Doctor's Life Simulator

Chapter 176 Supporting the Burn Department of the Second Municipal Hospital
When Qin Lang followed Dr. You to the parking lot, he received a friend request from Zhang Jindong, the director of the Burn and Plastic Surgery Department of the Second Municipal Hospital, who was also Wei Guoqiang's junior brother.

Qin Lang immediately clicked through, and Director Zhang directly sent the general situation of the patient after expressing his intention.

Qin Lang looked at it carefully:

"The patient, male, 64 years old, is an electrician. When he was working this morning, he was hit by a 380V voltage and injured his head and right wrist. Total body surface area (TBSA), second-degree to third-degree burns, third-degree area is 1.5% TBSA."

Then there are a few photos of the patient, and Qin Lang felt his scalp tingle when he saw it:
The patient's head was the entrance of the electric injury, the wound area was about 10cmx19cm, the periwound granulation tissue hyperplasia, the wound bone had been exposed, the bone parts at both ends of the wound were black, the bone surface had drilled many holes, and there were a few holes in the wound. Yellow purulent discharge.

The entire exposed skull seemed to be a long piece of lotus root, all holes, with yellow secretions attached to it.

The wound on the wrist on the right is relatively light. After that, there are a few photos of the wound after treatment. Now I am preparing to formulate a better skin flap repair plan.

Director Zhang sent another voice over:
"Doctor Qin, according to the conventional treatment plan, the method used is to thoroughly debride the wound, drill the skull, and then free skin grafting after the granulation grows. However, this treatment plan has a long period of granulation growth and a relatively high risk of triggering infection, so , we want to design another plan with shorter recovery and less chance of secondary infection.”

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

[Ding, new task, assist Director Zhang of the Second City Hospital to formulate the best skin flap repair plan.Mission reward: Vision +1]

After reading the prestige, Qin Lang also began to think.

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

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

Qin Lang began to think.

Since it was morning, it was the morning rush hour for commuting, so although the overall distance from the city's first hospital to the city's second hospital was not far, it almost had to pass through the entire urban area, and the probability of traffic jams could be imagined.

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

"Qin Lang, just sit in the car for a while, I'll call you when I get there."

Over the past few 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 standards.

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

Therefore, as a senior attending physician, You Daren is so much older than Qin Lang, but he has no resentment at all as his driver, and even feels a little honored.

Along the way, You Daren drove steadily and didn't talk too much, creating a comfortable sleeping environment for Qin Lang.

Qin Lang closed his eyes slightly, thinking about the design of the skin 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 area of ​​necrosis in electrical burns continues to expand, and slows down at 48 hours after injury and lasts for several days.

Histological observations showed that electrical burns had normal tissue, deformed tissue, and necrotic tissue intertwined. As time went by, normal tissue gradually transformed into degenerated tissue, and degenerated tissue gradually evolved into necrotic tissue, leading to further expansion of tissue necrosis.

Therefore, debridement and surgical wound repair are the best treatment time within 8 hours after injury. 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 level of skin flap transplantation, Qin Lang's brain turned rapidly:
Due to the serious tissue damage in deep electrical burns, the wound area is large and often accompanied by deep tissue exposure, free skin flap repair is the best way, with early wound coverage, important tissue preservation, functional recovery, bridging blood vessels to save limbs, Provides the advantages of tissue flaps with a larger range and more tissues.

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

Two hours before Qinlang's departure.

Outside the ward of the Second Municipal Hospital, Wu Hao, the patient's son, waited anxiously. He made a call every 10 minutes, but the phone on the other side was always turned off.

"Wu Pinglan, you fucking answer the phone. Dad was injured by high-voltage electricity on the construction site, and he is now in the burn department of the Second City Hospital."

Wu Hao is 31 years old this year. He is an older unemployed youth. His biggest hobbies are nightclubs, picking up girls, and drinking.

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

Fortunately, there is also an outstanding older sister at home, who is a workaholic and has now become the owner of a well-known decoration company in Hecheng, with assets worth hundreds of millions.

Therefore, on weekdays, there is no shortage of money at home.But Wu's father has been an electrician all his life, and he can't stay idle. As long as there is work, he will go to the construction site to do it.

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

Who would have thought that this time on a public construction project of my daughter, something went wrong when she was working, and she was hit by a 380-volt high-voltage electric shock, and now her life is unknown.

And Wu Hao's sister, Wu Pinglan, is also the real head of the old Wu family. In the past two days, she was in another province to discuss a large library project, so she was still on the plane and her phone was always turned off.

After the plane arrived at the Modu Airport, Wu Pinglan was shocked, angry, and distressed as soon as she got out.

However, after all, she is the head of a large decoration company with an annual output value of over [-] million with her powerful son-in-law and her husband.

For a social moth like Wu Hao, she naturally had no hope, and she was actually sent to the second city hospital closest to the construction site. The burn department of the second city hospital is not ranked well in Hecheng, let alone in Hecheng Within Zhejiang Province.

Wu Pinglan immediately contacted Wen Shuxi, the deputy director of the Second Municipal Hospital, and asked about her father's situation. She originally wanted to transfer him to another hospital, but it was still in a critical period. Holes are also drilled, and accidents are prone to happen along the way.

So there is only another way, which is to invite top experts from the nearest top hospital to perform his father's surgery at the Second City Hospital.

Dean Wen was not ambiguous, and immediately recommended to her Director Yang Jinbao, the director of the Burn Department of Ruijin Hospital Affiliated to Jiaotong University in Shanghai, the best burn department in Shanghai.

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 hold back Mr. Wu's too much.

Soon, he rushed to the Second City Hospital for consultation, formulated a surgical plan, and personally took charge of the surgery.

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 came out to greet Director Yang and President Wu in person.

It made Director Zhang look a little ugly. I had already invited Dr. Qin first, but I didn't expect this patient to find such a top burn specialist, Director Yang from Ruijin Hospital of Shanghai Jiaotong University to come for consultation and perform the surgery.

Now that Director Yang has arrived, do you want him to go to the meeting room and wait for a while, waiting for Dr. Qin to come to consult with him?

PS: Thank you for the 100 coins of Mingyuetian Xingkongye, the boss is mighty, and the 100 coins of Kunlin Yuanshan, thank you~
(End of this chapter)