I can see the status bar

Chapter 620 Removal of Fascia

Of course, Sun Li'en couldn't escape. In the entire operating room, including himself, there were only four doctors with medical certificates, and one of them was still anesthetized.If Sun Li'en suddenly decided to quit, then this operation might really fail.

In the past, artists in the folk art world often said that "saving a scene is like putting out a fire".What happened in the operating room was worse than [-] spectators waiting for two hours and not seeing the show.

Chen Tianyang stood still and began to perform the operation, immediately revealing the skills he had spent decades on the operating table.Even if he just did a debridement of necrotizing fasciitis, he was much better than the half-playful Dr. Wang.

"The most important thing in the debridement of necrotizing fasciitis is to remove the necrotic fascia as much as possible." While performing the operation, Chen Tianyang muttered that Dr. Wang's operation was not in place. "Look, you don't even make an incision here, how can you take out the fascia?" As he spoke, Chen Tian raised his knife and cut again at the base of the patient's thigh. "Don't think that you are dealing with a perianal abscess, so the incision is limited to the perianal area. This has now progressed to necrotizing fasciitis, do you know? What is necrotizing fasciitis? Ah? He's going to die! If he doesn't clean up, what should we do if this person dies in the hospital?"

Dr. Wang nodded repeatedly after being trained, but he still decided to defend his decision a little bit, "The current incision is enough to debride the patient. If there are too many incisions, the recovery may become very difficult and difficult." long..."

"Only living people can consider the recovery stage." Chen Tianyang seemed to have guessed that Dr. Wang would use this kind of words to excuse himself, "If you don't remove all these necrotic fascia now, you will have to consider hip joint release surgery soon If the progress is faster and the condition is more serious, then you can consider what kind of coffin to choose for him!"

Sun Lien was holding a stainless steel basin next to him, and the necrotic tissue liquid was dripping down. Hearing Chen Tianyang's fancy lectures, he couldn't help feeling a little bit emotional that he had chosen the right department of internal medicine.

There are many things to consider during the operation, and many young doctors rack their brains, thinking that they have considered all aspects of the operation.But every time, a bunch of questions can be picked up by the older doctors.

Medicine is a science and therapy is more like an art.However, surgical treatment adds a touch of "craft" to its scientific essence and therapeutic art.

Doctors with more seniority are like old artists who have accumulated sufficient experience in the industry, while attending doctors like Dr. Wang, who are less than [-] years old, are at most talented art school graduates.Their lack of experience directly leads to their upper limit not being high enough, and more attention and caution can only increase the lower limit at most.

And in the eyes of the master...works with insufficient upper limit are no different from trash.No matter how careful you are to avoid mistakes during the operation, it is still something that cannot be put on the table.

"Don't worry about the uncontrollable additional damage. You won't have time to transfer this kind of surgery to a higher-level hospital!" Chen Tianyang is still continuing to educate Dr. Wang. No. At this time, there is no problem with damage control surgery. But it’s not like you don’t have the energy and resources to deal with the debridement of necrotizing fasciitis. The referral to your level will stop, do you know? ?”

Dr. Wang nodded, Chen Tianyang indeed made a point.As a second-level peacekeeping hospital, their main job is to accept patients referred from the first-level peacekeeping hospital.When encountering critically ill patients that cannot be handled by hospitals at the same level, the second-level hospitals need to conduct preliminary treatment of the patient's condition, and then send the patients whose conditions are relatively stable to the third-level hospitals.

Due to the characteristics of the work in the secondary hospital, Dr. Wang and the others will unconsciously show a trace of "fear of hands and feet" in their usual work.Although they are excellent military doctors from Changhai Hospital, their job duties are mainly to stabilize the injury and then transfer it upwards, so their usual style is more inclined to control the injury than to cure the disease.

However, this Nigerian patient clearly cannot apply the guiding ideology of damage control treatment.His condition is so far not critical and is bound to progress rapidly.When the patient's condition is not critical enough, tertiary hospitals cannot accept patients.But if the condition is critical enough and after several hours of transfer, I am afraid that the tertiary hospital will have no better way to deal with it.

This peacekeeper must and can only receive thorough treatment in a secondary hospital.If it is delayed, it may not be a question of "whether you can not stay disabled", but a question of "whether you can save your life".

When Chen Tian raised and trained people, his hands were not idle.He made five incisions on the patient's thighs on both sides, and poured more than a dozen bottles of normal saline and hydrogen peroxide into the patient's wounds as if they didn't need money.The stainless steel basin in Sun Lien's hand was replaced when it was full. After six or seven basins were changed back and forth, Chen Tianyang gradually stopped his movements.

"All the superficial fascia of the gluteus maximus on both sides was clipped, and part of the deep fascia was clipped." Chen Tianyang shook his neck and opened his yellow cavity by the way, "I will deal with the perineal fascia later, you guys are right?" If you are not confident in your size, you can avoid it first. When the time comes, you will hurt your self-esteem, and I won’t be able to sew it for you.”

If the chief surgeon can joke, it means the situation is basically under control.Sun Li'en put down the stainless steel basin in his hand, stretched his sore arms, "Mr. Chen, I'll go check on the dispensing situation first."

It has been more than ten minutes since Sun Lien gave the doctor's order to use penicillin, but the medicine still hasn't arrived.This made Sun Li'en feel a little confused - it's just a penicillin solution, this kind of operation shouldn't be too difficult, right?

"The medicine has been prepared a long time ago." Nurse Tian said to Sun Lien, "But this allergy test...is not very easy to do."

Penicillin is less toxic, but requires a skin test before use.After the Nigerian soldier's skin test, according to regulations, the infusion should be performed after three to 10 minutes of observation without any adverse reactions.

The medicine has not been dispensed yet, partly because the results of the skin test have not yet come out, and partly because... the nurses are not able to judge whether the general anesthetized patient has any obvious adverse reactions.

The rash is not so easy to spot under dark skin.

If it weren't for the need to follow aseptic procedures in the operating room, Sun Li'en would have liked to slap himself in the face, what kind of penicillin would he use if he was free?Does this mean that the nurses in the operating room are not stressed enough?
"Change the dressing, don't wait for the penicillin skin test." He said to Nurse Tian apologetically, "Give him ceftriaxone."

(End of this chapter)