bookpower Chapter 450
Chapter 450
Lin Feng: "Okay, wait and let the nurse tie a wooden board for you to fix it, and reduce the activity in the future... Then the bones will slowly grow and the cracks will slowly heal... There shouldn't be any problems in the future..."
Let's talk about common sense about fractures,
Many people think that fractures cannot heal.
But actually, you can.
Because after a fracture, the periosteum restarts osteoblasts to promote the healing of the fracture. For example, coccygeal fractures usually do not require special treatment, only need to rest, and can basically heal in about a month.
If the fracture end is displaced, manual or surgical reduction is required and external or internal fixation is required to help the fracture heal.
The villagers were overjoyed when they heard this, and they could actually heal?
"Thank you doctor!"
The nurse goes to dispose of it, and then the next patient is delivered.
Or fractures.
With the addition of Lin Feng, the treatment speed of the medical team has been significantly accelerated, especially for fractures, Lin Feng often only needs to 'click ~~~' a few manual shifts, can be quickly reset.
This speed and proficiency are much stronger than other regular training and attending orthopedic doctors.
Orthopedic surgeons, dumbfounded!
At this time,
"Doctor Lin, there is a stunned one here..."
Another villager was carried in.
The head is bleeding,
Unconscious!
More importantly, the patient's nose runs out of the nose.
And a little bloody...
Lin Feng was shocked.
"Cerebrospinal fluid!"
"Brain injury!!"
That's right
Inside the nose, it is not snot that flows out, but cerebrospinal fluid.
CSF is generally transparent in color, but it changes when sick.
In tuberculous meningitis, the protein content in the cerebrospinal fluid is significantly increased, and the cerebrospinal fluid is slightly yellow; In bacterial meningitis, there is a bacterial infection in the cerebrospinal fluid, which is the color of rice soup; After craniocerebral trauma, subarachnoid hemorrhage, or when an aneurysm ruptures, blood flows into the subarachnoid space, and the cerebrospinal fluid is bloody and bright red.
And right now,
Obviously, it was a head injury!
Among earthquakes, head injury has the highest death rate among earthquake injuries.
Because earthquakes cause objects to hit, smash, bounce, hit, tear, pull, shake, squeeze, bump, etc., it is easy to cause craniocerebral injury, and skull fractures flow out of cerebrospinal fluid through the ears and nose.
When ordinary people see this situation, the habitual practice is to raise their heads or block it, but it is actually not right.
On the one hand, blocking increases intracranial pressure.
On the other hand, if it is refluxed, it may allow outside bacteria to enter the brain and cause encephalitis.
Therefore, you can't block it, you can't raise your head.
"Quick, send the temporary rescue room!!"
Lin Feng did not dare to delay, and quickly sent him to the tent of the temporary rescue room.
Everything is simple, aseptic conditions cannot be achieved, but it is also necessary to try to achieve ...
Enter the rescue room,
Connected to the ECG monitor, the blood pressure is a little low, the blood oxygen is also low, obviously the situation is a little serious!
Because of the limited conditions, there is no way to open the craniotomy now.
Therefore, the only thing Lin Feng can do is:
Debridement, debridement of external wounds with iodophor and then suturing ...
Rehydration to prevent shock. Lin Feng assessed the extent of the patient in front of him, which was definitely a severe open brain injury and was prone to hypotensive shock.
・ It can be determined that there is already a situation of brain supercompression, injection of mannitol ...
Here, explain why surgery, debridement and so on, iodophor is used, not 75% concentration of alcohol disinfectant.
The principle of alcohol disinfection is:
Alcohol has a strong penetrating ability, which allows it to penetrate through the outer membrane of bacteria to penetrate into the bacteria, and then, alcohol interacts with the proteins that make up the bacteria to coagulate the proteins, making them lose biological activity, which in turn causes bacteria to also lose biological activity, thereby achieving the role of sterilization.
so
If alcohol is used for debridement such as incisions and large wounds, it will cause protein coagulation and the death of the superficial tissue of the wound, which is not conducive to healing after suturing.
Therefore, alcohol disinfectant is only suitable for general surface disinfection, hand and skin disinfection, and cannot be used for wounds with openings.
......
Finally, 38 hours later...
The busy rescue work has finally come to an end.
The rest of the wounded were relatively light.
At this time,
Medical staff can finally take a large rotation to rest.
Before resting,
The reporter found Lin Feng: "Doctor Lin, because of your disappearance, the whole country has paid more attention to your movements recently, so can you make a fight..."
Lin Feng was surprised: "Why would they know that I was missing?" "
The reporter sweated furiously: "We reported on you..."
Lin Feng: "..........................."
Quickly grab the reporter's satellite phone and make a call to your family and girlfriend to report safety.
After thinking about it,
Lin Feng recorded a video:
"I'm sorry to worry everyone, and at the same time I apologize for taking up public resources for disaster resistance..."
And then
Lin Feng did not talk about his experience in the video, but only talked about the little soldier Zhang Shilin's joining the army, his beliefs, and the little boy's salute to the fire and soldiers, the teacher protecting the students under him when he collapsed, and his colleagues did not sleep for more than 30 hours continuously... And so on...
Try to downplay yourself,
Try to show the greatness of others to the people of the whole country...
Lin Feng took his mobile phone and filmed other soldiers, doctors and nurses lying asleep all over the ruins...
At last:
"They are the greatest!!"
click
Publish!
。