Zhu Huoyan was very satisfied with everyone's seriousness, so he continued to speak:

"We at the Yue-Chinese Hospital believe that the Chongqing formula is most suitable for patients with large-area burns, while the Shanghai formula is only suitable for patients with small areas and not serious burns. Therefore, our Yue-Chinese formula is based on the Chongqing formula and is revised based on clinical practice.

of.

The amount of fluid rehydration in the first 24 hours for adults\u003d Body weight (kg) x burn area (%) x 1.5ml (1.8ml for children), that is, for every 1% of the burn area, 0.75 ml of colloid and crystalloid should be added per kilogram of body weight.

An additional daily physiological water requirement of 2000ml is required.

The amount of fluid replacement in the second 24 hours is half of the amount calculated in the first 24 hours, and the daily amount remains unchanged.

The biggest difference between this and the Chongqing formula is that we advocate a crystal glue ratio of 1:1, while the Chongqing formula advocates a 2:1 ratio.

And we also advocate the early use of hypertonic saline solution for resuscitation, which can reduce the occurrence of hyponatremia, reduce the content of inflammatory factors in the blood, and reduce edema and oxidative damage to visceral tissues such as the lungs, intestines, liver, and kidneys.

And when the concentration of hypertonic saline solution is 200, 300 and 400 mmol/L, the concentration of 400 mmol/L has the best effect. When the concentration is 600, 800 and 1000 mmol/L, the concentration of 600 mmol/L has the best effect.

At the same time, we believe that for patients with large-area severe burns, whole blood should be replenished first, not plasma, when replenishing colloid fluid.

Because we found after early supplementation of whole blood, supplementation of whole blood during the shock period is helpful to correct anemia, improve hypoalbuminemia, reduce tissue hypoxia and edema, restore hemodynamic stability, protect internal organs, and improve immune function.

Moreover, we found in our research that the application of colloidal hydroxyethyl starch leaves heavy tissue residues and may increase the patient's renal function damage and mortality. Therefore, we at Yue Traditional Chinese Medicine Hospital believe that hydroxyethyl starch should be used with caution.

Or don't use it.

Finally, we at Yue Traditional Chinese Medicine Hospital believe that traditional shock resuscitation monitoring is not accurate enough. These indicators usually include the patient's mental state, blood pressure, heart rate, extremity temperature and urine output.

However, these indicators are effective for decompensated shock characterized by hypotension, extreme tachycardia, and oliguria, but are not effective for latent shock with normal blood pressure, heart rate, and urine output, seriously affecting the efficacy of rehydration.

.

Therefore, we advocate that any burn rehydration should not blindly follow the rehydration formula, but should monitor various indicators of hemodynamics, and then supplement according to the deficiencies of each indicator to improve hypovolemia caused by burn shock, maintain organ perfusion, and prevent

Multiple organ failure.”

As soon as Zhu Huoyan finished reading the manuscript, the whole formation fell silent again.

Director Zhu looked up at the participants in confusion. Chen Qi also blinked, with confusion in his eyes. Why didn't anyone respond?

In fact, what people at the Yuezhong Hospital didn't know was that they were not unresponsive, but were shocked, because the "new formula" of the Yuezhong Hospital could be said to be subversive.

This chapter is not finished yet, please click on the next page to continue reading the exciting content! At this time, I saw Deputy Chairman Wang Qizheng take the initiative to stand up:

"When it comes to references, the three major formulas for rehydration we are talking about now are also references, and they are not original to us. They are all based on the Evans formula, Brooke formula, and Parkland formula, combined with our clinical summary, so no one can

Don't make fun of anyone.

As far as I know, 4 burn department papers from the Vietnam Traditional Chinese Medicine Hospital have been submitted to top international medical journals, 2 of which have been submitted to the "New England Journal of Medicine" and 2 to "The Lancet". Think about our

The formula was only published in the domestic "Chinese Journal of Surgery".

Therefore, I think the formula summarized by Yuezhong Hospital in the clinical work of burns is quite authoritative and worthy of everyone’s focus and attention, and may even become another authoritative fluid rehydration formula domestically or even internationally.”

Professor Ni Zhihua interrupted impatiently::

"Old Wang, what's wrong with what you said? Everyone can submit articles to major medical journals, even elementary school students, but whether they accept them, whether they publish them or not is another matter. You can't use it to write articles.

