Medical road

"Come and take a look!" The scald director of the Children's Hospital in the capital said in a surprised tone, but with the addition of the environment and the atmosphere, the director of 30X mistakenly thought that the scalp of tea was in trouble.

The medical industry, whether it is backward ancient times or technologically modern, has a particularly obvious characteristic.

That is, doctors are particularly unwilling to accept patients who have already been treated.

There are too many sidewalks, especially in the current medical insurance environment, the doctors really have a headache for patients who are transferred.

Moreover, there is another problem. The doctors are especially afraid that the previous doctor used the saw cluster therapy.

What do you mean? Say a person, let the enemy biubiu shoot an arrow, and then he was carried to the doctor by his partner.

As a result, this doctor didn't know whether he was not strong in responsibility or his level was not good enough. As for him, the treatment was quite simple. With a click, he saw off the arrow shaft that was exposed outside his body.

Then he said to the injured person: Go, I'm the doctor in charge of the outside, go find the doctor who is inside.

This is equivalent to digging a hole for the next doctor, and the next doctor can't find it or pull it out.

Therefore, when the director of the scald department of the Capital Children's Hospital shouted out in surprise, the 30x director Chen was furious, and even complained about the modest Li Cunhou.

"Since you have called us, you shouldn't let the doctors here do it. It doesn't matter if you can't help, but you shouldn't make us difficult."

I blamed Lao Li in my heart, and he was not polite, "Get out of the way!" To be honest, this is all a good temper. Many surgeries have taken the temper into the operating room. To be honest, it's scary.

Old Li was inexplicably knocked out, but he didn't care. After all, he was considered to give himself face and helped himself, so he moved his body and gave up his position a bit.

This position can only allow him to take a look, but it cannot allow him to debride his wounds. Old Chen is almost out of anger.

"You..." You were about to swear, but eyes drifted to the wound of the wounded.

He couldn't scold him at this glance.

In the early days, Zhang Fan didn't dare to speed up, fearing that it would stimulate the patient and cause the patient's stress response.

If this reaction is explained in professional terms, it will be particularly troublesome. Just compare it briefly.

You walked the night alone, and you were a little nervous at first, but you suddenly jumped out and shouted, Sun Thief!

Then, do you have a kind of creepy, tight, cold sweat, and the feeling of holding back your urine muscles and wanting to tick.

In fact, the body is the same. When the damage is severe, there is continuous stimulation damage, and the body begins to have problems.

For example, gastrointestinal hemorrhage and cerebral edema are all manifestations of stress response.The brain is probably in such a state at this time, "Run for Lao Tzu! Okay, if you don't run, Lao Tzu will self-destroy for you!"

Therefore, Zhang Fan was slow to debride in order not to cause the wounded's stress response.

But even so, about half of the damage area has been processed.

The unprocessed half directly looked like a black person (a), and was thrown into the fire and scorched again, then brushed with a layer of oil, and then roasted again, just as the skin cracked and the meat cracked.

On the blackened skin, like smashed ground glass, there were dark red and dark red cracks and cuts everywhere, and there was also light red blood, yellow and white cell tissue fluid.

It's like having a black face, red lips and drooling, and there are too many mouths to count.The real one is like the full mouth of Avalokitesvara Avalokitesvara.

And the side treated by Zhang Fan, although still black, but the cracks between the meat seams and the inactivated tissues have been cleaned up.

On the loosened wound, the charred tissue was removed.It was as if a curly black man was sprayed by a kerosene blowtorch.

Although it was also scorched, although it was also black, but no infection, no bleeding, no dead tissue.

Old Chen looked at him like this, and then he looked at Zhang Fan, "Oh!" Because of the support of this group of capital experts, Zhang Fan at this time was holding a knife, scissor, and gauze, moving quickly.

Zhang Fan has only one thing in his mind now, hurry up to debride the wound, and then hurry up for surgery.

brush!brush!Brush, knife, peel off.The description is simpler. It is like an old chef who is slicing a fish, the skin is sliced ​​off layer by layer against the red and semi-cooked muscles.

Old Chen couldn't get angry anymore. This craft, this craft, is not bad compared to him.

Old Chen Meng was dumbfounded, and then looked at the head of the Beijing Pediatrics Department of Burns with a confused look, "What do you mean?"

