Medical road

When they saw the child's injured finger, Zhang Fan and Lao Chen couldn't help but not breathe in the air.I saw the finger skin at the end of the thumb and index finger blooming like a black chrysanthemum, and the two fingers were open.Talking about people means that the skin of the fingertips is exploded, and the red muscles open like a rope.After the cotton was removed from the finger, the blood began to flow!

When exploring the wound, the child cried heartbreakingly. The child's father hugged his child tightly and held his other hand tightly. The mother shed tears and helped to compress the injured hand.

"Does the child set off a firecracker or a detonator! Why is it so serious!"

"We were busy cooking, but one didn’t pay attention. The child was holding a firecracker and lighting it." The child’s mother was speechless. Although Zhang Fan did very softly, his ten fingers connected to the heart, mother and child connected to heart, and the baby cried. Heartbreaking, can she feel better.The child's father was talking with red eyes.

Today, if an adult has done heavy work, it may not be so serious.The child's skin is thin, and the firecracker burst directly into his hands. If the power is greater, he might just blow his fingers away!

In microsurgery, this kind of injury is independent and has a big name, destroying the injury!If the incision is straight and the incision is straight, the difficulty is nothing. Just like the operation performed by Li Liang and the others, although it looks dangerous, as long as the action is fast, the replantation survival rate will be very high, and the latter can almost recover to the original About 80% of the function.

But this kid is much more serious.Although it is just a little bit at the end of the finger, the skin has been damaged, and the muscle layer is deeply injured. White bone can already be seen, and the thumb and index finger of the right hand are still there. Without skin, the end of the finger is not Way to keep it.

You can imagine how cruel a person is without the right thumb.After the thumb is gone, you can directly assess the disability, and then you can have a notebook, a disability certificate!And this doll is only six years old, how gloomy the future life will be!

Although the child cried heartbreakingly, but the child's parents and grandparents guarding the door had no words to stop him, crying and pain were all right, as long as the child's fingers could be kept!

Zhang Fan looked at the child's finger and had already conceived the way to deal with it. Although it was serious, it was nothing for a systematic person.

"Doctor, please, the doctor in the Chinese Medicine Hospital told me that only here can save the child's finger, please, you must save the child's finger!" When the child's mother saw Zhang Fan silent, she collapsed. Up.The originally suppressed cry was as if the floodgate was released, and the monstrous flood came out directly.

"Aw! Aw!" This cry was directly like a desperate she-wolf, and his trembling hands were stained with the blood of many children!Although the child's father did not cry, but his eyes were red, tears streaming down the child's face.

Old Chen wanted to speak, but he was not sure, opened his mouth, but did not speak, looking at Zhang Fan."It's saved!" Zhang Fan said to Old Chen again after saying, "Prepare for surgery."

"There is help." These words sounded like the sound of nature, directly causing the child's mother to sit on the ground with a tight body.When she was in the Chinese Medicine Hospital, when she heard from the doctor that she needed to intercept her fingers, her world became gray, desperate and helpless!

Fortunately, Zhang Fan and their salesmen managed to make it home. The Chinese Medicine Hospital and the City Hospital have ran countless times. Otherwise, if this family is still over, it is estimated that there will be no Chinese New Year!~

This kind of injury is not simply a general damage, it is a compound injury.The huge energy not only damaged the skin and muscles, but also burned the surrounding skin to death.It is so cruel and serious.

When Zhang Fan said, "There is rescue, preparations for surgery", Lao Chen seemed to be resurrected, and he began to order neatly, "Cry or cry, now is not the time to cry, hurry up and sign the fee and prepare for the operation. Whoever, go. Push the C-arm to the second operating room. Hurry up!" Like the head nurse, he started to get busy.

Looking at Zhang Fan, the parents who turned the clouds and see the fog were grateful.When Zhang Fan came out of the treatment room and was about to enter the operating room, although the two old people waiting at the door did not dare to interfere with Zhang Fan, their trembling lips, hopeful eyes with tears, pitiful expressions, gray hair!

"The elderly don't worry, they will be fine!" Zhang Fan, who had already passed by the two elderly people, turned his head and said!Everyone has a heart of compassion, but with time and age, this heart has become harder and harder!

During the operation, the head nurse of the operation gently comforted the child!This is the advantage of women. If Zhang Fan is asked to comfort the child, it is estimated that the child will cry even harder.Why, it is probably because of the blackness!

Perhaps because of fear after leaving his parents, although the child did not dare to cry loudly, his shrinking body, slightly trembling limbs, looked like a wounded deer facing a group of hungry lions!

"It's too pitiful!" Old Chen looked at the child, maybe he thought of his child, and said with a little pity.

Zhang Fan turned his head and glanced at the child without speaking.At the beginning of anesthesia, if the skin is not damaged, this kind of operation will directly debride the wound under local anesthesia. It is a very simple operation.But because of the skin damage, the difficulty level of the operation suddenly increased by N levels.

