Rebirth 90: I opened a hospital in Shencheng

Chapter 597 The Body's Automatic Protection Mechanism!
in the operating room.

Nie Chen washed his hands and signaled that he was ready.

"anaesthetization."

"Okay, Lidocaine 100, IV."

"Oxygen mask."

After the patient puts on the oxygen mask, he slowly closes his eyes. There is a small amount of anesthetic in the oxygen mask, and when the patient inhales it, he will fall into a coma.

"Ready to start."

First select the thickness of the blade and remove the patient's healed cortex.

The process of taking the skin is the time to test the doctor's knife skills.

"blade."

Skin harvesting methods include freehand skin harvesting, instrumental skin harvesting, full-thickness skin grafts, and capillary network-preserving skin grafts.

Because the patient's skin was burned, some of the skin surface had adhered, so it needed to be cut open with a razor blade, and then the epidermis was removed.

Surgery is underway.

"Change knives."

Nie Chen took the new blade and slowly cut along the edge of the burn wound on the patient's neck to remove the burned cortex.

This belongs to the flap transplantation method!

It is easy to survive after surgery, no shrinkage, can be protected, and can be reconstructed!
"sewing."

Stitched.

But Nie Chen still uses the continuous mattress overlock stitching method.

Observation room.

Huang Zhimin smiled all over his face.

operating room.

"Wipe your sweat."

The circulating nurse ran over and wiped his sweat.

At this time, Nie Chen had already sutured the skin grafts on the base of the ears on the neck.

While dealing with the scar tissue on the shoulder and chest, Nie Chen used a blade to remove a large piece of scar tissue and placed it on a tray.

"Second flap."

"coming."

Nie Chen nodded: "The capillaries are well preserved and can be transplanted."

He put the skin flap expanded by the dilator on the patient's wound, and then sutured it with needles and threads.

The operation has been basically completed up to this point.

Zhang Xiaofan raised his thumb and said, "Dr. Nie is amazing. The operation took less than two and a half hours."

Nie Chen nodded and said, "The patient's epidermal transplantation needs to be meticulous, otherwise the survival rate of subcutaneous capillaries will not be very high."

There is so much to think about as a doctor.

"The operation is over."

"End time 11:27."

Nie Chen nodded.

After Nie Chen and Lin Qiuni talked about the patient's postoperative precautions, he said hello to Zhang Xiaofan and went back to the emergency room.

When he first arrived at the emergency room, he received a call from Huang Zhimin.

On the phone, Huang Zhimin said: "Boss, it's rare for you to perform another operation in our hospital. This operation is amazing!"

"Haha, you are exaggerating." Nie Chen smiled back.

"Comfortable."

Nie Chen was sitting on the bed in the lounge, drinking a bottle of Coke.

Lin Xuan, Jiang Luoyan, and Liu Yueqian had already come to work, while Yin Susu was on the afternoon shift, but she was bored, so she had to follow them to the hospital.

"How about surgery?"

Jiang Luoyan found him in the lounge, and asked when they met.

"Very successful." Nie Chen said.

"Doctor Nie, Director Liu treated a child in the morning, but now he is here again, please show me."

"where?"

"emergency room."

It's not a good sign for a child to end up in the emergency room.

Nie Chen and Zhou Xuezhen hurried towards the emergency room with big strides.

At the door, a woman grabbed Nie Chen's arm and begged: "Doctor, I beg you, please save my son, please."

"Let go first, I will try my best."

The woman let go of Nie Chen's arm, but Nie Chen didn't look at her again, hesitant to observe the patient right away.

Go into the emergency room.

Only a nurse and Liu Xiaodong were present.

"what happened?"

Liu Xiaodong handed over a bottle of medicine and said, "This child came to see a doctor in the morning. This is the medicine that the child uses in a small clinic!"

Nie Chen took the medicine, looked at the name of the medicine and said, "Dexamethasone? The child may have anaphylactic shock and upper respiratory tract infection caused by dexamethasone."

