In the corridor outside the emergency center, a group of remorseful family members were as anxious as ants on a hot pot. Only the child's mother's remorseful head was smashed against the wall. The relatives had to let the mother holding the child stay with them. Like a child with a dead tree, her mother wept silently together.
It was originally a festive day. The child's aunt was getting married, and the family was dressed up to attend. As a result, the child saw the cannons being set off outside and followed him out. Since the child's mother was from the woman's family, she had to help greet the relatives at this time. As a result, the originally festive wedding banquet suddenly heard a bang.
Then I heard the heartbreaking sound. When I saw the child covered in blood with his arms hanging down, the child's mother almost went crazy.
When he was sent to the hospital, his arms were fried from the armpits to the chest wall, like fried and burnt meatballs. The originally festive wedding banquet lost any trace of celebration, and even had a bit of terror and panic.
"If the arm is saved, the child's life will be in danger. If the arm is not saved, the risk factor is relatively reduced. What to do now, as parents, you need to make an idea."
If it were an ordinary hospital, at this time, the doctor would have finished explaining everything. The rest is up to the patient’s family to choose.
In fact, the patient information document for medical reform is really bullshit.
To be honest, let alone ordinary families, even Kochi families, no one is engaged in this industry. There is a stack of notices as thick as surgical books, how do you let them choose.
Just like an insurance contract, if you read it word for word, most people may not be able to understand it.
In an industry with a monopoly on technology, it seems like malfeasance to come up with a method that allows patients and their families to choose.
"What should I do? What should I do?" The mother of the child looked around blankly, thinking that someone could stand up and say something, but what could a group of ordinary people know and what could they understand.
The child's father also arrived. After listening to the doctor's words, the tall and thick man stood there as anxious and humble as a slave. "What Zhang Yuan means is to try to save the child's arm. There are risks, but we will try our best. I hope you can understand."
"Okay, okay, okay, doctor, please, save the child. He is still young and has no arms. He will be disabled in the future. He studies very well. He is very well-behaved, doctor!"
The tears on his face were hanging on the edge of his stubble.
When the deputy director of the emergency center entered the emergency room, he heard a sound like a slap in the face. He couldn't care less.
The child's father slapped the child's mother on the face, and instantly five finger marks crawled on her face like five red centipedes.
"My child!" She finally cried out, but the slap didn't seem to alleviate her guilt at all, and instead made her feel even more worried. She actually already had an idea in her mind.
If, if the child really died, she would compensate the child and use her only life to compensate the child. "The parents agree to the child's surgery."
"Okay, transfer to the operating room immediately. Let's go!"
Zhang Fan said immediately.
The child was pushed on a flat cart, and a group of nurses gathered around the child. Painkillers and sedatives were injected into the child's body. The child, who was originally in extreme pain, fell asleep quietly at this time.
Tears hung on her long eyelashes. "Old Huang, the surgeon will write my name."
Li Cunhou said something to the anesthesiologist while preparing the skin graft materials.
The anesthesiologist Lao Huang was stunned for a moment, then nodded immediately, and the circulating nurse beside him also nodded. "What are you talking about? I am the chief surgeon, how can I write your name?"
"Zhang Yuan, the hospital is in a critical period recently. The hospital can live without me, but it cannot live without you. Just write my name."
"Stop talking nonsense. You are the face of the hospital. You can't fail. Okay, don't interfere with me. According to what I said, I am still the director. There is no way to usurp the throne."
Perhaps Zhang Fan's joke was not too funny. No one in the operating room smiled. Li Cunhou sighed and began to deal with the stump.
Wang Yanan glanced at Zhang Fan and immediately began to disinfect.
Zhang Fan leaned against the wall, entered the system, and began to simulate surgery.
To be honest, Zhang Fan didn't think about anything other than surgery such as reputation and position from the beginning to the end. To be honest, the more serious the operation, the less likely it is to involve things outside the operating room.
Why do many important people have problems with their surgeries? There is a mentality here.
To tell the truth, the father of a bookstore in a certain unit suffered from acute appendicitis and was in excruciating pain. Then the director of general surgery personally went to the operating table. Laparoscopy was not yet widely popular at that time.
The director originally wanted to do a better job for the book's father. The edge of the knife was opened a little, about the size of a coin.
As a result, the appendix couldn't be found for half an hour, so it had to be extended a little further, and finally the appendix became wider and wider. After the operation, the old man's belly looked like a zippered overalls.
Zhang Fan never considers these things, not because he is arrogant, but because he has not had to think about these things so far. This is one of the reasons why he can't live without Tea Suo.
For debridement, Zhang Fan, Wang Yanan and Wang Guofu held six pairs of tweezers, like chopsticks, and kept tearing at the scalded and necrotic skin on the left shoulder and back.
Pieces of necrotic tissue and skin looked like several people eating sizzling barbecue, scorched black with black and red blood stains. Gauze after gauze kept wiping the child's injured wounds.
Time passes little by little
The injured wound was like a burnt potato egg that had been carefully peeled off by a girl. Finally, bright red blood and bright red muscles came out.
But a large piece of the wound has been lost.
"Zhang Yuan, it is estimated that the bones will not survive. After being burned by gunpowder, the large area of periosteum will also..." Zhang Fan pulled out his head and took a look.
"It's a gamble to boil and disinfect. There's really nothing we can do."
Next to the operating table, he immediately took out the iron basin of the induction cooker and poured distilled water into it. It's really like trying to eat hot pot when a fire breaks out.