The female director didn't even look at Old Chen, and said directly: "Don't froze, everyone, let's get started and help."

"This doctor is..."

"This is Zhang Fan, Dean Zhang!" Old Li hurriedly introduced, and then said, "The operation method of allograft skin grafting is mainly performed by Yuan Zhang."

"Oh, oh, Zhang Yuan, let's deal with it separately, you and me are on the left side, and their bodies on the right side."

"Okay, hurry up!" Zhang Fan nodded, but didn't pause under his hand.

The anesthesiologist reports every five minutes and every five minutes.The vital signs of the wounded were reported to Zhang Fan and the others at any time.

There are many people and more power. Compared with Zhang Fan's approach, the expert director of this group of debridements cannot distinguish between male and female in this level of debridement. After all, debridement is a basic operation for doctors.

Twenty minutes later, the whole body of the wounded was debrided again, "Preparing for surgery."

Zhang Fan didn't need to discuss with others, he just started to order.

"Um..." The director of 30x also wondered if the doctor might be humble, maybe he had a preoperative discussion with a few of them. As a result, they didn't even look at them and they were about to undergo surgery.

The people in Shuitanzi and the Beijing Pediatrics Department were scalded by Zhang Fan.

"For such a big operation, don't you design a surgical plan? Don't you plan the surgical procedure? Even if it is urgent, you must book the surgical plan in advance. You can't pee the puppy, so let's do it while walking."

"Haha, no, this kind of surgery can't be troublesome for others."

Lao Li's waist is hard at this time.

"Isn't this crossing the river to demolish the bridge? When the patient was rescued, why didn't I think your tone was so loud." The director of Shuitanzi said to Lao Li as a joke.

"Isn't this in a critical condition for the wounded, brother, brother, I'll give you a trick, don't worry about it, he is really sure, don't you believe me?"

"Haha!" Several experts sneered.

Zhang Fan gave an order, and all the ICU nurses wearing protective clothing, as well as doctors and anesthesiologists, started at the same time, pushing the operating cart and running over the operating room.

After the side door of the ICU is opened, it is directly the passage of the operating room, "Quick, get out, get out!"

In the aisle of the operating room, nurses and doctors all stuck to the wall and gave way to the armed police soldiers.

As Zhang Fan ran, he took off his protective clothing, "Director Couli, come on stage."

"Uh!~" Gu Li looked at her teacher who was going forward, then looked at Ouyang.

Ouyang gently shook his head as if inadvertently.

When Couli saw it, he immediately shouted: "Zhang Yuan, come right away, I will get the medical records."

"When is it all, can't others take it?" Zhang Fan became angry, and his voice changed.

Zhang Fan, who took off his hat, and Zhang Fan who yelled out, made it clear to several experts in the capital.

"So young, Lao Li, this is no joke!"

This time it was not only the male director who was anxious, but even the female director of the Capital Pediatric Scalded Department.

"There is absolutely no problem. I use my professional reputation to guarantee that there is absolutely no problem."

Old Li changed his old gentle expression, his face was solemn.

At this time, Zhang Fan was actually not worried anymore, he was not timid at all for the operation.As long as the vital signs of the wounded are stable, he really doesn't worry at all.

He was able to do it when the last slightly qualified surgeon served him as an assistant.

"All right, today I was considered to be by Old Likeng. If you can't do it, we should take over. It's better to go up in advance and let him be in front of you."

"Row!"

"Disinfect, spread the towel, quickly!" Zhang Fan turned his head to find an assistant. As a result, he didn't know the three doctors who took off their hats.

Lao Li is like a matchmaker on the bridge, "This is 30x in the capital..."

"Oh! Thank you all directors, please come for the operation!" Zhang Fan nodded softly.It's not enthusiasm, but it's not cold.

It's just a hello often.Zhang Fan now is no longer Wu Xia Amon.

For Zhang Fan's attitude, several experts in the capital are really uncomfortable. They feel like they are catching up.

If there is no preoperative rescue, they may not have such a strong feeling, but after preoperative rescue, they can also see that this is an ordinary regional hospital.

In China, in addition to the magic capital, there is one of them. They went to the local hospital. There is no way you are welcome.

