Chapter 1117: Very durable!

Chapter 1117 is very durable!
If orthopedic surgery is more comprehensive, then skin transplantation is embroidering on the flesh, even more delicate than embroidery.
The first is debridement, the eternal topic of surgery, cleanliness, sterility, and disinfection. The hands are like catkins, and the skin is like fat. This poem is absolutely not too much to describe children. Normal children have pink under their thin skin, and the light fat makes the skin clearer.
There is no way to compare skin care products, big beauties, and children’s skin. But after the scald, how delicate the child's skin is now, how can't bear to look directly at it.
The body of the little man is now as crisp and crisp as it was just out of the pot, with flesh-colored bubbles all over the body, with no bursts of bubbles, as cool as rain bubbles in a pond on a rainy summer day, but with varying sizes. The bubble is like a used sleeve. The thin skin contains gray and dark red mucus and is applied to the body. It is really like a person with prostatitis running through a red light with escrow inflammation. Feeling uncomfortable, it must make people sad.
People with rich emotions will definitely be emotionally restrained if they have undergone several such operations.
The body of the little child is covered with countless such bubbles, big or small, broken or unbroken.
After wiping with the cool Neogermite solution, the blood was wiped off, but the pus in the bubbles could not be wiped clean. It was just like eating tahini and eating big bubble gum, and then red lips began to blow out bubbles contaminated with tahini.
Healthy skin seldom hides dirt and dirt, the most is the belly button and a little bit between the toes. After being burned, the skin directly becomes a petri dish full of various germs.
Moreover, it is a very good petri dish. It has all kinds of culture media, including protein, fat, amino acids, and sugar. Therefore, in less than a day, the child's original white and tender skin was like a piece of moss, with large pieces of dark red mixed with gray-black patches.
Just as if you accidentally fell into the coal ash after taking a bath, and then did not take it for three years, the coal ash has infiltrated the skin. The transplantation operation is particularly afraid of infection. As long as there is incomplete disinfection, when the allograft material is covered At that time, just in the greenhouse in winter, bacteria can grow into mushrooms. At that time, the doctor was too late to cry.
Therefore, the preoperative debridement is quite strict and cruel.
"Brush! First put on the soft brush." ​​With the soft brush with a large palm, Zhang Fan wiped out the pus and clumps with soapy water bit by bit like wiping porcelain. The plump Gulistan stood by Zhang Fan's side. , Panting slightly, after the middle-aged aunt became fat, the burden on the upper body was too heavy. Not only need to lift the cup with weight, but also bend over to cooperate with Zhang Fan to wipe.
Gulistan's waist began to sore. Just as she let Zhang Fan climb up to observe the black silk girl back then, now Zhang Fan has to let her bend over and get closer. This posture is too sour.
After the soft-bristled brush is finished, apply the hard-bristled brush, which is partially unremovable but visible to the naked eye. This weapon can't be used too much, otherwise it will cause secondary damage to the skin, but it can't be used, and it can't be too slow. Really, the doctor at this time is really upset.
It hurts the body soon and the infection slows down.
After finishing the brush, put on the tweezers and curette, one by one, Zhang Fan removed the inactivated skin clamps. These are the roots of causing trouble and fortune, leaving one piece will cause the doctors headaches in the future.
After trimming the inactivated skin, try to break the large unruptured bubbles without inactivating the skin.
Really, that is, the child's skin area is small. If the area is larger, it's hard to say how Zhang Fan is, Gulistan would not be able to straighten up.
Because there are no clinical guidelines for this kind of surgery, that is to say, doctors rely on experience to perform this kind of surgery, so the postoperative results vary widely.
"recording!"
Zhang Fan was like eating duck intestines with small chopsticks, pinching it piece by piece. At this moment, Zhang Fan suddenly said.
Everyone was stunned. It's not a rescue at this time. Why do you want to record?
During the rescue, due to time constraints, the doctor had no time to give a doctor’s order, so he could only exercise his right to order, so without saying a word, almost always a nurse or doctor would record it. This is not only a case, but also a file of the life and death of future patients.
This is rarely the case in the operating room.
Just when everyone was stunned, the head nurse in the operating room hurriedly squeezed the visiting nurses with a pen and a nursing record book, and rolled his eyelids while squeezing, as if to say: "Wood, can't you hear me!" The sharp eyes, really. It's like an old bustard who wants a girl to look good.
"Zhang Yuan, you said, the record has been prepared." Jiang was still old, and the young woman's voice sounded behind Zhang Fan.
Although she didn't know what Zhang Fan wanted them to record, she was able to execute it as soon as possible. This was professionalism.
She demonstrated the relationship between doctors and nurses vividly. It is really not an ordinary woman to be the head nurse at the Tea Su Hospital, or as the head nurse at the Tea Su Hospital, which is still developing.
