"Bring the dressing lamp." Liu Maqiao said while looking at the wound.
Soon, the dressing lamp was brought, plugged into the socket, and turned on the lamp. Liu Miqiao squatted down and looked at it carefully.
"The surrounding blood vessels have been radiated, and there is little hope of recovery." He said to himself.
"If the blood supply is not good, the necrosis will become worse and worse."
"The only way is to restore blood vessel function and improve microcirculation."
"However, this is caused by nuclear radiation. I have no experience in this area."
"Dilating blood vessels? No! After dilating blood vessels, there will be contraction of blood vessels. The two must be in balance. If there is expansion, there will be contraction. With drugs that dilate blood vessels, when the concentration of the drug drops, strong contraction will occur."
p>
……
Liu Muqiao was talking to himself while inspecting the wound.
It is indeed a difficult problem.
A large area of blood vessels around the wound is damaged, resulting in insufficient blood supply and necrosis is inevitable.
In Liu Miqiao's mind, there is a lot of knowledge and cases about debridement and suturing, but there are no cases of nuclear radiation.
Liu Muqiao used all his knowledge.
No good method has been found.
He opened the ancient Chinese medicine prescription again.
30,000 ancient squares, quiet and quiet, not a single star twinkling.
This is troublesome.
Is there no treatment for this patient?
Liu Muqiao looked at it for about 10 minutes, then covered it with gauze and walked out quickly.
You can't always nag in the ward, you have to be quiet and think calmly.
Liu Miqiao rarely had to think so carefully since he obtained the medical wisdom system. He thought about it quietly for a long time, but still couldn't find a good solution.
"Use magnesium sulfate for hot compress." Su Yajuan reminded.
"No, it's useless." Liu Maqiao frowned.
"Seal it with procaine." Su Yajuan suggested again.
"It's useless." Liu Maqiao shook his head and said.
"Salvia injection?" Su Yajuan reminded again.
Liu Muqiao didn't shake his head or nod. He was wondering if he was considering extreme measures?
Ordinary methods will definitely not work, so use extreme methods.
Since Purple Snow Pill can be a life-saving medicine, can it be used topically?
Yes, there are also Angong Niuhuang Pills. Can they be used as topical medicine?
Thinking of this, Liu Muqiao raised his head and said to Su Yajuan: "I think you can try local hot compress of Purple Snow Pill."
"Purple snow pill hot compress?" Su Yajuan almost screamed.
You can't blame her.
It's unbelievable.
This is a systemic medication and is extremely expensive. Does it make sense to apply it to wounds?
However, Su Yajuan rarely questioned Liu Muqiao's proposal. She just warned her, "It's just a bit expensive."
"It doesn't matter if it's expensive. If this patient is treated as usual, half of his body will be rotten in less than half a year. By then, there will be no chance of repair."
Su Yajuan imagined the scene of half of her body being rotten, and couldn't help but shuddered.
Radioactive damage causes deep and stubborn damage.
"Okay, I'll make a few special doses tomorrow. However, I'm worried that their family won't be able to afford this amount."
Su Yajuan's worry is justified. Taking a piece of Purple Snow Pill only costs a dozen grams, but applying it to a wound requires at least dozens of grams. The price of one application is hundreds of thousands.
"This can be spent from scientific research funds. I have too much scientific research funds, and I am worried that I have no place to use it!"
Su Yajuan smiled and said, "Don't say that. You just have hundreds of millions in your hands. If you continue to use them like this, sooner or later, you will go bankrupt."
In fact, Liu Muqiao's annual scientific research funding is only tens of millions. Even if his income increases significantly this year, his share will only be more than 100 million.
If you continue to use this method, you will really go bankrupt.
Bankruptcy is still a trivial matter. The key is that the raw materials for medicines cannot be wasted. Many medicinal materials are hard to come by.
Many drugs are prohibited.
Even if Liu Muqiao and the others treat illnesses and save lives, they cannot break the law.
It may not be a big problem if you try it secretly a few times, but if you use it for a long time, problems will occur sooner or later.
When Liu Muqiao was about to leave, Su Yajuan said with a smile: "Don't leave in a hurry. I finally caught you. There are still two patients. Please help guide me."
"What kind of patient is this?"
Liu Muqiao hasn't treated patients in the special wound department for a long time. He's very skilled. Looking at the dozen or so people around him, it's a good choice to show off his skills.
"One is a patient with a tibial plateau fracture, and the wound cannot heal. The other is a diabetic foot patient. The patient does not agree to amputation, but the disease has been long-standing and it is indeed difficult to heal."
Liu Miqiao turned around and followed them into another ward. Sure enough, the tibial plateau of the first patient was white, with bones two fingers wide and four fingers long exposed.
There is no skin or flesh on the bones.
The tibial plateau is the lower third of the tibia close to the foot. It has no muscles at all. There is a small layer of connective tissue under the epidermis. Tissue necrosis occurs here and it is difficult to heal.
The key is that the growing granulation tissue is too far apart to grow from the bone surface and crawl over a distance of two or three centimeters.
"We have considered doing a vascularized skin graft from the left foot, but it would take a week to put the patient's legs together, which is too inconvenient," Su Yajuan said.
What Su Yajuan meant was to tie the patient's left and right feet together and perform a vascularized skin graft. This method was once widely used.
However, if your legs are tied together for at least a week, your life will be very inconvenient.
Therefore, it is slowly being abandoned now.
Now some people are using an older method, drilling holes in the tibia and allowing the bone marrow to grow granulation tissue from the tibia.
This method has a low success rate and can easily induce osteomyelitis.
Now this patient has many holes in his tibia. He has been staying in other hospitals for more than 3 years. This method does not need to be tested at all.
Liu Muqiao looked at it and seemed to be making up his mind.
"Drill holes and then perform autologous transplantation directly." Liu Miqiao seemed to be telling himself.
I heard it all clearly. No one dared to think this way before, because autologous transplantation requires blood vessel suturing, which is more difficult than kidney transplantation because there is a problem of lymphatic reflux and venous reflux. If there is no reflux, edema will occur.
And necrosis.
However, now, everyone has confidence, because Liu Miqiao said this, and he has never failed.
"When will it be scheduled?"
Su Yajuan couldn't do it herself, so she asked Liu Muchiao when he would have time.
Liu Muqiao looked at the time and said, "In an hour."
"You just came back today. You are very tired. Please change the time." Su Yajuan asked with concern.
"No, we have things to do tomorrow. Although the operation is difficult, it will only take a few hours." Liu Muqiao said.
"How many hours?" Su Yajuan was surprised.
"Yes, arterial anastomoses alone are not enough. Some venous anastomoses must be made. In particular, more than a dozen lymphatic anastomoses must be made. In this way, the possibility of one-time success is higher."
Liu Muqiao said.
Everyone was amazed again.
Do you still need to perform lymphatic anastomosis?
Vascular anastomosis is easy to understand, but this is the first time I heard about lymphatic anastomosis. It is very difficult to find lymphatic vessels. Do you still want to perform anastomosis?
However, since it was Liu Muqiao who said it, no one would doubt it.
If he says it can be done, it will be done.
Then, after looking at diabetic foot patients, Liu Miqiao searched for ancient Chinese medicine prescriptions, and yes, there was a prescription that was very shining.
Liu Muqiao reported this prescription.
This chapter has been completed!