Starting from the face, because the armed police soldier was burned by the fire after falling into the pit, and then the fallen tree hung on the soldier's protective clothing.
The scalded skin was like a second layer of paint applied by irresponsible painters. With a swipe, the skin stuck to the protective clothing and was peeled off alive.
To be honest, this level of pain can make people go into shock.
Therefore, especially in rural areas in the past, every family had a stove to boil water for cooking. Sometimes a child would not pay attention and fall into the pot of boiling water.
In China at that time, 70% of the victims of burn injuries were children.
Then, the parents didn't know much about first aid for burns. When they lifted up the child, they heard that the child was in extreme pain, and even the crying sound was when the air was coming out but not in.
In a hurry, he quickly pulled off the child's clothes. As a result, he peeled the child into a red child, including the skin and flesh, just like a boiled shrimp with the skin peeled off.
If you are unlucky, if your family sprinkles some soy sauce, clear oil, and honey, it can be used as honey-glazed elbow meat for the Chinese New Year.
Those with better luck will be able to survive if their parents are sent to a larger hospital as soon as possible.
However, even after recovery, the body immediately turned into contractures and tight brown scars. It was really painful and scary.
Then as the child grows, the skin contracted and tightened all over the body is like a cover, hooping around the child. Every time the child grows, the child is like a moth emerging from a cocoon, with cracks all over his body!
The face of the armed police soldier and the rough scalp were first burned together by the torn protective clothing, and then the fallen tree tore them directly. The scalp and facial skin were like crispy potato chips. It was torn into pieces.
The remaining skin and hair looked particularly painful on top of the tender red flesh.
One piece of it was red, one piece was burnt, and there were still a few inches of hair remaining on the red meat. It was really, quite scary.
It was like grilling pork without plucking all the hairs. The blood was red with black hairs, and it was almost indistinguishable. It was so miserable.
"You must think carefully about facial transplantation, Zhang Yuan. There is no chance of doing it again."
The director of the Capital Pediatric Scalds said to Zhang Fan a little worriedly.
Don't you worry? Although Zhang Fan's technique is quite powerful, there are too few preparations before the operation.
Face and head transplantation and plastic surgery, let’s put it this way, why do so many rich people go to the country of Bangzi and why do they go to Europe for surgery?
This surgery is difficult. First of all, this thing is three-dimensional. It is not a simple single plane like the buttocks.
Therefore, the surgeon must be quite familiar with its three-dimensional anatomy structure.
In the past, facial molds were made for patients in advance. Bangzi countries, Europe and the United States have developed rapidly in this area. They have combined computers and medical treatment. I have to admire them for this.
China later slowly caught up, but was still relatively behind.
But even if these guys in the capital don't make it into the top ten in the world, they're still in the top fifty.
Therefore, when they saw Zhang Fan, they just started to do it. Firstly, they did not make molds for the wounded, and secondly, they did not perform computer three-dimensional construction. They just started. Really, they felt confused.
"Do you have a professional computer? I'll hurry up and build a structure for the wounded!" The director of the Shuitanzi Burns Department also said.
Now is not the time to act on impulse. If you can help a little, you can help a little, and if you can make a difference, make a difference.
They no longer have any doubts about Zhang Fan's surgical skills. Zhang Fan's several knife cuts cut away the flesh without damaging any blood vessels. This level of skill already amazed them.
"It's too late, the area of damage is too large, and it's not only burns but also the accumulation of chemical substances after burning. If the transplant is not cleaned up early, I am worried that poisoning will occur and the transplanted skin will die.
And we don’t have professional computers here. "
Zhang Fan said softly. Although he was talking, there was no pause under his hands.
"There are no molds and no structural drawings. It is too difficult and the conditions are too bad." The director of 30x sighed softly.
Then he continued, "It seems that there is no problem with Zhang Yuan's level. I have a patient whose body shape is very similar to that of this soldier. Otherwise, I will ask our hospital to transmit the data now. "
He looked at Zhang Fan.
"Thank you, thank you, no need. Trust me, I already have his diagram in my head."
What several people said were quite pertinent opinions, and Zhang Fan felt warm in his heart. He was proud of the profession of doctor.
Yes, many times, there are many doctors who secretly get some benefits, but when faced with difficulties and disasters, their profession has no shame.
