56. If you are still alive, Happy Mid-Autumn Festival!(1/2)
Listening to Jiang Lai's question, the little girl's red eyes stopped crying. There was a fire in the house... She was originally afraid, but she was rescued, but her body hurt.
She missed her brother, there were all strangers here.
That doctor looks a bit fierce.
But maybe Jiang Lai's expression was too serious, so the little girl still held back the pain and said, "My name is Yang Honghong. It's not red, it's rainbow."
"Uuuuuuuuuuuuuuuuuuuu...There is still an older brother at home, but he has gone to work."
"While cooking, a fire suddenly broke out...and then it caught fire..."
"Wuwuwu... My face hurts so much, and my hands hurt too... Wuwuwu..."
Jiang Lai was relieved to see that the little girl was still conscious. He looked at the rehydration fluid and then said, "Add morphine for pain relief, clean the mouth and nose, prepare the operating room, and perform debridement."
"Okay." Xia Yu agreed immediately, but then became confused, "Debridement?"
Jiang Lai nodded. The most feared thing about burns is subsequent infection. Most of the infections caused by burns are Gram-negative bacteria. In later generations, third-generation cephalosporins were commonly used. Even so, repeated bacterial culture and drug sensitivity tests were often required to adjust the antibacterial drugs...
…
In this era, ordinary treatment rooms and sterile environments are not enough.
Secondly, he was really afraid that the little girl would not be able to bear it during the debridement process, so it was better to go to the operating room.
Of course, there is also a fortunate point. The degree of burns of this little girl is not high. If the operation is careful, there is still a chance that infection will not break out. "The head, face, neck and upper limbs have 15% II degree, moderate burns."
"What?" Xia Yu was stunned again.
Jiang Lai exhaled. This standard is not available now. "It's nothing. Go get ready."
"good."
On the side, Jiang Jikai asked, "This little girl..."
"It shouldn't be life-threatening." Jiang Lai thought for a while and said, "As long as we can resist the infection."
"What about her face?" Gu Ya asked. For girls, this is a point that definitely needs attention.
"I can't guarantee that there will be no scars. I can only try my best to graft her skin as soon as possible after debridement." Jiang Lai shook his head, without any guarantee.
"Skin grafting?" Jiang Jikai thought he heard a new word.
"Just take a piece of skin of about the same size from other parts of her body, for example...the thigh..."
Jiang Jikai's eyes widened, and even Gu Ya looked surprised.
"Can it be done?"
"There's not much of a problem with the tissue in my body." Jiang Lai was not sure, because in this era, this was still a new thing.
"Oh." Jiang Jikai nodded blankly. At least, in the hospital... he couldn't beat Director Jiang.
"Pay the medical bills." Jiang Lai reminded.
Jiang Jikai:???
…
After leaving his colleagues, Jiang Jikai shook his head helplessly and laughed.
On the side, Gu Ya also smiled, "You two brothers are really..."
"If he is polite to me one day, then there must be something abnormal." Jiang Ji said with a smile.
"This shows that you have a good relationship." Gu Ya held Jiang Jikai's hand, "We went to take photos, and we were already so late..."
"Ah, yes, yes, otherwise it will be dark." At this time, Jiang Jikai also remembered that he had plans for today!
Then, he took his fiancee into the car and hurried to the photo studio.
…
As for Jiang Lai, he began to debridement the little girl seriously.
"Dr. Jiang, what do you mean by the 15% II degree, moderate burn you just said?" Xia Yu followed into the operating room to cooperate.
"It's a classification of burns. You can learn more about it when the time comes." Jiang Lai answered, operating and explaining, "Look, her burns, although they are II-degree burns, are burnt because of the underlying
The damage is red and white, which means it is a deep second-degree burn. Most of these scars will leave scars."
"Are there Level I and Level III?" Xia Yu was curious. She felt that she had learned a kind of knowledge from Jiang Lai that she had never been exposed to before. In her knowledge, such burns could only be bandaged.
That's all, and leaving scars... is inevitable.
But she also heard a term before: skin grafting!
This seems to be somewhat similar to the technology related to replanting amputated limbs.
"Yes, there are I degree and III degree."
"I degree, generally an erythematous burn, only damages part of the epidermis, but the germinal layer is still intact, so the proliferation and regeneration capacity is active. It usually heals within 3 to 5 days without leaving scars, similar to when we were scalded with boiling water.
There are more of these.”
