This surgery was quite troublesome for Zhang Fan.
First of all, the children are too young and are always on the line between life and death. Moreover, the large area of skin damage is like a child that has been bleeding a lot, and the clear liquid child is like a fat man lying on the sauna bench. Tissue fluid is like beads of sweat, constantly leaking out of the body. This moment is really not much easier than a large blood vessel pouring out blood.
The human body is a complex organism with many elements in it. Why does a large amount of blood or fluid loss lead to death? In fact, it is very simple. When there is a large amount of ischemia, the brain cannot hold on first, because the red blood cells in the blood are small boats that transport oxygen and carbon dioxide.
When the ship disappears, oxygen cannot enter and carbon dioxide cannot come out. The brain first becomes drunk, just like a person is drunk, and then the brain becomes poisoned over time. The same goes for fluid loss. A large amount of fluid loss will first lead to electrolyte imbalance in the body.
Only when various electrons in the human body maintain a balance can they produce various substances, such as energy ATP, proteins, and decomposed sugars. When a large amount of liquid is lost, this balance will be disrupted. What should be produced will not be produced, and what should not be produced will be produced in large quantities.
For example, what was originally producing ATP turns out to be a large amount of lactic acid. During strenuous exercise, muscles will become sore, which is lactic acid. And when a large amount of lactic acid is produced, the electrolytes in the body that are originally disordered become even more disordered. Many finished products emerge without catalysts, and many of these products are poisonous.
It can be said that after testing a large number of liquids, it makes sense that the person died because he poisoned himself.
While Zhang Fan is undergoing surgery, he also needs to discuss the treatment adjustments for the child with the anesthesia team of the internal medicine support team as the surgery progresses, because surgery is a destructive treatment after all, and this treatment will aggravate the child's stress response.
It can be said that this treatment will accelerate and increase the chance of death of the child. There is no doubt that if one is not careful, the chance of the child dying on the operating table will increase as the operation progresses and the more skin is incised. The greater the probability.
Not only did he have to discuss it with them, Zhang Fan also had to record this unexpected surgical operation.
If Zhang Fan's previous surgeries were the result of extensive practice in the system, then this time it was the extraordinary performance of his accumulated experience. Just like when some people take an exam, they obviously don't know how to solve a question, but the secretion of adrenaline hormones makes him suddenly buzz like Brother Xiu, and a lightbulb lights up in his head.
What you can do so well now may not be so good in the future. This is what is called a flash of insight, but it is definitely not an epiphany. Therefore, Zhang Fan had to have someone record it. As long as he recorded it, he would continue to perform liver removal in the future, and he would also have to review this operation in the shortest possible time. Then this extraordinary performance would become normal.
Therefore, it is too easy to be a doctor or just a dawdling doctor. You only need to be admitted as a practicing doctor, and then find a public hospital to find a more relaxed department. The income is guaranteed during droughts and floods. Even if a knife comes from the sky, it will still cost you a dollar, and your social status is not low. .
But it is difficult to be an aspiring doctor. Not only hard work is the most basic thing, but also talent. Many doctors, after working hard all their lives, can only be disappointed in front of some surgeries. It's not that they don't work hard enough, but that they are not talented enough. This industry, like many technical industries, is becoming more and more difficult. At the top, the more talent you eat, the more you eat your body.
He knows his own things. In addition to being able to endure hardships, his talent is just like ordinary people. Although there are cheats, this half-dead cheat has no other help except for fanning the flames and making Zhang Fan continue to have surgeries.
Therefore, Zhang Fan had to seize every opportunity of Chang Chao's performance. If you want to go far, you have to pay more than others.
Zhang Fan not only worked hard to do more surgeries, but also did not give up on physical exercise even after becoming a medical director. Unless there are special circumstances, running around the outside of the hospital every morning has become a sight to behold. This extraordinary performance is the reward of the ascetic life since graduation.
As the operation progressed bit by bit, Zhang Fan finally dared to breathe heavily. Just like a thief, Zhang Fan even controlled his breathing during the operation. If adult surgery is dancing on the egg shell, then this surgery is dancing on the egg membrane.
If you don't perform well in one dance, it's like a piece of cake.
Although the sweat-soaked slippers felt like they were soaked in water, the operation gradually became more and more stable. Because a large area of skin has been transplanted, Lao Li's materials are honestly pretty good.
Tilapia skin is more effective than pig skin. Moreover, it has no immune rejection effect, so if this material cannot dominate the world in burns for adults, it will definitely be the king in the field of burns for children.
You can imagine that for a child who is in critical condition, the doctor dares to give the child strongly objectionable materials, but this material is not available.
Therefore, when the child's soft and frail torso, buttocks, and limbs were transplanted with skin materials, it was like applying a patch, and the child's life condition slowly began to stabilize.
"Yuan Zhang, your blood pressure and heart rate are stable." The anesthesiologist wiped the sweat from his forehead. During the operation, Zhang Fan lowered the blood pressure, raised the blood pressure, lowered the heart rate, and accelerated the perfusion. To be honest, it is easy to give an order, but it is too difficult to execute it.
