Medical road

At the end of the operation, the experts cooperated with Zhang Fan to finally complete the transplantation of the wounded's allogeneic skin.

Although these experts are much slower than Zhang Fan, they are not as proficient as Zhang Fan, and they are not as transparent as Zhang Fan wanted.

But after Zhang Fan's call, they started to be slow, bit by bit, becoming faster and faster, and more and more comfortable.

This operation was much faster than if Zhang Fan did it alone.

Fortunately, there are many experts here today. Otherwise, for such a big operation, you don't have to think about it. With the doctors who rely on Zhang Fan and the tea, Zhang Fan and the others will have to use diapers.

To be honest, Zhang Fan has never used diapers since he was a child, but there is nothing to expect from this thing, and Zhang Fan certainly doesn't want to use it.

After the operation, the armed police soldier was wrapped like a mummy, leaking his eyes and mouth, and then even the small XXX was wrapped in a bandage, only the urine tube was exposed from the gap.

This kind of scene often appeared in the movies of Star Master when he was young.Leaning on crutches, then the supporting role who showed only a face, limped around.

This can be done in the movie, but it is not good in reality, especially the burned wounded, where they dare to go, wherever they can go.

In order to prevent the patient's newly transplanted skin from rubbing and necrosis, thick sponge cushions were placed under the patient's armpits, popliteal fossa, elbows, and all, and there was an air bed directly under the victim's body.

In this way, the safe healing of the transplanted skin cannot be guaranteed, especially in the 24 hours after the operation, the nurses of the ICU change the positions of the wounded every 15 minutes and every 15 minutes.

Really, the weak and weak little girls, carrying a man weighing a hundred jin, came down all night, and they were as haggard as they were ten years old overnight.

Zhang Fan underwent the operation and couldn't even take the doctor's order. "Director Gu Li, give me a doctor's order!"

After that, Zhang Fan ran towards the bathroom without turning his head. The directors of 30x and Shuitanzi, one of them counted as one, followed Zhang Fan towards the bathroom.

Compared with male doctors, female doctors are much better. Except for women during pregnancy, in other time periods, the degree to which women hold back urine is definitely the best way to beat men.

So many people love to compete with women when they drink beer in the summer. Whoever urinates first loses first. To be honest, it’s okay for people to hold back, at most, bladder palsy.

But the masters can’t do it. After holding back for a long time, it’s hard to say that bladder paralysis is not paralyzed, the prostate will definitely rebel, and then the urine will be suffocated to death, but when it is drained, it becomes tick, tick, tick, and the heart of death is used, so Don't hold back your urine!

Several elders hurriedly ran towards the bathroom. In order to avoid embarrassment, the female director of the Capital Burns Department didn't go there immediately, but stood behind Couli and watched Couli give his doctor's advice.

Although he is the director of the scald department of the pediatric hospital, let alone the capital, even in northern China, they are still very good in the field of burns. After all, most of the burned people are children.

"Increase Ringer's lactate solution a bit, and reduce the amount of protein a bit." She frowned as she looked at Coulee's doctor's order, and then spoke.

"Oh, the protein of the wounded is a bit low. If you don't add it now, will there be extensive edema?"

Coulee turned his head to look at the director, and then said his doubts.

With the end of the operation, the doctors of theophyte internal medicine and surgery, when they heard the expert's advice to Coulee, everyone slowly moved in.

This is equivalent to another operation round by Director Wang in the capital. Those who are studious will definitely not let it go. Of course, there are also people who are confused and listen in confusion in the crowd.

"Generally speaking, your doctor’s order is the most appropriate, but the patient’s injury is too large, and he is a young fighter, and his muscles must be very developed. So now even if you give the patient twice the amount of fluid, it cannot make up for his loss. Loss of body fluids.

This kind of difference between the liquid and the liquid has increased many times, and now if a large amount of protein is input, the plasma osmotic pressure will directly appear hypertonic.

