Medical road

Starting from the face, because the armed police soldier fell into the trap and was scalded by the fire, then the fallen tree hung the soldier’s protective clothing.

The burned skin is just like the second coat of paint done by an irresponsible painter. The skin sticks to the protective clothing, and it comes off alive.

To be honest, this degree of pain directly makes people feel painful to the downtime and shock.

Therefore, especially in the old days in the countryside, every family had a stove boiled water to cook, and sometimes children fell into the boiling water pot without paying attention.

In China, 70% of burn wounds were children.

Then, the parents didn't know much about first aid for burns. They lifted the child and heard the child's pain to the extreme, even the crying sound was when there was no air in the air.

One was anxious and quickly unplugged the child's clothes. As a result, even the skin of the child was directly peeled into a red child, just like a cooked shrimp.

If you are unlucky, the family members will sprinkle some soy sauce, some clear oil, and honey, and they will be directly used as elbow meat in honey sauce.

If luck is a little bit better, the parents will be sent to a larger hospital immediately, and they will survive.

However, even after healed, the body directly turned into a contracture and tight brown scar, which was really painful and terrifying.

Then as the child grows, the whole body contractures tightly together skin, like a hood, hoop on the child's body, every time the child grows, the child is like a moth emerging from a cocoon, full of cracks!

The face of the armed police soldier and the scalp of the scalp were burned together by the torn protective clothing, and then the fallen tree was torn directly. The scalp and the skin of the face were like crispy potato chips. Torn to pieces.

The remaining skin and hair on the red tender meat looked particularly painful.

One piece of red, one piece of scorch, and then there are remaining slab-inch hairs stuck on the red meat, really, quite scary.

The pork was just grilled without plucking the pig's hair clean. The blood was red with black hair, and it was so miserable.

"Face transplantation must be considered, Zhang Yuan, there is no chance to do it again."

The director of the Capital Pediatrics Department of Scalds said to Zhang Fan a little worried.

Can you not worry? Although Zhang Fan's technique is quite powerful, there are too few things to prepare before surgery.

Face and head transplantation and plastic surgery, let’s just say, why do so many local tyrants go to Bangzi Country, why go to Europe for surgery?

This operation is difficult. First of all, this thing is three-dimensional, it is not a simple single plane like the hip.

Therefore, the surgeon must be quite familiar with its three-dimensional planing structure.

In the past, it used to make facial molds for patients in advance. The Bangzi Country and Europe and the United States have developed rapidly in this area. They have combined computers and medical care. This point has to be admired.

Afterwards, Hua Guo was slowly catching up, but it was still relatively behind.

But even if these people in the capital can't make it into the top ten in the world, the top 50 is still fine.

So, when you see Zhang Fan, you just get started. First, you don't make molds for the wounded, and second, you don't use computerized three-dimensional construction.

"Is there a professional computer? Let me build a structure for the wounded!" The director of Shuitanzi Burns Department also said.

Now is not the time to be arrogant, to help a little, a little bit of strength, a little bit of strength.

They have no doubts about Zhang Fan's level of surgery now. With just the few cuts of Zhang Fan, they have cut off the meat, but no blood vessels have been damaged. At this level, they have already surprised them.

"It's too late, the damage area is too big, and this is not only the burn but also the accumulation of chemical substances after burning. If the transplant is not cleaned up soon, I am worried that there will be poisoning and death of the transplanted skin.

And we don’t have a professional computer here."

Zhang Fan said softly, although he was talking, there was no pause under his hand.

"There is no mold, no structure drawing, it is very difficult, and the conditions are too bad." The 30x director sighed softly.

Then he went on to say, "The level of Zhang Yuan seems to be no problem at all. I have a sick number, and his body shape is very similar to this soldier's. Otherwise, I will now let our hospital transmit the information. "

He looked at Zhang Fan.

"Thank you, thank you, no need. Trust me, his structure diagram is already in my mind."

The opinions of several people were quite pertinent, and Zhang Fan felt warm in his heart. He was proud of his profession as a doctor.

Yes, in many cases, there are many doctors who secretly get some benefits, but when facing difficulties and disasters, they are not ashamed of their profession.

Just like a video, it makes people cry, "Where are you from?"

"Where are you from Huaxi?"

