Chapter 764: 764
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"Come and have a look!" The scald director of the pediatric hospital in the capital said it in a surprised tone, but under the addition of environment and atmosphere, the director of 30x mistakenly thought that the mallet of tea was in trouble.
The medical industry, whether backward in ancient times or scientific and technological today, has a particularly obvious characteristic.
That is, doctors are particularly reluctant to accept patients who have been treated.
There are too many roads here, especially in the current environment of medical insurance, doctors really have a headache for patients who accept transfer.
Moreover, there is another problem, that is, doctors are particularly afraid to meet the former doctor, who used saw cluster therapy.
What do you mean? A man let the enemy biubiu shoot an arrow, and then was carried to the doctor by his partner.
As a result, the doctor didn't know whether he had a weak sense of responsibility or his level was not up to standard. His treatment was also quite simple. With a click, he sawed off the arrow pole exposed outside his body.
Then he said to the injured person: go, I'm the doctor in charge of the outside. Go to the doctor who specializes in seeing the inside.
This is equivalent to digging a hole for the next doctor. The next doctor can't be found or pulled out.
Therefore, when the director of the scald Department of the capital pediatric hospital shouted out in surprise, the director Chen of 30x was angry and didn't say anything. He also complained about the golden mean Li Cunhou.
"Since you've called us, don't let the doctors here do it. It doesn't matter if you can't help, but don't make difficulties for us."
Lao Li complained in his heart and said impolitely, "get out of the way!" To tell you the truth, they are all good tempered. Many, many surgeons took the temper into the operating room. To tell you the truth, it scared people to death.
Lao Li was pushed for some reason, but he didn't care. After all, people also gave themselves face and helped themselves, so they moved their body and gave up their position.
This position can only let him have a look, but he can't start debridement. Lao Chen is almost foaming with anger.
"You..." ready to curse, but his eyes floated to the wound of the wounded.
At this glance, he couldn't scold.
Earlier, Zhang Fan did not dare to speed up. He was deeply afraid of stimulating the patient and causing the patient's stress response.
This reaction, if explained in professional terms, is particularly troublesome. Let's make a simple analogy.
You were a little worried when you walked alone at night. As a result, you suddenly jumped out and shouted, thief sun!
Then, do you have a creepy feeling of tension, cold sweat, relaxation of urine holding muscles and ticking.
In fact, the body is the same. When the injury is serious, there is continuous stimulation injury, and the body begins to have problems.
For example, gastrointestinal bleeding and brain edema are manifestations of stress response. At this time, the brain is probably in such a state, "run for me! Well, if you don't run, I'll destroy myself and show you! "
Therefore, in order not to cause the stress response of the wounded, Zhang Fan did debridement slowly.
However, even so, about half of the damage area has been treated.
The untreated half is directly like a black (a) man. He is thrown into the fire and scorched again. Then he is coated with oil and roasted again. Directly, he is roasting skin and meat cracks.
On the black scorched skin, like smashed ground glass, there are dark red cracks and incisions everywhere, but also light red blood and cell tissue fluid between yellow and white.
It's really like black face, red lips and drooling, and there are too many mouths to count. The real is like the mouth of thousand hand Guanyin, which makes people hair.
The side treated by Zhang Fan is still black, but the cracks between the meat seams and the inactivated tissue have been cleaned up.
On the loosened wound, the blackened tissue was removed. It's like a curly black being sprayed by a kerosene burner.
Although it was scorched and black, there was no infection, no bleeding and no inactivated tissue.
Lao Chen looked at it, then looked at Zhang Fan, "good boy!" With the support of these experts in the capital, Zhang Fan, holding a knife, scissors and gauze, moved quickly.
Zhang Fan has only one thing in mind now. Clean up the wound quickly, and then have an operation quickly.
Brush! Brush! Brush, knife, skin off. The description is simple, just like an old cook in sliced fish, the knife goes down, sticks to the red and half cooked muscles, and the skin is cut off layer by layer.
Lao Chen can't get angry. His craft is not bad compared with him.
Old Chen Meng was stunned, then looked at the director of pediatric scald in the capital with a confused face, "what do you mean?"
The female director, without even looking at Lao Chen, said directly, "don't be stunned, everyone, help quickly."
"The doctor is..."
"This is Zhang Fan, president Zhang!" Lao Li quickly introduced a sentence, and then said, "the operation method of allogeneic skin grafting is mainly operated by Zhang Yuan."
"Oh, oh, Zhang Yuan, let's deal with it separately. Your left side and mine, their right side."
