In the corridor of the surgical ward, the nursing staff is mopping the floor.Li Min carefully and quickly dodged the nurse's mop and went to the burn ward.Look at the front of Li Minbai's coat, which is neatly equipped: in the left upper pocket, there is a fountain pen and a ballpoint pen, and a mask is stuffed; At the bottom left is a simple clinical drug dosage booklet, which was printed by the pharmacy department of the hospital and is for internal use only.There is also a small notebook of notes that she cuts and binds by herself, which is used to record temporary medical events, doctor's orders, etc.; The lower right pocket has a tape measure, a stescultation hammer, and two large pieces of gauze that come along in the disposal room.This is standard in trauma surgery.The stethoscope was rolled up and held in her right hand.Echoing her gently swaying left hand, as if ready to do something.Judging from the back, the first feeling is that this girl's back is very straight.The second feeling is that he seems to be quite tall.The cookie-cutter white coat, without any tailoring, was forced by her thin waist and long legs, wearing the chic feeling of a windbreaker.Even the ordinary wood-soled wedge nurse shoes she stepped on were rendered bright and elastic by her relaxed steps, making people involuntarily want to keep up with her footsteps and move forward.People often ask Li Min: Do you have 170?
But in reality, she is only 1.65 meters.From time to time in the corridor, the patient's family members greeted Li Min and said good morning, Li Min basically smiled and nodded all the way, and went straight to the burn ward.The burn unit is at the innermost end of the trauma surgery.The three wards facing south are under Li Min's management in September and October.All three wards are now filled with patients.- and one heavier than the other.At 7:40am, the morning sun shines through the glass window of the burn ward, on the wall, and on the half of the boy's face sitting on the bed in Ward 8, so that the fine fluff on his face is clearly visible.Seeing the doctor in charge of him push the door in on time, the boy's face immediately showed joy."
Good morning, Dr.
Li."
The boy's mother served as a nurse, and when she saw Li Min, she happily greeted her.The half-grown boy was 15 years old and had burned his feet with boiling water, with burns of more than 1.5% on the anterior lower part of his left tibia and dorsum of his foot, and a depth of II°.About 1% are infected.The dorsum of the right foot is burned by about 1% with boiling water, and the depth and shallowness II° are mixed, and it is infected.Li Min put on a mask, carefully uncovered the Vaseline gauze covering the boy's right foot, nodded with satisfaction, and said, "The right foot is under control." ”The boy and mom smiled relaxedly.Li Min covered his right foot, lifted the cover of the wound on his left foot, and looked at the ankle activity where there was still oozing, and couldn't help but feel a little regretful.She gently covered the gauze and straightened up to tell the boy's mother."
It's not bad either.You don't let him get off the ground and put his left foot up as high as the pillow.Mop the floor in this ward.You go to the hygienist to ask for disinfectant water, and you say what I said, the burn ward is used for mopping the floor.Also, you can't let anyone in in, lest you get reinfected.I'll come back to change his dressing after the shift. ”Li Min said, and the boy's mother nodded.At the end, she repeated it again, emphasizing: "Doctor Li rest assured.I'm not going to let his grandparents come in to see him anymore. ”After the routine explanation, Li Min went out, and the boy's mother followed behind.A thousand thanks to the daily performance, replayed again.Li Min was very embarrassed at first, but now she just stretched out her arm, stopped her in the door of ward 8, and moved to the next ward with a slight smile.The boy in Ward 8, who is from the suburbs, was burned by inadvertently kicking over the family's hot water bottle.It's freshly filled boiling water.If it is handled well at home, rinsing with tap water immediately after the scald can control the injury well.As long as the blisters on the surface of the skin are not broken and there is no secondary infection, it is not a big deal.But this child was more unlucky, and after being burned, he was treated by the old man in the family with a soil method: smeared with sauce.After three days of tossing and turning around at home, he developed an infection and fever, and the village clinic was still a barefoot doctor left over from the 60s.The barefoot doctor threatened the old man that if he continued to do this at home, he would have to amputate his foot, so he was sent to the hospital.After being admitted to the hospital, Li Min, who was on duty in the burn ward, was in charge of treatment.First, the wound should be cleaned, soak the yellow-brown sauce that has dried on the wound surface in saline to soften, and then carefully rinse it off little by little.The boy is also a strong character, and when he is flushed with hydrogen peroxide, he can grit his teeth and keep silent.Just such a wound the size of two palms of an adult man, Li Min carefully treated it for more than two hours.Then intravenous antibiotics were given, the dressing was changed twice a day in the morning and evening, and the temperature and humidity control of the ward was checked three times in the morning, noon and evening.Thanks to the boy's good health, after being admitted to the hospital for a few days, his body temperature returned to normal.After nearly half a month of hard work, the director is very satisfied with the current treatment effect, and in front of the patient's family, he seriously praised Li Min verbally several times."