"II degree is divided into superficial II degree and deep II degree. Superficial II degree damages the entire epidermis and part of the vaginal layer. If there is no secondary infection, it usually heals in about 1 to 2 weeks without leaving scars. For superficial degree
For II-degree burns, if there are blisters, if the blisters are not broken, extract the fluid from the blisters and bandage them with disinfection. If they are broken, just use sterile oily auxiliary materials to bandage them.”
"But deep second-degree burns damage the dermis. Even if debridement is done, infection will not break out. Most of them will still leave scars. And generally, the pain of deep second-degree burns will be relatively dull, and she can feel the pain.
And the base is damaged, which means it’s a mixture of light and dark.”
"What about her?"
"It should stay, so we will have to monitor her recovery and graft skin as soon as possible. Skin is a very important barrier for the human body."
Xia Yu was thoughtful.
"As for III-degree burns, also known as eschar burns, they generally refer to burns of the entire skin, with the epidermis, dermis and skin attachments all destroyed, and wound repair relies on surgical skin grafting or skin flap repair."
"Of course, there are also IV degrees, where burns are deep enough to reach muscles, bones and even internal organs. Wound repair relies on surgical skin grafting or skin flap repair. In severe cases, amputation is required."
Xia Yu opened her eyes wide. She had never seen these concepts in her textbooks. She also believed that even clinical medical students' textbooks did not include these concepts.
She felt that Jiang Lai was simply too knowledgeable.
Although she is young, she is handsome and has a unique charm. She doesn't know what words to use to describe her: calm, calm, knowledgeable...
Jiang Lai seemed to have a solution for everything.
It seems to be the same for all diseases.
There is never any special treatment for any patient just because of his or her nationality.
She feels that Jiang Lai is her idol! The most important thing is that the idol is still single!
They say that when a woman chases a man, there is a veil between them... She has to go back and ask the little sisters... No, she can't ask the little sisters, otherwise there will be more competition! She has to ask her sister-in-law...
Jiang Lai didn't know that the little girl next to him was thinking. After he explained these things, he still operated and taught. In his opinion, although Xia Yu is a nurse, it is obvious that this little girl is
He is highly motivated, so he is willing to teach more.
As for other feelings... there are none.
…
"Nurse, there was a little girl who was burned just now. Her name is Yang Honghong. I am her brother..." A rather burly man with short hair came over and asked in the hall.
"Ah, Yang Honghong is in the operating room now, please wait a moment." Zhang Li, who picked up Xia Yu's hall class, answered naturally.
"Operating room?!" The man's eyes widened, and then he took two steps back in shock, "Honghong, she..."
"The little girl's life is not in danger at the moment, but she may have scars on her face, neck, and hands." Zhang Li explained patiently, "Now our doctor, Jiang, is debriding her."
"The scar... is not life-threatening. It's good to be alive... to be alive." The man finally recovered and said, "Thank you."
"You're welcome. You really need to thank Inspector Jiang Jikaijiang. He happened to save your sister when he was passing by." Zhang Li said helplessly, "He also paid your sister's medical expenses, by the way.
What's your name? I have to register your family information."
"My name is Yang Dayong. How much is the medical expenses? I still have some money here. If it's not enough, I'll find someone to collect it." Yang Dayong took out the crumpled banknotes from his pocket and handed it over.
"You, don't be in a hurry to pay the medical bills. Detective Jiang should have paid a lot." Zhang Li shook her head, "Your sister is sick now and needs to eat well. There will be other expenses in the future.
Yes, you have to keep it for emergencies."
"right……"
"Of course, you have to pay back this money. Dr. Jiang, Vice President Jiang, is Inspector Jiang's brother. You just need to slowly collect the money and return it to Dr. Jiang." Zhang Li looked at the pile of crumpled French currency.
, sigh, it’s not easy. The two brothers of the Jiang family are both kind-hearted, but the family still has money.
"Then...thank you."
"You're welcome. This is what Inspector Jiang told me before."
"Okay." Yang Dayong's tone was full of gratitude. For a tall man of 1.8 meters, he almost cried.
Zhang Li shuddered and took two steps back. Hey, she just didn't like seeing people cry. "Yang Honghong will definitely be hospitalized, and her family members need to stay with her on the bed, not to mention your sister is still young."
"Hey, I understand." Yang Dayong agreed, "I'll go get ready right now."
"Prepare?"
To be continued...