"OK, hurry up!" Zhang Fan nodded, but there was no pause under his hand.
The anesthesiologist reports every five minutes, every five minutes. The vital signs of the wounded shall be reported to Zhang Fan at any time.
There are many people and great strength. Compared with Zhang Fan, the methods of these expert directors can't distinguish between male and female in this level of debridement. After all, debridement is the entry-level operation of doctors.
Twenty minutes later, the wounded was debridement, "ready for surgery."
Zhang Fan didn't need to discuss with others and began to order directly.
"Er..." the director of 30x also thought that the doctor might be modest, maybe have a preoperative discussion with several of them. As a result, people didn't even look at them, so they were going to have an operation directly.
The children in shuitanzi and those scalded in the capital pediatrics were confused by Zhang Fan.
"For such a big operation, don't you design the operation plan and plan the operation procedure? Even if it's urgent, you should book the operation plan in advance. You can't pee with a dog. Just walk and sprinkle. "
"Oh, no, this kind of operation is not difficult."
Lao Li has a hard waist at this time.
"Isn't this crossing the river and tearing down the bridge? When the patient was rescued, why didn't I think you spoke so loudly." The director of shuitanzi joked about Lao Li.
"Isn't the wounded in critical condition, brother? Brother, I'll bow to you. Don't worry about it in a small place. He's really sure. Don't you believe me?"
"Ha ha!" Several experts sneered.
At Zhang Fan's command, all ICU nurses in protective clothing, as well as doctors and anesthesiologists, started at the same time, pushed the operating vehicle and ran over the operating room.
After the side door of ICU is opened, it is directly the channel of the operating room, "come on, get out of the way, get out of the way!"
In the corridor of the operating room, nurses and doctors all adhered to the wall and gave the passage to the armed police soldiers.
Zhang Fan took off his protective clothing while running. "Director Guli, come on, get on the stage."
"Er! ~" Gulee looked at her former teacher and Ouyang.
Ouyang gently shook his head as if inadvertently.
Gulee immediately shouted, "Zhang Yuan, come right away. I'll get the medical record."
"When is it? Can't you let others take it?" Zhang Fan was so angry that his voice changed.
Zhang Fan, who took off his hat and shouted, made it clear to several experts in the capital.
"So young, Lao Li, this is no joke!"
This time, not only the anxious male director, but also the female director of the pediatric scald department in the capital are worried.
"Absolutely no problem. I use my professional reputation to guarantee that there is absolutely no problem."
Lao Li changed his gentle expression in the past and looked solemn on his face.
At this time, Zhang Fan was no longer worried. He was not timid at all. As long as the vital signs of the wounded are stable, he really doesn't worry at all.
The last surgeon with a little level worked as an assistant for him, and he could do it.
"All right, it's Lao Li's pit today. If we can't do it, we'd better go up in advance and let him in front of us."
"OK!"
"Disinfection, towel laying, come on!" Zhang Fan turned to find an assistant. As a result, he didn't know the three doctors who took off their hats.
Lao Li is like the matchmaker of the bridge, "this is 30x of the capital..."
"Oh! Thank you, directors. Please have the surgery! " Zhang Fan nodded gently. It's not enthusiastic, but it's not cold.
It's just an ordinary greeting. Now Zhang Fan is no longer Wu Xia Amun.
For Zhang Fan's attitude, several experts in the capital felt really bad. They felt that they seemed to be in a hurry.
If there is no preoperative rescue, they may not feel so strong, but after preoperative rescue, they can see that this is an ordinary regional hospital.
In China, in addition to the magic capital, others count as one. They went to the local hospital. They were not polite up and down.
But now, in a small frontier hospital, doctors are not only polite, as if their cards are the same.
The doctors up and down saw that they didn't have that kind of eager eyes, especially the Dean, who was young and had a lot of airs.
Even facing them, he simply nodded, as if he were the president of the large hospital in the capital, and his face didn't change!
"Hehe, let's have an operation first. Are you the master knife? "
The older female director reluctantly smiled and asked.
To tell the truth, it's not that the doctors in the tea vegetable city hospital are not enthusiastic. In the past year or two, they have seen too many big things that make their eyes pop out.
Even the legendary characters in the textbooks have come to their hospitals, so they are really immune to the general Dana~
As for Zhang Fan, he has long passed the worship mentality.
"My master knife!" Zhang Fan still nodded.
"Hiss!" 30x director's teeth are starting to hurt.
But what can I do now? I came in a hurry. In a vulgar word, I made an appointment... I have to bite my teeth
Then go!