Dr.
Li is the only female doctor in our trauma surgery department, and she is serious and careful.Your child will be treated by her, and you can rest assured. ”During the last weekly round, the director also said that if the infection can be controlled and the wound granulation can appear, skin grafting can be considered.Li Min's treatment plan is also considered in this way: the skin in front of the shin is thin, the blood circulation is not abundant enough, and the wound is difficult to heal, so a small area of skin grafting is the best way to promote the healing of the burn wound.The first choice for skin grafting is autologous skin grafting.Li Min decided to use the stamp-based skin grafting scheme.This solution can reduce the area of skin removal and reduce the damage to the skin removal site.Even if there will be scarring in the wound in the future, as long as the function of the affected limb can be guaranteed, it is a big deal to wear long pants and socks in summer.Li Min explained these things clearly to the boy and the boy's mother.But this boy is the only grandson of his grandparents, and he will not be relieved not to come and see him every day.However, for burns and scalds that have been infected, the most feared thing is that there are too many people who come to visit, resulting in the burn ward cannot be guaranteed to be clean.Li Min had spoken to the boy's grandparents several times, half-frightened, before they were discouraged from visiting the wards every day.Clinical treatment is never simply a matter between a patient and a doctor.At 7:45am, Li Min entered Ward 9.Hearing the sound of the door, the young woman accompanying the patient put down the spoon for feeding, and saw that the person who came in was Doctor Li Min, and immediately stood up and greeted: "Doctor Li." ”The woman lying on the bed also struggled to raise her head, turning her neck to show her eyes, and her injuries made her naked.Li Min asked the hospital's maintenance workers to help make a barbed wire rack, and now she is covered in a gauze-covered barbed wire rack.She stretched out her movable left hand to Li Min, and asked in a loud voice, "Doctor Li, do you think I'm okay?"
”"It should work.I'll try to heal you.After a few more follow-up facelifts, you should be as beautiful as ever. ”Li Min has mixed feelings about this patient.This girl was beaten several times by relatives in the "main room" because she was a third party and intervened in other people's families, and she also dragged the cheating man home to avenge her.The man not only lived up to her expectations and intensified the trouble when he returned home, but also slapped his wife several times in front of his children.The "main room" was beaten by her husband who cheated and divorced and beat her in front of her children, and she poured sulfuric acid the next day in anger.A bottle of sulfuric acid hurt both.When danger came, she subconsciously covered her eyes with her hands, and the back of her right hand and right forearm blocked the sulfuric acid splashed on her eyes.But there are other parts of the face that have been splashed with sulfuric acid.The forehead, nose, and lips are heavily corroded.It is important to know that acid burns are characterized by little surface contact but erosion to depth.These are all III° burns.The upper body and the right thigh were splashed with sulfuric acid, although the wounds were not very large, and the injuries were basically mixed between III° and deep II°.The man who protected her was out of luck.After the "main room" splashed the first blow on Xiao San's face, he poured all the remaining sulfuric acid in his hand on the man's face and body, the man's left ear and left eye could not be saved, and the burn on the left torso was still a trivial matter, only the perineum/burn was as tricky as the left eye.The man's injuries were much worse than those of the third party, and he was living in the next ward."
