After the operation, the experts cooperated with Zhang Fan and finally completely transplanted the injured patient's allogeneic skin.
Although these experts are much slower than Zhang Fan, they are not as skilled as Zhang Fan, and they are not as thorough as Zhang Fan.
But after Zhang Fan's guidance, they started to be slow, and gradually became faster and faster, becoming more and more skillful.
This operation was much faster than if Zhang Fan had done it alone.
Fortunately, many experts came today. Otherwise, such a major operation would not have to be overthought. With Zhang Fan and Cha Su's doctors, Zhang Fan and the others would have to use diapers.
To be honest, Zhang Fan has never used diapers since he was a child. However, there is nothing to look forward to using this thing, and Zhang Fan definitely doesn't want to use it.
After the operation, the armed police soldier was wrapped like a mummy, with his eyes and mouth exposed, and even the little xx was wrapped in a bandage, with only the urine tube exposed through the gap.
This kind of scene often appeared in the movies of Mr. Xing's youth. The supporting character, who was walking around with a cane and only his face showing, was limping around.
This can be done in movies, but not in reality, especially for injured people with burns. They dare to walk wherever they want.
In order to prevent the patient's newly transplanted skin from friction and necrosis, thick sponge cushions were placed under the patient's armpits, popliteal fossa, and elbows, and there was an air mattress directly under the wounded person's body.
In this way, the safe healing of the transplanted skin cannot be guaranteed, especially within 24 hours after the operation. The nurses in the ICU change the position of the wounded every fifteen minutes.
Really, the weak little girls, carrying a man weighing more than a hundred pounds, looked as haggard as if they had aged ten years overnight.
Zhang Fan underwent surgery and didn't even bother to give the doctor's orders, "Director Guli, please give me the doctor's orders!"
After saying that, Zhang Fan ran towards the bathroom without looking back. One by one, the directors of 30x and Shuitanzi followed Zhang Fan towards the bathroom.
Compared with male doctors, female doctors are much better. Except for women during pregnancy, in other time periods, women's ability to hold in their urine is definitely inferior to men's.
So many people like to compete with women when they drink beer in the summer. Whoever urinates first loses first. To be honest, it doesn’t matter no matter how much they hold it in. At most, it’s just a case of bladder paralysis.
But men can't do it. If you hold it in for a long time, it's hard to say whether the bladder is paralyzed or not. The prostate will definitely rebel, and then you will die from holding in your urine, but when you pass it, it will be tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick, tick. Don't hold in your pee!
Several senior men rushed towards the bathroom in a hurry. The female director of the burn department in the capital did not go there immediately to avoid embarrassment. Instead, she stood behind Guli and watched Guli give medical orders.
Although he is the director of the scald department of a pediatric hospital, not to mention the capital city, even in northern China, he is still very good in the field of scalds. After all, most of the people who get scalded are children.
"Increase the volume of lactated Ringer's solution and reduce the amount of protein." She looked at Guli's doctor's order, frowned, and then spoke aloud.
"Oh, the wounded man's protein is a bit low. If he doesn't supplement it now, will there be widespread edema?"
Guli turned to look at the director, and then expressed his doubts.
As the operation ended, the doctors from Qiansu Internal and Surgery slowly came together when they heard the expert giving Guli instructions.
This is equivalent to Director Wang's surgery ward rounds in the capital city. Those who are eager to learn will definitely not be let go. Of course, there are also those who are confused and listen in the crowd.
"Generally speaking, your medical advice is the most appropriate, but the patient's injuries are too severe, and he is a young warrior with very developed muscles, so even if you give the patient twice the amount of fluid, it will not make up for his injury. Loss of body fluids.
This kind of fluid difference increases many times between entering and exiting, and now if a large amount of protein is input, the plasma osmotic pressure will directly become hypertonic.
Once hypertonicity occurs and the patient is in a coma, what problems do you think will occur next? "
The female director of the burn department in the capital was named Wang. At this time, Director Wang was not only asking Gu Li, but also turned to look at other doctors as if she was doing rounds in their hospital.
People have already explained the mechanism thoroughly. If you still can't explain it, it would be a bit too much.
However, some directors among the doctors are a little reserved. They are waiting. If no young man comes out, they will definitely answer. After all, Ouyang is here.
At this time, others were also inspecting to see that the young man had a solid foundation.
"Hyperosmosis can induce kidney failure!"
Wang Hong from endocrinology, Na Duo from the 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. Ensuring the patient's body fluid volume is our most important requirement at the moment!
Even if protein is supplemented, what will happen? If a patient has such a major injury, he should still have edema.
It seems that the hospital pays close attention to the learning of young doctors. Yes, keep up the hard work! "
After Director Wang finished explaining, he nodded to Ouyang, which was regarded as recognition of Ouyang.
The old lady is really happy, really, surgery, now tea surgery, the old lady has immunity, and now, 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 around and whispered a few instructions to the director of the medical department. Then, the director of the medical department nodded and left the lounge of the operating room.
Zhang Fan and several other male doctors were walking and chatting.