With great strength, several experts really went on the operating table with great strength. As long as Zhang Fan arrives in the operating room, his mind will definitely become very single.
The only thinking is how to do the operation well and how to make the operation better.
As for others, he is unwilling to distract himself.
The operation began.
To be honest, the risk of large-area burn surgery is not as high as that outside the brain and heart.
Outside the brain and heart, sometimes doctors are not careful, either arteries or nerves, which is absolutely dangerous step by step.
Although the risk of large-area burns in surgery is not so thrilling, the requirements for a chief surgeon are high.
The first is microscopic. When suturing the local skin, transplanting the allogeneic skin, suturing and re establishing the vascular system, it is a little heavier under the hand. Although it will not cause problems for the patients at that time, the allogeneic materials can not survive and infection can not escape.
Macroscopically, where we need to put more, where we need to put less, where we need to transplant a little muscle, and where we need to reduce a little muscle, we should consider it before the operation and make corresponding changes during the operation.
If there is no overall view, do you want to sit down for surgery? The patient is like pulling the skin. The skin collapses tightly and closing the mouth is a big problem.
Do you want it? It's the accumulation of skin. Like a sand dog, breathe. The skin on your body is like a wave, wave after wave.
"Knife!" Zhang Fan said to the surgical nurse, "materials!" Then say a word to Li Cunhou.
Today, Lao Li has no place for him on the operating table. He can only be a material nurse.
Zhang fan starts with the soldier's face. Skin transplantation is the most difficult, and the face is the most difficult.
Really, without saying anything about beauty and beauty, there are more holes in the face than in other places. Therefore, facial skin transplantation is the most difficult.
"Why don't you start with your abdomen? Even if there is an accident, there is room to go back to the world!"
The director of shuitanzi couldn't help saying that although he didn't catch a cold for Zhang Fan's attitude, he should be responsible for the patient.
"Yes!" The other directors also nodded. This is the conventional operation sequence.
Lao Li looked at Zhang Fan and several other directors. He remained silent. He knew Zhang Fan too well.
"No! Start with the face. " Zhang Fan has no time to explain. First, the longer he waits, the more likely he is to be infected. Once there is a secondary infection on his face, even if the skin is made successfully, the pits and vortices on the patient's face are like the positions bombed by shells. How old is the young man.
Secondly, Zhang Fan is too skilled in this kind of transplantation. First of all, he has done it many times a day in the experiment. He has done it many times in the system.
If you are not sure about this, dare not take this risk, and can't consider these for the wounded, you're too sorry for his system.
Several directors looked at each other. When 30x old Chen was about to open his mouth to stop it, Zhang Fan moved, and he didn't even have a chance to speak.
The knife is like a meat grinder. The muscles of the face are cleaned out, and the blood vessels like red shredded meat stuffed between the teeth are exposed!
"Material!"
Lao Li quickly handed over the materials in his hand.
A few knives, do not have to do more, Zhang Fan a few knives, completely convinced several directors.
"Good boy! Have fun! Where did he learn this skill? " As the third assistant boxer in soy sauce, the director of shuitanzi asked Lao Li in surprise.
"Hey, hey, this is called Zhang's knife technique!"
Please report us if you find any errors so we can fix it asap!
"Come and have a look!" The scald director of the pediatric hospital in the capital said it in a surprised tone, but under the addition of environment and atmosphere, the director of 30x mistakenly thought that the mallet of tea was in trouble.
The medical industry, whether backward in ancient times or scientific and technological today, has a particularly obvious characteristic.
That is, doctors are particularly reluctant to accept patients who have been treated.
There are too many roads here, especially in the current environment of medical insurance, doctors really have a headache for patients who accept transfer.
Moreover, there is another problem, that is, doctors are particularly afraid to meet the former doctor, who used saw cluster therapy.
What do you mean? A man let the enemy biubiu shoot an arrow, and then was carried to the doctor by his partner.
As a result, the doctor didn't know whether he had a weak sense of responsibility or his level was not up to standard. His treatment was also quite simple. With a click, he sawed off the arrow pole exposed outside his body.
Then he said to the injured person: go, I'm the doctor in charge of the outside. Go to the doctor who specializes in seeing the inside.
This is equivalent to digging a hole for the next doctor. The next doctor can't be found or pulled out.
Therefore, when the director of the scald Department of the capital pediatric hospital shouted out in surprise, the director Chen of 30x was angry and didn't say anything. He also complained about the golden mean Li Cunhou.
"Since you've called us, don't let the doctors here do it. It doesn't matter if you can't help, but don't make difficulties for us."
