Chapter Seventy-Four: Debridement
(Thank you to my friend Yu Jinkun and my friend Pailong Bay for their support ^^)
Dean Hu solemnly tapped on the table and muttered: "Although we are a traditional Chinese medicine hospital, the role that traditional Chinese medicine treatment, especially in surgery, needs to be treated differentially, and cannot be belittled or exaggerated, so it is time for the hospital committee to study and study." ”
"Huh?" As he was speaking, Dean Hu suddenly said, "What is that little doctor doing?
On the large high-definition screen, it can be clearly seen that the little doctor put his finger on Lin Leer's wrist vein.
That's right, the first thing Qin Ling did was to diagnose Lin Le'er's pulse, and he didn't dare to use true qi to diagnose, so he could only use pure medical skills.
"Surgical Secrets" once said: Where the soup burns sores, the light is harmful to the skin, the heavy is harmful to the muscles, especially the viscera, the fire sores are burned all over the body like black It is difficult to save, or the burns are not black and can still be treated, but the skin is scorched and the meat is rolled, the pain is unbearable, and there are hundreds of ways to use it without testing, and the fire poison is adducted, and the cure is not lawful, so the treatment of fire and burning disease must be treated both internally and externally.
Qinling explored, it is Lin Leer's viscera situation, the result is not optimistic, the pulse is empty, etc., Jin is hurt and angry, both the death of the yang and the death of the yin, it is a critical syndrome, in plain language, that is, the balance of yin and yang is no longer simply a matter of being destroyed, but yin and yang will not exist zài, you know, people's existence zài, in the final analysis, yin and yang complement each other, if there is no yin and yang, then what kind of person?
Apparently dead people.
Of course, Lin Le'er hasn't come to this point yet, but specifically, not only her lungs, liver and kidneys, but also her digestive tract has been traumatized, except that her whole body has not become scorched, no matter what point you look at, it is in line with the difficult rescue characteristics in the "Secret Record of Surgery".
In fact, it's not that Qin Ling is indifferent, sometimes it's not necessarily better to be alive than dead, like Lin Le'er's situation, even if he is saved, he not only has to bear huge pain, but also has a huge psychological gap.
From a young and beautiful bean girl, a star who has attracted much attention, to a monster who describes ugliness, being pointed at by others, maybe even disabled, and losing some physiological functions.
Death is just a moment of heart, but to live, it takes a lifetime of courage.
But for Wang Xinmei's bet, he had to fight for twelve points.
The rescue of Lin Leer is not within Qin Ling's responsibility, all he needs to do is the procedure of general anesthesia, but the most common condition of Yan zhòng burn patients is shock heart, that is, myocardial ischemia and hypoxia, causing cardiac shock, which is not the same as coma, coma is just the loss of consciousness, the body function is still running, and shock is the sudden suspension of internal organs, and the sudden death rate is very high.
In the case of a variety of nutrient solutions without money, Lin Leer's blood pressure and blood oxygen are always very low, which also indicates that the risk of shock is quite large, and what is even more embarrassing is that because the patient is in a coma, the effect of needle anesthesia can not get the most intuitive feedback.
After thinking about it, Qin Ling decided to adopt a prudent method.
"Bring the needle!" Qin Ling made a gesture.
The nurse hurriedly handed over the silver needle that had been sterilized, starting from the well point on the left shoulder and shoulder, Qin Ling pierced it all the way to the Zhongchong point on the tip of the middle finger, each one was twisted in, injected a small wisp of true qi, and then called: "Aunt Wang, start with the left arm, move lightly, I want to observe the effect of anesthesia." "Okay!" Wang Xinmei immediately stepped forward.
For the time being, treatment is not yet available, and the first step is debridement.
Debridement is divided into complete debridement and simple debridement, literally, it is obviously better than simple, but in fact, the incidence of early sepsis and mortality rate of complete debridement are significantly higher than that of simple debridement, because complete debridement is another traumatic blow to the wounded, in addition to the re-damage to the wound by brushing and further destroying the skin defense function, it may also aggravate shock, increase the patient's internal environment disorder, and reduce the body's resistance.
Thorough debridement not only does not reduce wound infection, but may lead to the sudden onset of systemic infection, increase the difficulty of treatment of patients, and even die.
Under the shadowless lamp, Wang Xinmei's debridement technique is very skillful, a piece of scab or cloth is tweezed up by tweezers, carefully cut off, worthy of the director of general surgery, and the nurse carefully scrubs with distilled water.
Qin Ling's focus is on Lin Leer's body reaction, judging whether anesthesia has achieved effect from the subtle changes in muscle tissue, which is also a new challenge for him.
In the monitoring room, Director Qi of the Department of Anesthesiology sneered: "This is considered anesthesia? I have heard of needle anesthesia, but the patient is in a coma, how can I see if the needle anesthesia has achieved any effect?"
The giants of the hospital also have the same question, in their eyes, it is nothing more than Qinling's luck, Lin Leer has not been woken up until now, because general anesthesia will change the patient's heartbeat, breathing and other indicators, but according to Lin Leer's real-time indicators, there is no difference from before the implementation of acupuncture anesthesia.
It's just that the matter has come to this point, and Director Qi's confidence is insufficient, so he can only treat the dead horse as a live horse doctor.
On the contrary, Wang Xinmei had a lot of confidence in Qin Ling, looked at the indicators, and then raised her head and said, "Xiao Qin, you help Aunt Wang to debride, the two of us will do it, try to finish it as soon as possible." "Okay!" Qin Ling beckoned again: "Bring the silver needle." “
A nurse came over with another silver needle and took the initiative to stand beside Qin Ling and act as an assistant.
Qin Ling quickly inserted the silver needle and stretched out his hand: "No. 3 scalpel with No. 15 blade." ”
According to Qin Ling's request, the nurse put the blade on the handle and handed it over.
But it didn't take long.
"No. 3 scalpel with No. 11 blade, small vessel scissors, No. 4 scalpel with No. 23 blade, connective tissue scissors, No. 7 scalpel with No. 10 blade, ball tip small vessel scissors, forceps ......"
Qin Ling's instructions were issued in a row, and the nurse suddenly felt that the pressure was extremely high, this kind of speed, she had never heard of, and it far exceeded her intensity in her usual work, you know, she was not only handing over knives and scissors, but also undertaking the task of scrubbing wounds, after all, this kind of thing could not be done by the chief surgeon.
The assistant doctor was also stunned, Qin Ling was not only fast, every knife, every cut, but also extremely accurate, almost not cutting off Lin Leer's skin, such speed and efficiency, even a veteran who has done debridement for decades, may not be able to compare with him.
"I'll come, you concentrate on debridement. An assistant doctor stepped forward and was specifically responsible for handing knives and scissors to Qin Ling, and the nurse breathed a sigh of relief, she felt that she was on the verge of collapse.
After all, the load of surgery on medical staff is quite heavy, and often a detail is wrong, or a beat is slow, which may cause the failure of the operation, which is not only physical, but also mentally requires a high degree of tension.
With the addition of the assistant doctor, the situation was slightly better, but it didn't take long for the assistant doctor's forehead to ooze beads of sweat.
Where's the fuck this monster coming from?