Once hyperosmolar occurs, and the patient is in a coma again, what do you think will happen next?"

The female director of the Capital Burns Department was surnamed Wang. At this time, the director Wang looked like she was in their hospital rounds. Not only did she ask Coulee, she also turned to look at other doctors.

People have already clicked on the mechanism, if you still can’t tell, it’s a bit too much.

However, some of the doctors' directors are a little reserved. They are waiting. If no young people come out, they will definitely answer. After all, Ouyang is also there.

At this time they are also investigating to see that the young man has a solid foundation.

"High penetration can induce kidney failure!"

Wang Hong from endocrinology, the one in my heart, and several young internal medicine doctors, answered the question as soon as Director Wang asked.

"Well! So, there is no need to supplement protein now. It is our most important requirement to ensure the patient's body fluid volume!

Even if the protein is supplemented, what can be done? If the patient suffers such a serious injury, the edema is still edema.

The hospital seems to be very tight on the learning of young doctors, yes, keep working hard!"

After Director Wang finished explaining, he nodded to Ouyang, which is considered to be an endorsement of Ouyang.

The old lady is happy. Really, surgery. Nowadays, the tea surgery, the old lady has immunity. Now that the internal medicine can be recognized by experts in the capital, she can't close her mouth.

After watching Zhang Fan and the others come out calmly, Director Wang said sorry to everyone, and hurried to the bathroom.

Ouyang looked at Director Wang's back, turned his head and gave a few soft instructions to the director of the medical office, and then the director of the medical office nodded and left the lounge of the operating room.

Zhang Fan and the male doctors walked and talked.

"Zhang Yuan, such as the current material, when the used area is too large, what should be done if spot or plaque necrosis occurs.

After all, it is still an allograft. Often, when the blood vessels and nerves have not been derived, the infected bacteria have eroded, and the medication effect is not good."

The director of the burn department of Shuitanzi asked about the problem he had encountered.

He believed that his surgery was not as good as Zhang Fan, but it shouldn't be much worse.

But for every operation, when the operation area is slightly short, the patient's allograft will have spot infection and necrosis.

Spotted necrosis is rarely seen by ordinary people. How can this thing happen?

For example, a palm was transplanted with the skin, and then after a few days of healing period, when the dressing was unwrapped, the result showed that the patient's palm had necrosis as large as a silver coin. This necrosis was very troublesome.

To put it simply, it's like a steamed bun, a big white steamed bun. After putting it on for a few days, I took it out and looked at it. Goodbye, it has mildew stains on it.

Not all, but dots. At this time, you hesitate and throw it away?Or did you eat after picking?

Also, I just ate the fruit and bite it down. It turned out that a part of it was broken, but the area was small, so it was a pity to throw it away.

Then, adhering to the fine traditions of the ancestors of the Chinese nation, pick and choose to eat this steamed bun or fruit.

This stuff, how can I put it, this kind of moldy and spoiled food, no matter how you pick it, actually contains a lot of various spoilage factors in it.

If it is not necessary, throw it away. This thing will not see any harm in a short period of time, but over time, the degenerative factors accumulated in the body will become cancerous and will not be able to run away.

The skin graft is similar. Once necrosis occurs, it is controlled. After the skin has healed and grown, this place will be a big contracture scar.

If the control is not good, this place is the source of the infection. The effect of the medicine is particularly bad because the blood vessels are not derived.

In this case, I don't want to have a second operation, but I have to debride the wound every day.

Just like the Three Kingdoms novel Zhonghua Tuo scraped the bones of Laoguan, the debridement at this time is super cruel.

A pair of scissors, a knife, iodophor, gauze, and saline are essential.Then, first cut off the edge of the necrosis with scissors, and then use a scalpel to dig the edge of the wound, just like digging apple puree for a child.

Here's the idea, this kind of debridement does not have any pain relief or the use of anesthetics!

Use a sharp knife to scrape off the necrotic tissue bit by bit. For this kind of cleaning, you must see fresh tissue and fresh blood flow out before you can stop.