Let’s talk about it, if we really want to do it, I’ll vote for something like seventy or eighty, what’s the point?”

Wang Qizheng was not in a hurry and just gave an example.

“Maybe you don’t know that over the years, Vietnam-China People’s Hospital has submitted a total of 23 articles to the top ten international medical journals, and all 23 papers have been successfully published. There is currently no failure record. Vietnam-China Hospital has also been published in top medical journals nationwide.

The hospital with the most papers.

What do these 23 top papers represent? Everyone should know it. I remember that Union Medical College Hospital, which ranked second in the country, only published 5 papers in top medical journals. Yuezhong Hospital was far ahead. Doesn't this explain the quality of their papers?

Is it high quality and authoritative?”

As soon as Professor Wang finished speaking, the participating doctors in the audience were so shocked that they stuck out their tongues.

Why?

Because there are so many experts, professors and directors of the Chinese Burn Society, except for Professor Peng Yongyan of Southwest Hospital who has published a paper in the American Journal of Surgery, no one has published a paper in a top foreign journal so far.

Domestic burn doctors play around with the domestic "Chinese Journal of Surgery" and use various connections to find connections in order to publish an article so that they can be promoted.

No doctor even dares to submit his thesis abroad. He doesn't even have the courage.

Good guy, Yue Traditional Chinese Medicine Hospital sent out 4 papers in one go. Is this a God-like rhythm?

So many doctors with strong curiosity raised their hands to speak again:

"Director Zhu, among the four papers you submitted, except for one on the rehydration formula, what content do the other three involve in burn surgery?"

At this time, Zhu Huoyan signaled to the staff again and asked them to open the "movie player", and the video started again on the big screen.

This chapter is not over yet, please click on the next page to continue reading! So one by one they raised their hands and excitedly raised their questions to Zhu Huoyan.

"Director Zhu, may I ask if you invented this skin grafting machine?"

"How many skin grafting procedures have you performed, Director Zhu, and what is the success rate?"

Zhu Huoyan was in a happy mood at this time, grabbed the microphone and said:

"Today I can responsibly tell you that the new skin grafting surgery you are seeing was originally invented by our Vietnam Traditional Chinese Medicine Hospital. It has been performed on 20 patients so far, with a success rate of 95% and only one failure."

Zhu Huoyan didn't say anything. Chen Qi actually performed stinky tofu skin grafting on 20 black uncles during his aid to Africa. The success rate was quite high.

Anyway, black lives are just that in the eyes of many people.

Chen Qi was pretty good and was saving people, even though he was soft on the red envelope.

In fact, many people don't know that Africa is the largest "medical experiment base" in the world, and various drugs, procedures, equipment, etc. are experimented on black people.

Even many virus experiments require living people to be used as specimens, and most of them are carried out in Africa.

Those white people claim that everyone is equal, but behind the scenes they still regard black people as black slaves. They basically don't treat them as human beings. When they die, they can just dig a hole and bury them.

For example, the safety of some genetically modified foods requires a large amount of real-person data. Because the cost of experimentation in European and American countries is too high, the black uncle is basically allowed to eat it first.

(There is no discussion here about whether genetically modified foods are good or bad. The author is trying to save his life, so please let Uncle Hei eat it first.)

"Dear colleagues, for this annual burn conference held at the Vietnam-China Hospital, we have specially reserved skin grafting on three patients. The burn areas are 75%, 83%, and 90% respectively. Starting from tomorrow, we will perform one skin graft every day.

, everyone is welcome to watch.”

The Vietnam Hospital of Traditional Chinese Medicine allowed people to observe the experiment, which showed that they were open and honest, leaving many people who doubted it with nothing to say.

After all, no matter how beautiful the PPT is, no matter how beautiful the video is, no matter how powerful you brag, nothing is as convincing as seeing it with your own eyes.

"Excuse me, Director Zhu, what is the name of your brand new skin grafting surgery?"

After hearing this, Zhu Huoyan suddenly looked constipated, looked at Chen Qi in the corner of the conference room, and then said helplessly:

"In order to reflect the characteristics of Vietnam and China, we officially named it stinky tofu skin grafting..."

As soon as the words fell, the conference room fell into deathly silence again, followed by roaring laughter~~~
Chapter completed!