"Zhang Yuan, for example, if the current material is used over a large area, what should we do if spot-like or patchy necrosis occurs.
After all, it is still an allogeneic transplant. In many cases, before the blood vessels and nerves have been transplanted, the infectious bacteria have already eroded it, and the medication effect is not good. "
The director of the burn department in Shuitanzi asked about the difficulties he encountered at the beginning.
He thought that his surgery was not as good as Zhang Fan's, but it probably wasn't too bad.
But in every operation, when the surgical area is slightly larger, the patient's allogeneic transplant will suffer from point-like infection and necrosis.
Punctate necrosis is something that most people don’t see much, so why does it happen all at once?
For example, a palm is transplanted with skin, and after a few days of healing, when the dressing is removed, the patient's palm is found to have necrosis the size of a silver coin. This necrosis is very troublesome.
To put it simply, it’s like a steamed bun, a big white steamed bun, which has been stored for a few days. When you take it out and take a look, darling, there are mold spots on it.
Not all of them, but dots. At this time, you hesitate, throw it away? Or do you pick them and eat them?
Also, when I was eating fruit, I took a bite and found that part of it was broken, but the area was not large, so it would be a pity to throw it away.
Then, adhering to the fine traditions of our ancestors, we ate the steamed buns or fruits selectively.
This thing, how should I put it, this kind of moldy and spoiled food, no matter how you pick it, actually contains a large number of various spoilage factors.
If it's not necessary, just throw it away. You won't see any harm in this thing in the short term, but in the long run, the deteriorating factors accumulated in the body will prevent cancer from getting rid of it.
Skin transplantation is similar. Once necrosis occurs and is controlled, after the skin heals and grows, the area will become a large contracture scar.
If it is not controlled well, this place will be the source of infection, and the effect of medication will be particularly poor because there are no blood vessels.
In this case, if you don’t want a second surgery, you can only debridement every day. How to debridement?
Just like the Chinese Tuo of the Three Kingdoms who scraped the bones of Lao Guan to heal his wounds, the debridement at this time was extremely cruel.
A pair of scissors, a knife, iodophor, gauze, and physiological saline are necessary. Then, first use scissors to cut off the necrotic edges, and then use a scalpel on the edge of the wound, just like digging out apple mashed for a child.
The idea here is that this kind of debridement does not use any pain relief or anesthetic drugs!
Use a sharp knife to scrape off the necrotic tissue bit by bit. This kind of cleaning cannot stop until you see fresh tissue and fresh blood flowing out.
Once a day, some can even last for about a year. It is really cruel. During the debridement, four or five people must hold down the patient to complete it.
Just like killing a pig, the patient's pain is heartbreaking. No matter how tough a man is, in the face of this kind of treatment, there is no one who doesn't cry with snot in his eyes.
Many patients cannot accept and insist on killing one person a day, so they can only choose a second surgery. If this happens again after the second surgery, they will have to do it all over again.
Zhang Fan thought for a while and said: "If the surgery cannot achieve the expected guarantee, then the only option is mesh skin grafting."
"Zhang Yuan, do you usually choose mesh skin grafting?"
At this time, the director of 30x also asked curiously. He had also encountered this question asked by Director Shuitanzi, and it was a headache.
"Oh, I rarely choose mesh skin grafting. Under normal circumstances, the surgeries I perform will not cause necrosis!"
Zhang Fan was telling the truth, really, not bragging at all.
However, several experts froze on the spot, shivering in unison as if a cold wind had blown by.
"Thank you for your hard work, everyone! Please take a short rest and then we will go have a meal. We at Chasu Hospital are very honored to have you here!"
Ouyang smiled like a wolf grandma, looking at several experts as if he were looking at a little lamb with a mouth.
Several experts nodded to Ouyang. As for eating, it didn't matter.
"Zhang Yuan, how do you guarantee that this kind of punctate necrosis will not occur?" Director 30X was impatient and asked urgently.
"First of all..." Zhang Fan was about to say.
Ouyang spoke, "Oh, Zhang Yuan, you are not hungry, and others are not hungry. Eat first. After eating, you will give a special class to the hospital doctors, and let experts from the capital also come on stage to give lectures!"
Ouyang didn't even have to wink at Zhang Fan. This was the tacit understanding between the two. Ouyang was very proud of this tacit understanding. She felt that she had brought Zhang Fan up single-handedly.
As for Ren Li, there is no such tacit understanding, so Ouyang feels that Ren Li is unhappy.
As soon as Zhang Fan heard this, he knew what Ouyang was going to do, and immediately said: "I'm really hungry when the dean said this. Hi, I'm sorry, directors, I'm neglecting you. I'm neglecting you. Eat first, eat first .”
There is no way, everyone has said so, a few people have to eat first even if they are anxious.
At this time, the officers from the medical office had already begun to set up the largest conference room in the hospital.
“Experts from the capital are welcome to come to our institute to guide our work!” The big words were already hanging above the conference room.
Then all the nameplates were placed. The burn department is very special. When there are no patients, the doctors are idle. When they are busy, even ghosts can't catch them.
