Chapter 1640: : Progressive Literature!

This is a time-limited operation!
Patients in shock phase simply cannot withstand the operation for too long.
time is limited!
Chen Cang's estimated limit is six hours.
After six hours, the patient must end the operation!
He has no time to rest!
It is very difficult to perform scab removal during the shock period, not to mention that Chen Cang also performs scab removal and skin grafting...
This scab peeling is not a simple area peeling!
The skin on the back of the patient's body is good, and the skin on the front and the legs are basically burned!
It is a blessing to be able to save his life and send it to the hospital!
The entire operation can no longer be called a scabectomy.
To be precise, it should be called peeling surgery.
Chen Cang found that after dual-tasking, he was easy to go on a slip.
And, to be honest...
This operation is really boring!
After all, you need to keep cutting the scab...
This made Chen Cang think of "Painted Skin". He was thinking that those people who lived to this day were designated academicians in the field of dermatology!
If you think about it this way, the development of our domestic and international surgical operations is actually handed down.
such a pity!
It was used in the wrong place.
For example, gunpowder is used as firecrackers...
I hate iron but not steel!
...
Chen Cang was doing all kinds of scab cutting boringly.
Ring eschar of upper limbs, ring eschar of hands, ring eschar of lower limbs, foot eschar...
These need to be cut open and treated with a special dressing to reduce tension!
Cover the wound with a special dressing and gauze!
There is no artificial skin, and no foreign skin, because these follow-ups need to be re-grafted!
This time, only about 50% of the operations can be performed.
The crust on the limbs will not threaten the life of the patient for a certain period of time.
As an emergency department must master the escharectomy and expansion surgery, the difficulty is still very high.
If you want to feel like Chen Cang's heavy lifting, you can't do it without decades of knowledge!
Moreover, when reducing the tension and incision, care should be taken not to damage the cutaneous nerve, and as far as possible not to damage the blood vessels under the skin!
These blood vessels and nerves are now baby!
Excision of extremities must be performed under the exsanguination belt, otherwise accidents are prone to occur!
The existence of Gong Daizhen relieved Chen Cang a lot of pressure.
He Jin on the side tried to make himself look like a director.
He was able to participate in this operation not because he was the number one person in the field of burn surgery in Dongyang Province.
It is simply because his natal family is the Second Provincial Hospital.
That's why I have a chance to come here.
After the limbs are treated, wash the wound with hydrogen peroxide and physiological saline, and then apply antibiotic gauze on top!
Nowadays, a kind of tilapia skin that is very popular online is actually not used in China!
In Brazil, because of lack of other treatment options, doctors turned to tilapia skin.
Of course, this kind of fish skin is definitely not just peeled off and used.
It can be used after various disinfection and sterilization and treatment.
The use of animal skins to treat burns is not new today.
Actually has a long history!
And for a long time, animal skin has 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 just so happens that tilapia is a widely cultivated fish in Brazil, and the price is cheap.
It also contains a lot of collagen I and III, which are very important for scab formation 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 Grow!
But Chen Cang still uses dressing!
Because he was worried that he could use the fish skin but didn't cure it, his fame would be overwhelming.
The operation goes by every minute!
At this time, the skin of the patient's back was like a geometric figure, divided into pieces by Chen Cang!
The skin graft itself is not small.
It's all right now.
Want to use 20% of the skin to show 40% of its value.
The difficulty is straight up!
but!
Chen Cang abruptly did it.
People say that a true master should have the heart of an apprentice!
but!
Gong Daizhen felt that with Chen Cang, he would really be an apprentice forever.
Not only has the apprentice’s heart, but the apprentice’s courage, the apprentice’s lungs, the apprentice’s...
I am an apprentice anyway!
He Jin from the Department of Dermatology at the Second Provincial Hospital was panicked!
He felt that his i3 processor could no longer handle the situation of i7 at this time!
He is super class!
Throughout the operation, he was constantly in super class.
After seeing this scene, the people who were watching the operation were both nervous and excited, and felt lucky!
Fortunately, they are spectators!
Originally thought He Jin was lucky.
But now it seems.
This guy is mildew.
The difficulty of this operation is not something they can handle.
Even Gong Daizhen struggled.
From time to time, Chen Cang was blamed for a few words.
He Jin glanced at Chen Cang's eyes, blushing, and ashamed, wishing to get into the patient's abdominal cavity.
What a shame!
I don't know how many people outside are watching their surgery at this time.
that's it……
Time passed by every minute.
Everyone was staring at the screen, not even blinking, let alone going to the toilet!
Twenty percent of the skin, forty to fifty percent of the effect, how to do it?
Chen Cang seems to always be able to create miracles!
And this time, UU reading www.uukanshu.com is likely to be able to do it again!
In this way, watching the weird pedicle skin pieces were embezzled piece by piece, then connected to the blood vessels, and then stitched...
The whole process is very smooth!
Everyone has to write down every step even if they don’t understand it.
In the huge conference hall, there were still discussions just now, but now it is indeed silent.
Everyone does not want to miss a picture!
Finally, Chen Cang sutured a piece of skin through the chest-abdominal joint incision.
Everyone was stunned!
Because they found that this piece of skin directly covered the entire chest and abdomen!
Moreover, other skins are processed in various ways such as rotating, advancing, interlacing...etc.
These arbitrary began to have the same backbone.
Chen Cang began to slide forward, Z-shaped processing, and rotating techniques. These island-shaped, musculocutaneous, and free could be sutured together!
The skin of the entire chest and abdomen joint back is intact!
After seeing this scene, everyone was stunned!
Can't speak for a long time!
It seems to be the same as the entry-level graphics card G210 to process the GTX2080 screen.
It's stuck!
a long time!
Everyone slowly said two words: "I'm Cao!"
That's right!
At this moment, whether it is the director, the attending doctor, or the resident, their feelings can only be described by "I Cao"!
Suddenly, they discovered that "holding the grass" was so concise and concise, yet it could express their feelings.
Perhaps this should be progressive literature, right?
...
ps: The five shifts are delivered, and there are two more chapters in the evening. You guys have seen them too... If you finish writing the two shifts last night, you will definitely be frustrated...
So, hey, big guys who look comfortable, ask for a ticket.