Path of Medicine With a System

"I urinate! I urinate!" The head nurse of the ICU ran out crying. In the special isolation ward, there is only one doctor and two nurses on duty. Other doctors and nurses are watching through the glass outside.

Zhang Fan woke up after a short sleep in the ICU doctor's rest room, and couldn't fall asleep because of something on his mind. After washing his face, as soon as he left the door of the duty room, he heard the head nurse of the ICU crying with joy.

In a hurry, Zhang Fan ran to the outside of the ICU. The urination signified that the body began to recover, and the circulating solution, that is, blood began to enter other relatively unimportant organs, such as the kidneys.

"Quick, monitor your body temperature." Zhang Fan said hastily, not to be taken lightly at this time. Really, sometimes treatment is actually suffering people, patients, and doctors.

"Doctor Zhang, 37.5°." After a while, the ICU nurse reported the result.

"No, it's time for debridement. Now is the time when the body is at its peak." Zhang Fan said to the expert treatment team.

"Would you like to observe again? The body temperature didn't rise very much. If the wound is debrided now, will the massive bleeding lead to recurrence of the disease? This is my personal opinion." A doctor from the military region said with a frown.

Really, this kind of trade-off is too nonsense, without debridement, the patient's hard-won situation will be swallowed up by bacteria. Debridement, such a large area of ​​damage, there must be a lot of bleeding, and the amount of fluid that was finally replenished may collapse.

"What should I do?" Tangled, really tangled. Ouyang and the others were all present, "How much bleeding do you estimate?"

"Within 200ml." Zhang Fan gritted his teeth and said, it is too difficult to control such a large area of ​​damage.

"Debridement, I'm responsible for the accident! We can't just stand by and do nothing." Ouyang said seriously, she is an expert in her heart, Zhang Fan said the amount, after she evaluated it in her heart, she gave the order. She believes in Zhang Fan and is willing to take on this responsibility. This is a true leader, who has skills and responsibility, and can relieve the pressure on his subordinates.

"It's not easy to control the amount." The director of the Burn Department of the General Hospital was a little unconvinced. How big is the 45% burn area? The front chest and back add up to 18%.

Ouyang looked at Zhang Fan, "Yes, we can guarantee this amount."

"Okay, then prepare for debridement."

The wounded were so miserable that they were almost cut to pieces by Zhang Fan. Then the nurses washed it with disinfectant solution, and the burnt black faded a little, but corrupt tissues also began to appear.

At this time, the body is actually doing all kinds of struggles. The fresh granulation began to slowly climb, and began to slowly climb around the preserved blood vessels, but a large number of inactive tissues that could not be removed also began to cultivate a large number of bacteria, and then excreted toxins, and these tissues began to rot.

In other words, it depends on who grows faster and who can overwhelm the other. The area is too large and the damage is too serious. The new organization is definitely not the opponent of the corrupt organization. At this time, the doctor is the helper.

Debridement! This treatment is very painful for the patient, but it is not easy for the doctor. Especially for the debridement of limbs with gas gangrene, or the debridement of diabetic feet, it is directly like criminal law. After one debridement, it is estimated that patients will have a new understanding of life!

The inactivated tissue overnight began to rot, and the tissue that should have been pink and tender began to turn white, like bacon that had not been dehydrated in the air, and it shrank quickly when pressed lightly, without any elasticity.

That's not counting, especially some tissues on the outer layer, white pus began to appear, exuding a stench that could almost suffocate people. The originally clear liquid also began to become cloudy.

Gently pressing the edge of the wound, mixed with the charred black powder detached from the inactivated tissue, like milk chocolate mixed with Oreo biscuits, slowly flowed out, too much, and the slow flow made people feel a sense of urgency. Tongue to lick desire!

For some tissues with fascia, the interior has been inactivated by high-temperature baking, but the toughness of the fascia has not been destroyed.

At this time, due to the corruption of the internal body, it then produces gas, and slowly begins to swell like a balloon.

The nurse quickly prepared the debridement kit, "I'll be your assistant." Lu Shuyan followed closely.

"Okay. Let's go." The two entered the intensive care unit, and the thin disposable masks couldn't stop the pungent smell.

"Start with the head first. Here, normal saline solution." Zhang Fan held a needle in one hand, pinched the cotton ball, and scissors in the other. Lu Shuyan, holding a 50ml syringe filled with physiological saline.

The thin facial skin has been roasted in many places. After being dipped in cotton balls and rinsed with normal saline, it began to fall off, just like a dry ham sausage, the dry skin slowly fell off.

While wiping, Zhang Fan said, "Slow 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 cleaned. The greasy off-white color disappeared, and after thorough debridement, the facial muscles began to be white with powder, because a lot of muscles were cut off, and there were still many pitted defects on the cheeks.

Chest, back, a little push, a little clear. Normal people may sometimes have a fever due to infection due to hand trauma, not to mention the patient with a large area of ​​skin damage, even a little rot may cause death, because his first line of defense has collapsed.

The last and most serious place, the thighs. Lu Shuyan, who has seen hydatidiform moles, seen stillbirths, and smelled various gynecological inflammatory diseases, almost couldn't hold on, "Uh!"

Zhang Fan turned his head and glanced at her. Isn’t Zhang Fan disgusting? It’s disgusting, but you have to endure it. The more hiccups, the more disgusting you are. The best way is to take a deep breath and get used to the smell, or wear a mask and carry an oxygen bottle on your back. , there is no other way.

"Devil!" Zhang Fan glanced at her, and Lu Shuyan was so angry that she couldn't care less about hiccups. People want face, why can't I do what you do?

The thighs of the wounded were not visible directly, they were shiny with oil, and the white and yellow fat was turned out, mixed with half-cooked muscles, just like uncooked finger meat.

"Scratch spoon!" Zhang Fan said in a muffled voice, he is not feeling well either, with fat, muscle protein, and temperature, this is directly the favorite place for bacteria. Even eating and pulling, turning it a little bit, a more pungent smell hits the face.

The area is too large for scissors to do, and the decayed body has long lost its toughness, and the scissors cut it off like cutting on tofu brain, and it will rot as soon as it is cut. There is no continuity at all.

A curette is actually an enlarged ear pick. Zhang Fan scraped off the rotten tissue bit by bit along the muscle texture. Lu Shuyan stood beside Zhang Fan holding a curved plate, which contained the rotten fat and muscle.

She was so regretful that she was about to cry, the fat and rotten fat was placed on the curved plate, shaking with her breathing. No matter how you look at it, it's disgusting.

For three hours, the originally very basic debridement made the two of them sweat like they had undergone a super-large operation. Lu Shuyan was a little dizzy. The pungent taste, the disgusting picture, the scene like purgatory.

The thighs on both sides, which could not be seen originally, were cleaned by Zhang Fan, as if brushed by a steel brush. Blood beads slowly ooze out of the fresh and tender muscles, gradually turning into white one by one. Great, roll slowly.

"It's really beautiful! Muscles like marble." Zhang Fan straightened his waist and couldn't help saying something while looking at his masterpiece.

"Here!" Lu Shuyan couldn't bear it any longer. With marble-like muscles, she seemed to have remembered something. She stuffed the pan into Zhang Fan's hand, covered her mouth and quickly ran out of the ICU.

Leaving the ICU ward, Lu Shuyan vomited directly, "Uh! Uh!" The seaweed tomato egg drop soup in the morning sprayed out along the corners of her mouth, and tears slowly overflowed from her huge eyes!

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