Thank you, Dr.
Li."
The girl's beautiful eyes radiated with gratitude.Li Min looked at the emotions in her eyes, and then asked her calmly, "I heard the nurse say that you didn't sleep well last night?"
Is there anything particularly uncomfortable?
”The patient immediately retracted his head, drooping his eyelids and not squeaking.The person who was the escort was her own sister, and she quickly apologized with a smile: "Doctor Li, my sister was upset last night, and she was so uncomfortable that she couldn't sleep, so I found a nurse on night duty a few more times." ”Li Min nodded noncommittally, then solemnly stiffened his face, stared at the sister who was the escort and said, "You must not think that it is a nurse on the night shift, so you want to make some blind tosses."
If you offend the nurse, I can't guarantee that the doctor's order will be carried out 100%.For your own good, don't toss the nurse if you're okay in the future. ”Li Min is willing to warn the sisters like this for Lu Qing, and it is also because Lu Qing is willing to take the initiative to help her in many things."
I didn't toss anyone."
The girl screamed unwillingly, "I hurt, what's wrong with me calling the nurse?"
Isn't it possible?
”"Shut up.Don't you think you can't mess with enough?
”Li Min looked at the two sisters unhappily and shook her head, and said to the patient: "I have a lot of things to do today, so I will come over to change your dressing later." ”Then she said to her escort, "Persuade your sister well."
Acid burns are different from hospitalization for other conditions.With such an injury, it is likely to last for several months, or even longer.I'm going to arrange for her to have a scab cut.Here, and here," Li Min pointed to the blackened scabs on the patient's body and face."
If these scabs are not peeled off, it will be difficult for good meat to grow underneath.Try to persuade your sister as much as possible.There are a lot of surgeries in the future.Three points of treatment and seven points of care, too many times, I have to rely on nurses. ”This patient is simply an unsophisticated asshole."
Yes, yes, yes.Doctor Li, you are busy, I will definitely not let her toss again tonight. ”"Well, you just have to pay a little more attention."
Li Min said to the escort as he walked out: "Whoever is sick is uncomfortable, your sister is young, you can persuade her well, it will also help her to recuperate." ”"Yes, yes."
Coming out of Ward 9, Li Min transferred to Ward 10.Before pushing the door and entering the ward, Li Min took a deep breath and encouraged himself, reminding himself that he was only a doctor who treated the sick and did not have the power to judge morally.But there is a little man in my heart who is shouting: This man is a scourge, a curse.At present, the root cause of this scourge is very serious.After a while, I will push him to the operating room and give him a second operation.- It's unknown how much of that bane can be saved, but it's certain that it won't be able to recover to the point where it was before the injury.When he was sent to the hospital, most of the glans/head were wrapped in the fabric of chemical fiber pants drenched with sulfuric acid, and a small part of the skin of the penis/stem and scrotum was corroded to a deep II° by sulfuric acid.Alas!
Merry, no, lewdness comes at a price."
How did you sleep last night?"
Li Min asked calmly."
Okay."
The patient's pronunciation is slurred, but he is in good spirits."
You haven't eaten or drunk water in the morning, have you?""
Nope.""
Then after the shift, at 8:20, I'll push you to the operating room.""
Thank you, Dr.
Li."
Half of the man's face was corroded by acid, and his left ear and left eye could not be saved.He hoped that his little brother would be saved, and this operation was for his little brother.The male patient was also basically naked, and was also covered by Li Min with a barbed wire frame covered with gauze.For this reason, Li Min was teased and teased by Corey's colleagues more than once."
Graduated from medical university, it's not like I haven't taken an anatomy class, as for it?!"
Li Min endured it a few times, and finally defended it in front of the director: "Covering it can reduce the chance of infection."
It can also reduce the psychological burden of patients. ”A bunch of stinky hooligans!
※※※※※※※※※※※※※※※※※※※※ strive to be able to restore the characteristics of the times in the 90s.() The distance is a bit far