big star doctor

Chapter 47 Emergency Ward Rounds

Chapter 47 Emergency Ward Rounds
At two o'clock, wait for Lin Mo to eat and return to the emergency room on time.

Director Chen has already taken the residents Huang Weijie and Cheng Cheng with him.

Intern Wu Qian, Chen Minghai, and training physician Liu Dabao have already assembled in the hall.

When Director Chen saw Lin Mo walking into the team, he said seriously, "Okay, let's go!"

After speaking, she took the lead and walked to the elevator on the left, because the wards were on the third, fourth, and fifth floors.

Lin Mo and the others followed quickly.

On the third floor, the ward rounds began, and the first to arrive was Ward 301, bed [-].

Director Chen went in first and picked up the medical records hanging on the hospital bed and said:
patient male
29 years old
Extensive burns on the face with a diameter of 5 cm
"What kind of surgery is needed? What kind of medicine? Lin Mo, you can answer."

"In the treatment of skin tissue expansion and skin grafting, we must first prevent infection. Local anti-infective topical drugs for burn wounds mainly include silver sulfadiazine, Baiduobang, etc.

Burn wound cleaning drugs, such as Kangfuxin solution and silver ion wound care solution

The medicines used to remove necrotic tissue in wounds include wound burning ointments and burn moisturizing ointments.

Drugs that promote the regeneration of new tissue on burn wounds and the growth of the epidermis, such as recombinant bovine basic fibroblast growth factor gel for external use. "

"It's good that you can memorize the information very smoothly. You should memorize it more and memorize it. Don't wait until you are about to get started before asking the superior doctor. The superior doctor is not your nanny." Director Chen said in a somewhat stern tone.

The patients in the ward were not surprised when they saw a group of doctors, because Director Chen came to round the ward every day, and often brought people.

Director Chen finished speaking and handed the medical records to the resident next to him.

Go to bed 302, pick up the medical records at the bedside and continue:
"patient male
45 years old
Severe knee fracture caused by external force

What surgery is usually performed?What medicine?How long is rehabilitation appropriate?How long will you be in the hospital?What should I pay attention to after surgery?Lin Mo, you answer first, and you add. "

Everyone except Lin Mo couldn't help saying:
"They are probably going to study with the prince during this ward round. Anyone with a discerning eye will know that Director Chen deliberately tested Lin Mo!"

Except for Huang Weijie, who is motivated among them, they are a little bit unhappy!

But Huang Weijie was relieved, as long as he didn't target him, he wouldn't bother to make a sound!
After all, writing novels is his pursuit, and great gods are his dreams.

“To decide what surgery to do, you need to look at CT or X-ray films. Usually, serious cases require knee replacement surgery, half-moon knee replacement surgery, or joint repair surgery.

After the operation, Huoxue Zhitong Tablets and Glucosamine Sulfate Capsules were taken orally for symptomatic treatment.

You need to be hospitalized for 12 to 17 days, and you can be discharged after the sutures are removed.

Postoperative rehabilitation is generally within one to two months, depending on the situation.

Precautions after surgery, usually pay attention to rest, try to walk less, less climb stairs, avoid squatting, prevent excessive movement of the knee joint, keep the knee joint warm, and avoid cold.

Eat more calcium-rich foods in your diet, such as fish, shrimp, kelp, and bone soup. "

"Very good, you see it! Usually when I ask you, you are hesitating and hesitating. You should learn from Xiao Lin and get ready for the next ward."

After Director Chen finished speaking, he took the lead and walked out of Ward No. [-]. A group of people hurriedly followed, just like elementary school students who had to keep up with the teacher for fear of falling behind and getting lost. The appearance was a bit funny.

After they all come out.

After all, the young patient's head was wrapped in thick gauze, and he said to the middle-aged patient next to his knee:

"Director Chen just now is really imposing. I guess her husband can't bear it when she comes home. I really don't know how his husband survived."

"Who says it's not! The woman in my family is also a strong woman. I understand this kind of pain. After suffering for more than ten years, I don't know when it will be the end!"

"However, that young handsome young boy just now is really a bit powerful. I usually see Director Chen come to make ward rounds, and the little doctor who came with her is not trembling. He was scolded like a primary school student. It seems There is something real."

"Really, looking at the way you calmly answer the question, I think of me when I was young. Thinking back, I was young, tall and handsome, and I was also a school bully! It's a pity that I met a tigress and was tied up at home Became a househusband."

"Brother, just be content! What are you calling me when you meet a rich woman! Look at my daughter-in-law, she looks gentle and pleasant, but I actually feel that she is a bit silly. She doesn't have anything left to eat, and she does whatever she wants. No."

……

By the way, Lin Mo and the others came to the No. [-] ward. As soon as Lin Mo came in, he saw two acquaintances!All his patients.

The family members of the twin sister with the severed finger and manager Ling with the broken bone are not here, so they may have gone to dinner at this time.

As soon as Director Chen came in, he picked up the medical record, looked at the medical record written on it, and looked at the signature.Out of curiosity, he asked Huang Weijie:
"Is this the medical record you wrote? Lin Mo did the surgery, right?"

"This is the medical record written by Dr. Lin, and Dr. Lin also performed the operation."

"Well, Xiao Lin! You are very good, and this is worthy of praise."

Lin Mo wanted to be humble after hearing this.

Unexpectedly, Director Chen started scolding! "Except for Lin Mo, look at your appearance. You two residents have been in the hospital for two years! Have you performed any decent surgery? It's embarrassing for you to think about it.

You two interns, why did you come here with Lin Mo, who is already on the operating table as the chief surgeon, but you can't even do a debridement, do you two still feel dizzy?think about it!
And you, a trainee, although you may have to go back to the original hospital in a month or two, you still have to say that if you are in your 30s, you can cut your appendix and sew the wound. Do you still have the guts to be a surgeon? "

Director Chen's aura, this aura.

The cute twin girls on the hospital bed and manager Ling who was suffering from persecution paranoia were all stunned for a moment.

Not to mention these little doctors.

Some of them, who were innocently bombarded, couldn't help but wailed in their hearts:
"This Lin Mo has just been here for a few days, and he is undergoing surgery and writing medical records again. He looks like a cow, so let people not be confused."

But they dared not say a word.

Director Chen looked directly at the group of people with stern eyes and said:
patient woman
22 years old
ring finger severed

"What kind of surgery is needed? What kind of medicine is used? What should be paid attention to after the operation? How long is the recovery time suitable? Huang Weijie, you sign it and tell me."

"Six to eight hours are suitable for replantation of amputated fingers, and debridement and suture can be performed directly after eight hours.

Medication is to prevent infection first, use some broad-spectrum antibiotics, and then anticoagulant drugs such as Pioneer 5 and other cephalosporins.

The most suitable time for rehabilitation is about seven to ten days, depending on the recovery situation and filming.

After the operation, it should be noted that smoking is prohibited. Smoking will cause vasospasm. Patients with severed fingers must strictly prohibit smoking for one month, and no one is allowed to smoke, including the entire ward.

Heat preservation, the blood vessels of the human body will naturally contract at low temperature, so patients should pay attention to heat preservation.

Relatively fixed, if the finger is broken and a plaster cast should be fixed to the wrist, so that the finger is relatively fixed, and then move other limbs.

In terms of diet, do not eat spicy and stimulating food. "

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(End of this chapter)

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