you still standing there? Eat, don't be afraid of looking ugly. We have been busy all night, so we should replenish our appetite. Teacher Zhu, come here, this is authentic bird's nest porridge, and this is shark's fin rice. Eat, don't be stupid. Stand still and move your chopsticks."

 Zhu Huoyan and Luo Yuyang were still on point, but young people like Zhang Xing and Yang Xiuxiu got excited and started stuffing it into their mouths.

 What about politeness and table manners? Can these be eaten as food? The most economical thing is to eat it in your stomach.

A few people were chatting while eating, and Chen Qi ordered:

"The main task today is to replenish fluids and fight infection. The second debridement will be carried out when I come back in the evening. Teacher Zhu, everyone is going to take a nap first. In the ward, Yan Shifan and Bian Meng are asked to come over first to help with the load. "

Zhu Huoyan was a little strange: "Do you have anything else to go out for?"

Chen Qi laughed:

"Mr. Zhu, have you forgotten why I came to Xiangjiang this time? Today is the election day of the ISAPS Society. I must be present. I can't lose the director of the plastic surgery department. I am still counting on this name to make extra money. "

 (End of this chapter)

Chapter end