"The mountain doctor!"

"Come on, take care!"

"Take care, come on."

For what, in fact, it was for the patients. When these experts recognized Zhang Fan's level, one of them counted as one, and they kept thinking of ways for Zhang Fan, and kept giving Zhang Fan ideas.

They do not have a high seat wall, and they will not stand by, because this is a matter of life.

As long as people with a bit of conscience, no matter what occupation, no matter whether they are men or women, they will lend a helping hand at this moment. Perhaps this is the cause and fate of the blood of China that can last for thousands of years.

There is no way, there is no good way, now I can only count on Zhang Fan's technique.

"Build blood vessels! Prepare a magnifying glass!" Zhang Fan nodded, and immediately began to order.

In the original vascular and nerve surgery, the microscope was more sophisticated and the magnification was better.

However, the patient suffered too much burns, not only had the trachea cut open, but also had too many drainage tubes for various channels on the body, which took up too much space.The size of the microscope is too large to be applicable, so I can only use a magnifying glass.

The medical magnifying glass is not the kind of burning ant that the kid holds.

It is estimated that people who are a little bit older may have seen the way a watch repairer repairs a watch. The medical magnifying glass is very similar to the watch repairer’s magnifying glass, but the watch repairer’s is a single barrel, while the medical is a double cylinder.

Bring this stuff, looks very handsome, like a technology madman, in fact it is not, bring this stuff, handsome or not, I don’t know if you are not used to it, turn your head a little faster, it will make you feel dizzy.

And this thing is very heavy. It can be said that a female doctor with a thinner neck can straighten her neck directly after performing an operation with this thing, and she can't lift her head.

"Tweezers, needle holder!" Zhang Fan was wearing a magnifying glass and couldn't turn his head. To tell the truth, he didn't dare to turn his head too quickly. He was also afraid of dizziness.

Reaching out, the nurse quickly passed the equipment into Zhang Fan's hand.

"Open the lumen!" Zhang Fan said to Yizhu, who is the female director of the Beijing Pediatric Burn Department.

"Okay!" She also carried a magnifying glass.

The two of them interlaced their hands to open the diameter of the blood vessel.

To build a new blood vessel, the blood on the blood vessel must be cleaned, and the blood can be circulated after being sutured, which is a very awkward sentence.

But that's so awkward.

In the reconstruction of blood vessels, as long as there is a little residual blood, this thing is like a detonator, which can activate some coagulation factors in the damaged skin of the blood vessel.

Once one is accidentally activated, it will be troublesome. A blood vessel is connected. As a result, the tourniquet has just been loosened. After the blood comes over, it all coagulates together, forming a large number of thrombus.

The female director holds the tweezers in one hand, clamps the adventitia of a blood vessel, and holds the suction device in the other hand, ready to suck blood and washing fluid at any time.

Zhang Fanyi took the pliers in his left hand and clamped the other side of the blood vessel, and then took the flushing gun in his right hand to start flushing.

What exactly is the action? It may be a bit vague to say that.

Many people used to fill balloons with water when they were young, but this is actually the action.

The mouth of the balloon is too small, and it will shrink, so the children cooperated and pulled one side by one, and then stretched the balloon to the tap.

It is this one action.

Is it simple?No, for doctors, this action is too difficult and too difficult. Without tens of thousands of exercises, don't even think about doing this kind of surgery.

The adventitia of the blood vessel is only 3~4mm, not to mention coughing or shaking hands. As long as there is a little out of sync between the doctors, this blood vessel is useless.

"Director, hold on, put down the aspirator and let Second Assistant take over for your aspirator. You have to open the adventitia of the blood vessel for me. The adventitia is a bit burnt, and I want to repair it."

"Um!" The directors of several capitals were sweating.It's too difficult. The operation that can only be done under the electron microscope under the magnifying glass is really, too difficult and too demanding.

Peel off, pick up, and then gently cut with a sharp nose, gently and slowly peel off the skin of the blood vessel burn.

This thing, if magnified by N times, is actually exactly the same as doing circumcision, that is, the outer skin is reduced.

Outside the operating room, Ren Li organized the physician to pay attention to the vital signs of the wounded while starting to let the young physicians learn the medications of the experts.

