Chapter 364

"Pee! Pee! " The head nurse of ICU ran out with a cry. In the special isolation ward, there is only one doctor on duty and two nurses. Other doctors and nurses were watching through glass in the outer room.

Zhang Fan got up after sleeping for a while in the ICU doctor's rest room. He couldn't sleep because of something in his heart. After washing his face, as soon as he came out of the door of the duty room, he heard the head nurse of ICU crying with a festive voice.

In a hurry, Zhang Fan ran outside the ICU. Urination means that the body began to recover, and the circulating solution, that is, the blood, began to enter other relatively unimportant organs, such as the kidney.

"Come on, monitor your temperature." Zhang Fan hurriedly said that he couldn't take it lightly at this time. Really, sometimes the treatment is actually suffering people, patients and doctors.

"Dr. Zhang, 37.5 °." After a while, the ICU nurse reported the results.

"No, it's time for debridement. Now is the time when the body is thriving. " Zhang Fan told the expert treatment group.

"Do you want to observe again? The temperature doesn't rise very much. Now, if debridement, will a lot of bleeding lead to repeated disease. This is my personal opinion. " A doctor in the military region frowned and said.

Really, this trade-off is too bullshit. Without debridement, the patient's difficult situation will be swallowed up by bacteria. Debridement, such a large area of injury, there will be no small amount of bleeding. The amount of fluid that is not easy to make up may collapse.

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

"Within 200ml." Zhang Fan clenched his teeth and said, it's too difficult to control such a large area of damage at this amount.

"QingChuang, I'm responsible for the accident! We can't stand idly by. " Ouyang said seriously that she was an expert in her heart. Zhang Fan said this amount. After she evaluated it in her heart, she ordered it. She believes that Zhang Fan is willing to take this responsibility. This is the real leadership, with technology and responsibility, and can reduce the pressure for his subordinates.

"This amount is not easy to control." The director of the burn department of the general hospital doesn't believe it. How big is 45% of the scalded area? The front chest and back add up to 18%.

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

"OK, then prepare for debridement."

The wounded were so miserable that they were almost cut into strips by Zhang Fan. Then they were washed with disinfectant by nurses. The scorched black faded, but corrupt organizations began to appear.

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

In other words, it depends on who grows up fast and who can press who. The area is too large and the damage is too serious. The new organization is certainly not the opponent of corrupt organizations. At this time, doctors are helpers.

Debridement! This treatment is very painful for patients, but it is not easy for doctors. In particular, some debridement of gas gangrene or debridement of diabetic foot is just like a criminal law. Once debridement, it is estimated that the patient will have a new understanding of life.

Overnight, the inactivated tissue began to develop towards decay. The originally pink and tender tissue began to turn white, just like the dried cured meat that has not been dehydrated. Press it gently and it will shrink rapidly without any elasticity.

This does not count, especially some tissues near the outer layer began to appear white pus, emitting a stench that can almost suffocate people. The originally clear liquid also began to become turbid.

Gently press the edge of the wound, mixed with the scorched black powder separated with the inactivated tissue, like milk chocolate mixed with Oreo biscuits, slowly flowing out, too much, slowly flowing, even people have a desire to lick with their tongue!

Some tissues with fascia have been inactivated under high temperature, but the toughness of fascia has not been damaged. At this time, due to the corruption of the internal body, it produces gas and slowly starts to swell like a balloon.

The nurse quickly prepared the debridement bag, "let me be your assistant." LV Shuyan followed closely.

"OK. Let's go. " The two entered the intensive care unit, and the thin disposable masks could not stop the pungent smell.

"Start with the head. Come on, normal saline. " Zhang Fanyi holds a needle, a cotton ball and scissors in one hand. LV Shuyan, holding a 50ml syringe, filled it with normal saline.

The thin facial skin has long been roasted in many places. It began to fall off after dipping cotton balls and washing with normal saline. Just like the dried ham sausage, the dried skin slowly fell off.

Zhang Fan rubbed and said, "push slowly, this way, this way." Slowly, the necrotic tissue of the face was removed bit by bit. After more than an hour, the face was finally removed. The greasy gray is gone. After thorough debridement, the facial muscles begin to be white with powder, because many muscles have been cut off, and there are many pitted defects on the cheeks.

Chest, back, a little push, a little clear. Normal people may have fever sometimes because of infection due to hand trauma. Moreover, for patients with large-area skin injury, a little decay may cause death, because his first line of defense has collapsed.

The last and most serious place is bilateral thighs. LV Shuyan, who had seen hydatidiform mole, stillbirth and various gynecological inflammatory diseases, almost didn't hold on, "Er!"

Zhang Fan turned and glanced at her. Isn't Zhang Fan disgusting? Disgusting, but one thing must be endured. The more hiccups, the more disgusting. The best way is to take a deep breath and let the smell get used to the nasal cavity, or come in with a mask and an oxygen bottle. There's no other way.

"Devil!" Zhang Fan glanced at LV Shuyan. She was so angry that she didn't care about hiccups. People want face. If you can, why can't I?

The wounded's thighs can't be seen directly. They shine with oil. The white and yellow fat turned out is mixed with semi cooked muscles, which is just like uncooked hand grasping meat.

"Scraper!" Zhang Fan said in a sullen voice. He felt bad too. He had fat, muscle protein and temperature. This is directly the favorite place for bacteria. Even eat and pull, turn it a little, and the more pungent smell comes to my face.

The area is too large, the scissors can't work, and the corrupt body has long lost its toughness. If the scissors are cut down, it will rot as soon as they are cut on tofu brain. There is no continuity.

A curette is actually an enlarged ear scoop. Zhang Fan scraped off the rotten tissue bit by bit along the muscle texture. LV Shuyan stood beside Zhang Fan with a bend, full of rotten fat and muscle.

She regretted that she was about to cry. The fat and rotten fat was put on the bend and trembled with her breath. It's disgusting.

For three hours, the original very basic debridement made them sweat like a super large operation. LV Shuyan was a little dizzy. Pungent smell, disgusting picture, purgatory scene.

The bilateral thighs that could not be seen let Zhang Fan clean up cleanly, as if they had been brushed with a steel brush. Blood beads slowly seeped from the fresh and pink muscles, one by one slowly getting bigger and rolling slowly.

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

"Here you are!" LV Shuyan really couldn't help it. With marble muscles, she seemed to think of something. She put the bend into Zhang Fan's hand, covered her mouth and ran out of the ICU quickly.

Out of the ICU ward, LV Shuyan threw up "Er! Eh! " In the morning, laver, tomato and egg soup sprayed out along the corners of my mouth, and tears slowly overflowed from my huge eyes!