Chapter 659: Treating Burns
In any case, Dongfang Hospital belongs to a general hospital of Western medicine, so there is no treatment in traditional Chinese medicine and traditional Chinese medicine, even if Ye Chen is treating patients here, he naturally feels very inconvenient sometimes.
However, now it is important to save people, Ye Chen didn't think about anything else first, took those small boxes of ointment, and when he returned to the dermatology department of Dongfang Hospital, the two patients were still in the operating room, and the doctors in the operating department were naturally doing debridement surgery on them.
Ye Chen accompanied Sun Xiaowei and the two of them, and sat outside for about half an hour, patient No. 1 first underwent debridement surgery, Ye Chen then suffered from the white coat of the Oriental Hospital, put on a mask, and after disinfection, he took those burn ointments and went inside, he found that patient No. 1 had woken up, but he was delirious, gibberish, restless, and naturally caused by the condition.
Ye Chen sat on the bed of patient No. 1 and examined him again in detail, for example, after looking at the wounds after debridement, as well as checking his pulse and tongue, it was basically clear.
"You apply these burn creams to his wounds first, and then you bandage his wounds. Ye Chen naturally told the two female nurses.
Now that Zhou Shidong and Zhang Yongnian are also inside, since Vice President Han asked Ye Chen to come in to help just now, he naturally trusts Ye Chen. Now, with the consent of the two directors of Zhou Shidong, the two female nurses began to apply ointment to patient No. 1.
Ye Chen asked another female nurse to bring him a new medical record from the East Hospital, and Ye Chen wrote a medical record on it again.
"Name: Unknown (code name 1), Gender: Male, Age: Unknown (about 25). The patient was burned by a fire in an Internet café, burning his head, face, torso, and limbs for 15 minutes. ”
"Initial diagnosis: The patient was rescued from Internet burns in an Internet café and sent to the hospital for first aid, and it was found that the patient was burned by the fire to the head and face, torso, limbs, with a total area of more than 70%, of which 57% was deep II degree and 14% was III degree, and was immediately sent to the hospital after the injury. ”
"Examination: the patient was in a coma on admission, cold limbs, undetectable blood pressure, body temperature 36 °C, weak heart sounds, heart rate 120 minutes, arrhythmia, binary rhythm, 24 to 28 minutes of breathing, and electrocardiogram showing premature supraventricular beats. ”
"The hospital gave intravenous fluids and intravenous drip with celeocaine plus glucose solution. Forty minutes later, the patient's heart rhythm was normal, but the blood pressure was still undetectable, and he was sent to the operating room for debridement, and now he is applied and bandaged with external burn ointment. ”
"After the debridement surgery, the patient has woken up, but he still has symptoms such as confusion, gibberish, and restlessness. ”
"Now checked: tongue image: the tongue is pointed red, thin and yellow greasy. Pulse: Pulse number. Traditional Chinese medicine dialectic: According to the syndrome, it is fiery and wounded, qi and yin are deficient, and the mind is restless. Treatment: Nourish qi and nourish yin, peace of mind and calm the nerves. ”
"Prescription: 30 grams of Beisha Shen, 30 grams of raw astragalus, 30 grams of honeysuckle, 30 grams of mother-of-pearl (decoction first), 15 grams of Lu Codonopsis, 15 grams of Chuanmai Dong, 15 grams of Fatty Yuzhu, 15 grams of Jujube Renke, 15 grams of Baoshen Fushen, 5 grams of Chuanhuanglian, 5 grams of calamus, 6 grams of Zhiyuanzhi, 6 grams of boiled licorice, decoction in water, 1 dose per day. ”
After Ye Chen finished writing, he handed it to the female nurse and said, "There are no medicinal materials here in the Eastern Hospital, you can immediately go out to the nearby medicinal herb shop to get the medicinal herbs and come back to decoction for him." ”
The female nurse naturally knew this, and after she went out, when Ye Chen went out again, she found that patient No. 2 had also completed debridement surgery and was now arranged in another separate ward.
Zhou Shidong and Zhang Yongnian followed, and now they look at the situation of patient No. 2, which can also be said to be a miserable situation, if it were not for Ye Chentong's traditional Chinese medicine treatment, in their opinion, it would really be the most suitable for skin transplantation.
After Ye Chen also asked a female nurse to bring him a new medical record, Ye Chen wrote on it: "Name: unknown (code No. 2), gender: male, age: unknown (about 25). The patient was burned by a fire in an internet café for 15 minutes before 50 minutes. ”
"Initial diagnosis: The patient was admitted to the hospital 15 minutes after the injury due to burns in 94% of the total body area of the fire, including 70% of grade III and 24% of the second degree of deep reading. The hospital doctor found that the patient was in a strict coma when he was admitted, with 32 minutes of breathing, 132 minutes of heart rate, weak heart sounds, uniform heart rhythm, and cold limbs. The doctor immediately performed a phlebotomy to rehydrate and perform debridement surgery. ”
"It is now applied externally with burn ointment and bandaged. Examination: tongue image: pale red, yellow and greasy. ”
"Traditional Chinese medicine dialectic: the patient has severe burns, accompanied by obvious kidney damage, the syndrome is fiery injury, qi and yin deficiency, and restlessness. Treatment: Nourishing qi and nourishing yin, tonifying the kidney and improving water. ”
"Prescription: (1) 30 grams of raw astragalus, 12 grams of Dong'e jiao (chong), 12 grams of dogwood, 15 grams of psyllium, decoction. (2) Oral: traditional Chinese medicine antibody shock mixture. After Ye Chen finished writing, he handed it to the female nurse on the side and asked her to go over immediately to buy medicine and decoction it.
"Director Zhang, because these two patients have too poor physical symptoms now, in addition to using guò traditional Chinese medicine to treat and recuperate, on the one hand, they still want intravenous drip treatment. Ye Chen looked at the two doctors and said.
What he said was naturally to supplement the nutrient solution to these two people, and in this regard, Ye Chen still agreed that in the case of the patient's weak physique, the nutrient solution can be used to maintain the normal absorption of the patient.
Of course, those who are sick or not are sick will hang a few bottles, and there will be harm to patients, especially those penicillins that are more harmful to patients.
Zhou Shidong and Zhang Yongnian naturally knew this, and they didn't need Ye Chen to remind them.
Now Ye Chen showed these two people, and when he came out of it, when he and Zhou Shidong went to other wards to see other patients, the other patients were not as strict as those two.
Some burns, even if they are burned, are minor, and in addition to some external drugs, others who inhale too much carbon dioxide and other toxic gases can slowly sober up with the help of an oxygen mask.
Of course, many of these people were rescued by Ye Chen, Ye Chen came to see them, they naturally recognized them, and they were still very grateful to Ye Chen, especially the parents of those young students, they were very grateful to Ye Chen, and they couldn't wait to kneel in front of him to thank him.
Ye Chen knew that he did that from the heart, and he didn't need their thanks, and when he saw that they didn't have anything else, he didn't say anything else after reading it.
Coming out of those wards, Ye Chen changed out of the white coat, looked at Zhou Shidong and said, "Director Zhou, I have time to come and see the situation of those two patients in the afternoon." ”
"Yes!" Zhou Shidong said.
After all, Ye Chen is not the official doctor here, Ye Chen has already finished reading the two patients just now, and now he also looks a little wolf, and when it is time for lunch, he can naturally leave first.