Vol 2 Chapter 1874: The strength to dare to break through

  
In the past two days, the microbiology laboratory and the microbiology teaching group have put aside the work at hand, and concentrated on cultivating the pathogens infected by patients in the first time.
   Digestive, respiratory, cardiac, neurological and physiological, pathological, immune, and pathophysiological research groups form a support group after surgery to ensure that the various organs of the patient do not fail.
  Now I divide the operation group, academician Li Cunhou's first group operates on male patients, academician Zhao Jingjin "leads the second operation on female patients, and I lead the third group on infant patients.
  For other related surgeries, two doctors from the department were sent to stand by in the operating room. Are there any problems now?"
"No!"
"No!"
  「Okay, prepare for the operation now, turn on the pagers for each operation, and the three groups of us will keep communicating with each other at the first time, and please keep the operating room quiet if it is not necessary for others.
   Now for surgery. "
  After Zhang Fan finished speaking, a group of doctors and professors cheered and began to prepare for the operation separately. What kind of changes can the arrival of an academician produce?
  For example, the burn department of Chasu, when Li Cunhou didn’t come, Rouguli’s main practice was dermatology.
And the main equipment is actually a burner. Anyway, the operating room of the dermatology department was full of smoke every day. Those who didn’t know thought it was a barbecue stall, but the smell of smoke from this barbecue stall was burning. With a trace of weird anger, it's the same as the barbecued belly in the night market, even worse than this smell.
  But after Li Cunhou came, after two years of development in the dermatology department, I felt that Xiaodouding became a Super Saiyan immediately. First of all, the status of the department has been greatly improved.
In the past, in Chasu Hospital, the four kings were orthopedics, cardiology, general surgery, and gynecology, but now the dermatology department has become a school of its own, and the income from the small scientific research in the department has already made many doctors like to switch into this department.
  Don’t look at these small scientific researches that seem to have little influence in academic status. For example, the department supplies digital antifreeze, which is a piece of crap. If it was used in the past, it would be a labor insurance product.
  But it’s different now. After packaging and the support of Ms. Zeng’s foreign company, it has become a must-have skin care product for women all over the world in winter.
There is also whitening agent. Whenever someone asks about it, Gu Li will definitely swear that her skin color is similar to that of Zhang Yuan. After using the whitening agent from the dermatology department of Chasu Hospital, she has directly become a white person. skin off.
  Really, Gu Li started talking nonsense, Nima, you are Europa, and you are even willing to ruin Zhang Fan in order to sell goods, but this thing is believed by some people, and there are quite a few people who believe it.
  Even Shao Hua bought a bottle and took it home, put it in the bathroom, and asked Zhang Fan to apply it in the morning.
If it wasn't for his own product, Zhang Fan would have thrown it away. This thing is actually phenylethyl resorcinol and a little VC derivative improved by the dermatologist himself. When advertising, what kind of Tianshan snow lotus extract , What lavender essence, winter, spring and summer grass dried freeze powder, anyway, there is something mysterious to say.
  The expensive ones make people think that only fools would buy them. Buying a wide-brimmed hat can actually achieve this effect. Of course, Zhang Fan can't say this, otherwise Shao Hua will have to bite him.
   These are actually not what Zhang Fan cares about the most. What Zhang Fan really cares about is the improvement of the department's medical staff. If it is said that the hospital that is most capable of using skin allografts in the world at present is the Chasu Hospital, and the department that is most proficient in using this material is definitely the Burn Dermatology Department of the Chasu Hospital.
   This group of talents is a real wealth, a bit like airplanes and pilots, airplanes are expensive, and pilots are not cheap. The hospital trains this group of people. The material of the allogeneic skin for the rabbit and the dog is not enough to go around the earth, but it is enough to make a wall insulation for a 6-story building.
   Proficiency is called a questioner in medicine. Many people compare Huaguo's medical treatment with Li Jiapo's doctor's degree and how their doctor's scientific research is.
   Ho. Your doctor can only do gallbladder, only appendix, and only bone.
  Actually, what is needed for medical treatment is not how sophisticated you are, but the ability to reach the basic level of the group. If Li Jiapo develops this allograft skin, it may take a long time until other hospitals are proficient in popularizing it. Medical treatment is the same as buying express delivery.
  In fact, whoever is faster does not need to wait. Relatively speaking, it gives patients more peace of mind. An appendix can wait until it is perforated! Putting this matter in Huaguo is a medical malpractice, and the hospital can let doctors write examinations and reviews until they cry
  In the operating room, there are three operating rooms. Children are the most difficult to operate, and the burns are the most serious, followed by men, and finally women.
  Especially when children are sitting on substandard safety seats, a lot of fibers burn and adhere to the child's back, legs and buttocks, just like a fairy peach fell into the asphalt pot and turned half a circle.
  Zhang Fan not only took the burn dermatology department, but also the pediatric department, and a group of mixed internal medicine. Pediatric medicine is more about experience. Whether Zhang Fan understands pediatrics or not, he does.
  However, this thing, this kind of understanding can only be related to common diseases. When encountering such extreme cases, the understanding of ordinary doctors is actually not much different from that of people who go shopping outside the hospital.
   "Jiang Yuan, the blood oxygen saturation has dropped. The child has pulmonary edema. What should I do now? Reduce the amount of infusion?" The anesthesiologist discovered the problem immediately, and asked directly to the Pediatric Academy standing aside.
  Even, Zhang Fan’s operation was stopped, and the ventilator was already hung on his body, but the blood oxygen was still falling downwards!
"You continue your operation, don't stop, the key is to end the operation quickly!" Academician Jiang's wrinkled brow sank into a fly. It is absolutely fine. After he finished speaking to Zhang Fan, he immediately shouted to the treatment team: "Increase the amount of fluid, repeat intravenous injection of lanatoside 0.4, nitroglycerin 10, and morphine 5.
  Titanium file, vancomycin 1.0g…