Lao Li complained in his heart and said impolitely, "get out of the way!" To tell you the truth, they are all good tempered. Many, many surgeons took the temper into the operating room. To tell you the truth, it scared people to death.
Lao Li was pushed for some reason, but he didn't care. After all, people also gave themselves face and helped themselves, so they moved their body and gave up their position.
This position can only let him have a look, but he can't start debridement. Lao Chen is almost foaming with anger.
"You..." ready to curse, but his eyes floated to the wound of the wounded.
At this glance, he couldn't scold.
Earlier, Zhang Fan did not dare to speed up. He was deeply afraid of stimulating the patient and causing the patient's stress response.
This reaction, if explained in professional terms, is particularly troublesome. Let's make a simple analogy.
You were a little worried when you walked alone at night. As a result, you suddenly jumped out and shouted, thief sun!
Then, do you have a creepy feeling of tension, cold sweat, relaxation of urine holding muscles and ticking.
In fact, the body is the same. When the injury is serious, there is continuous stimulation injury, and the body begins to have problems.
For example, gastrointestinal bleeding and brain edema are manifestations of stress response. At this time, the brain is probably in such a state, "run for me! Well, if you don't run, I'll destroy myself and show you! "
Therefore, in order not to cause the stress response of the wounded, Zhang Fan did debridement slowly.
However, even so, about half of the damage area has been treated.
The untreated half is directly like a black (a) man. He is thrown into the fire and scorched again. Then he is coated with oil and roasted again. Directly, he is roasting skin and meat cracks.
On the black scorched skin, like smashed ground glass, there are dark red cracks and incisions everywhere, but also light red blood and cell tissue fluid between yellow and white.
It's really like black face, red lips and drooling, and there are too many mouths to count. The real is like the mouth of thousand hand Guanyin, which makes people hair.
The side treated by Zhang Fan is still black, but the cracks between the meat seams and the inactivated tissue have been cleaned up.
On the loosened wound, the blackened tissue was removed. It's like a curly black being sprayed by a kerosene burner.
Although it was scorched and black, there was no infection, no bleeding and no inactivated tissue.
Lao Chen looked at it, then looked at Zhang Fan, "good boy!" With the support of these experts in the capital, Zhang Fan, holding a knife, scissors and gauze, moved quickly.
Zhang Fan has only one thing in mind now. Clean up the wound quickly, and then have an operation quickly.
Brush! Brush! Brush, knife, skin off. The description is simple, just like an old cook in sliced fish, the knife goes down, sticks to the red and half cooked muscles, and the skin is cut off layer by layer.
Lao Chen can't get angry. His craft is not bad compared with him.
Old Chen Meng was stunned, then looked at the director of pediatric scald in the capital with a confused face, "what do you mean?"
The female director, without even looking at Lao Chen, said directly, "don't be stunned, everyone, help quickly."
"The doctor is..."
"This is Zhang Fan, president Zhang!" Lao Li quickly introduced a sentence, and then said, "the operation method of allogeneic skin grafting is mainly operated by Zhang Yuan."
"Oh, oh, Zhang Yuan, let's deal with it separately. Your left side and mine, their right side."
"OK, hurry up!" Zhang Fan nodded, but there was no pause under his hand.
The anesthesiologist reports every five minutes, every five minutes. The vital signs of the wounded shall be reported to Zhang Fan at any time.
There are many people and great strength. Compared with Zhang Fan, the methods of these expert directors can't distinguish between male and female in this level of debridement. After all, debridement is the entry-level operation of doctors.
Twenty minutes later, the wounded was debridement, "ready for surgery."
Zhang Fan didn't need to discuss with others and began to order directly.
"Er..." the director of 30x also thought that the doctor might be modest, maybe have a preoperative discussion with several of them. As a result, people didn't even look at them, so they were going to have an operation directly.
The children in shuitanzi and those scalded in the capital pediatrics were confused by Zhang Fan.
"For such a big operation, don't you design the operation plan and plan the operation procedure? Even if it's urgent, you should book the operation plan in advance. You can't pee with a dog. Just walk and sprinkle. "
"Oh, no, this kind of operation is not difficult."
Lao Li has a hard waist at this time.
"Isn't this crossing the river and tearing down the bridge? When the patient was rescued, why didn't I think you spoke so loudly." The director of shuitanzi joked about Lao Li.
"Isn't the wounded in critical condition, brother? Brother, I'll bow to you. Don't worry about it in a small place. He's really sure. Don't you believe me?"
"Ha ha!" Several experts sneered.