Once a day, some can even last for about a year, really, super cruel, when debridement, four or five people must press the patient to complete.

Just like slaughtering a pig, the patient's pain is heart-piercing, what a steely man, in front of this kind of treatment, no one is not crying and snotty.

One kill in a day, many patients cannot accept and persist, and can only choose a second operation. If this happens once the second operation occurs, then they can only do it again from the beginning.

After thinking for a while, Zhang Fan said: "If the operation fails to achieve the expected protection, then only mesh skinning is the only option."

"Zhang Yuan, do you usually choose mesh skin grafting?"

At this time, the director of 30x also asked curiously. He also encountered this question asked by the director of Shuitanzi, which caused a headache.

"Oh, I rarely choose mesh skin grafting. Under normal circumstances, the surgery I do will not cause necrosis!"

Zhang Fan was telling the truth, really, not bragging at all.

However, several experts stunned directly in place, as if a cold wind blew, they shuddered in unison.

"Thanks for your hard work, everyone! After a short rest, let's have a meal. It is a great honor for us to come and go in the Chasu Hospital for your arrival!"

Ouyang smiled like Grandma Wolf, looking at the experts as if he was seeing a lamb with his mouth.

Several experts nodded to Ouyang, as for what they eat is not important.

"Zhang Yuan, how do you guarantee that this kind of spotted necrosis will not occur." Director 30X is impatient, he asked urgently.

"First..." Zhang Fan wanted to say.

Ouyang spoke, "Oh, Yuan Zhang, you are not hungry, others are not hungry, eat first, and after eating, you will give a class to the hospital doctors, and by the way, let the experts in the capital also come on stage to talk to everyone!"

Ouyang didn't have to wink at Zhang Fan. It was the tacit understanding between the two of them. Ouyang was very satisfied with this tacit understanding. She felt that Zhang Fan was brought up by her.

As for Ren Li, there is no such tacit understanding, so Ouyang felt that Ren Li was not happy.

When Zhang Fan heard this, he knew what Ouyang was going to do, and immediately said: "When the dean said that, I am really hungry. Hey, I'm sorry. Directors, I'll neglect, I'll neglect. Eat first, eat first ."

No way, everyone said that, even if a few people are worried, they have to eat first.

At this moment, the secretary of the medical office has already started to arrange it in the largest conference room of the hospital.

"Experts from the capital are welcome to come to our institute to guide work!" The characters with big heads have been hung above the meeting room.

Then all the nameplates are placed.The burn department is very special. When there is no sick number, the doctors are free to beat and rub their eggs. When they are busy, ghosts can't catch them.

Therefore, it is not suitable for outpatient visits. It is best to ask experts to give lectures to the doctors in the hospital and talk about their experiences.

Experts of this level open to give lectures. If you are not in a university, you usually want to invite it. It is very difficult. Moreover, Zhang Fan can be regarded as taking a big shot of the northern burn this time. If Ouyang can let them go, he will not be called Ouyang. .

Ouyang and Zhang Fan, as well as Ren Li and some hospital directors, enthusiastically greeted the capital's experts out of the operating room. Although Zhang Fan was the chief surgeon this time, they could not exaggerate how respect they could reach out for support.

When they walked out of the operating room, as a result, everyone was speechless, especially the experts from the capital who wanted to chat with Zhang Fanduo. But when they looked at the situation outside, they suddenly felt in their hearts. It was blocked tightly, and his mouth started to tremble.

The passageway outside the operating room was full of armed police. All armed police stood neatly in two rows, as if waiting for a military parade.

Serious and quiet.Although, among them, many soldiers were bandaged with gauze, dangling their arms, and even some were in wheelchairs.

The clothes on their bodies are even more smoky and tattered, but their looks are serious, their military posture is standard, and their current uniforms are the most beautiful and eye-catching.

"All of them, salute to our comrade doctors!"

