The patients at Yue Traditional Chinese Medicine Hospital are living well, but the patients at Dongshan Hospital are dying. The difference is there and the impression given to people is also different.

Everyone looked at their boss. Professor Ni sighed and his expression improved a little.

His subordinates were already working very hard to save patients, and he couldn't even curse them, so he had to encourage them.

"Everyone has worked hard. Now I'm here and I'm responsible for the rescue."

At this time, Professor Peng, Professor Zhu and others also changed into surgical clothes and walked into the ward, "Old Ni, we will also help you."

Outside the ward, Director Qi, who already had blisters on his mouth, and his family members looked strange when they saw the "expert-looking" old men walking into the ward.

In particular, Factory Director Qi was full of questions, because he knew best if no other experts were invited to come. Why did so many suspected experts appear all of a sudden? How many red envelopes should he prepare?

So I grabbed a young doctor from Shanghai who came out of the ward.

"Comrade, what do the old gentlemen who just came in do?"

"Oh, let me tell you, you are so lucky. The people who just entered are the most powerful experts in the burn department in the country. They happened to be here for a meeting, so they rushed over to help. Normally, you can't get them with money.

of."

Factory Director Qi was excited when he heard this: "Okay, okay, we are so lucky, so good."

The family members were also so nervous that they cried: "My old Lu is saved, my old Lu is saved."

In the ward, the situation is not optimistic. Although worker Lu Wenjie's heartbeat and breathing have recovered, his life is in critical condition and he may die at any time.

Professor An Yongchun from Xiangya Hospital looked at the inspection report and reminded:

"Old Ni, if you look at these test indicators, combined with the patient's clinical manifestations such as high fever, shock, and bleeding, sepsis can be basically confirmed. I'm afraid there is also the possibility of disseminated intravascular coagulation, which is dangerous."

Burns are scary enough, but now the complications of burns are emerging one after another, which really makes doctors collapse.

Professor Ni's brows have not relaxed since he entered the Vietnam Traditional Chinese Medicine Hospital, because the patient's heart and respiratory arrest had stopped, which meant that the patient was on the verge of death.

So what is the culprit for the worsening of the condition? Is it shock? Systemic infection? Or multiple organ failure?

The question is, why did Dongshan Hospital's rescue efforts for almost a day and night fail to produce any results? Is it because the condition is too serious and there is no way to save the patient? But why is there such a calm situation at Yuezhong Hospital?

Professor Peng Yongyan put down his stethoscope and expressed his judgment:

"Old Ni, I think this patient has overreplenished fluids. I have heard obvious crackles and a galloping rhythm. This is typical heart failure. I am afraid that the patient may have a cardiac arrest at any time."

"Too much fluid replenishment?" Professor Ni Zhihua was obviously unconvinced.

"How could you overdo it? Our Dongshan Hospital strictly follows the formula for rehydration. It is normal to have galloping rales. Heart failure is a common complication in patients with such large-scale burns. How can it be associated with rehydration?

Woolen cloth?"

Professor Peng is the representative of Chongqing Formula, and Professor Ni is the representative of Shanghai Formula. It is normal for the two sides to have differences.

This chapter is not over yet, please click on the next page to continue reading! Literary people look down on each other, not to mention that it is related to whose "formula" can achieve the mainstream position, and whoever can establish his position in the academic world.

I won’t obey anyone.

When Peng Fangyan heard Ni Zhihua's rebuttal without hesitation, he just smiled bitterly and shook his head.

Professor Wang Qizheng from the Second Hospital of Hainan Medical University next to him quickly came out to smooth things over:

"Let's not replenish fluids in the emergency department. Look at these inflammation indicators. How to prevent infection is also critical now. Let's look at the patient's right limb."

When squad leader Lu Wenjie was dug out from the rubble, his right leg was pinned down. Coupled with the pollution from dust and dirt and the corrosion from molten iron, the entire right leg was rotten from top to bottom.