At Zhang Fan's command, all ICU nurses in protective clothing, as well as doctors and anesthesiologists, started at the same time, pushed the operating vehicle and ran over the operating room.
After the side door of ICU is opened, it is directly the channel of the operating room, "come on, get out of the way, get out of the way!"
In the corridor of the operating room, nurses and doctors all adhered to the wall and gave the passage to the armed police soldiers.
Zhang Fan took off his protective clothing while running. "Director Guli, come on, get on the stage."
"Er! ~" Gulee looked at her former teacher and Ouyang.
Ouyang gently shook his head as if inadvertently.
Gulee immediately shouted, "Zhang Yuan, come right away. I'll get the medical record."
"When is it? Can't you let others take it?" Zhang Fan was so angry that his voice changed.
Zhang Fan, who took off his hat and shouted, made it clear to several experts in the capital.
"So young, Lao Li, this is no joke!"
This time, not only the anxious male director, but also the female director of the pediatric scald department in the capital are worried.
"Absolutely no problem. I use my professional reputation to guarantee that there is absolutely no problem."
Lao Li changed his gentle expression in the past and looked solemn on his face.
At this time, Zhang Fan was no longer worried. He was not timid at all. As long as the vital signs of the wounded are stable, he really doesn't worry at all.
The last surgeon with a little level worked as an assistant for him, and he could do it.
"All right, it's Lao Li's pit today. If we can't do it, we'd better go up in advance and let him in front of us."
"OK!"
"Disinfection, towel laying, come on!" Zhang Fan turned to find an assistant. As a result, he didn't know the three doctors who took off their hats.
Lao Li is like the matchmaker of the bridge, "this is 30x of the capital..."
"Oh! Thank you, directors. Please have the surgery! " Zhang Fan nodded gently. It's not enthusiastic, but it's not cold.
It's just an ordinary greeting. Now Zhang Fan is no longer Wu Xia Amun.
For Zhang Fan's attitude, several experts in the capital felt really bad. They felt that they seemed to be in a hurry.
If there is no preoperative rescue, they may not feel so strong, but after preoperative rescue, they can see that this is an ordinary regional hospital.
In China, in addition to the magic capital, others count as one. They went to the local hospital. They were not polite up and down.
But now, in a small frontier hospital, doctors are not only polite, as if their cards are the same.
The doctors up and down saw that they didn't have that kind of eager eyes, especially the Dean, who was young and had a lot of airs.
Even facing them, he simply nodded, as if he were the president of the large hospital in the capital, and his face didn't change!
"Hehe, let's have an operation first. Are you the master knife? "
The older female director reluctantly smiled and asked.
To tell the truth, it's not that the doctors in the tea vegetable city hospital are not enthusiastic. In the past year or two, they have seen too many big things that make their eyes pop out.
Even the legendary characters in the textbooks have come to their hospitals, so they are really immune to the general Dana~
As for Zhang Fan, he has long passed the worship mentality.
"My master knife!" Zhang Fan still nodded.
"Hiss!" 30x director's teeth are starting to hurt.
But what can I do now? I came in a hurry. In a vulgar word, I made an appointment... I have to bite my teeth
Then go!
With great strength, several experts really went on the operating table with great strength. As long as Zhang Fan arrives in the operating room, his mind will definitely become very single.
The only thinking is how to do the operation well and how to make the operation better.
As for others, he is unwilling to distract himself.
The operation began.
To be honest, the risk of large-area burn surgery is not as high as that outside the brain and heart.
Outside the brain and heart, sometimes doctors are not careful, either arteries or nerves, which is absolutely dangerous step by step.
Although the risk of large-area burns in surgery is not so thrilling, the requirements for a chief surgeon are high.
The first is microscopic. When suturing the local skin, transplanting the allogeneic skin, suturing and re establishing the vascular system, it is a little heavier under the hand. Although it will not cause problems for the patients at that time, the allogeneic materials can not survive and infection can not escape.
Macroscopically, where we need to put more, where we need to put less, where we need to transplant a little muscle, and where we need to reduce a little muscle, we should consider it before the operation and make corresponding changes during the operation.
If there is no overall view, do you want to sit down for surgery? The patient is like pulling the skin. The skin collapses tightly and closing the mouth is a big problem.
Do you want it? It's the accumulation of skin. Like a sand dog, breathe. The skin on your body is like a wave, wave after wave.
"Knife!" Zhang Fan said to the surgical nurse, "materials!" Then say a word to Li Cunhou.
Today, Lao Li has no place for him on the operating table. He can only be a material nurse.