Just like there is a video that makes people cry when they watch it, "Where are you from?"
"Huaxi, where are you from?"
"The mountain doctor's!"
"Come on, take care!"
"Take care and come on."
The purpose is actually for the patients. After these experts recognized Zhang Fan's level, one by one, they kept thinking of ways and suggestions for Zhang Fan.
They don't have a high seat on the wall, and they won't stand idly by because this is a matter of life and death.
As long as there are people with some conscience, no matter what profession they are in, whether they are men or women, they will lend a helping hand at such moments. This may be the reason why the Chinese bloodline can last for thousands of years.
There is no other way, there is no good solution, now we can only rely on Zhang Fan's skills.
"Establish blood vessels! Prepare the magnifying glass!" Zhang Fan nodded and started to give orders directly.
Originally, for vascular and neurological surgeries, microscopes were more sophisticated and had better magnification.
But the patient's burn was so severe that not only his trachea was cut open, but there were too many drainage tubes on his body, which took up too much space. The microscope is too big to use, so I have to use a magnifying glass.
The medical magnifying glass is not the kind used by little kids to burn ants.
It is estimated that people of a certain age may have seen watch repairmen repairing watches. The medical magnifying glass is very similar to the watch repairman's magnifying glass, but the watch repairman's magnifying glass is a single tube, while the medical magnifying glass is double. cylinder.
Wearing this thing, it looks cool, like a technology geek, but it’s not. I don’t know if it’s cool or not. If you’re not used to it, if you turn your head a little faster, you’ll be so dizzy that you’ll vomit all over the floor.
And this thing is very heavy. It can be said that after a female doctor with a thinner neck performed an operation with this thing, her neck was straightened and she could not even lift her head.
"Tweezers, needle holder!" Zhang Fan was wearing a magnifying glass and couldn't turn his head. To be honest, he didn't dare to turn his head too fast because he was afraid of fainting.
Reaching out, the nurse quickly passed the instrument to Zhang Fan's hand.
"Open the lumen!" Zhang Fan said to Yishu, the female director of the pediatric burns department in the capital.
"Okay!" She also brought a magnifying glass.
The two hands intertwined and opened the diameter of the blood vessels.
To build a new blood vessel, the blood on the blood vessel must be cleaned and sutured to allow the blood to flow. This is a very awkward statement.
But, it’s just so awkward.
During the reconstruction of blood vessels, as long as there is a little residual blood, this thing is like a detonator, which can activate certain coagulation factors in the damaged outer skin of blood vessels.
Once it is accidentally activated, it will be troublesome. When a blood vessel is connected, as soon as the tourniquet is released, the blood will coagulate together and form a large number of thrombus.
The female director held tweezers in one hand to pick up the outer membrane of a blood vessel, and a suction device in the other hand, ready to suck out blood and flushing fluid at any time.
Zhang Fan held the pliers in his left hand and clamped the other side of the blood vessel, then took the irrigation gun in his right hand and started rinsing.
What kind of action it is, it may be a bit vague to say this.
Many people played filling water in balloons when they were young, which is actually the action.
The mouth of the balloon was too small and would shrink, so the children cooperated, one person pulled one side, and then stretched the balloon to the faucet.
It's just this one action.
Simple? No, for doctors, this operation is too difficult. Without tens of thousands of exercises, they would not even think about doing this kind of surgery.
The outer membrane of a blood vessel is only 3~4mm. Not to mention coughing or shaking hands, as long as there is a little bit of synchronization between doctors, the blood vessel will be useless.
"Director, hold on, put down the suction device, and let the second assistant take over your suction device. You have to open the outer membrane of the blood vessel for me. The outer membrane is a little burnt, and I want to repair it."
"Uh!" Several directors in the capital were sweating. It's too difficult. It's really, really too difficult to perform operations under a magnifying glass that can only be done under an electron microscope. The requirements are too high.
Peel it off, lift it up, and then use sharp-nosed scissors to gently and slowly peel off and trim the scalded skin of the blood vessel.
If this thing is magnified N times, it is actually exactly the same as circumcision surgery, that is, the outer skin is removed.
Outside the operating room, Ren Li organized the physicians to pay attention to the vital signs of the wounded, and at the same time began to let the young physicians learn the medicine used by the experts.