Zhang Fan didn’t start the burn department, but he didn’t know why. He suddenly realized that it was like a thin film being broken by a barrel. It immediately became exceptionally smooth, and even slightly unfamiliar areas seemed to be lubricated. , Surprisingly oily.
Zhang Fan is deeply afraid that this is a flash of light, because he has never encountered an unopened subject to realize it. Therefore, he was afraid that he would lose this perception after the operation, so he had to record it.
"2mm under the skin is cut to damage the skin, and there must be an extensible capillary network nearby. The scald of the muscle layer is cut away..."
Zhang Fan did it, said, said and did.
The head nurse in the operating room muttered, "Is it almost healed? Is it almost healed? My old lady's hand is almost broken."
One page, two pages, ... ten pages.
The head nurse complained, but she didn't understand what Zhang Fan was doing. The anesthesiologist was curious, but he didn't quite understand what this was doing.
However, the excited hair of Professor Li Cunhou and Lao Li next to him was almost erected.
If it weren’t for him on the operating table, he would still want to take the young woman’s pen and record it himself. He was afraid of disturbing Zhang Fan. While soaking the foreign body material, he whispered: "It must be recorded completely, one word Can't fall."
He understood so well, his eyes looked at Zhang Fan with a posture that he wanted to swallow.
Zhang Fan is formulating clinical guidelines for infant surgery on allogeneic skin!
How powerful is this?
It can be said that this is what Zhang Fan will set the boundary for this kind of surgery. In layman's terms, it means that Zhang Fan is formulating rules and regulations.
Just like playing basketball, Zhang Fan is making rules now, and you must follow my rules if you want to win the championship in the future.
The reason why the failure rate of this kind of surgery is so high is because there is no rule. When everyone is exploring this boundary, Zhang Fan has already begun to set the margin.
Old Li almost passed out excitedly.
If Zhang Fan can completely formulate a plan for children, even if it is incomplete, it is definitely no less than the merit of researching out materials.
If there is material, no guide, no one knows how to use it, and the material has no future.
Only with materials and guidelines can it be promoted.
Indispensable.
How difficult this kind of guide is, you can look at the textbook of Xinhua State. Which editor gods of the first edition, those gods hung on the textbooks, can really be said to be the top-level existence of Chinese medicine. Even with the development of science and technology, subsequent textbooks have made some changes on the basis of this edition.
Not only was Lao Li shocked, but also the dermatologists from various hospitals who came to observe outside the operating room.
"I'm going, do you want to be so awesome, the operation site specifies the operation guide! This is incredible!"
"Really, let me go in and take a look!"
As soon as I said this, everyone was right. "I'll just talk about it, just talk about it."
Professor Zeng stood in the crowd, with cold sweat all over his body.
"Fake, it must be fake, he is a hairy boy, he can do this kind of surgery is already against the sky, he even made a guide on the spot, fake, it must be fake!" His mouth was dry, and he was starting to regret it now. Up.
"Old Li, are the materials ready!" Without lifting his head, Zhang Fan's head was slightly bent, as if it had been set in that space, without moving at all. This is kung fu, the kung fu he has practiced.
"Lao Li!" Zhang Fan's voice was a little faint. "Lao Tzu just had a flash of inspiration. I don't know when the flash is over. You are still giving Lao Tzu away."
Zhang Fan was deeply afraid that this sentiment would be like the happy time with Shao Hua. He shivered and disappeared. So after speaking, he found that Lao Li was in a daze, very angry.
It's like buying a lottery ticket for two dollars. When I opened it, I went to five million. The boss who claimed the prize said that the computer had crashed. Can you not worry!
Old Li woke up like a dream.
"Okay, okay." Quickly handed the materials with both hands. "Zhang Yuan..."
"Shut up!" Zhang Fan interrupted Lao Li like a Tibetan mastiff protecting food.
One point, one point, the child is like a tattered doll, Zhang Fan mended little by little.
The original large area of ​​ulcers slowly turned into allograft materials. When the tourniquet is released, the capillaries are like rain in the spring, slowly moisturizing the foreign material. The original gray material becomes matte and tender.
Large pieces of expensive experimental grade foreign material were cleverly trimmed by Zhang Fan into small pieces of various shapes and applied to the child.
Lao Li pouted, not distressed, but excited.
The record is still going on. At this time, at Lao Li's sign, Lao Li's doctor personally took over and replaced the head nurse in the operating room.
The head nurse in the operating room rubbed his wrist and glanced at Zhang Fan with a strange look, "It's a long time! After talking for so long, I don't know I'm thirsty!"
"Go, turn on the glucose, don't use 10%, 5%, I will feed Zhang Yuan a little!"
(End of this chapter)