Zhang fan starts with the soldier's face. Skin transplantation is the most difficult, and the face is the most difficult.
Really, without saying anything about beauty and beauty, there are more holes in the face than in other places. Therefore, facial skin transplantation is the most difficult.
"Why don't you start with your abdomen? Even if there is an accident, there is room to go back to the world!"
The director of shuitanzi couldn't help saying that although he didn't catch a cold for Zhang Fan's attitude, he should be responsible for the patient.
"Yes!" The other directors also nodded. This is the conventional operation sequence.
Lao Li looked at Zhang Fan and several other directors. He remained silent. He knew Zhang Fan too well.
"No! Start with the face. " Zhang Fan has no time to explain. First, the longer he waits, the more likely he is to be infected. Once there is a secondary infection on his face, even if the skin is made successfully, the pits and vortices on the patient's face are like the positions bombed by shells. How old is the young man.
Secondly, Zhang Fan is too skilled in this kind of transplantation. First of all, he has done it many times a day in the experiment. He has done it many times in the system.
If you are not sure about this, dare not take this risk, and can't consider these for the wounded, you're too sorry for his system.
Several directors looked at each other. When 30x old Chen was about to open his mouth to stop it, Zhang Fan moved, and he didn't even have a chance to speak.
The knife is like a meat grinder. The muscles of the face are cleaned out, and the blood vessels like red shredded meat stuffed between the teeth are exposed!
"Material!"
Lao Li quickly handed over the materials in his hand.
A few knives, do not have to do more, Zhang Fan a few knives, completely convinced several directors.
"Good boy! Have fun! Where did he learn this skill? " As the third assistant boxer in soy sauce, the director of shuitanzi asked Lao Li in surprise.
"Hey, hey, this is called Zhang's knife technique!"
"Come and have a look!" The scald director of the pediatric hospital in the capital said it in a surprised tone, but under the addition of environment and atmosphere, the director of 30x mistakenly thought that the mallet of tea was in trouble.The medical industry, whether backward in ancient times or scientific and technological today, has a particularly obvious characteristic.That is, doctors are particularly reluctant to accept patients who have been treated.There are too many roads here, especially in the current environment of medical insurance, doctors really have a headache for patients who accept transfer.Moreover, there is another problem, that is, doctors are particularly afraid to meet the former doctor, who used saw cluster therapy.What do you mean? A man let the enemy biubiu shoot an arrow, and then was carried to the doctor by his partner.As a result, the doctor didn't know whether he had a weak sense of responsibility or his level was not up to standard. His treatment was also quite simple. With a click, he sawed off the arrow pole exposed outside his body.Then he said to the injured person: go, I'm the doctor in charge of the outside. Go to the doctor who specializes in seeing the inside.This is equivalent to digging a hole for the next doctor. The next doctor can't be found or pulled out.Therefore, when the director of the scald Department of the capital pediatric hospital shouted out in surprise, the director Chen of 30x was angry and didn't say anything. He also complained about the golden mean Li Cunhou."Since you've called us, don't let the doctors here do it. It doesn't matter if you can't help, but don't make difficulties for us."Lao Li complained in his heart and said impolitely, "get out of the way!" To tell you the truth, they are all good tempered. Many, many surgeons took the temper into the operating room. To tell you the truth, it scared people to death.Lao Li was pushed for some reason, but he didn't care. After all, people also gave themselves face and helped themselves, so they moved their body and gave up their position.This position can only let him have a look, but he can't start debridement. Lao Chen is almost foaming with anger."You..." ready to curse, but his eyes floated to the wound of the wounded.At this glance, he couldn't scold.Earlier, Zhang Fan did not dare to speed up. He was deeply afraid of stimulating the patient and causing the patient's stress response.This reaction, if explained in professional terms, is particularly troublesome. Let's make a simple analogy.You were a little worried when you walked alone at night. As a result, you suddenly jumped out and shouted, thief sun!Then, do you have a creepy feeling of tension, cold sweat, relaxation of urine holding muscles and ticking.In fact, the body is the same. When the injury is serious, there is continuous stimulation injury, and the body begins to have problems.For example, gastrointestinal bleeding and brain edema are manifestations of stress response. At this time, the brain is probably in such a state, "run for me! Well, if you don't run, I'll destroy myself and show you! "Therefore, in order not to cause the stress response of the wounded, Zhang Fan did debridement slowly.However, even so, about half of the damage area has been treated.The untreated half is directly like a black a man. He