Chapter 1634

Although the head nurse frowned, she decisively began to adjust the indoor temperature!

Gong Daizhen thought a little, her eyes lit up and looked at Chen Cang. She was touched and filled with emotion!

Professor Chen is Professor Chen!

I really know more about medicine than ordinary people!

What is medicine?

That is, any risk that affects the patient can be avoided!

It's really too strong!

This kind of consciousness, this kind of medical thinking, this kind of ability, is really... Too powerful!

These directors around also slowly react!

Chen Cang was shocked and his eyes were full of admiration!

Often a detail can observe a doctor's ability!

Why?

Generally speaking, the temperature of the operating room is usually set between 22-25 degrees Celsius.

But!

When escharectomy is performed in a large area, because the patient is in shock, the body temperature itself is low. At this time, we need to keep warm!

In addition, the patient is almost exposed all over the body at this time, which speeds up the heat dissipation.

The key is that when a large area of eschar is cut, there will be bleeding, a lot of heat will pass with the liquid, and the temperature of blood and liquid input during the operation is not high.

Therefore, if the temperature is too low, accidents are easy to happen!

At this time, if the room temperature is adjusted at 32 ℃, the patient's temperature is more appropriate!

The success rate of surgery will also improve a lot!

At the beginning of the operation, everyone was stunned by Chen Cang.

Big guy is big guy!

Those who come to the operation are at the director level. It's easy to understand at a glance, and there's no need to explain too much!

But when the people at the meeting heard it, they were surprised!

They whispered!

"What's going on?"

"32 degrees Celsius, this... This can stand? And this is the room temperature of 32 degrees Celsius. It takes a long time to stand and operate during the operation. High intensity surgery must be serious. Can this temperature hold?"

"Yes, I sweat a lot. Can't I be dehydrated?"

"Yes! Why?"

I heard the group of young people whispering.

A director on one side couldn't help explaining: "this is because Professor Chen considers that the patient is in shock and hypothermia. He is worried that the patient's hypothermia and decreased immunity may be caused by rehydration, bleeding, exposure, heat dissipation and so on. Maybe... The infection period will come in advance!"

"It's even bad for the healing of the operation!"

"Professor Chen is really comprehensive and worthy of... He is worthy of being an academician student mentor!"

As soon as this remark came out, everyone immediately sighed!

But!

What the hell is this academician tutor?

There is no such title!

Academician or student? Need a mentor?

God, he "academician student mentor"!

Chen Cang made people realize his strength at the beginning!

It's too awesome!

Everyone has only one idea in their heart. From today on!

I am "Cang blow"!

……

……

But what they don't know is that this is just the beginning!

When the people at the meeting saw the table for visiting the surgical instruments, they were immediately confused!

Three... Three tables!

Numerous surgical instruments, all kinds of dressings and drugs, all kinds of knives and abrasives

Let the people see it and don't know how fierce it is!

Don't talk about them. Even Qin Xiang and Yang Tao are a little weak and feel a lot of pressure!

Because the precision and difficulty of this operation are far higher than those of ordinary burn surgery, it is necessary to have sufficient quantity, complete varieties, good performance of instruments and instruments, and the fixed position of rescue instruments is very important!

These are the basis to ensure the smooth completion of this group of operations!

Escharectomy is the most important procedure of escharectomy and skin grafting.

Chen Cang held a scalpel and looked meticulous. Before the operation began, everyone felt that his back had begun to sweat!

Chen Cangqiang forced himself to calm down!

Then start removing the eschar.

The patient's skin is covered with eschar and scab skin, just like dry bark, exposing bleeding flesh!

In fact, there is no need for anesthesia in such a situation!

Because after the third degree burn, the eschar formed, and there was no nerve sensation. To put it bluntly... The nerves were necrotic.

Eschar incision can be performed directly!

What is surgical escharectomy? Maybe many people don't understand it.

What is skin?

It's the biggest organ in our body!

He is a flexible organ with the ability of regulation and defense!

However, when the skin is damaged by heat, the skin will lose its elasticity and become a hard eschar!

Moreover, these eschar are necrotic skin, which has no possibility of expansion, can not regulate edema, can not defend the body, and even cause damage to the body!

Because after the burn, the tissue degenerates and edema, and is isolated under the skin where the burn forms eschar, the tissue pressure increases, resulting in vascular compression injury!

At this time, Chen Cang slowly put his hand on the skin and gently pressed it. He immediately felt an elastic feedback!

Chen Cang takes a deep breath. This is the so-called interstitial tissue pressure!

The most important thing for this operation is not others, but to have a good perception of the body!

How to cut scabs, how deep

After Chen Cang touched his hands, he immediately returned with information feedback!

"The tissue pressure is a little high. This operation... Is imperative!"

Hearing Chen Cang's words, Qin Xiang is ready to use Doppler to check the distal pulse or directly measure the tissue pressure.

Chen Cang pressed a little and said, "the pressure of interstitial tissue has reached 40mmhg!"

As soon as Chen Cang's voice fell, Qin Xiang was stunned!

Because his test data is just 42!

All of a sudden, Qin Xiang was stunned!

Even Gong Daizhen looked up at Chen Cang. Her pupils were shrinking and she felt a little terrible!

I haven't seen you for a while. Professor Chen is strong again!

This is impossible to perceive without rich clinical experience.

Never underestimate this skill!

If the interstitial tissue pressure reaches 40mmhg, the nerves and blood vessels will begin to damage.

We must deal with it as soon as possible.

Such a pressure is not conducive to the transportation of blood. When burned around the chest, this pressure will increase the work of breathing and cause dyspnea!

When the preparations were completed, Chen Cang said directly, "first deal with the ring mounted eschar on the neck!"

Everyone nodded!

This is an important breathing and blood supply channel of the human body, and there is no difference in the first treatment.

At this moment, the patient's neck adheres closely, and the originally loose skin is like sticking on the muscle after barbecue!

People's scalp is numb!

To tell the truth, doctors can enjoy this terrible picture as a video. Others... Handsome, but they will vomit in three seconds!

Especially at this time, it is still a high-definition camera!

Everyone at the meeting called for experts!