Chapter 1637 Advance Literature! (Fifth Change, Ask for a Monthly Pass!)
This is a time-limited operation!
Patients in the shock period simply cannot stand surgery for too long.
time is limited!
The limit Chen Cang estimated was 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 surgery during the shock period, not to mention that Chen Cang also performed scab removal and skin grafting...
This scab removal is not a simple area peeling!
The skin of the patient's whole body, including the back, was fine, but the skin on the front and legs were basically all burned!
It is a blessing in misfortune to be able to save his life and be sent to the hospital!
The whole operation can no longer be called escharectomy.
To be precise, it should be called skinning surgery.
Chen Cang found that after using two things at once, he was prone to wander off.
And, let's be honest...
This operation is really boring!
After all, scabs need to be cut constantly...
This made Chen Cang think of "Painted Skin". He was thinking, those people who have lived to this day are designated as academicians in the field of skin surgery!
If you think about it this way, the development of surgery at home and abroad actually has a long history.
such a pity!
Misplaced.
Like gunpowder being used as firecrackers...
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 special dressings to relieve tension!
The wound is covered with a special dressing, gauze!
There is no artificial skin, and no allogeneic skin, because these follow-ups need to be re-skinned!
This time, only about 50% of the operations can be performed.
The scabs on the extremities will not threaten the patient's life within a certain period of time.
Eschar incision and relaxation surgery, which must be mastered in emergency, is still very difficult.
If you want to achieve Chen Cang's feeling of lifting weights like light weight, you can't do it without decades of skills!
Moreover, when reducing tension and incision, care should be taken not to damage the cutaneous nerve, and try not to damage the blood vessels under the skin!
These blood vessels and nerves are precious now!
The excision of the extremities must be performed under the blood drive belt, otherwise accidents will easily happen!
The presence of Gong Daizhen relieved a lot of pressure on Chen Cang.
He Jin on the side tried his best to 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 was simply because his natal family was the Second Provincial Hospital.
That's why I had the opportunity to come here.
After the limbs are treated, wash the wound with hydrogen peroxide and normal saline, and then apply antibiotic gauze externally!
A kind of tilapia skin that is very popular on the Internet to treat burns is actually basically not used in China!
In Brazil, doctors have turned to tilapia skin for lack of other treatment options.
Of course, this kind of fish skin is definitely not just peeled off the fish skin and used.
It needs to be sterilized and then processed before it can be used.
This use of animal hides to treat burns is not unique to today.
In fact, it has a long history!
And while animal skin has long been used to treat burns in many countries, Brazil lacks the human, pig and artificial skins that are widely available in other countries.
And it just so happens that tilapia is widely farmed in Brazil and is cheap.
It also contains a large amount of collagen Ⅰ and Ⅲ, which are very important for scab formation, and the tension is greater. The resistance of tilapia skin is much higher than that of human skin, and the humidity is also greater. This humidity environment is more suitable for the skin. grow!
But what Chen Cang used was dressing!
Because he was worried that if he tried his best to use fish skin, he would not be cured, and his fame in his life would be ruined.
The operation is passing by every minute!
At this time, the skin on the patient's back was divided into pieces by Chen Cang like a geometric figure!
Skin grafting itself is not easy.
It's all right now.
I want to use 20% of the skin to give 40% of its value.
Difficulty increases in a straight line!
But!
Chen Cang did it abruptly.
It is said that a true master should have the heart of an apprentice!
but!
Gong Daizhen felt that with Chen Cang, she would really be an apprentice forever.
Not only do you have the heart of an apprentice, but you also have to have the guts, the lungs, and the...
Anyway, I am an apprentice!
And He Jin from the Department of Skin Surgery of the Second Provincial Hospital panicked a lot!
He felt that his i3 processor could no longer cope with the current situation of i7!
He is beyond class!
During the whole operation, he was constantly out of line.
After seeing this scene, those who were watching the operation were both nervous and excited, and felt lucky!
Fortunately, they are spectators!
I originally thought that He Jin was lucky.
But now it seems.
This guy is out of luck.
The difficulty of this operation was beyond their ability to handle.
Even Gong Daizhen struggled.
From time to time, Chen Cang blamed him a few words.
He Jin glanced at the way Chen Cang looked at himself, blushing so badly, he was so ashamed that he wished he could get into the patient's abdominal cavity.
What a shame!
I don't know how many people outside are watching my operation at this time.
that's all……
Time passed by every minute and every second.
Everyone's eyes are fixed on the screen, and they don't dare to blink, let alone go to the toilet!
20% of the skin, to play 40 to 50% of the role, how to do it?
Chen Cang always seems to be able to create miracles!
And this time, he might be able to do it again!
Just like that, watching the strange pedicled skin pieces being embezzled piece by piece, then connected with blood vessels, and then stitched up...
The whole process was very smooth!
Every step, even if you don't understand it, you have to write it down.
In the huge venue, there were still discussions just now, but now it is really silent.
You don't want to miss a picture!
Finally, Chen Cang stitched together a piece of skin through the joint incision on the chest and abdomen.
Everyone was stunned!
Because they discovered that this piece of skin directly covered the entire chest and abdomen!
Moreover, the other skins have been processed in various ways such as rotating, advancing, interlacing, etc.
These random flaps start out like the main trunk.
Chen Cang began to slide forward, Z-shaped processing, and rotating techniques, these islands, muscle skin, and free flaps can be sutured together!
The skin of the entire chest and abdomen combined with the back is actually complete!
After seeing this scene, everyone was stunned!
I can't speak for a long time!
It seems to be the same as the entry-level graphics card G210 to handle the picture of GTX2080.
The frame is stuck!
a long time!
Everyone slowly said two words: "I am Cao!"
That's right!
At this moment, whether it is the director, the attending doctor, or the resident doctor, their feelings can only be described by "I Cao"!
Suddenly, they discovered that "holding the grass" is so concise and concise, yet it can express their feelings.
Perhaps, this should be progressive literature?
...
ps: The fifth update is delivered, and there are still two chapters tonight, everyone has seen it... If the two updates were finished last night, I must be aggrieved...
So, hey, big guys who are comfortable watching, ask for a vote,