Chapter 688: Debridement Took 8 Hours
in the intensive care unit.
It stands to reason that Chen Qi and the others have taken over the patient completely, so the doctors in Xiangjiang can retreat.
But apparently, the four papers aroused the strong curiosity and competitiveness of these Xiangjiang colleagues, and they wanted to see for themselves how these mainland doctors saved people. How is it different from what they consider to be mainstream burn treatment?
So when Zhong Peiyang proposed that they wanted to "learn and learn" on the side, Chen Qi didn't care.
This is not the music industry, what can't be stolen from teachers, can't be stolen from learning, can't be anything, the purpose of medicine is to benefit all sentient beings, of course, the more people learn, the better.
Chen Qi, as the number one, began to command in the center:
"Director Luo, you start hibernation therapy immediately, because the situation is urgent, now all the verbal medical instructions are used, can that young doctor help us copy the prescription, because I know that your prescription is in English, so I want to trouble you."
After all, on other people's territory, they don't know what kind of process Chen Qi is, and Chen Qi doesn't know what medicine is in this hospital.
This point must be borrowed from the power of the Hong Kong Sanatorium and Hospital, so Chen Qi directly arrested the strong man.
Even if you don't look at Chen Qi's face, you have to look at the face of the Ke family, and the little doctor who was named did not refuse, picked up the prescription paper and medical records and entered the working state:
"OK, I'll take notes."
Director Luo Yuyang immediately said to the little doctor:
"I need to configure hibernation mixture now, I need chlorpromazine, meperidine, and promethazine, oh yes, Dumerol also needs to be prepared......"
Seeing that Luo Yuyang had entered the state, Chen Qi turned his head to Zhang Xing and said:
"Xiao Zhang, you immediately recalculate the amount of fluid and electrolytes according to the Vietnamese-Chinese formula, and you closely monitor various hemodynamic indicators, and now that the liquid is withdrawn, you immediately use albumin needles and globulin needles to reduce swelling, in addition, let them prepare whole blood, we don't need plasma first."
Zhang Xing nodded: "Received, I will change the amount and variety of rehydration immediately." ”
Chen Qi then turned his head to Zhu Huoyan and said:
"Teacher Zhu, now the patient's edema is very severe, and the eschar is about to burst open, so you immediately do eschar incision and reduction surgery, and after the hibernation effect comes out for a while, we will immediately carry out debridement treatment, and strive to remove all the eschar tonight."
Zhu Huoyan nodded, picked up the handle of the scalpel and loaded the blade, and began to perform transverse and longitudinal atflation surgery on the patient.
This technique is very demanding, and the requirement is to cut the eschar open, and it cannot hurt the underlying cortex or muscle layer.
As Chen Qi issued one order after another, the intensive care unit immediately began to get busy.
At this time, a little doctor in Xiangjiang took a bunch of checklists that had just come out, and their lives were at stake, and they didn't dare to discooperate or hide anything, which the doctors would abide by by the professional ethics.
Chen Qi took a look, and then looked at the urine output, although the creatinine on it was not abnormal, but the blood nitrogen went up, obviously the kidneys had begun to fail.
If you change to the Vietnamese Central Hospital, this matter has to be delayed, but in such an advanced top hospital as the Hong Kong Sanatorium & Hospital, what else can you say?
"Dr. Lin, now the patient is going to undergo hemodialysis, please go and help get a hemodialysis machine."
Doctor Lin Fuhe reacted quickly: "Oh, we have prepared the hemodialysis machine, Nurse Liang, you can help Dr. Chen push it over immediately." ”
The hemodialysis machine soon appeared at the head of the bed, and other doctors in the Vietnamese Hospital would not operate it, only Chen Qi personally went into battle.
Fortunately, it is the latest model, and it can be regarded as a semi-automatic machine, and after Chen Qi added various reagents, the hemodialysis machine began to run by itself.
The Xiangjiang doctors stood in the corner, watching the Vietnamese doctors start to get busy, and they also kept assessing.
First of all, they were very curious about this so-called "hibernation therapy", and when they saw the paper, they were interested in learning, and now the original author is implementing this new treatment in front of them, and the doctors in Xiangjiang are wide-eyed.
The hibernation mixture was used, and in less than half an hour, Ke Rongwei, who had been very irritable, began to slowly calm down.
Head Nurse Liu checked her body temperature and pulse, and then nodded:
"Dean Chen, Director Zhu, the effect of hibernation mixture has appeared, and debridement can begin."
At this time, Chen Qi and Zhu Huoyan had already changed into surgical gowns and started the debridement work, and the burn surgeon paid special attention to whether this new treatment, which was different from general anesthesia, was really so magical.
A group of intensive care doctors are paying attention to the new treatments adopted by mainland doctors.
They held the New England Journal of Medicine and Surgery in their hands, and a group of people gathered around to check the new doctor's orders.
"Hey, their gel ratio is 1:1, but the Evans formula clearly says 1:2."
"Not only that, you see that after the albumin injection is used up, they are specifically whole blood, and the book says that whole blood cannot be used, and the transfusion of whole blood can easily lead to a slowdown in blood flow, and the concentration of red blood cells and blood viscosity increase, which is not conducive to blood flow and aggravates the condition."