The boiling disinfection method is generally not used in the operating room. It is not impossible, but it is mainly used by orthopedic bone cancer patients when the tumor cannot be completely removed.
The benefits are obvious. Although the boiling method is relatively backward, it is actually sometimes more effective than some antibiotics and chemotherapy drugs. But the disadvantages are also quite obvious. After boiling at high temperature, it is extremely easy to cause osteonecrosis.
Now there is no way around it.
If you give it a little more time, you might be able to find a more perfect way.
But it's too late. God doesn't give you time or let you think about it. Think more about the death of your child and less about osteonecrosis. Really, this kind of moment not only tests the doctor's technical level, but also tests the doctor's responsibility.
If one day, really one day, all hospitals are privatized, and when patients can be measured by money, will there still be such responsible doctors? If so, he would probably be fired as well.
Because the hospital is unwilling to be the last support for doctors.
Zhang Fan quickly repaired the burnt area, while Li Cunhou, holding long oval pliers, kept moving a piece of bone back and forth in the pot.
It's like a diner who is not full after eating hot pot and keeps looking for meat and bones in the pot. "are you done?"
"alright!"
As he spoke, Li Cunhou carefully picked up the bone and slowly placed it on the instrument table of the operating table. The boiled bones were like a mutton-fat jade finger, dazzlingly white.
"Kirschner needle!"
Kirschner needles, which were like metal needles for knitting sweaters, were delivered to Zhang Fan's hands. It penetrated directly through the skin and wedged in three times.
The bones are firmly connected.
But the current situation is just like the Dongchang father-in-law who was scratched by Northwest Orange with a knife in the New Longmen Inn. His bones are as white as a skeleton.
The burns were so severe, large areas of tissue and skin were destroyed, and too much tissue was missing. "Transplant blood valve!"
The large blood vessel on the left side has been destroyed, so the blood valve containing the artery can only be removed from the right side.
. Where is this thing? It is actually the place where the old Chinese doctor tells you that you have a happy pulse. This is the most superficial and easiest artery to graft.
There are more superficial places in other parts of the body, such as the carotid arteries, but these arteries cannot be touched. You can only bully those you can afford.
Because of the severity of the injury, the arteries in the drive and left arm were damaged. Now it's not just the missing tissue that needs to be transplanted, but also the arteries.
This surgery is too risky.
The bones are alive, but the attached tissues are not alive. The tissues are alive, but the arterial valve is not alive. The aortic valve was revived, but the blood vessel where it was removed became embolized.
This is all possible, and once it happens, all previous efforts will be in vain. You can't even win a lawsuit.
You tell people that the damage is serious and the failure rate is high.
But the judge only asked: "Why do we need such a major operation when we know the damage is serious? The guide clearly states that amputation is required, so why do we need a transplant?"
At this time, the doctor can be asked and become speechless.
If it succeeds, the doctor can say I want doctors to be kind, but if it fails, you can't say these words. Even if you do, it will be thought that you have other ideas.
Time passed little by little.
The anxious state in the corridor had become numb.
A group of people were leaning against the wall and some were sitting on chairs. There were even people sitting paralyzed on the ground, staring blankly at the door of the operating room.
The ever-bright fluorescent lights inside penetrated and shone on the faces of a group of gray-faced family members, which was particularly dazzling and distressing.
"Wipe the sweat!" The surgery was too difficult.
The amount of tissue that needed to be removed was too large. Not only did it need to be removed from the right arm, but a certain amount of tissue also needed to be removed from the inner thigh. Moreover, there is a time limit. If the operation is done too slowly and the tissue loses blood for too long, perfusion-reperfusion injury will occur.
To put it bluntly, when the tissue is deprived of oxygen supply for a long time, acidosis will form due to the retention of carbon dioxide. When blood enters again, strong thrombosis will occur, which is impossible to prevent.
Zhang Fan was very fast, almost without making a single unnecessary move.
The direct cooperation between several doctors could not be higher.
A fair-skinned child is like a little pig in the market, looking for the piece that is cut off. Pieces of tissue were taped into the gaps on the shoulders and backs.
The red blood vessels were sewn together stitch by stitch under the doctor's steady hands. Arterial suturing must not be careless at all. Even if there is a slight accident, it cannot be dealt with. "Open the clamp and check the smoothness of the blood supply."
Click, the clamp carries blood drops, like the teeth of a monster. When the artery is loosened, the red blood slowly passes through the suture, and the fingers that have lost their temperature and color begin to slowly change. It has color and temperature.
The blood vessels are now alive, but it’s not time to breathe a sigh of relief. Because there is still transplanted tissue that has been removed.
Li Cunhou's skin allograft can be transplanted on a large area of burned tissue. But there's nothing he can do about things under the skin.
Now I can only rely on Zhang Fan's surgical skills.
Stitching, the stitching at this time, is quite particular.
It is relatively simple to transplant the tissue from the right arm to the left side. But from thighs to arms, this is a big problem. From the thickness of the muscles to the way the muscles are combined, everything is different.
At this time, if there is a slight mismatch, it may lead to muscle necrosis and tissue necrosis. Zhang Fan's sweat trickled down.
Really, Zhang Fan was sweating a lot as if he was doing a physically strenuous job. Wang Yanan was not relaxed either, and he felt like liquid was oozing from his eyelids.
If Zhang Fan wants to move, Wang Yanan's hands and even body must remain in the most stable state, so that Zhang Fan can use the easiest way to exert power.