Therefore, it is not suitable for outpatient visits. It is best to let experts give lectures to doctors in the hospital and share their experiences.
It would be very difficult to invite an expert of this level to give a lecture if they were not in a university. Moreover, Zhang Fan had brought all the burnt people in the north to the boil this time. If Ouyang could let them go, he would no longer be called Ouyang. .
Ouyang, Zhang Fan, Ren Li and some hospital directors warmly greeted the experts from the capital out of the operating room. Although Zhang Fan was the surgeon this time, they extended their hands to support, and no amount of respect could be exaggerated.
When they walked out of the operating room, everyone was speechless, especially the experts from the capital. They originally wanted to talk to Zhang Fanduo, but when they saw the scene outside, they suddenly felt... It was so tightly blocked that my mouth began to tremble.
The entrance to the passage outside the operating room was full of armed police. All armed police stood neatly in two rows, as if they were waiting for a military parade.
Serious and quiet. Although, among them, many soldiers were bandaged with gauze, their arms were hanging, and some were even in wheelchairs.
The clothes on their bodies were even more smoky and tattered, but their expressions were serious, their military postures were standard, and their current military uniforms were the most beautiful and eye-catching.
"All of you, salute our comrades doctors!"
歘!
歘!
歘!
"Oh, what are you doing? What are you doing? Some of them are injured. Put them down quickly. Put them down quickly." Ouyang said while trying to stop him.
However, looking at the soldiers with tears in their eyes, Ouyang couldn't walk anymore. Really, looking at them one by one, there were still traces of burns on their green faces, and there were slight painful muscle twitches. She felt heartbroken. The old lady felt distressed in her heart.
"this is what we are supposed to do!"
As he spoke, Zhang Fan took the lead and bowed gently to these young warriors.
Then, all the doctors around him were there. Their faces had the marks of masks, and their tired expressions were now so solemn.
Return the gift uniformly.
Military and civilian salute each other!
The patients' family members outside the operating room also looked at these special people quietly.
How can we fulfill everyone's expectations but not be ashamed? They are all qualified. They have not disappointed the Chinese people in their respective positions.
I don’t know who took the lead, but the family members outside the operating room burst into applause.
"Well done!"
This time, it was no longer possible. There were still doctors operating in the operating room. Ouyang's eyes were red and he hurriedly maintained order at the scene.
…
In the cafeteria of Chasu Hospital, a group of doctors sat at a table. Although it is a canteen, Ouyang knows the level of the cooks here and the food is all packed and delivered from outside.
"Time is urgent. Let's just make up for it. When the injured wake up tomorrow, we will reward the experts."
The director of the medical office was busy dividing meals.
Each big city has its own fast and delicious food, such as fried rice in Yangzhou, 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 the frontier, the quickest food is steamed buns and rice dumplings. The most famous ones are grilled steamed buns and thin-skin steamed buns.
Although the filling is the same, the taste is different because of the different preparation methods.
Thin-skinned buns use a dough similar to dumpling wrappers, just one word thin, and the wrapper must be light-transmissive.
The stuffing should be fat, with 80% pure mutton, and then mix in 10% of the fat from the sheep's tail, add some skin teeth, and then add a lot of water.
The filling is like muddy hands, which means the filling is fat and watery enough. I’m also very particular about the packaging.
The chef's hands must be quick, otherwise the soupy filling will definitely turn into pieces of soup for those with slow hands.
Steam the wrapped buns in a large pot. The bigger the pot, the more even the heating will be, and the better the buns will be.
The buns are cooked when the skin is shiny and the moisture in the filling slowly soaks the skin into broth color.
This kind of steamed buns, paired with specially cooked dry pilaf, the taste is really delicious.
One bite of the buns, the aroma of the fat meat, the deliciousness of the soup, and the strength of the lean meat exploded in your mouth.
Then take another bite of this kind of pilaf with less oil and separated particles. The aroma of tea rice, mixed with the sweetness of carrots, and the sweetness of skin teeth!
Dear, especially for those who are hungry, this kind of meal is really delicious and satiates your appetite in one plate. It can also make your stomach feel the fullness brought by the food. It is so beautiful.
"Come on, have a try, these thin-skin steamed buns made with tea and vegetarian ingredients. These are similar to the soup dumplings in the south. Come and have a try, Director Wang."
Zhang Fan and Ouyang kept greeting several experts.
"Well, we have to stay for another day!" Several experts looked at each other, smiled bitterly and shook their heads.
It was a surprise for Lao Li this time. In the past, he took his doctoral students to do experiments with Zhang Fan.
Except for Zhang Fan's surgery, the chance of success for others was too low. Later, Lao Li also found many others, but none of them were good and did not meet his expectations.
He was also troubled in his heart, why was it that the material was so good that it didn’t work well?
As a result, he was really happy this time. These experts had various problems when using this new material. Zhang Fan could explain them all.
Suddenly, there are many, many more surgeons who can use this material, and they are also expert-level doctors in China.
Now, Ouyang is willing to stay for ten days, let alone one day. He wished that Ouyang would tie these experts to Zhang Fan.