"Prepare 0.01 adrenaline."

"Yes." Zhou Xuezhen replied.

"Is the monitor on?"

"Opening."

Nie Chen nodded. The child's life was not in danger, so he went to the emergency room just in case.

"What did Director Liu say when he made the diagnosis this morning?" Nie Chen asked.

Liu Xiaodong frowned and said, "I don't know, I usually pick up trauma patients."

"I was there at the time, and Director Liu said that although the child had a fever for two days, he could eat, play, run, and make trouble. He didn't have the indications for infusion to lower his body temperature, so he asked the patient's mother to take him home." Zhou Xuezhen stated.

Nie Chen wondered, "Then why did the child receive an infusion?"

"His mother let it go, and wanted the child to reduce the fever quickly." Liu Xiaodong said.

Nie Chen sighed, this is the consequence of not following the doctor's instructions!

It's not that he hasn't been treated for anaphylactic shock. The last time a little girl who was stung by a bee came, she was also in anaphylactic shock, but the little girl's mother sent it in time, without delaying 5 minutes before and after!
Although the child's mother sent it in time, it was also very infuriating!
Why didn't you follow the doctor's orders?
Are you a doctor?
When Nie Chen walked outside, the child's mother immediately came to welcome her.

"Doctor, how is my son?"

Nie Chen said: "The vital signs have returned to normal, but why did you give the child an infusion? Didn't Director Liu tell you in the morning that the child does not have the indications for infusion?"

The patient's mother grinned and cried, saying: "I, I'm worried. He has had a fever for two days, with the highest fever reaching 38 degrees Celsius. I'm scared..."

"Aren't you afraid now?" Nie Chen asked.

"Scared." The child's mother sobbed.

Nie Chen said sternly: "This is the consequence of not following the doctor's orders, understand? If something happens to your child, will you feel guilty for the rest of your life? Will you be at peace in this life? I
Let me tell you why Director Liu said that the child does not have the indications for infusion. It is because fever is not a disease, but a symptom! "

"But many diseases can cause fever, and fever is not a bad thing. It is an immune protective response produced by the body's immune system to resist infection, which is beneficial to inhibiting the growth and reproduction of pathogens and the patient's recovery."

"Then, according to what you said, it's a good thing that my son has a high fever?" said the mother of the child.

"In a way."

The patient's mother was dumbfounded.

In other words, a fever is a good thing if everything is normal in your body.

If there is a problem with the body, it is a bad thing.

"Doctor Nie, the patient is awake."

"kindness."

Nie Chen nodded and walked into the emergency room, and saw the child staring at the ceiling motionless.

He walked over in a hurry and asked, "Do you feel uncomfortable there?"

The child remained motionless.

Nie Chen blinked, changed his method, and said, "Ahem, look at my brother's fingers..."

The child's eyes are fixed on the finger, the finger moves to the left, and the child's eyes also move to the left.

This shows that the child's hearing and vision have no problems.

"What is this? One, two, three, four, five?"

"Go up the mountain and fight tigers!" the child began.

Oops, you can finally speak.

"Hey, can you still write limericks?"

"Mom taught me." The patient said.

"So nice."

Nie Chen stood up and said to Zhou Xuezhen, "I'll transfer him to the pediatric department later."

"it is good."

When Nie Chen walked out of the emergency room, the patient's mother quickly asked, "Doctor, how are you?"

"I woke up, I have no problem with consciousness. I will transfer to the Pediatrics Department later, and I will stay in the hospital for observation for a few days. The deputy director of the Pediatrics Department is named Ye. You can go directly to her."

"Oh, well, thank you, thank you."

Nie Chen smiled and said, "From now on, you have to follow the doctor's orders carefully, and you can't blindly give medicine to your child, understand?"

"understand."

Dididi

An ambulance siren blared outside the emergency room.

Nie Chen and Liu Xiaodong glanced at each other and hurried to the emergency room.

Although there are more emergency doctors at present, there are still not enough doctors when the condition is critical or imminent.

(End of this chapter)