"The cardiotonic, when it reaches a limit, it will have an inhibitory effect. Look here..." Ren Li understood, while pointing out the important points to the young doctor.

In the operating room, several experts with magnifying glasses, like students, stared at Zhang Fan's hands and stared at Zhang Fan's hands closely.

They know too well the importance of this method of operation.

There are many reasons why Lao Li's materials cannot be promoted, and there are many competing materials.

For example, the more popular biological culture in Europe and the United States is to use the patient's own skin through bioengineering to grow the skin that it needs.

This is very good, but it is also very limited. It takes time and money.

In this way, not everyone can use this gadget, and there are not many studios in the world that can be cultivated by bioengineering, so ordinary people can't count on it in the short term.

And Lao Li's material is absolutely comparable to the cultivated skin, but the surgery requirements are too difficult and difficult.

Therefore, when Zhang Fan showed his Zhang's sword technique, everyone's eyes were straight.

"Surgery, can you do this?"

"Oh my God, it turns out that this blood vessel can improve the survival rate."

"Niu, really, too awesome."

They were too knowledgeable. When Zhang Fan entered the key step, they were more serious than the other. The disdain and irritation at the beginning were all gone.

Repairing blood vessels and repairing lymph, step by step, Zhang Fan did perfectly.

Really, watching the warrior's face slowly crawling out of the blood vessels like a spider's web, all the pitted faces that were originally burnt.

"Old Li, materials!" Just like in the laboratory, Zhang Fan is about to start using skin materials for transplantation.

He took the skin, took a light breath, then closed his eyes, his mind was full of three-dimensional structural drawings of the soldier's face.

Combining the system, he simulates piece by piece in his mind.

When Zhang Fan closed his eyes to simulate, the experts in the operating room did not urge.

Ninety-nine steps have been taken, and now it is the last step. Everyone dare not urge, nor can they urge.

After filling the last piece in his mind, Zhang Fan let out a breath.

"Start!"

End-to-end anastomosis, separation of inner and outer molds, build nerves, build lymph, form facial muscles, and fill action muscles.

Step by step, the operating room was silent. When Zhang Fan took the new material through the spider-web-like vascular plexus, nerves, and lymphatic vessels, the hearts of the experts were raised.

"Oh my God, he constructed the blood vessels first, and then allowed the blood vessels to spread into the tissues. The idea is really genius."

"The hand is really steady, almost all the shots are between breaths and breaths. That's how it is!"

All the experts have learned from Zhang Fan's surgery that they are difficult to overcome.

This is called understand, understand.

As long as they know what they are lacking, they can practice, they can get rid of the liver, and they can never understand where they are wrong.

Or when they understand where they are wrong, their age will not allow them to take a knife on the table, this is the sadness of the surgeon.

This also shows from another aspect that a surgeon has a good teacher.

"Understood. Really understand, it turns out I was wrong!" The 30x director sighed deeply, and looked at the young doctor opposite with a very special look.

The face ends.

The neck ends.

The chest ends.

"Zhang Yuan, can the patient's limbs be separated and performed simultaneously?"

The director of the Beijing Pediatrics Department of Scalds asked nervously, although four or five hours have passed, they did not feel a little tired.

Because they crossed a threshold, a considerable threshold for their professional career, it can be said that they broke the ceiling of their professional practice, and now they are full of adrenal hormones!

"Yes! But, you can't force it!"

"Okay! Absolutely not. If there is a slight problem, we will stop immediately."

Several directors started doing allotransplantation of extremity skin.

What I do is so careful, what I do is so excited.

OMG!They were like the first time they took the lead, and the excitement in their hearts was beyond words.

"Zhang Yuan, here, here? It doesn't seem to fit well!"

"Look, in this way, the limbs must be moved, the skin must be reserved for a certain amount, and the blood vessels here must be connected in advance."

Zhang Fan kept guiding them. Once he learned it, he would pass it on to others. Zhang Fan gave his knowledge of integrating the system to everyone without any reservation.

Outside the operating room, the young doctors didn't feel anything yet. Looking at the doctor's orders from these experts, they had no idea, "What are they all, how are they used!"

And the doctors of Ren Li's level, the more they look, the more interesting they become, frowning for a while, seeming to be the same for a while, and seemingly confused for a while.

The operation slowly came to an end.