111 Playing with a big knife in front of Guan Gongmen?
Before debridement of his hand, Liu Banxia first treated the three small burns on the young man's chest. Of all the debridement surgeries, it can be said that burn debridement is the most complex and the most painful for the patient.
Last time, Liu Banxi did a debridement on the patient who was infected by carnivorous bacteria, which can be called super debridement, but in fact, this time it was similar.
Now the young man is happy, and when he has undergone the initial surgery, he will be able to feel the pain every time he changes the dressing in the future.
The principle of management of burn wounds is from the outside to the inside, from superficial to deep, and all devitalized tissue and foreign bodies are removed.
It's not that you just click and do it, burn patients often have blisters. These blisters only need to be cut and drained at the bottom, and you can't easily remove the epidermis of this blister, because this layer of epidermis can also protect the wound.
The three burn wounds on the young man's chest were not very large, and Liu Banxia's entire treatment process took less than twenty minutes. He himself was a little slow, but he didn't mean that in other people's eyes.
Today, I have been shocked by Liu Banxia's bone and tendon sutures, and I know that the movements of his hands are very fast. But now, even burn debridement can you be like this?
This is not as simple as uncovering the burned dermis, and some of the devitalized tissue has to be cut off. You also need to cut the devitalized tissue as accurately as possible, leaving a fresh wound.
When others do it, they will definitely think carefully and come little by little. When I arrived at Liu Banxia, I just clicked and clicked, and then applied the ointment and it was over.
The most difficult thing was the debridement on the young man's hands, and Liu Banxia moved his body again before starting.
"Is the burn on my hand too severe? I don't know if it hurt the fascia. Liang Xiaolin said worriedly.
"I can't manage it so much now, I can only deal with it as soon as possible. We've all been delayed for so long, trying to clean it up in an hour. Liu Banxia said.
Liang Xiaolin's mouth under the mask opened directly, such a serious burn, you have to finish it in an hour? This is a whole hand, not a finger.
Liu Banxia was working hard in the operating room, and Xu Chengjun outside was also worried about the firefighter.
On the way back, he also assessed the young man's injury, and the first answer that came out was that he had to wait for Xie Chunli, the director of the burn department of the city hospital, to come over.
At the same time, he also hopes that the surgeons who support the hospitals will come soon. Every additional minute of delay is life-threatening.
Waiting, waiting, waiting, waiting, and the doctors from various hospitals who came to support them arrived one after another.
The first to arrive was the Second Courtyard, and what he didn't expect was Zhou Shuwen leading the team, which made his heart feel a lot more solid. The doctors from the second hospital came from the general surgery department and the cardiac surgery, and after a brief communication, they went directly to the operating room.
As soon as he was sent away, the doctors from the city hospital also rushed to the district hospital, only Xie Chunli, who he was worried about, and a doctor.
"Director Xie, you can be regarded as coming here, there is a little soldier whose hand is very badly burned. Xu Chengjun hurriedly said.
"After receiving your call, we rushed here, and I heard that Zhou Shuwen came directly to you, and the rest of our doctors went to the Chinese medicine hospital. Xie Chunli said.
"This is Qiu Wei, the outside of the heart, the hand is not weak, if there is surgery, just arrange him to go to it. Where's that little warrior? I'll see how he's doing. ”
"Director Xie, the little soldier has other injuries. He suffered a proximal humerus fracture and tendon rupture, and is now in the operating room to straighten the bones and repair the tendon. You catch your breath and we'll go in later. Xu Chengjun said.
"We also have a lot of burn patients here, so you can probably help you take a look at it and see if there is anything that is not in place, so as to deal with it quickly so as not to delay the patient. ”
Xie Chunli didn't talk nonsense, and directly plunged into the burn ward with Xu Chengjun who was temporarily isolated. Because many patients have large wounds, they also need to be isolated from each other, otherwise they are easily infected.
"Your treatment is already very good, and there are many patients who are very promising with a good controlled environment. However, there are some patients who need skin grafting, so let's recover first. After looking around, Xie Chunli said.
"Hey, all the doctors in our hospital are on top, otherwise there won't be enough at all. Xu Chengjun said.
"Fortunately, I don't disgrace my life, otherwise because we mishandled the patient and delayed the patient, I'm afraid I won't be able to get over this hurdle for the rest of my life. ”
"There are only so many people in your district hospital, why do you still receive so many patients?" Xie Chunli asked curiously.
"It also happened that a friend from the second hospital was here to help with a small incision appendectomy, and I was also brought to the scene. They have a strong triage ability and a fast processing speed, and we have more patients here. Xu Chengjun said.
"You, you really don't miss any opportunity to promote your hospital. Fortunately, you have to deal with it, otherwise you will really suffer. Xie Chunli said helplessly.
Of course, I can see Xu Chengjun's careful thinking, and this incident must have attracted the attention of all walks of life. If the district hospital performs well, the benefit is needless to say.
"Alright, let's take a look at the little warrior. Xie Chunli said.
"Cheng, I'll lead you over. Xu Chengjun hurriedly said.
I also estimated in my heart that Liu Banxia had changed the fractures, tendons, and burns on the chest. At this time, the past will not make Xie Chunli wait too long, it should be just right.
"Thankfully, although the burns on my hands were severe, the tendons were saved. ”
Xu Chengjun had just walked into the operating room with Xie Chunli when he heard Liu Banxia's words.
Xu Chengjun was taken aback, and Xiao Liu finished handling all his hands? If it is not handled well, the impact on the patient will be even greater.
"Don't you have to get scared, okay? What do you do next? The fingers were cleaned like this, and the bones were exposed in some places. Only the thumbs are better, what about the four?" Liang Xiaolin, who didn't notice people coming in, frowned and asked.
"I don't know what other people use, but ordinary skin grafting definitely won't work. I guess I'm going to have to play some high-tech, and maybe I'm going to have to make him suffer a little bit. Liu Banxia thought for a while and said.
Xu Chengjun just wanted to summon, but was stopped by Xie Chunli waving his hand. Although he hasn't seen it yet, he's curious.
"What are you selling? You're done with your work now, if you don't understand it, don't delay him. Liang Xiaolin said.
"With a pedicle flap on the abdomen, I guess I'll do pretty much that. Liu Banxia said.
"Do you wrap every finger?" will that work?" Liang Xiaolin asked.
"Silly, wrap it all up, and then slowly separate. One becomes two, and two becomes four. Patients can also recover faster in the later stage, reducing the probability of infection. Liu Banxia said.
"It seems that it can be done, but it is equivalent to only one wound. Liang Xiaolin thought for a moment and nodded.
Xu Chengjun didn't know what to say, these two people gave themselves a lot of help today. But now that I'm discussing this here, there's Xie Chunli standing behind him, isn't there some big knife in front of Guan Gongmen?