Doctor’s Life Simulator

When Qin Lang followed Dr. You to the parking lot, he received an application from Zhang Jindong, the director of the Burns and Plastic Surgery Department of the Second Municipal Hospital, who is also a friend of junior brother Wei Guoqiang.

Qin Lang immediately clicked through, and after Director Zhang indicated his intention, he directly sent the general situation of the patient. Qin Lang took a closer look:

"The patient, male, 64 years old, is an electrician. While working this morning, he was hit by 380V voltage and injured his head and right wrist. He was sent to the Second Municipal Hospital. The diagnosis was "electrical injury to the head and right hand to 1.5% of the body surface." Total body surface area (TBSA), II degree to II degree burns, II degree area is 1% TBSA”

Next are a few photos of the patient, Qin Lang also felt a tingling on his scalp when he saw it:

The patient's head is the entrance of the electric shock. The wound area is about 10cmx19cm. The granulation tissue around the wound has proliferated, and the bone of the wound has been exposed. Yellow purulent discharge.

The entire exposed skull is like a long piece of lotus root, all of which are holes with yellow secretions attached to them.

The wound on the right wrist is relatively light. After that, there are several photos of the wound treatment. Now we are ready to formulate a better flap repair plan.

Director Zhang sent another voice over:

"Dr. Qin, according to the conventional treatment plan, the method is to drill the skull after thorough debridement, and then free the skin graft after the granulation grows. However, this treatment plan has a long growth cycle for the granulation, and the risk of infection is relatively high. Therefore, we think It is necessary to design a plan with a shorter recovery and less chance of secondary infection."

"Doctor Qin, I'll be waiting for you at the Second City Hospital, thank you very much."

(Ding, new task, assist Director Zhang of the Second Municipal Hospital to designate the best flap repair plan. Task reward: Vision +1] After reading the prestige, Qin Lang also began to think.

Electrical burn is a common disease with high morbidity, complex pathology and difficult treatment. Especially for deep electrical burn wounds, skin **** are basically used for repair. Skin flap repair includes mesh vascular flap, chain vascular flap, perforator vascular flap, and axial vascular flap.

Among them, the head, face, and neck are often repaired with pedicled axial flaps. This type of flap is also the most widely used in the repair of electrical burn wounds. This type of flap has a constant vascular pedicle and a large blood supply range and donor area. , easy to cut.

Qin Lang just started to think.

Since it is in the morning, it belongs to the morning rush hour for work, so although the total distance from the first hospital to the second city hospital is not far, it almost passes through the entire urban area, and the probability of traffic jams can be imagined.

This is also the reason why Wei Guoqiang asked You Daren to drive to Qin Lang. This traffic jam made Qin Lang doze off and recover.

"Qin Lang, just squint in the car for a while, I'll call you when I arrive.

These days, Qin Lang has established absolute authority in the treatment center, and the techniques he created have actually brought performance and income to these doctors, as well as improved medical level.

You Daren is a person who has a high pursuit of clinical technology. He really admires Qin Lang. He is also the third doctor who will master Qin law after Yang Yi and Yang Yue.

Therefore, as a senior attending physician, You Daren is so much older than Qin Lang, but being a driver for him is not a bit of resentment, and even a little honored.

Along the way, You Daren drove steadily and did not talk much, creating a comfortable sleeping environment for Qin Lang.

Qin Lang closed his eyes slightly, thinking about the design of the flap in his mind.

The timing of surgical treatment of deep electrical burn wounds is very important for wound healing. From immediately after injury to within 24 hours after injury, the necrotic area of ​​electrical burns continues to expand, and begins to slow down at 48 hours after injury and lasts for several days.

Histological observation showed that normal tissue, deformed tissue, and necrotic tissue were intertwined in electrical burns. With the passage of time, normal tissue gradually transformed into degenerative tissue, and degenerative tissue gradually evolved into necrotic tissue, resulting in further expansion of tissue necrosis.

Therefore, debridement is performed within 8 hours after injury, and the optimal treatment time in the surgical wound repair room. The sooner the plan is determined and the faster the flap transplantation is performed, the wound healing of the patient can be guaranteed as much as possible.