Professor Wang added: "The right leg must be amputated at a high level."

Professor Ni clicked his tongue, his mouth full of bitterness:

"One just died, another had his limb amputated, and his life is in danger at any time. Alas, it is too difficult to treat patients with extensive burns."

Wang Qi is an expert from the Second Hospital of Haidong Medical University. In theory, he and Chen Qi belong to the same discipline. Both of them are professors at Haidong Medical University, so they must help their own people.

"How about we go to the two patients treated in the Yue-Zhong Hospital? See if they have any better methods and experience?"

The other professors' eyes lit up when they heard this. They came to Yuezhong just to see the difference in treatment between the two hospitals.

Professor Zhu Lianggong from Jishuitan Hospital smiled and nodded: "This is a good idea. Let's go over and have a look."

Professor Zhu knew that Yuezhong Chen Qi and his old colleagues, Wei Cheng, Ye Jinxin and others from the Department of Surgery at Jishuitan Hospital were in trouble, but so what?

Professor Zhu has no objection to Chen Qi. The old man is an upright person and hates it most when others engage in intrigues when their skills are inferior.

Guo Yuanhang, Chen Qi, and Zhu Huoyan received the information and rushed to the burn surgical ward. They happened to see several professors coming out of the ward.

Deng Changle, who accompanied him out, introduced in a low voice with a bit of embarrassment: "The youngest one here is Chen Qi."

Chen Qifeng walked in front, feeling a little unhappy: Grandma, what is the Yue Traditional Chinese Medicine Hospital? Come and leave whenever you want? Any dog ​​or cat can come to the Yue Traditional Chinese Medicine Hospital for consultation?

He thought it was the Yue Steel Factory that had invited some foreign aid.

Professor Peng, who took the lead, extended his hand in advance and said with a smile:

"Hello, hello, are you Comrade Chen Qi? I'm sorry for the uninvited visitors like us. I'm Peng Yongyan from Southwest Hospital."

"Peng Yongyan?"

Chen Qi was still in a daze when Comrade Lao Guo rushed up with a sword step and held Professor Peng's hand with excitement:

"Professor Peng, ah, hello, hello, we have met the great master. Chen Qi, Lao Zhu, come and introduce to you. This is Professor Peng from the Third Military Medical University. He is a one-star, or

A member of the academic department of our country and an authority in burn surgery."

Then Chen Qi introduced the treatment after admission. For example, he introduced in detail the application of hibernation therapy in debridement, which shocked several professors for the second time.

Then Chen Qi introduced the rehydration situation after admission.

Professor Peng's eyes lit up again, "Comrade Chen Qi, how do you calculate your rehydration?"

"It's like this. We refer to the Chongqing formula, that is, the infusion volume in the first 4 hours is the patient's weight in kilograms, the burn area and the burn coefficient. For adults, it is 1.8. For children over the age of 1.8, plus 000ml of basic water.

.”

Chen Qi saw that the corners of Professor Peng's mouth from Southwest Hospital were turned upward, while the corners of Professor Ni's mouth from Dongshan Hospital were stretched downward, so he did a reversal:

"However, we do not completely follow the Chongqing formula. For example, we advocate that for patients with severe burns, the ratio of crystalloid to gel is 1:1. In addition, when we put the first bag of liquid up, we use hypertonic saline instead of isotonic saline; and

One, we use whole blood instead of plasma or plasma substitute.

There is another important difference. Our fluid replenishment volume is not fixed. The Chongqing formula I mentioned before is just a reference. The specific replenishment amount is adjusted according to the patient's needs. We base the patient's needs on the central venous pressure.

Pulmonary artery wedge pressure and other hemodynamic indicators are adjusted.”

The old men couldn't digest what Chen Qi said for a while.

Because the treatment at Yuezhong Hospital seems to be close to the Chongqing formula, but in essence it is very different.
Chapter completed!