After anesthesia, start debridement. This kind of injury can almost be regarded as a firearm wound. First rinse, and a large amount of isotonic saline starts to rinse, to wash away the broken free tissue (rotten meat!) in the wound, and then gently use a sharp knife Remove the superficial gunpowder particles around.

"Tourniquet!" Zhang Fan did not let the tourniquet be applied when it was cleared, because Zhang Fan needed to know that there was no bleeding in that place and that the tissue in that place had been inactivated.

Today's operation, Lao Chen is Zhang Fan's assistant, everything is proceeding in an orderly manner.The operation area is not large, but the place is too important, and it is really speechless. It is not so troublesome even if you blow the palm of your hand.It's a big deal to do a skin graft, but the general skin grafting in this place is directly useless. The blood supply at the end of the limb is not good. If you let it blow up, it will blow up the circulatory system here. Even skin grafting will not live.

The focus of the pre-operation is flushing, thorough flushing, and then the complete removal of the inactivated tissue. If this tissue is not removed, it will be a curse, a curse of infection.In layman's terms, it is equivalent to burying the rotten meat in the body.

After these treatments are the first step, the next step is the most important. How should this surgery be done?There is no blood vessel and no skin, and there is no way to deal with it with conventional surgery.

Because he was a child, Zhang Fan chose cross-arm flap transplantation.What does it mean? It is to design a flap on the child's opposite upper arm or forearm at a proper position.What is a skin flap? A skin flap is formed by a skin with blood supply and its attached subcutaneous fat tissue.

Simply put, find a suitable place on the opposite arm, and then open the skin muscles, find a thicker muscle area, and trim the skin muscles and blood vessels into a defect.

Then suture this piece of tissue to the child’s finger. The trimmed tissue is not completely separated from the original place. Sew it on the child’s finger. This piece of nutrient vessel will continue to be supplied by the opposite arm, etc. After the transplanted blood vessel grows up, it is separated.

It looked like the child's two fingers were sewn directly into the opposite arm.

Because he is a child, Zhang Fan is doing very meticulously. The child is constantly growing and developing. If the operation is not done well and the choice is not good, it will directly affect the function.

The design of this flap is very particular. Even though doctors with rough techniques can save their fingers, it is too ugly, just like a sarcoma growing on the egg of the finger, because the design is not good.

Why the design is not good, because the operation is done less.It's not that the doctor is careless.This is not difficult for Zhang Fan. I don't know how many times I have practiced in the system.

Slowly turn over the deep fascia of the upper arm on the opposite side, thin to stop the bleeding, and then gently transplant the trimmed flap to the child’s wound. This operation is really embroidering. The wound is too small, Zhang Fanyi Lowering his head, directly blocking other people's vision, Old Chen bent his waist and took time to suck blood and wipe.

The constructed tissue is connected to the original tissue called the pedicle. This is the channel to ensure that the child's wound can be resurrected. After repairing, Zhang Fan quickly and continuously eversion and suture.Directly buried the child's two fingers into the left upper arm.

Before the bandage, it looked like the child made an OK gesture with his right hand, but the thumb and index finger were inserted into the flesh of the left arm.

Although the operation is not easy to perform, Zhang Fan’s speed is too fast compared to Li Liang and Song Bing. When Zhang Fan and Lao Chen started to bandage, Li Liang and the others were still doing the third finger. !

Gently put cotton between the injured hand and the left arm, then fixed it with tape, and gave the child a beautiful triangle scarf to hang the right hand.

The operation has not been completed yet, and the pedicle can be cut after two to three weeks and the wound is alive.Although it was long and uncomfortable, the family did not spend the Spring Festival in the gloom!

After the operation, Zhang Fan stretched his waist. More than two hours have passed. "After you go down, you must tell the parents to take good care of the child. If the child is young, if one accidentally pulls it off, it will be over. Worry, pay attention to the stability of this cross arm."

"Okay, I will take care of the bed myself, Master, you should go back soon. It's eleven o'clock soon."

"Don't worry, wait for Li Liang and the others to have surgery and have a New Year's Eve dinner together. Are you prepared?"

"Yes, I have prepared a lot of quick-frozen dumplings for the doctors and nurses on duty, and I will have fun together soon!"

Outside the operation, the family of the child and the family of the middle-aged woman stayed quietly in front of the operation, with the same anxiety and worry. The sound of firecrackers coming from a distance was so harsh and annoying for them!

In Lao Chen's house, his wife and children looked out the dark window, "Let's eat, your father is probably undergoing surgery again! Hey, there is no rest time all year round."

At Shao Hua's house, Jing Shu watched the Spring Festival Gala boredly, and the old man had been watching the community several times.

"Eat! I guess it won't come, let's eat, don't wait for him. Come to Jingshu, I will pour you a drink." Shao Huaqiang said with a smile.Why not call?

It's very simple. If the doctor goes for an operation, the family has nothing to do, and generally won't call it!Unless the doctor calls home.

In the midst of the lights, the personnel in these special positions are still continuing their daily work.

Spring is coming!~