   "This is the dosage for adults!" The visiting old nurse asked softly.
  「There is no other way now, this is the only way to go.」
  According to the routine, when pulmonary edema requires a large amount of diuretics, and reduce the intake.
  However, under such extreme conditions, once the intake is reduced, the attachment of neutrophils to the capillary walls of the lungs will be aggravated, which will positively aggravate pulmonary edema.
   Now, a large amount of intake will also lead to aggravation of pulmonary edema, but it will not affect cardiac output.
In human terms, in fact, the flood is coming, and the first way is to release the flood. The old man Jiang is to increase the height of the embankment, and the old man Jiang also bet again. He bet that Zhang Fan can complete the operation before the embankment collapses. He is betting on the child Compensation of heart function will surely overcome this difficulty.
  However, there are not many people who dare to gamble like this. Old man Jiang gambled with his half-life experience, half-life study, and half-life reputation.
   You have been rescued. You are an academician, as you should.
   It can’t be rescued. There are too many faults in this rescue record. Why do you give such a large dose? Animal experiments don’t give such a large dose.
   When the time comes, none of the three mouths can understand.
   Yes, some things still need people to do.
  The people on the operating table are really doing their best to operate quickly.
  Not only here, but also Li Cunhou and Zhao Jingjin.
  Even the entire Chasu Hospital is contributing collectively.
   One hour, two hours...
  Six hours later, Zhao Jingjin's operation was completed.
  When he was seven years old, Li Cunhou was skilled in surgery.
   As for Zhang Fan, it's not over yet.
  Li Cunhou didn't even have time to change the diapers in his crotch, so he changed into the surgical gown and came to Zhang Fan's operating table.
   "The skin is too thin!" Li Cunhou saw Zhang Fan holding the smallest suture needle, and heaved a long sigh in his heart.
   Right there, Academician Jiang kept urging him under the operating table.
  「Hurry up, the damage will be over 12 hours soon!」
  Because burning
   Injury such a large area of ​​skin damage, once 12 hours have passed, is the bacterial outbreak period, no matter whether you use antibiotics or not, or how good the antibiotics are, you will usher in an outbreak.
   Now not only the chest is opened, but also the abdomen is opened. The outbreak period is about to come, but now the skin is broken, and the internal organs are also exposed to the air.
   At this time, it is directly adding fuel to the fire.
  The beads of sweat on Zhang Fan's forehead were densely packed, like a pearl hat with a circle on his forehead.
  He was also anxious.
  Surgeries that require inter-provincial transfers are really not easy.
   Just when it was going to be more than 12 hours, the allogeneic skin transplantation was finally completed for the child. Zhang Fan felt relieved when the child was completely wrapped in a transparent burn elastic garment.
  The child who was originally as coke, at this time, except for the oxygen channel out of the trachea and the urine channel in the lower limbs, everything else is tightly wrapped.
   It's like wrapping a child in Scotch tape into a mummy.
  "The three patients are placed side by side in the intensive care unit, and when they wake up, they can see each other. We are done with the hospital affairs now, and the next step is to see their desire to survive. "
  Zhang Fan said something to Bayin, and Bayin nodded in agreement.
  「You go to rest! I will watch tonight.」
   Li Cunhou waited for Zhang Fan to drag the surgical gown, and after coming out of the bathroom, he said something to Zhang Fan.
   "Why don't you come in rotation, you've also had surgery for a day, don't be overwhelmed by your body."
  
I don’t feel at ease when others come, and even if I go back, I won’t be able to sleep well, so I might as well sleep here. All right, you go back quickly. "
  Zhang Fan nodded.
  As for Academician Jiang, this meeting can only be supported by the students and slowly walk downstairs.
  " I'm old, I'm old, I've only been standing for a long time, and my legs are no longer obedient. After you go back today, write a paper for me to read. You can't just cover your head and learn, but you must have your own ideas.
  Why am I giving morphine? And it is repeated. You have to figure out what the mechanism is here. "