But now, in a small frontier hospital, the doctors are not only rude, they seem to have the same cards.

The doctors up and down saw that they didn't have that kind of eager eyes, especially this dean, who was young and not too young.

Facing them, he simply nodded, as if he was the director of a large hospital in the capital, his face did not change!

"Haha, let's do the operation first. Are you in charge of the operation?"

The older female director smiled reluctantly, and then asked.

To be honest, it's not that the doctors at the Tea Su City Hospital are not enthusiastic. In the past year or two, they have seen too many big shots that make their eyes pop out.

Even the legendary characters in the textbooks have been to their hospitals, so they are really, a little immune to the average college!~

As for Zhang Fan, he has long passed his worship mentality.

"I am in charge!" Zhang Fan still nodded.

"Hiss!" The 30x director's teeth started to hurt.

But what can I do now?I rushed here, to use a more common saying, I made an appointment... even if you gritted your teeth...

Go ahead!

Tensed, several experts really went on the operating table tense.As long as Zhang Fan arrives in the operating room, his mind will definitely become very single.

The only thing to think about is how to do the operation well and how to make the operation more perfect.

As for other things, he is unwilling to distract his energy.

The operation begins.

Surgery for extensive burns, to be honest, the risk of single-finger surgery is not as high as the extra-brain and extra-heart risks.

Outside the brain, outside the heart, sometimes the doctor is not careful, either arteries or nerves. It is absolutely dangerous step by step.

Although the risk of extensive burns during surgery is not so thrilling, the requirements for a surgeon are extremely high.

The first is the microscopic, local skin suture, allogeneic skin transplantation, suture and re-establishment of the vasculature, a little heavier under the hand, although it will not cause problems for the patient at the time, but the allogeneic material cannot survive after the operation. Infection is impossible to escape.

Macroscopically, where you need to put more, where you need to put a little less, where you need to transplant a little muscle, you need to reduce a little muscle, this must be considered before the operation, and corresponding changes must be made during the operation.

If there is no such big picture, sitting down for the operation, or the patient is like pulling the skin, the skin collapses tight, and the mouth is closed is a big problem.

If it is the accumulation of skin, like a Shar Pei, take a breath, the skin on the body is like a sea wave, wave after wave.

"Knife!" Zhang Fan said to the operating nurse, "Materials!" Then he said to Li Cunhou.

Today, Lao Li has no place for him on the operating table. He can only retreat as a material nurse.

Zhang Fan first started with the knife on the soldier's face, skin transplantation, where is the most difficult, the face is the most difficult.

Really, let's not talk about beauty, beauty, etc., there are more holes on the face than other places, so skin transplantation on the face is the most difficult.

"Why don't you start with the abdomen first, even if something unexpected happens, there is still room for recovery!"

The director of Shuitanzi couldn't help but said, although he doesn't catch a cold with Zhang Fan's attitude, he is responsible to the patient.

"Yes!" The other directors also nodded. This is a routine operation sequence.

Old Li looked at Zhang Fan and the other directors. He remained silent. He knew Zhang Fan too well.

"No! Start directly on the face." Zhang Fan didn't have time to explain. First, the waiting time is more likely to be infected. Once a secondary infection occurs on the face, even if the skinning is successful, the patient's face will have pits and vortexes, like cannonballs. How old is the young man?

Secondly, Zhang Fan is too proficient in this kind of transplantation. I don't know how many times he has done it many times a day without mentioning the experiment.

If you don't have this certainty, you don't dare to take this risk, and you can't take this into consideration for the wounded. I'm so sorry for his system.

Several directors looked at each other. When the 30x old Chen was about to open his mouth to stop, Zhang Fan moved, and he didn't even have the opportunity to speak.

The knife is like a meat grinder. The muscles of the face have been cleaned out, and the blood vessels are like red meat shreds stuffed into the teeth, and the roots are exposed!

"material!"

Lao Li quickly passed the materials in his hand.

A few dollars don't need to be done more, Zhang Fan just a few dollars, completely convinced several directors.

"Hey! Have fun! Where did he learn this hand?" As a soy sauce fighter, the director of Shuitanzi asked Lao Li in surprise.

"Hey, this is called Zhang's knife technique!"