This chapter is not finished yet, please click on the next page to continue reading the exciting content! Deng Changle also noticed that there were several wires connected to the patient's upper and lower body.

He slowly looked to the side along the wires and saw a "small TV" placed in front of the bedside table, which displayed different waveforms and numbers.

Deng Changle was familiar with electrocardiogram monitors. No matter how poor the top hospitals were, they still had these gadgets.

But the monitor in front of him was obviously different, so he asked curiously:

"Little comrade, this instrument of yours is so strange. What do these data represent?"

Cao Junnan was happy when he heard this. He thought to himself that you are still an expert in Shanghai. You had looked down upon us in various ways before. It turns out that you can't even understand a piece of data?

"Oh, that's right. These are indicators for monitoring hemodynamics. For example, this is the central venous pressure indicator, and this is the pulmonary artery wedge pressure indicator. They are all monitoring indicators used to guide fluid resuscitation, allowing doctors to understand the body's blood flow.

flow status to accurately evaluate the effect of fluid resuscitation in burn shock.”

Deng Changle's eyes lit up. He had heard of these indicators, but this was the first time he saw them, so he asked.

"Comrade, for example, how do you evaluate central venous pressure? And how do you make adjustments based on different indicators?"

"These indicators are actually very simple to explain. For example, when the central venous pressure is less than 0mmho, it means insufficient blood volume, indicating that the patient is in shock and needs to replenish blood volume in time. Then we need to increase the amount of fluid replenishment.

When the central venous pressure is greater than 100 mmho, it indicates excessive contraction of the capacitive blood vessels or possible heart failure. At this time, we will stop rehydration. If the patient already has symptoms of heart failure such as difficulty breathing, we will immediately diuretic and vasodilator treatment."

Deng Changle immediately heard the advanced features of this monitor and further asked:

"In other words, when you refill this patient, how much fluid needs to be replenished is based entirely on these indicators?"

Cao Junnan nodded, continued to point to a few numbers and said:

"Our President Chen said that everyone has individual differences, and the condition also has different priorities, so the formula for the amount of fluid replenishment is only a preliminary estimate, and you cannot blindly replenish fluids based on the formula. He called this an individualized rehydration.

Indicators such as urine output, blood pressure, pulse, and mental state are indeed important, but they cannot accurately reflect whether the amount of fluid replacement is too much or too little. What Dean Chen means is that we should monitor scientifically, systematically, standardizedly, and accurately, rather than roughly.

Gross estimate."

After hearing this, Deng Changle thought again about how rough, so backward, and so unscientific his team's monitoring of fluid replenishment was.

At the same time, it complicates a very simple matter, and mechanically follows the formula in the book to calculate the amount of fluid replacement, without considering the individual needs of the patient.

Deng Changle thought of when Chen Qi scolded them before, accusing them of giving Chi Shanjun too much fluid, which was too much for the patient to bear, which directly caused the patient's heart failure and lung failure.

Maybe he was really scolded by Chen Qi.

Thinking of this, Deng Changle felt a very bitter taste in his mouth, and silently walked out of the burn ward with his hands behind his back and his head lowered.

Cao Junnan blinked and thought, are you leaving now? I didn't even introduce the imported medicines we used. I haven't shown off enough.

At the exit of the Yuezhong Railway Station in the morning, an old man who looked like a cadre came out.

The leader, a little old man, grabbed a train station employee and asked:

"Comrade, may I ask which bus route takes you to Vietnam-China People's Hospital? Is it far?"

The staff member saw that the other party was an intellectual and had a good attitude. He pointed to the row of buses in front of the station and said:

"Old comrade, you can take bus No. 1 or No. 1 over there and get off at Dongjie Station. It's only 4 stops away. It's quite close. You can also walk there. You'll pass by Orchid Fragrance House on the way.

Eating noodles is a must. If you don’t want to eat noodles, go to Rongchun to eat Xiaolong Wontons. It tastes great.”

The leader of the old man laughed:

"Okay, it seems that people in Yuezhong love their hometown very much and are willing to promote their hometown. Young man, let me ask you again, have you heard of Director Chen Qichen of Yuezhong People's Hospital?"

