357 Tears slowly flowed
"Pee, pee!" the head nurse of the ICU ran out crying. In the special isolation ward, there is only one doctor on duty and two nurses. The other doctors and nurses were watching outside through the glass.
Zhang Fan was in the ICU doctor's rest room, and he got up after sleeping for a while, and he couldn't sleep because of something in his heart. After washing his face, as soon as he walked out of 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, and the urine represented the beginning of the body's recovery, and the circulating solution, that is, the blood, began to enter other relatively unimportant organs, such as the kidneys.
"Quick, monitor your temperature. Zhang Fan hurriedly said, at this time, you can't take it lightly. Really, sometimes treatment is actually boiling people, patients, and doctors.
"Dr. Zhang, 37.5°. After a while, the nurse in the ICU reported the results.
"No, it's going to be debrided. Now is the time for the body to be in full swing. Zhang Fan said to the expert treatment team.
"If you look at it again, the body temperature has not risen very much. If you debride now, will the heavy bleeding cause the disease to recur? This is my personal opinion. A doctor from the military region said with a frown.
Really, this trade-off is too nonsense, not invasive, and the patient's hard-won situation 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 has been added with great difficulty may collapse.
"What should I do?" Ouyang and they were all present, "How much bleeding do you estimate?"
"Up to 200ml. Zhang Fan gritted his teeth and said, it is too difficult to control such a large area of damage at this amount.
"Debridement, I'm responsible for what happened! We can't sit idly by. Ouyang said solemnly, she is an expert in her heart, Zhang Fan said this amount, she assessed it in her heart, and then ordered. She believes in Zhang Fan and is willing to take on this responsibility, this is the real leader, who has skills and responsibility, and can also reduce the pressure on his subordinates.
"It's not easy to control. "The director of the burn department of the main hospital is a little unconvinced, how big is 45% of the scald area, and the chest and back add up to 18%.
Ouyang looked at Zhang Fan, "Yes, I will definitely be able to guarantee this amount." ”
"Okay, then prepare for debridement. ”
The wounded were so miserable that they were almost cut into meat strips by Zhang Fan. Then it was cleaned by the nurses with various disinfectants, and the burnt black faded somewhat, but the corrupt tissue also began to appear.
At this time, the body is actually doing all kinds of fighting. Fresh granulation begins to creep and slowly creep around the perimeter of the retained blood vessels, but a large amount of devitalized tissue that cannot be removed also begins to grow a large number of bacteria, and then the toxins are excreted, and these tissues begin to decay.
In other words, see who grows faster and who can overwhelm whom. The area is too large, the damage is too severe, and the nascent organization is definitely not an opponent of the corrupt organization, and the doctor is the helper at this time.
This treatment is very painful for the patient, and it is not easy for the doctor. Especially like the debridement of some gas gangrene, or the debridement of diabetic foot, it is directly like a criminal law, and it is estimated that the patient can have a new understanding of life!
The tissues that were deactivated overnight began to develop towards decay, and the tissues that should have been pink began to turn white, like dried bacon that had not yet been dehydrated, and quickly atrophied when pressed lightly, without any elasticity at all.
And that's not all, especially since some of the tissues on the outer layer are starting to appear with white pus and an almost suffocating stench. The previously clear liquid is also starting to become cloudy.
Gently press the edge of the wound, mixed with the charred black powder that separates with the detached tissue, like milk chocolate mixed with Oreo cookies, slowly flowing out, too much, the slow flow actually makes people have a desire to lick with their tongues!
Some tissues with fascia have been internally inactivated under high temperature burning, but the toughness of the fascia has not been destroyed. At this time, because of the decay of the internal body, and then the gas is produced, it slowly begins to swell like a balloon.
The nurse quickly prepared the debridement kit, "I'll be your assistant." Lu Shuyan followed and said.
"Good. Let's go. The two entered the intensive care room, and the thin disposable masks couldn't stop the pungent smell.
"Start with the head. Come on, saline. Zhang Fan held a needle in one hand and a cotton ball in the other, and a scissors in the other. Lu Shuyan was holding a fifty-milliliter syringe, which was full of saline.
The thin skin of the face, many places have long been roasted, and under the washing of cotton balls and saline, it begins to fall off, just like a dry ham sausage, and the dry skin slowly falls off.
Zhang Fan wiped it and said, "Push it down, this way, this way." Slowly, the necrotic tissue on the face was removed little by little, and after more than an hour, the face was finally removed. The greasy gray-white color is gone, and after thorough debridement, the facial muscles begin to be white and powdery, because a lot of muscles have been cut off, and there are still many pitted defects on the cheeks.
Chest, back, a little bit of pushing, a little bit of clearing. Normal people sometimes have a fever due to an infection caused by hand trauma, not to mention that a patient with a large area of skin damage may cause death at the slightest bit of decay, because his first line of defense has collapsed.
The last and most severe area is the bilateral thighs. Lu Shuyan, who has seen molar births, stillbirths, and various gynecological inflammatory diseases, almost didn't hold on, "Uh!"
Zhang Fan turned his head and glanced at her. Isn't Zhang Fan disgusting, disgusting, but something must be endured, the more hiccups, the more disgusting it is, the best way is to take a deep breath and let the nasal cavity get used to this taste, or come in with a mask and an oxygen cylinder on his back, there is no other way.
"Demon!" was glanced at by Zhang Fan, Lu Shuyan was angry, and she couldn't care about hiccups. People want to save face, why can't you do it?
The wounded's thighs were directly invisible, shiny, and the white and yellow fat turned out, mixed with half-cooked muscles, was directly like uncooked finger meat.
"Curette!" Zhang Fan said sullenly, he was also uncomfortable, the fat was there, the muscle protein was there, and the temperature was also there, this was directly the favorite place for bacteria. Even eating and pulling, turning it slightly, the more pungent smell came to the face.
The area is too large, the scissors are not good, and the rotten body has long lost its toughness, and the scissors are reduced as if they are cut on the tofu brain, and they will rot as soon as they are cut. There is no continuity at all.
The curette is actually an enlarged ear picker. Zhang Fan scraped off the corrupt tissue little by little along the muscle texture, and Lu Shuyan stood beside Zhang Fan holding a curved plate, containing rotten fat and muscle.
She was about to cry with regret, and the fat, rotten fat was placed on the curved plate, shaking as she breathed. How disgusting to look at.
In three hours, the original 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 purgatory-like scene.
The bilateral thighs, which were originally unseeable, let Zhang Fan clean them up, as if they had been brushed by a steel brush, and blood beads slowly oozed from the fresh and pink muscles, which slowly grew larger and rolled slowly.
"It's really good-looking! muscles like marble. Zhang Fan straightened his waist, looked at his masterpiece and couldn't help but say.
"Here!" Lu Shuyan really couldn't help it, marble-like muscles, she seemed to remember something, stuffed the curved disc into Zhang Fan's hand, covered her mouth and ran out of the ICU quickly.
Out of the ICU ward, Lu Shuyan directly spit out "Uh! uh!" The seaweed and tomato egg drop soup in the morning spurted out along the corners of her mouth, and tears slowly overflowed from her huge eyes!
。 m.