"Cardiacs, when reaching a certain limit, 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 stared at Zhang Fan's hands like students, staring closely at Zhang Fan's hands.
They know too well the importance of this method of operation.
There are many reasons why Lao Li's materials cannot be popularized, and there are also many competing materials.
For example, biological culture, which is more popular in Europe and the United States, is to use the patient's own skin through bioengineering to cultivate the required skin.
This is very good, but it is also very limited, not only time-consuming, but also expensive.
In this way, not everyone can afford this thing, and there are only a few studios in the world that can use bioengineering to cultivate it, so ordinary people cannot count on it in the short term.
Lao Li's material is definitely comparable to cultured skin, but the surgical requirements are too difficult.
Therefore, when Zhang Fan showed off his Zhang's sword skills, everyone's eyes widened.
"Surgery, can this still be done?"
"Oh my God, it turns out that doing this with blood vessels can improve the survival rate."
"Awesome, really, so awesome."
They were so knowledgeable. When Zhang Fan entered the critical step, each of them became more serious than the other. The initial disdain and the initial annoyance were all gone now.
Repairing blood vessels and lymph nodes, step by step, Zhang Fan did it perfectly.
Really, watching the warrior's face slowly crawling out of the pits and pits that were originally burned, a plexus of blood vessels like a spider web crawled out.
"Old Li, materials!" Just like in the laboratory, Zhang Fan was about to start using skin materials for transplantation.
He took the skin, took a gentle breath, and then closed his eyes. The three-dimensional structure of the warrior's face filled his mind.
Combining the system, he simulated it piece by piece in his mind.
While Zhang Fan was simulating with his eyes closed, none of the experts in the operating room urged him.
Ninety-nine steps have been taken, and now it is the last step. No one dares to rush it, and we cannot rush it.
After filling in the last piece of information in his mind, Zhang Fan let out a gentle breath.
"start!"
End-to-end anastomosis, separation of internal and external molds, establishment of nerves, establishment of lymph, formation of facial muscles, and filling of action muscles.
Step by step, the operating room was silent. Whenever Zhang Fan walked through the spider web-like plexus of blood vessels, nerves, and lymphatic vessels with new materials, the hearts of all the experts were aroused.
"Oh my gosh, he constructed the blood vessels first and then allowed the blood vessels to spread into the tissue on their own. This is such a genius idea."
"My hands are so steady, I almost take the shot in one breath. That's how it is!"
All the experts learned from Zhang Fan's surgery that it was difficult for them to overcome the threshold.
This is called understanding, understanding.
As long as they know where they are lacking, they can practice and remove their liver, and they will never understand where they are wrong.
Or when they understand what is wrong, their age no longer allows them to hold a knife on the stage. This is the tragedy of surgeons.
This also illustrates from another aspect the value of a surgeon having a good teacher.
"I understand. I really understand. It turns out that I was wrong!" The director of 30x sighed deeply and looked at the young doctor opposite him with a very protective look.
Facial finish.
Neck ends.
Chest ends.
"Yuan Zhang, can the patient's limbs be separated and performed at the same time?"
The director of pediatric burns in the capital asked anxiously. Although four or five hours had passed, they didn't feel the least bit tired.
Because they have crossed a threshold, a considerable threshold in their professional career. It can be said that they have broken through the ceiling of their practice, and now their adrenaline is full!
"Okay! But, don't force it!"
"Okay! Absolutely not. If there is any problem, we will stop immediately."
Several directors separately began to perform allogeneic transplantation of skin from the limbs.
What you do is so careful and what you do is so exciting.
Oh my God! It was as if they were operating under the knife for the first time, and their excitement was beyond words.
"Zhang Yuan, this way, this way, it doesn't seem to fit well when it's filled in!"
"You see, if the limbs are to move, a certain amount of skin must be reserved, and the blood vessels here must be connected in advance."
Zhang Fan kept guiding them, and once he had learned something, he had to hand it over to others. Zhang Fan handed over his knowledge of the system to everyone without any reservation.
Outside the operating room, the young doctor didn't feel anything yet. He looked at the medical instructions from these experts and had no idea, "What are they? How to use them!"
As for Ren Li and other doctors of this level, the more they looked at it, the more interesting it became. Sometimes they frowned, sometimes they seemed to be the same, and sometimes they seemed like they couldn't figure it out.
The operation slowly came to an end.
