Medical road

"It's peeing! It's peeing!" The head nurse of the ICU ran out with a cry.In the special isolation ward, there is only one doctor on duty and two nurses.The other doctors and nurses are observing through glass outside.

Zhang Fan was in the rest room of the ICU doctor and got up after sleeping for a while.After washing his face, as soon as he left the door of the duty room, he heard the head nurse of the ICU, crying with a festive voice.

In a hurry, Zhang Fan ran to the outside of the ICU. Urinating means that the body has begun to recover. The circulating solution, that is, blood, has begun to enter other relatively unimportant organs, such as the kidneys.

"Quickly, monitor your body temperature." Zhang Fan said quickly, not to be taken lightly at this time.Really, sometimes the treatment is actually suffering people, patients, and doctors.

"Doctor Zhang, 37.5°." After a while, the ICU nurse reported the results.

"No, it's time to debride. Now is the time for the body to be vigorous." Zhang Fan said to the expert treatment team.

"Observe again, the body temperature is not very high. Now if the debridement is done, a lot of bleeding will cause the disease to recur. This is my personal opinion." A doctor in the military district said with a frown.

Really, this trade-off is too nonsense. Without debridement, the hard-won situation of the patient will be swallowed by bacteria.Debridement, such a large area of ​​injury, there will be a lot of bleeding, and the amount of fluid that is finally filled up may collapse.

"What to do?" Tangled, really tangled.Ouyang and the others were present, "How much bleeding do you estimate?"

"Within 200ml." Zhang Fan gritted his teeth and said, it is too difficult to control such a large area of ​​damage within this amount.

"Debridement, I am responsible for the accident! We can't stay indifferent." Ouyang said solemnly. She is an expert in her heart. Zhang Fan said this amount. She gave the order after evaluating it in her heart.She believes that Zhang Fan is willing to take this responsibility. This is the real leader, who has the skills and responsibility, and can relieve the pressure of his men.

"This amount is not easy to control, right." The director of the Burns Department of the General Hospital was a little unconvinced. How big is the area of ​​45% of burns?The front chest and back add up to 18%.

Ouyang looked at Zhang Fan, "Yes, this amount can be guaranteed."

"Okay, then prepare for debridement."

The wounded were so miserable that they were almost cut into slivers of meat by Zhang Fan.Then the nurses used various disinfectants to clean it, and the burnt black color faded away, but corrupted tissues began to appear.

The body at this time is actually doing various fights.Fresh granulation began to creep slowly, slowly climbing around the preserved blood vessels, but a large number of inactivated tissues that could not be removed also began to cultivate a large number of bacteria, and then discharged toxins, these tissues began to decay.

In other words, to see who grows fast, who can overwhelm the other.The area is too large and the damage is too serious. The new organization is definitely not the opponent of the corrupt organization. At this time, the doctor is the helper.

Debridement!This treatment is very painful for patients, but it is not easy for doctors.In particular, the debridement of limbs like gas gangrene or the debridement of diabetic foot is directly like criminal law. Once debridement is performed, it is estimated that the patient will have a new perception of life!

The tissue that was inactivated overnight began to decay. The tissue that was supposed to be pink and tender began to turn white, like bacon that had not been dehydrated in the air. It shrank quickly when pressed lightly, without any elasticity.

That's not a big deal, especially on some of the outer tissues, white pus began to appear, exuding an almost suffocating stench.The originally clear liquid also began to become turbid.

Gently press the edge of the wound, mixing with the burnt black powder that detached with the inactivated tissue, like milk chocolate mixed with Oreo cookies, it slowly flows out, too much, and the slow flow is actually useful The desire to lick the tongue!

Some tissues with fascia have been deactivated internally under high temperature roasting, but the toughness of the fascia has not been destroyed.At this time, due to the corruption of the internal body, gas was produced, and it slowly began to swell like a balloon.

The nurse quickly prepared the debridement kit, "I'll be your assistant," Lu Shuyan said closely.

"Okay. Let's go." The two entered the intensive care unit, and the thin disposable masks couldn't stop the pungent smell.

"Start with the head first. Come on, saline." Zhang Fan held the needle in one hand and held the cotton ball in the other hand with scissors.Lu Shuyan, holding a 50-ml syringe filled with saline.

Many areas of the thin facial skin have already been roasted. Dip and wash with a cotton ball and rinsed with saline. It begins to fall off, just like a dry ham, the dry skin slowly falls off.

As Zhang Fan wiped it, he said, "Push slowly, here, here." Slowly, the necrotic tissues on the face were removed bit by bit. After more than an hour, the face was finally removed.The greasy gray-white color was gone. After thorough debridement, the facial muscles began to be white with powder, because a lot of muscles were also cut off, and there were many pitted defects on the cheeks.

Chest and back, a little bit of advancement, a little bit of removal.Normal people sometimes have a fever due to hand trauma infections. What's more, a little bit of decay may cause death in patients with large-scale skin injuries, because his first line of defense has collapsed.

The last and most serious place is bilateral thighs.Lu Shuyan, who has seen moles, stillbirths, and heard of various gynecological inflammatory diseases, almost did not hold on, "Uh!"

Zhang Fan turned his head and glanced at her.Isn’t Zhang Fan disgusting? Disgusting, but something must be tolerated. The more hiccups, the more disgusting. The best way is to take a deep breath and let the smell get used to the nasal cavity, or bring in a mask with an oxygen cylinder , There is no other way.

"Devil!" Zhang Fan took a look, and Lu Shuyan was blown up with anger, and she couldn't care about hiccups.People want face, why can't you do me?

The thighs of the wounded were directly invisible, and the white and yellow fat turned out was greasy, mixed with half-cooked muscles, just like uncooked hands grabbing meat.

"Cutting spoon!" Zhang Fan said in a dull voice. He was also uncomfortable. There was fat, muscle protein, and temperature. This is where the bacteria like most.After eating and pulling, turning a little bit, a more pungent smell blows on your face.

The area is too large to use scissors, and the corrupted organism has long lost its toughness. When the scissors are reduced, it is like cutting on a tofu brain.There is no continuity at all.

The curette is actually an enlarged ear pick.Zhang Fan scraped off the corrupted tissue bit by bit along the muscle texture. Lu Shuyan stood beside Zhang Fan holding a curved plate, full of corrupted fat and muscle.

She almost cried with regret. The fat and rotten fat was placed on the curved plate, shaking with her breathing.How disgusting.

For three hours, the originally very basic debridement made the two of them sweat as if they had undergone a super large operation.Lu Shuyan was a little dizzy.The pungent smell, the disgusting picture, the scene like purgatory.

The two thighs that could not be seen originally were cleaned by Zhang Fan, as if they had been brushed with a steel brush. Blood beads were slowly oozing out of the fresh and tender muscles, which gradually changed one by one. Big, roll slowly.

"Really good-looking! Muscles like marbles." Zhang Fan straightened his waist and couldn't help but say when he looked at his masterpiece.

"Here!" Lu Shuyan really couldn't help it. With marble-like muscles, she seemed to think of something, and put the curved plate into Zhang Fan's hand, and ran out of the ICU quickly, covering her mouth.

Out of the ICU ward, Lu Shuyan directly vomited "Uh! Uh!" The morning seaweed and tomato egg drop soup spewed out along the corner of her mouth, and tears slowly overflowed from her huge eyes!