!

!

!

"Oh, what is this for, what is this for, some of them are injured, and quickly put them down, quickly put them down." Ouyang said as he wanted to stop.

However, looking at the soldiers with tears in their eyes, Ouyang couldn't walk anymore. Really, looking at them one by one, there were burn marks on their green faces, and there were slight painful muscle twitches. She felt distressed. The old lady who was watching felt distressed in her heart.

"this is what we are supposed to do!"

While speaking, Zhang Fan took the lead and bowed gently to these young soldiers.

Then, the doctors around them all have the marks of masks on their faces, and their tired expressions are so solemn at this time.

Reunification is a gift.

The mutual salute between the army and the people!

The family members of the patients outside the operating room also quietly looked at these special people.

How can they do what they want, but they are not ashamed, they are all qualified, and they have not disappointed the Chinese people in their respective posts.

I don't know who is taking the lead. The family members outside the operating room clapped in unison.

"Good job!"

At this moment, no more, there are still doctors in the operating room doing the operation.With red eyes, Ouyang quickly maintained order on the scene.

...

In the cafeteria of the Chasu Hospital, a group of doctors sit on a table.Although it is a canteen, Ouyang knows the level of the cooks here, and all the food is packaged and delivered from outside.

"Time is urgent, everyone can make up for it at will. When the wounded wake up tomorrow, we will reward the experts."

The director of the medical office was busy starting to divide meals.

Each big city has its own fast and delicious food, such as fried rice in Yangzhou, small noodles in Sanchuan, hot dry noodles in Hankou, and beef noodles in Lanshi.Each taste has its own characteristics.

Of course, when you come to Frontier, the quick food is steamed buns, and the most famous ones are baked buns and thin-skinned buns.

Although the filling is the same, the taste is different because of the different preparation methods.

Thin-skinned steamed buns, the dough used is similar to dumplings, but it is thin, and the skin must be transparent.

The stuffing should be fat, 80% of the refined mutton, and then 10% of the fat on the tail of the mutton is mixed, and then some skin teeth are added, and then a lot of water is added.

This filling is like muddy hands, which means the filling is fat enough and watery.The bag is also quite particular.

The chef's hands must be fast, otherwise the filling of this soup will definitely make people with slow hands make a slice of soup.

The wrapped buns are steamed in a large pot. The larger the pot, the more even the heating, and the better the buns.

When the bun skin is shiny and the water in the filling slowly soaks the bun skin into a broth color, the bun is cooked.

This kind of steamed buns are paired with specially boiled dry pilaf, and the taste is really beautiful.

A bite of steamed buns, the smell of fatty meat, the delicious soup, and the strength of lean meat directly exploded in the mouth.

Then take a bite of this pilaf with very little oil, the scent of tea rice, the sweetness of carrots, and the sweetness of the skin!

Obediently, especially for hungry people, this kind of meal, one plate, is really delicious, and it is gluttonous, and it can also make the stomach feel the fullness of the food. It is so beautiful.

"Come, have a taste. Tea-based thin-skinned steamed buns. This is similar to the soup dumplings from the south. Come to Director Wang and have a taste."

Zhang Fan and Ouyang kept greeting several experts.

"Uh, one more day!" Several experts looked at each other and shook their heads with a wry smile.

This time Lao Li was directly surprised. In the past, he took his PhD students and Zhang Fan to do experiments together.

Except for Zhang Fan's operation, the success rate of others was too low. Later, Lao Li also found many people, but they were not very good and did not meet his expectations.

He was also distressed in his heart. How could it not be easy to use the good materials?

As a result, he was really happy when he came this time. These experts had various problems when using this new type of material. This time, let Zhang Fan give you a thorough explanation.

At this moment, there are many more surgeons who can use this material, and they are also Chinese expert-level doctors.

Now, let alone Ouyang let him stay for one day, he is willing to stay for ten days.He wished Ouyang would tie these experts to Zhang Fan.