Chapter 1636

This is a limited time operation!

Patients in shock can't stand too long operation at all.

Time is limited!

Chen Cang estimated that the limit was six hours.

Six hours later, the patient must end the operation!

He has no time to rest!

Escharectomy in shock stage is very difficult, not to mention Chen Cang's escharectomy and skin grafting

This scab stripping is not a simple area stripping!

The skin on the back of the patient is good, and the front skin and legs are basically burned!

It's lucky to be able to save your life and send it to the hospital!

The whole operation can no longer be called escharectomy.

To be exact, it should be called peeling.

Chen Cang found that after dual-purpose, he was easy to wander.

And, to be honest

This operation is really boring!

After all, you need to keep cutting scabs

This makes Chen Cang think of "painted skin". He is thinking that those people have been designated as academicians in the field of skin surgery since they live now!

If you think so, the development of surgery in our country actually has a long history.

What a pity!

Used in the wrong place.

For example, gunpowder is used as firecrackers

Hate iron but not steel!

……

Chen Cang was boring in all kinds of escharectomy.

Upper limb annular eschar, hand annular eschar, lower limb annular eschar, foot eschar

These need to be cut and treated with special dressing to reduce the tension!

The wound is covered with special dressing and gauze!

There is no artificial skin or allogeneic skin, because these follow-up needs to be replanted!

This time, only about 50% of the operations can be performed.

The scab of limbs will not threaten the patient's life for a certain period of time.

As the eschar incision and tension reduction surgery that must be mastered in emergency, it is still very difficult.

If you want to do Chen Cang's feeling of lifting heavy as light, you can't do it without decades of skill!

Moreover, during the tension reduction incision, pay attention not to damage the cutaneous nerve and the subcutaneous blood vessels as much as possible!

These blood vessels and nerves are baby now!

Limb escharectomy must be carried out under the blood drive belt, otherwise it is easy to have accidents!

The existence of Gong Daizhen relieved Chen Cang of great pressure.

He Jin tries to look like a director.

He was able to participate in this operation not because he was a number one person in the field of burn surgery in Dongyang province.

But simply because his mother's family is the second provincial hospital.

That's why I have the chance to come here.

After the treatment of limbs, clean the wound with hydrogen peroxide and normal saline, and then apply it externally with antibiotic gauze!

Now a very popular Tilapia Skin on the Internet is used to treat burns. In fact, it is basically not used in China!

In Brazil, doctors switched to Tilapia Skin because of the lack of other treatments.

Of course, this kind of fish skin is definitely not directly peeled off for use.

It can only be used after various disinfection and sterilization.

The use of animal skin to treat burns is not new today.

In fact, it has a long history!

Moreover, animal skin has long been used to treat burns in many countries, but Brazil lacks human skin, pig skin and artificial skin that are widely available in other countries.

And it happens that tilapia is a widely cultured fish in Brazil, which is cheap.

It also contains a lot of collagen I and III, which are very important for scabbing and have greater tension. The resistance of Tilapia Skin is much higher than that of human skin, and the humidity is also higher. This humidity environment is more suitable for skin growth!

But Chen Cang still uses dressing!

Because he was worried that if he showed off his ability and didn't cure it with fish skin, his fame would be over.

The operation went by minute!

At this time, the skin on the patient's back is divided into pieces by Chen Cang just like geometry!

Skin graft itself is not easy.

It's all right now.

Want to give full play to 40% of the value of 20% of the skin.

The difficulty is straight line!

But!

Chen Cang did it.

People say that a real master should have the heart of an apprentice!

But!

Gong Daizhen feels that she will always be an apprentice with Chen Cang.

Not only with the heart of an apprentice, but also with the courage, lungs and

I'm an apprentice anyway!

He Jin of the Department of Dermatology of the second provincial hospital was flustered!

He felt that his I3 processor could not cope with the situation of i7 at this time!

He's super!

Throughout the operation, he kept going beyond the outline.

And those who were watching the operation felt both nervous and excited and happy after seeing this scene!

They're the audience!

I thought he Jin was lucky.

But now it seems.

This guy has blood mold.

The difficulty of this operation is simply beyond their ability to cope.

Even Gong Daizhen was struggling.

Chen Cang blamed him from time to time.

He Jin glanced at Chen Cang's eyes. He blushed and was so ashamed that he wanted to get into the patient's abdominal cavity.

What a shame!

I don't know how many people outside are watching their own surgery at this time.

That's it

Time passed minute by minute.

Everyone stared at the screen and dared not blink, let alone go to the bathroom!

Twenty percent of the skin, play a role of forty or fifty percent, how to do?

Chen Cang always seems to be able to create miracles!

And this time, he may be able to do it again!

In this way, looking at the strange pedicled skin pieces being misappropriated one by one, then connected with blood vessels, and then sutured

The whole process is very smooth!

Every step, even if you can't understand it, you have to write it down.

In such a large venue, there were still voices of discussion just now. Now it is really silent.

We don't want to miss a picture!

Finally, Chen Cang stitched up a piece of skin through the combined thoracoabdominal incision.

Everyone was stunned!

Because they found that this piece of skin directly covered the whole chest and abdomen!

Moreover, other skin pieces are processed in various ways, such as rotation, propulsion, interleaving, etc.

These arbitrary flaps began to have a trunk line.

Chen Cang began to sew these island, muscle skin and free flaps together by sliding, Z-shaped treatment and rotating manipulation!

The skin of the whole chest and abdomen combined with the back is even complete!

After seeing this scene, everyone was stunned!

I can't speak for a long time!

It seems to be the same as the entry-level graphics card G210 to deal with the picture of gtx2080.

Card frame!

long time!

Everyone slowly said two words: "I Cao!"

you 're right!

At this moment, whether it is the director, the attending doctor or the inpatient, their feeling can only be described by "I Cao"!

Suddenly, they found that "holding grass" was so concise and comprehensive, but it could express their feelings.

Perhaps this should be progressive literature?

……

PS: it's delivered at five o'clock. There are still two chapters in the evening. You've seen it... If you finished writing at two o'clock last night, you must be bent

So, hey hey, guys who look comfortable, ask for a ticket,