"I've peed! I've peed!" The head nurse of the ICU ran out with a cry. The special isolation ward has only one doctor and two nurses on duty. Other doctors and nurses were observing from outside through glass.
Zhang Fan got up after sleeping for a while in the ICU doctor's rest room. He had something on his mind and couldn't fall asleep. After washing my face, as soon as I left the door of the duty room, I heard the head nurse of the ICU crying with a joyful voice.
In a hurry, Zhang Fan ran to the outside of the ICU. Urinating meant that the body was beginning to recover, and the circulating solution, that is, blood, was beginning to enter other relatively unimportant organs, such as the kidneys.
"Quickly, check the temperature." Zhang Fan said quickly, and he couldn't take it lightly at this time. Really, sometimes treatment is actually a struggle for people, patients, and doctors.
"Doctor Zhang, 37.5°." After a while, the ICU nurse reported the result.
"No, we need to debridement. Now is the time when the body is at its peak." Zhang Fan said to the expert treatment team.
"Let's take a closer look. The temperature rise is not very high. If we debridement 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 trade-off is too nonsense. Without deinvasiveness, the patient's hard-won situation will be swallowed up by bacteria. Debridement, such a large area of damage, will definitely cause a lot of bleeding, and the amount of fluid that is finally replaced may lead to collapse.
"What should I do?" Tangled, really confused. Ouyang and the others were all present, "How much bleeding do you estimate?"
"Within 200ml." Zhang Fan gritted his teeth and said. It was too difficult to control such a large area of damage within this amount.
"Debridement, I will be responsible if anything happens! We can't just watch and remain indifferent." Ouyang said seriously. She was an expert in her heart. After Zhang Fan said this amount, she evaluated it in her mind and gave the order. She believes in Zhang Fan and is willing to take on this responsibility. This is a true leader who is skilled and responsible, and can also relieve the pressure of his subordinates.
"This amount is not easy to control." The director of the burn department of the general hospital was a little unconvinced. How big is the 45% burn area? The sum of the front, chest and back is 18%.
Ouyang looked at Zhang Fan and said, "Yes, we can definitely guarantee this amount."
"Okay, let's prepare for debridement."
The wounded man was so miserable that he was almost cut into strips of flesh by Zhang Fan. Then the nurses used various disinfectants to clean it. The scorched black color faded a bit, but corrupt tissue also began to appear.
At this time, the body is actually engaged in various struggles. Fresh granulation began to crawl slowly, and began to slowly climb around the preserved blood vessels, but a large amount of inactivated tissue that could not be removed also began to culture a large number of bacteria, and then excreted toxins, and these tissues began to rot.
In other words, whoever grows faster will be able to overwhelm whomever. The area is too large and the damage is too serious. The new organization is definitely no match for the corrupt organization. At this time, the doctor is the helper.
Debridement! This treatment is very painful for the patient and not easy for the doctor. Especially the debridement of some gas gangrene limbs or the debridement of diabetic feet is directly like criminal law. A single debridement will probably give the patient a new understanding of life!
The tissue that had become inactive overnight began to rot. The tissue that was originally pink and tender began to turn white, like bacon that had not been dehydrated in the sun. It shrank quickly when pressed lightly, without any elasticity at all.
Not to mention, especially some of the outer tissues began to produce white pus, exuding an almost suffocating stench. The originally clear liquid also began to become turbid.
Gently press the edge of the wound, mixed with the charred black powder that has detached from the inactivated tissue, like milk chocolate mixed with Oreo biscuits, slowly flowing out, too much, the slow flowing actually makes people feel useful. The desire of the tongue to lick!
Some tissues with fascia have been internally deactivated by high temperatures, but the toughness of the fascia has not been destroyed. At this time, due to the decay of the internal body and the production of gas, it slowly begins to swell like a balloon.
The nurse quickly prepared the debridement bag, "I will be your assistant." Lu Shuyan followed closely and said.
"Okay. 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 first. Here, saline solution." Zhang Fan held a needle and a cotton ball in one hand, and scissors in the other. Lu Shuyan was holding a 50ml syringe filled with saline.
The thin facial skin has been cooked in many places. After being dipped in cotton balls and rinsed with physiological saline, it begins to fall off. Just like dry ham, the dry skin slowly falls off.
Zhang Fan said while wiping, "Push slower, this way, this way." Slowly, the necrotic tissue on the face was removed bit by bit. After more than an hour, the face was finally cleared. The greasy gray-white color disappeared. After thorough debridement, the facial muscles began to look white and pink, because a lot of muscles had been cut off, and there were still many pitted defects on the cheeks.
Chest, back, push forward little by little, clear out little by little. Normal people may sometimes have a fever due to infection due to hand trauma. What's more, for patients with large-scale skin damage, a little bit of rot may lead to death, because his first line of defense has collapsed.
The last and most serious area is the bilateral thighs. Lu Shuyan, who had seen molar pregnancies, seen stillbirths, and heard about various gynecological inflammatory diseases, almost couldn't hold on, "Ugh!"
Zhang Fan turned around and glanced at her. Isn't Zhang Fan disgusting? It's disgusting, but you have to endure wearing something. The more you hiccup, the more disgusting you feel. The best way is to take a deep breath to let your nose get used to the smell, or wear a mask and carry an oxygen bottle. , there is no other way.
"Devil!" After being glanced at by Zhang Fan, Lu Shuyan was so angry that she couldn't care less about the hiccup. Everyone cares about face. If you can do it, why can’t I?
The wounded man's thighs were almost invisible. They were shiny with white and yellow fat, mixed with half-cooked muscles, just like uncooked finger meat.
"Scraper!" Zhang Fan said in a sullen voice. He didn't feel comfortable either. The fat was there, the muscle protein was there, and the temperature was there. This was directly the favorite place for bacteria. After eating and pulling, and turning it over a little, a more pungent smell hit my face.
The area is too big for scissors to use, and the rotten body has long lost its toughness. Scissors are like cutting on tofu, and it will break 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 containing the rotten fat and muscles.
She was so regretful that she almost cried. The plump and rotten fat was placed on the curved plate, shaking with her breathing. No matter how disgusting it looks.
For three hours, the originally very basic debridement procedure made the two of them sweat as if they had undergone a very large operation. Lu Shuyan was a little dizzy. The pungent smell, disgusting images, and purgatory-like scenes.
Zhang Fan cleaned the bilateral thighs that were originally invisible, as if they had been brushed with a steel brush. Blood beads slowly oozed out from the fresh and tender muscles, and they slowly changed one by one. Big, rolling slowly.
"It's really beautiful! Muscles like marble." Zhang Fan straightened his waist and couldn't help but say something while looking at his masterpiece.
"Here!" Lu Shuyan really couldn't help it anymore. With her marble-like muscles, she seemed to remember something. She stuffed the bending plate into Zhang Fan's hand, covered her mouth and ran out of the ICU quickly.
After leaving the ICU ward, Lu Shuyan vomited, "Uh! Uh!" The morning seaweed, tomato, and egg drop soup spurted out from the corners of her mouth, and tears slowly overflowed from her huge eyes!
. m.