Under the perfect skin flap transplantation, Qin Lang's brain turned rapidly:

Due to the severe tissue damage in deep electrical burns, the wound area is large and the deep tissue is often exposed, so free flap repair is the best way, with early wound coverage, important tissue preservation, functional recovery, bridging blood vessels and limb preservation, Offers advantages such as tissue **** that provide greater coverage and more tissue.

The prototype of a bold plan was formed in Qin Lang's mind.

Two hours before the departure of Qin Lang.

Outside the ward of the second city hospital, the patient's son, Wu Hao, waited anxiously. He made a call every ten minutes, but the opposite side was always turned off.

"Wu Pinglan, you are so **** answering the phone. Dad was injured by high-voltage electricity on the construction site. Now he is in the burn department of the Second Municipal Hospital." Wu Hao, 31 years old this year, is an older unemployed young man. His greatest hobby is to It's a nightclub, picking up girls, and drinking.

The skin of the whole person is relatively white, and a pair of panda eyes are very prominent.

Fortunately, there is an outstanding sister at home who is a workaholic. Now she has become the owner of a well-known decoration company in Hecheng, with assets under her name hundreds of millions.

Therefore, on weekdays, there is no shortage of money at home. But Wu's father worked as an electrician all his life, and he couldn't be idle. As long as there was work, he went back to the construction site to work.

In his words, if a person does not find something to do, the whole person will soon be abolished.

Who would have thought that this time, on a co-construction project of my daughter, when I was working, there was a mistake, and the whole person was hit by 380 volts of high-voltage electricity, and now I don't know if I am alive or dead.

And Wu Hao's sister Wu Pinglan, who is also the real head of the old Wu family, has been negotiating a large library project in other provinces in the past two days, so she is still on the plane and has been shut down.

After the plane reached the magic capital for a few games, Wu Pinglan was shocked, angry, distressed and worried as soon as she came out.

However, after all, she was the leader who was able to create a large decoration company with an annual output value of hundreds of millions with her husband, a young master with a powerful background.

Naturally, she couldn't count on Wu Hao's social moth, and she just sent it to the second city hospital closest to the construction site. The burn department of the city second hospital couldn't be ranked in Hecheng, let alone in Zhejiang. within the province.

Wu Pinglan immediately got through the relationship and called the vice president of the city's second hospital, Wen Shuxi, and asked about her father's situation. She originally wanted his father to transfer to another hospital, but after all, she was still in a dangerous period. Holes were also drilled, and accidents could easily happen along the way.

So there is only another way, that is, from the nearest top hospital, invite top experts to the second hospital of the city to perform the operation of his father.

Dean Wen was not ambiguous, and immediately recommended Yang Jinbao, director of the burn department of the Ruijin Hospital affiliated to Modu Jiaotong University, the best burn department in Modu.

After Wu Pinglan had a direction, she used her various relationships, and soon established contact with Director Yang Jinbao. Director Yang is very good at this kind of deep electrical burns, and he can't stand Mr. Wu's giving too much.

Soon ~www.readwn.com~ rushed to the second hospital of the city for consultation, formulated the surgical plan and personally responsible for the chief surgeon.

When Director Yang and Wu Pinglan arrived at the second city hospital, Qin Lang and You Daren were still blocking the road in the city, and Director Wen personally came out to greet Director Yang and President Wu.

It made Director Zhang's face a little ugly. He had already invited Dr. Qin first. Unexpectedly, this patient would find such a top burn specialist by himself. Director Yang of Ruijin Hospital of Modu Jiaotong University came to consult and conduct surgery.

Now that Director Yang is here, do you want him to go to the conference room to wait for a while and wait for Dr. Qin to come to the consultation?

PS: Thank you for the 100 coins of Mingyue Tianxingye Night, the mighty boss, and the 100 coins of Kunlin Yuanshan, thank you~

https://

Genius for a second to remember the address of this site: . Lewen Novel Network mobile version reading website: