Chapter 364: Tears that shed slowly

Chapter 364: Tears Falling Slowly
"Peeing! Peeing!" 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. The other doctors and nurses were looking through the glass.
Zhang Fan got up after sleeping in the ICU doctor's rest room. After washing his face, as soon as he got out of the door of the duty room, he heard the head nurse of the ICU crying with a festive voice.
In a hurry, Zhang Fan ran to the outside of the ICU. Urination meant that the body began to recover. The circulating solution, that is, the blood began to enter other relatively unimportant organs, such as the kidneys.
"Fast, monitor your temperature." Zhang Fan said quickly, not to be taken lightly at this time. Really, there are times when treatment is actually suffering from people, patients, and doctors.
"Doctor Zhang, 37.5 °." A while later, the ICU nurse reported the results.
"No, it's time to debride. Now is the time when the body is exuberant." Zhang Fan said to the expert treatment team.
"Don't observe again, isn't the temperature rising very bad. If debridement now, whether a large amount of bleeding will cause repeated illnesses. This is my personal opinion." A doctor in the military district frowned.
Really, this trade-off is too nonsense. Without debridement, the difficult situation of patients will be swallowed by bacteria. Debridement, such a large area of ​​injury, there must be no small amount of bleeding, and it is difficult to make up for the amount of fluid, maybe it will collapse.
"What to do?" Tangled, really tangled. Ouyang and they were all present. "How much bleeding do you estimate?"
"Within 200ml." Zhang Fan gritted his teeth and said that it was too difficult to control such a large area of ​​damage.
"Debridement, I'm responsible for the accident! We can't remain indifferent." Ouyang said solemnly, she is an expert in her heart. Zhang Fan said the amount, and after she evaluated it, she ordered it. She believes that Zhang Fan is willing to take on this responsibility. This is the real leadership, she has the skills and the responsibilities, and she can reduce the pressure for her subordinates.
"This amount is not easy to control." The director of the Burns Department of the General Hospital was not quite convinced. How big is the 45% burn area? The chest and back add up to 18%.
Ouyang looked to Zhang Fan, "Yes, it can be guaranteed."
"Okay, then prepare for debridement."
The wounded were so miserable that they were almost cut into pieces by Zhang Fan. It was then washed by the nurses with various disinfectant solutions. The scorched black color faded away, but corrupt tissues began to appear.
At this time, the body is actually doing various fights. Fresh granulation began to creep slowly, and began to climb slowly around the perimeter of the retained blood vessels, but a large number of inactivated tissues that could not be removed also began to cultivate a large number of bacteria, and then excreted toxins. These tissues began to decay.
In other words, it depends on who grows fast and who can dominate. The area is too large and the damage is too serious. The new organization is definitely not the opponent of 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 like debridement of some gas gangrene, or debridement of diabetic foot, it is directly like criminal law. One debridement, it is estimated that the patient can have a new perception of life!
Overnight, the inactivated tissue began to develop into a rotten tendency. The tissue that was supposed to be pink began to turn white, just like the unbaked bacon that had not been dehydrated, and it quickly shrank with a slight press, without any flexibility.
This is not enough, especially the outer tissues, and white pus began to appear, emitting a foul smell that can almost suffocate. The originally clear liquid also became cloudy.
Gently press the edge of the wound, mixed with the burnt black powder that detached with the inactivated tissue, like milk chocolate mixed with Oreo biscuits, slowly flowing out, too much, and the slow flowing makes it useful. The desire to lick your tongue!
Some tissues with fascia have been deactivated internally under high temperature roasting, but the toughness of the fascia has not been damaged. At this time, because the internal body was corrupted, and then gas was produced, it slowly began to swell like a balloon.
The nurse quickly prepared the debridement kit. "I'll be your assistant." Lu Shuyan said immediately.
"Okay. Let's go." The two entered the ward, and the thin disposable masks couldn't stop the pungent odor.
"Start with the head. Come, saline." Zhang Fan held the needle with a cotton ball in one hand, and scissors in the other. Lu Shuyan, holding a 50-ml syringe, was filled with saline.
The thin facial skin has been cooked in many places for a long time. It was dipped under a cotton ball and rinsed with normal saline, and began to fall off, just like a dry ham sausage, and the dry skin was slowly falling off.
Zhang Fan wiped, and said, "Slow down, here, here." Slowly, the necrotic tissue on the face was cleared little by little. For more than an hour, the face was finally cleared. The greasy off-white was gone, and after thorough debridement, the facial muscles began to carry powder in white, because many muscles were also cut, and there were many potholes on the cheeks.
Chest, back, push a little bit, clear a little bit. A normal person may sometimes have a fever due to an infection of a hand trauma. Besides, a patient with a large area of ​​skin injury may die of a little bit of rot because his first line of defense has collapsed.
The last and most severe place is the thighs on both sides. Lu Shuyan, who has seen hydatidiform moles, seen stillbirths, and smelled various gynecological inflammatory diseases, almost didn't persist, "Uh!"
Zhang Fan turned her head and glanced at her. Isn't Zhang Fan disgusting, disgusting, but the thing must be tolerated, the more hiccups the more disgusting, the best way is to take a deep breath to get the habit of the nasal cavity, or bring in a mask and carry an oxygen bottle in There is no other way.
"Devil!" Zhang Fan glanced at her, Lu Shuyan was blown away, and she couldn't care less about hiccups. People want face, why can't you do me?
The thighs of the wounded could not be seen directly, and the white-yellow fat turned out with oily shine, mixed with half-cooked muscles, was just like uncooked hand-caught meat.
"A curette!" Zhang Fan said in a sullen voice. He was uncomfortable. He had fat, muscle protein, and temperature. This is the favorite place for bacteria. Even eating with a pull, turning it slightly, the more pungent scent came to the face.
The area is too large, the scissors can't work, and the corrupted body has lost its toughness. The scissors are reduced as if they were cut on the tofu brain. There is no continuity at all.
The curette is actually an enlarged ear spoon. Zhang Fan scraped away the corrupted tissue little by little along the texture of the muscles. Lu Shuyan stood beside Zhang Fan, holding a curved plate, containing corrupt fat and muscles.
She regretted almost crying, plump and rotten fat on the curved plate, and shuddered as she breathed. Look how disgusting.
In three hours, the debridement, which was very basic, made the two sweaty as if they had performed a very large operation. Lu Shuyan was a little dizzy. Acrid smell, disgusting picture, purgatory-like scene.
The originally unobservable bilateral thighs allowed Zhang Fan to clean up, as if brushed with a steel brush, blood beads slowly leaked out from the fresh and tender muscles, one by one slowly changing Large, scroll slowly.
"Really beautiful! Marble-like muscles." Zhang Fan straightened his waist and looked at his masterpiece and could not help but say a word.
"Here!" Lu Shuyan couldn't help it. Marble-like muscle. She seemed to remember something. She shoved the curve into Zhang Fan's hand and ran out of the ICU with her mouth covered.
Out of the ICU ward, Lu Shuyan directly spit out "Uh! Uh!" The seaweed tomato egg soup in the morning, sprayed out along the corner of her mouth, and tears, slowly overflowing from the huge eyes!
(End of this chapter)