Every time I take medicine, I take risks, but fortunately, I finally got through it now. In his early forties, he looked at the child on the operating table and the sleeping child. He didn't know what was going on. He was very proud and very happy. It's like watching your own child's mood.
"Okay!" Zhang Fan nodded lightly. His emotion on the operating table was very single. There was no excitement or emotion. It was as if there was just a lump of meat in front of him, regardless of gender, old or young.
"Professor Li."
This time, Lao Li didn't dare to be distracted again. Hearing Zhang Fan call his name, he responded immediately. "Why."
"I need a large number of burn patients now." Zhang Fan was not polite, regardless of his ability or not. Anyway, in one sentence, I need such patients now.
"Okay, after the operation, I will contact you immediately." Lao Li's lips were trembling. He could tell that Zhang Fan was going to make great efforts to guide him tonight.
In fact, Zhang Fan never thought of the guide. After all, his starting point was too low. He was just a medical undergraduate who started in a county hospital. Even with academician teachers, he actually spent most of his time studying on his own. He never thought of the guide. , he now felt as if some details of the operation were beginning to blur. Therefore, in order to perform this kind of surgery as soon as possible and perfect this kind of surgery, he needs to do a lot of surgeries. To stabilize.
"No, let your doctoral students get your materials. You can contact the patient now. It's best to have one in the afternoon." Zhang Fan was anxious, so he asked Lao Li to get off the operating table and contact him.
"It's already night now!" The head nurse in the operating room glanced pitifully at Zhang Fan, whose back was soaked with sweat, and gently interjected.
To be honest, during the operation, the only one who dared to interrupt Zhang Fan was the head nurse. After all, she helped Zhang Fan overtly or covertly when Zhang Fan was not in power. This is the so-called love.
"Oh! It's best to have an operation like this tomorrow morning, please!"
"Okay, I'll go now." After saying that, Lao Li got off the operating table. There were tears in my eyes.
Touched, so touched. For the sake of his own materials, Zhang Yuan really jumped down to help. He choked up. He hadn't met such a friend in so many years, so many years. Yes, they are friends. In the past, he felt that Zhang Fan was his helper. Now, he feels that Zhang Fan is his friend.
Zhang Fan on the operating table didn't know yet, but Lao Li was moved unknowingly. If he knew, Zhang Fan would definitely laugh out loud. I'm afraid that the realization will disappear. The amount of surgeries required by the system is too large, and I hope that early It was too laborious to open the burn department.
This can be regarded as unintentional planting of willow trees.
In the operating room, the operation has entered the final stage. This kind of long operation is actually not felt in the operating room. Just like a man who is in love and has not yet taken off his partner's pants, the day has passed before he knows it.
Doctors and nurses are not tired yet. Really, this is not a lie. It seems that the body also knows that now is not the time to look for trouble, so it cooperates. Once the operation is over and the mind is relaxed, this long operation will definitely be able to heal. Let the doctors and nurses peel off the skin.
But none of the observing experts outside the operating room could do anything.
It's okay to let them perform surgery, but it's not okay to let them observe the surgery. It's like running a long distance. The driver is not tired yet, but the driver is almost exhausted.
And this long distance also worried them too much, because none of them wanted to miss Zhang Fan's record. The burn department is a small department and can be considered a second-level department. However, this department is small, but there are too many studies in this department.
Not to mention other things, the Golden Retriever’s military burn research institute alone is the top presence in this industry, and the Golden Retriever’s research in this area is too good. Although they are not very involved in academia, many of the current treatments in burn departments are They just sent it out casually.
Therefore, although this department is not as large as the General Surgery Department and does not have as many people studying orthopedics, the hierarchy of this department has long been solidified. If you want to get ahead, you almost have to have a background of studying abroad in Golden Retriever. But things are different now. Although it is a surgery for children, depending on the situation, this person will issue a guide.
One person cannot handle a guide, a large number of people must help. Although they couldn't take the initiative to complete this guide, they still had the qualifications to participate, and there were actually not many positions to participate.
So, a group of people were eating food from the cafeteria of the Tea Su Hospital and sitting in the observation room. Their waists were almost broken, but no one left.
No one talked about the surgery. It was as if everyone came to the operating room of Chasu Hospital for dinner. "Hey, the braised pork from Chasu Hospital is good. Yes, the horse intestines are also delicious."
"Can it not be delicious? Zhang Yuan is a gourmet, don't you know? Last time we had a meeting in Shanghai, Zhang Yuan and I talked about the characteristics of food from the north and the south."
As soon as he said this, several other people looked at this person with a look of disbelief, but they did not criticize him.
This person realized that he had provoked public outrage, "I also eat well, and I also eat well. We didn't talk about anything else, but we just talked about diet!"
Expert Zeng was eager to chat with this group of people, and he also wanted to participate, but as long as he passed by, the chat would automatically end. He is isolated!
Just when everyone was talking duplicity, Lao Li came out of the operating room.