"Hey, I know, Dean Chen and his wife Dr. Lan are very powerful. They are the miracle doctors of our Yuezhong. They can cure all kinds of diseases and are good at all kinds of medicine and surgery. Even foreigners come to our Yuezhong to come to see us.

He treats illnesses. By the way, you also come to him for treatment?"

The little old man headed by him burst out laughing:

"Yes, we also come to him for treatment. We come here because of his reputation."

The staff kindly reminded: "It's hard to lose Dean Chen's account. If it doesn't work, go find scalpers. Don't meet him then."

"Okay, thank you, little comrade. We need to exercise after taking the train all day. Let's walk to the Vietnam Hospital of Traditional Chinese Medicine."

The little old man who spoke was Peng Yongyan, the director of Southwest Hospital and the chairman of the Chinese Society of Burn Surgery. The others next to him were directors of burn departments in major hospitals across the country.

They are Professor Ni Zhihua from Dongshan Hospital, Professor Zhu Lianggong from Jishuitan Hospital, Professor Wang Qizheng from the Second Haiyi Hospital, and Professor An Yongchun from Xiangya Hospital.

This time they went to Shanghai together to attend the annual meeting of the society. They happened to hear that Yuezhong Hospital and Dongshan Hospital were having a competition, so they wanted to come and see the excitement.

Of course, as a member of the National Burn Society and the director of the Burn Department of Dongshan Hospital, Professor Ni also came to Vietnam to supervise the war.

But the main reason that attracted these veteran experts to come here was that the patients at Yuezhong Hospital and Dongshan Hospital were all seriously ill patients with 90% burn area.

No matter which side wins, it will set a national or even world record, which is of great significance to burn surgery.

When Professor Peng and the others showed up at the Burn Surgery Department of the Vietnam Traditional Chinese Medicine Hospital after breakfast, they saw that the Burn Surgery Department was already very busy before they had time to contact the hospital.

As doctors, Professor Peng and the others immediately knew that the hospitalized patient must have had an accident and were providing first aid.

They have seen this scene many times.

Professor Peng grabbed a young doctor who had his hands in his pockets and was also looking at the excitement:

"Comrade, what's going on in the ward? Isn't it said that Shanghai Dongshan Hospital is competing with your Yue Traditional Chinese Medicine Hospital?"

The junior doctor is Bian Meng. In terms of age, he is a junior doctor. In fact, he is now the deputy director of the Plastic Surgery Department of the People's Hospital and one of Director Chen's confidants.

After the merger of the Yuezhong Fourth Hospital and the People's Hospital, the plastic surgery department was moved to the People's Hospital as a whole.

Bianmeng came here early in the morning, in fact, he came to ask for instructions in the morning and report to the boss, President Chen, in the evening, and to take a look at the gossip happening in the hospital. Who told him to be restless by nature?

When he saw an old man who looked like an intellectual asking him, Bianmeng became excited:

"Old comrade, don't say anything about Dongshan Hospital competing with our Yue Traditional Chinese Medicine Hospital. Did you see that the patients in our Yue Traditional Chinese Medicine Hospital are more seriously ill? Nothing has happened now and they have been receiving treatment safely.

Look at Dongshan Hospital again. One person died last night, and another one died this morning. He suffered cardiac and respiratory arrest. They are currently being rescued. There are only three patients in total. One has died and the other is about to die.

, you said that the level of experts in Shanghai is just that."

The border alliance obviously wanted to dismantle the brand of Dongshan Hospital, so they spoke very rudely.

Professor Ni Zhihua frowned even more after hearing this, "Comrade, this may not be a matter of level, but a matter of a more serious condition!"

Professor Peng also quickly smoothed things over:

"It seems that it is still difficult to achieve breakthroughs in the treatment of patients with severe burns. We cannot blame Dongshan Hospital. Currently, there is no history in China of successful rescue of patients with burns covering more than 60% area."

The border alliance was unconvinced:

"Old comrade, that's not necessarily the case. What our Dean Chen is best at is creating miracles. One of his hands has a burn area of ​​90%, and the other one has a burn area of ​​83%. It had been burned for a month when it was delivered, and now both are alive.

Be fine, prepare for skin grafting in two days."

oh?

Several old men were shocked.
Chapter completed!