is thrown into the fire and scorched again. Then he is coated with oil and roasted again. Directly, he is roasting skin and meat cracks.On the black scorched skin, like smashed ground glass, there are dark red cracks and incisions everywhere, but also light red blood and cell tissue fluid between yellow and white.It's really like black face, red lips and drooling, and there are too many mouths to count. The real is like the mouth of thousand hand Guanyin, which makes people hair.The side treated by Zhang Fan is still black, but the cracks between the meat seams and the inactivated tissue have been cleaned up.On the loosened wound, the blackened tissue was removed. It's like a curly black being sprayed by a kerosene burner.Although it was scorched and black, there was no infection, no bleeding and no inactivated tissue.Lao Chen looked at it, then looked at Zhang Fan, "good boy!" With the support of these experts in the capital, Zhang Fan, holding a knife, scissors and gauze, moved quickly.Zhang Fan has only one thing in mind now. Clean up the wound quickly, and then have an operation quickly.Brush! Brush! Brush, knife, skin off. The description is simple, just like an old cook in sliced fish, the knife goes down, sticks to the red and half cooked muscles, and the skin is cut off layer by layer.Lao Chen can't get angry. His craft is not bad compared with him.Old Chen Meng was stunned, then looked at the director of pediatric scald in the capital with a confused face, "what do you mean?"The female director, without even looking at Lao Chen, said directly, "don't be stunned, everyone, help quickly.""The doctor is...""This is Zhang Fan, president Zhang!" Lao Li quickly introduced a sentence, and then said, "the operation method of allogeneic skin grafting is mainly operated by Zhang Yuan.""Oh, oh, Zhang Yuan, let's deal with it separately. Your left side and mine, their right side.""OK, hurry up!" Zhang Fan nodded, but there was no pause under his hand.The anesthesiologist reports every five minutes, every five minutes. The vital signs of the wounded shall be reported to Zhang Fan at any time.There are many people and great strength. Compared with Zhang Fan, the methods of these expert directors can't distinguish between male and female in this level of debridement. After all, debridement is the entry-level operation of doctors.Twenty minutes later, the wounded was debridement, "ready for surgery."Zhang Fan didn't need to discuss with others and began to order directly."Er..." the director of 30x also thought that the doctor might be modest, maybe have a preoperative discussion with several of them. As a result, people didn't even look at them, so they were going to have an operation directly.The children in shuitanzi and those scalded in the capital pediatrics were confused by Zhang Fan."For such a big operation, don't you design the operation plan and plan the operation procedure? Even if it's urgent, you should book the operation plan in advance. You can't pee with a dog. Just walk and sprinkle. ""Oh, no, this kind of operation is not difficult."Lao Li has a hard waist at this time."Isn't this crossing the river and tearing down the bridge? When the patient was rescued, why didn't I think you spoke so loudly." The director of shuitanzi joked about Lao Li."Isn't the wounded in critical condition, brother? Brother, I'll bow to you. Don't worry about it in a small place. He's really sure. Don't you believe me?""Ha ha!" Several experts sneered.At Zhang Fan's command, all ICU nurses in protective clothing, as well as doctors and anesthesiologists, started at the same time, pushed the operating vehicle and ran over the operating room.After the side door of ICU is opened, it is directly the channel of the operating room, "come on, get out of the way, get out of the way!"In the corridor of the operating room, nurses and doctors all adhered to the wall and gave the passage to the armed police soldiers.Zhang Fan took off his protective clothing while running. "Director Guli, come on, get on the stage.""Er! ~" Gulee looked at her former teacher and Ouyang.Ouyang gently shook his head as if inadvertently.Gulee immediately shouted, "Zhang Yuan, come right away. I'll get the medical record.""When is it? Can't you let others take it?" Zhang Fan was so angry that his voice changed.Zhang Fan, who took off his hat and shouted, made it clear to several experts in the capital."So young, Lao Li, this is no joke!"This time, not only the anxious male director, but also the female director of the pediatric scald department in the capital are worried."Absolutely no problem. I use my professional reputation to guarantee that there is absolutely no problem."Lao Li changed his gentle expression in the past and looked solemn on his face.At this time, Zhang Fan was no longer worried. He was not timid at all. As long as the vital signs of the wounded are stable, he really doesn't worry at all.The last surgeon with a little level worked as an assistant for him, and he could do it."All right, it's Lao Li's pit today. If we can't do it, we'd better go up in advance and let him in front of us.""OK!""Disinfection, towel laying, come on!" Zhang Fan turned to find an assistant. As a result, he didn't know the three doctors who took off their hats.Lao Li is like the matchmaker of the bridge, "this is 30x of the capital...""Oh! Thank you, directors. Please