Chapter 659: : Treat burns

In any case, Dongfang Hospital is a general hospital of western medicine, so there are no Chinese medicine treatments and Chinese medicines. Even if Ye Chen is treating patients here, he naturally finds it inconvenient sometimes.
But now it’s important to save people. Ye Chen didn’t think about anything else first. When he returned to the dermatology department of Dongfang Hospital with the small boxes of ointments, the two patients were still in the operating room. They are doing debridement surgery.
Ye Chen accompanied Sun Xiaowei and they sat outside for about half an hour. Patient No. 1 had the debridement operation first, and Ye Chen suffered from the white lab coat from Dongfang Hospital, put on a mask, disinfected, and took those As the burn ointment entered, he found that patient No. 1 was already awake, but his confusion, nonsense, and restlessness were naturally caused by his condition.
Ye Chen sat on Patient No. 1’s bed and checked him again in detail. For example, after seeing the wounds after debridement, and checking his pulse and tongue, he was basically clear.
"You apply these burn ointment to his wound first, and then bandage his wound." Ye Chen naturally said to the two female nurses.
Now Zhou Shidong and Zhang Yongnian are also inside. Since Vice President Han asked Ye Chen to come in to help, he naturally trusted Ye Chen. Now that the two female nurses got the consent of the two directors of Zhou Shidong, they began to apply wound ointment to patient 1.
Ye Chen asked another female nurse to bring him the new medical record from Dongfang Hospital, and Ye Chen wrote a new medical record on it.
"Name: unknown (code number 1), gender: male, age: unknown (approximately 25). The patient was burned by a fire in an Internet cafe, and burned his head, torso, and limbs for 15 minutes."
"First diagnosis: The patient was rescued from the Internet cafe and sent to the hospital for emergency treatment. It was found that the patient was burned by the fire. The total area of ​​the head, torso, and limbs exceeded 70%, of which the depth of ii was 57% and the iii of 14%. He was immediately sent to the hospital after injury ."
"Examination: The patient was in a coma on admission, cold limbs, undetectable blood pressure, body temperature of 36c, weak heart sound, heart rate 120 beats min, arrhythmia, dual rhythm, breathing 24 to 28 times min, ECG showed supraventricular premature beats ."
"The hospital used intravenous fluids and intravenous infusion of xylocaine plus glucose solution. Forty minutes later, the patient's heart rhythm was normal, but the blood pressure was still undetectable. He was sent to the operating room for debridement. Now, topical burn cream is applied and bandaged. "
"The patient woke up after the debridement operation, but still showed symptoms such as confusion, nonsense, restlessness, etc."
"Now check: Tongue image: the tongue edge is red, the coating is thin, yellow and greasy. Pulse: the pulse is thin. Chinese medicine dialectics: according to the symptoms of fire and heat injury of body fluid, qi and yin deficiency, restless mind. Treatment: replenishing qi and nourishing yin, Peace of mind and peace of mind."
"Prescription: 30 grams of Radix Adenophora, 30 grams of raw astragalus, 30 grams of honeysuckle, 30 grams of mother-of-pearl (first decoction), 15 grams of Codonopsis pilosula, 15 grams of Ophiopogon japonicus, 15 grams of fatty polygonatum, Suan date kernel grams, Baofu 15 grams of Shen, 5 grams of Chuanhuanglian, 5 grams of Shichangpu, 6 grams of Zhiyuanzhi, 6 grams of roasted licorice, decocted in water, 1 dose per day.
After Ye Chen finished writing, he handed it to the female nurse and said: "Dongfang Hospital does not have those medicinal materials here. You can go out to the nearby medicinal material shop to get the medicinal materials and give him decoction."
The female nurse naturally knew this. After she went out, when Ye Chen went outside, she found that patient No. 2 had also completed the debridement operation and was now placed in another separate ward.
Zhou Shidong and Zhang Yongnian followed, and now looking at the situation of Patient No. 2, it can also be said to be a terrible situation. If Ye Chen had not been treated by Chinese medicine, in their opinion, it would really be the most suitable surgery for skin transplantation.
After Ye Chen also asked a female nurse to bring him a new medical record, Ye Chen wrote on it: "Name: unknown (code number 2), gender: male, age: unknown (around 25). The patient is in fifty I was burned by a fire in an Internet cafe for 15 minutes a few minutes ago."
"First visit: 94% of the total body area of ​​the patient was burned by the fire, of which 70% of the iii degree, 24% of the deep ii reading, and was admitted to the hospital 15 minutes after the injury. The doctor at the hospital found that the patient was in a severe coma when he was admitted, breathing 32 times Min, heart rate of 132 times min, weak heart sound, regular heart rhythm, and cold limbs. The doctor immediately performed phlebotomy and rehydration and performed debridement."
"The external burn ointment is now applied and bandaged. Inspection: Tongue appearance: pale red tongue and yellow greasy coating."
"Chinese medicine dialectics: the patient has severe burns, accompanied by obvious kidney damage, the syndrome is fire-heat injury of body fluid, deficiency of both qi and yin, and restless mind. Treatment: nourishing qi and nourishing yin, nourishing kidney and diuresis."
"Prescription: (1) 30 grams of raw astragalus, 12 grams of donkey-hide gelatin (red), 12 grams of cornus, 15 grams of Psyllium, decoction. (2) Oral: Chinese medicine antibody shock mixture." After Ye Chen finished writing, hand in Ask the female nurse on the side to buy medicine and decoct it immediately.
"Director Zhang, because these two patients have poor physical symptoms, in addition to treatment with Chinese medicine, they still want intravenous treatment on the one hand." Ye Chen said to the two doctors.
What he said was naturally to supplement the nutrient solution for these two people. In this regard, Ye Chen still agrees that in the case of a weakened patient's physique, the normal absorption of the nutrient solution can be maintained by the patient.
Of course, those who are sick or not have to hang a few bottles, and there are some harms to patients, especially those penicillins that are more harmful to patients.
Zhou Shidong and Zhang Yongnian knew this naturally, and they knew it without Ye Chen reminding them.
Now Ye Chen had read it to these two people. When he came out from the inside, he went to other wards with Zhou Shidong and the others. When they looked at other patients, they were not as serious as those of the two.
Some burns are mild. Except for some topical medicines, others who have inhaled too much carbon dioxide and other toxic gases will slowly wake up with the help of oxygen masks.
Of course, many of the people here were rescued by Ye Chen. Ye Chen came to see them and they recognized them naturally. I am very grateful to Ye Chen, especially the parents of the young students. He thanked him in front of him.
Ye Chen knew that he did it from the bottom of his heart and didn't need their thanks. When he saw that they had nothing else to do, he didn't say anything else after reading it.
After coming out of those wards, Ye Chen changed the white lab coat and looked at Zhou Shidong and said, "Director Zhou, I have time in the afternoon to see the conditions of the two patients."
"Yes!" Zhou Shidong said.
After all, Ye Chen is not the official doctor here. Ye Chen has already read the two patients just now, and now he looks a little embarrassed, and when it's lunch time, he can naturally leave first.
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