"You see that in the whole prescription, there is no hydroxyethyl starch injection, which is going to be replaced by blood?"
"I know this, and it is clearly written in the paper that hydroxyethyl starch tissue residue is heavy, and it may increase the patient's renal impairment and mortality, so it is recommended to use it with caution or not at all."
"The treatment plan of the mainland doctors is almost completely different from the mainstream international burn guidelines, and I don't know if it is the courage of the art masters or the fearlessness of the ignorant."
"Shhhh
"I rub, so how did this plastic surgeon and gastroenterologist play burn surgery? This is a violation of the Medical Registration Act. ”
"What kind of laws are there in such poor places in the mainland, I guess they come in a mess."
"Hehehe~~~~"
Although Chen Qi can't understand Cantonese, he can understand English, and these Xiangjiang doctors teased a few words in English from time to time, and Chen Qi listened to them all.
Although these remarks are not prejudiced against him personally, after all, the international status is there, but their contempt for the mainland and the Vietnamese hospital still makes Chen Qi uneasy.
So he looked up at Yang Xiuxiu:
"Xiuxiu, you go and tell these Xiangjiang doctors that it is time to carry out full-body debridement, the sterile environment is very important, ask them to go out, if they want to observe our treatment, let them use the closed-circuit phone live broadcast method."
"Okay Dean."
After a while, Dr. Xiangjiang walked out of the ward one by one, knowing that everyone had heard his jokes, and he was a little embarrassed.
The debridement work lasted for 8 hours, and when the debridement work was completed, the sky outside the window was already bright.
Looking at the busy mainland doctors in the surveillance, Ke Chengji and Mrs. Ke were still very moved in their hearts, if they hadn't seen it with their own eyes, they wouldn't have believed that the doctor would have taken so long to remove the eschar from his son's body.
They slept for a while last night after seeing their son go to the scab treatment and woke up in the morning to find that the mainland doctor was still sitting there for debridement.
8 hours is said to be working carefully, even if it is sitting for 8 hours, it is not something that ordinary people can afford.
Mrs. Ke burst into tears:
"Brother Ji, it seems that our son has been saved, and the doctors of Yanghe don't dare to touch our son at all, these mainland doctors will directly help our son remove the dirt as soon as they come, and they are better than the doctors of Sanatorium and Ho on this basis."
Ke Chengji's eyes were also sour, and he held his wife's hand with emotion:
"Yes, our son may have been saved, I heard that traditional Chinese medicine likes to use unconventional tiger and wolf drugs when there is no way to save it, and now mainland doctors are probably also using some powerful means, Ah Mei, we must be optimistic and cheer for our son."
"Oh yes," Ke Chengji said to the secretary next to him.
"You immediately contact the restaurants of the Four Seasons Hotel and ask them to arrange bird's nest porridge, lobster dumplings, seafood noodles, shark fin rice, etc., anyway, let them serve whatever is expensive, and send them all to the Hong Kong Sanatorium & Hospital, and invite these mainland doctors to have breakfast.
In addition, the lunch, dinner, and supper were all delivered by the Four Seasons Hotel. Oh no, they simply asked them to send a chef to cook directly in the restaurant of the Hong Kong Sanatorium & Hospital, on call 24 hours a day, so that the mainland doctors could eat the freshest meals.
You then arrange for someone to charter the best VIP ward of the Hong Kong Sanatorium & Hospital for the mainland doctors to rest, and you will personally follow the mainland doctors in the past few days, and you don't have to ask me about their needs, whether it is life or treatment, you can meet them all. ”
The secretary nodded heavily: "Okay boss, I'll do it right away." ”
So that morning, the doctors and nurses of the Vietnamese Central Hospital had such a luxurious breakfast for the first time in their lives.
After Chen Qi drank a glass of milk that was said to be imported from New Zealand, he looked at his sluggish subordinate and shouted:
"Why are you still stunned, eat, don't be afraid to look ugly, we have been busy all night, we should make up for it, Mr. Zhu is here, this is authentic bird's nest porridge, this is shark fin rice, eat, don't be stupid, move chopsticks."
Zhu Huoyan and Luo Yuyang were still stable, and young people like Zhang Xing and Yang Xiuxiu were excited, and they directly started to stuff them into their mouths.
What is not gentle, what table manners, can these be eaten as meals? It's the most affordable to eat in your stomach.
Several people chatted while eating, and Chen Qi instructed:
"Today's main task is to rehydrate and fight infection, the second debridement will be done when I come back in the evening, Teacher Zhu, and everyone will go to take a nap first, and let Yan Shifan and Bian Meng come over to help in the ward first."
Zhu Huoyan was a little strange: "Do you have anything else to go out?" ”
Chen Qi laughed:
"Mr. Zhu, have you forgotten what I came to Xiangjiang for this time? Today is the election day of the ISAPS Society, and I have to be there, but I can't lose this director of plastic surgery, and I still count on this name to make extra money. ”
(End of chapter)