have the surgery! " Zhang Fan nodded gently. It's not enthusiastic, but it's not cold.It's just an ordinary greeting. Now Zhang Fan is no longer Wu Xia Amun.For Zhang Fan's attitude, several experts in the capital felt really bad. They felt that they seemed to be in a hurry.If there is no preoperative rescue, they may not feel so strong, but after preoperative rescue, they can see that this is an ordinary regional hospital.In China, in addition to the magic capital, others count as one. They went to the local hospital. They were not polite up and down.But now, in a small frontier hospital, doctors are not only polite, as if their cards are the same.The doctors up and down saw that they didn't have that kind of eager eyes, especially the Dean, who was young and had a lot of airs.Even facing them, he simply nodded, as if he were the president of the large hospital in the capital, and his face didn't change!"Hehe, let's have an operation first. Are you the master knife? "The older female director reluctantly smiled and asked.To tell the truth, it's not that the doctors in the tea vegetable city hospital are not enthusiastic. In the past year or two, they have seen too many big things that make their eyes pop out.Even the legendary characters in the textbooks have come to their hospitals, so they are really immune to the general Dana~As for Zhang Fan, he has long passed the worship mentality."My master knife!" Zhang Fan still nodded."Hiss!" 30x director's teeth are starting to hurt.But what can I do now? I came in a hurry. In a vulgar word, I made an appointment... I have to bite my teethThen go!With great strength, several experts really went on the operating table with great strength. As long as Zhang Fan arrives in the operating room, his mind will definitely become very single.The only thinking is how to do the operation well and how to make the operation better.As for others, he is unwilling to distract himself.The operation began.To be honest, the risk of large-area burn surgery is not as high as that outside the brain and heart.Outside the brain and heart, sometimes doctors are not careful, either arteries or nerves, which is absolutely dangerous step by step.Although the risk of large-area burns in surgery is not so thrilling, the requirements for a chief surgeon are high.The first is microscopic. When suturing the local skin, transplanting the allogeneic skin, suturing and re establishing the vascular system, it is a little heavier under the hand. Although it will not cause problems for the patients at that time, the allogeneic materials can not survive and infection can not escape.Macroscopically, where we need to put more, where we need to put less, where we need to transplant a little muscle, and where we need to reduce a little muscle, we should consider it before the operation and make corresponding changes during the operation.If there is no overall view, do you want to sit down for surgery? The patient is like pulling the skin. The skin collapses tightly and closing the mouth is a big problem.Do you want it? It's the accumulation of skin. Like a sand dog, breathe. The skin on your body is like a wave, wave after wave."Knife!" Zhang Fan said to the surgical nurse, "materials!" Then say a word to Li Cunhou.Today, Lao Li has no place for him on the operating table. He can only be a material nurse.Zhang fan starts with the soldier's face. Skin transplantation is the most difficult, and the face is the most difficult.Really, without saying anything about beauty and beauty, there are more holes in the face than in other places. Therefore, facial skin transplantation is the most difficult."Why don't you start with your abdomen? Even if there is an accident, there is room to go back to the world!"The director of shuitanzi couldn't help saying that although he didn't catch a cold for Zhang Fan's attitude, he should be responsible for the patient."Yes!" The other directors also nodded. This is the conventional operation sequence.Lao Li looked at Zhang Fan and several other directors. He remained silent. He knew Zhang Fan too well."No! Start with the face. " Zhang Fan has no time to explain. First, the longer he waits, the more likely he is to be infected. Once there is a secondary infection on his face, even if the skin is made successfully, the pits and vortices on the patient's face are like the positions bombed by shells. How old is the young man.Secondly, Zhang Fan is too skilled in this kind of transplantation. First of all, he has done it many times a day in the experiment. He has done it many times in the system.If you are not sure about this, dare not take this risk, and can't consider these for the wounded, you're too sorry for his system.Several directors looked at each other. When 30x old Chen was about to open his mouth to stop it, Zhang Fan moved, and he didn't even have a chance to speak.The knife is like a meat grinder. The muscles of the face are cleaned out, and the blood vessels like red shredded meat stuffed between the teeth are exposed!"Material!"Lao Li quickly handed over the materials in his hand.A few knives, do not have to do more, Zhang Fan a few knives, completely convinced several directors."Good boy! Have fun! Where did he learn this skill? " As the third assistant boxer in soy sauce, the director of shuitanzi asked Lao Li in surprise."Hey, hey, this is called Zhang's knife technique!"
