Chapter 765: Zhang's knife method

Chapter 765: Zhang's Sword Technique
"Come here!" The scalded director of the pediatric hospital in the capital said in a surprising tone, but under the environmental and atmospheric additions, the director of 30X mistakenly thought that the chalquin's mallet had caused trouble.
The medical industry, no matter it is an antiquated ancient age or a technology-based world, has a particularly and particularly obvious quality.
That is, doctors are particularly reluctant to accept patients who have already been treated.
There are too many sidewalks in this area, especially in the current environment of medical insurance, the doctors really have headaches when receiving patients who are transferred.
Moreover, there is a problem that doctors are particularly afraid that the previous doctor used saw cluster therapy.
What do you mean, say a person, let the enemy biubiu shoot an arrow, and then be carried by his partner to the doctor.
In the end, the doctor did n’t know whether he had a strong sense of responsibility or was not up to the mark. His treatment was quite simple. He clicked and saw the arrow rod exposed outside his body.
Then he said to the injured person: "Go, I'm the doctor in charge. Go to a doctor who specializes in seeing it."
This is equivalent to digging a pit for the next doctor. The next doctor cannot be found and cannot be pulled out.
Therefore, when the director of the scald department of the Capital Children's Hospital shouted in amazement, the 30x director Chen was so angry that he even complained with the mean Li Cunhou.
"Since we are called, you don't want to let the doctors do it. It doesn't matter if it doesn't help, but you don't make it difficult for us."
He complained about Lao Li, and he was not polite. "Let's go!" To tell the truth, this is a good temper, and a lot of surgeries have taken that temper into the operating room.
Old Li was dumbfounded for a moment, but he didn't care about it. After all, he was considered to be his own face and helped himself, so he moved his body and gave up his position a bit.
This position only allowed him to take a look, but he couldn't get him to start debridement. Old Chen was almost out of breath.
"You ..." I was about to curse, but my eyes floated on the wounded wound.
He couldn't swear this time.
Earlier, Zhang Fan didn't dare to speed up, fearing that it would irritate the patient and cause the patient's stress response.
This reaction, if it is explained in technical terms, is particularly troublesome and a simple metaphor.
You walked at night alone, and you were a little worried, but you jumped out and shouted, Sun Thief!
Then, do you have a kind of creepy, all tight, cold sweats, diarrhea muscle relaxation and want to tick.
In fact, the body is the same. When the injury is severe, there is continuous irritation and the body begins to have problems.
For example, major gastrointestinal bleeding and brain edema are all signs of stress response. The brain is probably in such a state at this time, "Run for Lao Tzu! Okay, if you don't run, I will show you self-destruction!"
Therefore, in order not to cause the stress response of the wounded, debridement is slower.
But even then, about half of the damage area has been dealt with.
The unprocessed half is directly like a black (a) person who was thrown into the fire and scorched again, then brushed with a layer of oil, and then grilled again, which is directly roasted with cracked skin.
Dark-scorched skin, like broken frosted glass, is full of dark red and dark red cracks and incisions, and there is also light red blood and yellow cell fluid.
It's really like black face, red lips and drooling, and this mouth can't be counted. It's really like a thousand-handed Guanyin's full mouth, which makes people look hairy.
On the side treated by Zhang Fan, although it was still dark, the cracks between the flesh and the inactivated tissue had been cleaned up.
The scorched tissue was removed from the loose wound. Black people like curls were blown by a kerosene torch.
Although it was also scorched, although it was also dark, no infection, no bleeding, no inactivated tissue could be seen.
Lao Chen looked at it like this, and then looked at Zhang Fan, "Oh, obediently!" Because of the support of the capital experts, Zhang Fan was holding a knife, holding a scissors, holding gauze, and moving fast.
Zhang Fan now has one thing in her mind, debride quickly, and then go to surgery.
brush! brush! Brush, knife, peel off. The description is simpler, just like an old chef who is slicing a fish, going down the knife, sticking to the reddish half-cooked muscles, and the skin is cut off layer by layer.
Lao Chen's anger can't come out. This craft, this craft is not worse than him.
Lao Chen Meng stayed, then looked at the director of the pediatric scald in the capital with a look of confusion, "what do you mean?"
The female director, without looking at Lao Chen, said directly: "Don't hold yourselves, everyone, let's get started and help."
"This doctor is ..."
"This is Zhang Fan, Dean Zhang!" Lao Li quickly introduced, and then said, "The surgical method of allogeneic skin grafting is mainly operated by Zhang Yuan."
"Oh, oh, Zhang Yuan, let's deal with it separately, you and me on the left, their right body."
"Yes, hurry up!" Zhang Fan nodded, but there was no pause under his hands.
The anesthesiologist reports every five minutes and every five minutes. The vital signs of the wounded were reported to Zhang Fan at any time.
There are many people and powerful people. Compared with Zhang Fan, this group of experts and directors can't distinguish between male and female in this level of debridement. After all, debridement is the entry operation for doctors.
Twenty minutes later, the wounded was debrided all over, "preparing for surgery."
Zhang Fan didn't need to discuss with others, he started to order directly.
"Uh ..." The director of 30x also pondered that the doctor might be humble, and maybe have a discussion with some of them before the operation. As a result, people didn't even look at them and went to the surgery directly.
Fantanzi, the capital's pediatric burns, were all scratched by Zhang Fan.
"Such a big operation, don't you design a surgical plan, don't you plan a surgical procedure? Even if it is urgent, you must book a surgical plan in advance. You can't pee the puppies.
"Oh, no, this kind of operation can't hurt people."
Lao Li hardened at this time.
"Isn't this how to dismantle the bridge across the river? When the patient was rescued, why didn't I think you were so breathless." The director of Shuitanzi jokingly said an old Li.
"Isn't this the critical situation of the wounded, old man, old man, I'll give you a break, don't worry about it in a small place, he is really sure, don't you believe me?"
"Hehe!" Several experts sneered.
Zhang Fan ordered that all ICU nurses wearing protective clothing, as well as doctors and anesthesiologists, got started and pushed the operating car over the operating room.
After the side door of the ICU is opened, it is directly the passage of the operating room. "Quick, let it go, let it go!"
In the aisle of the operating room, the nurses and doctors were all against the wall, giving way to the armed police fighters.
While running, Zhang Fan took off his protective clothing. "Director Gu Li, hurry up."
"Eh! ~" Guli looked at her teacher who trained in advance and looked at Ouyang again.
Ouyang gently shook his head as if inadvertently.
At a glance, Guli immediately shouted, "Zhang Yuan, come right away. I'll get the medical records."
"What time is it, can't other people take it?" Zhang Fan was furious, his voice shouted.
Zhang Fan taking off his hat and Zhang Fan shouting his voice, this made several experts in the capital see it clearly.
"So young, Li, this is not a joke!"
This time it was not just the male director who was in a hurry, but even the female director of the pediatric scald department in the capital was anxious.
"Absolutely no problem, I use my professional reputation to guarantee that there is absolutely no problem."
Lao Li changed his old-fashioned expression with a solemn expression on his face.
At this time, Zhang Fan was no longer worried, and he was not timid at all during the operation. As long as the wounded's vital signs were smooth, he really wasn't worried at all.
The last-level surgeon was an assistant to him, and he could do it.
"Let's do it today. It's a pit for Lao Li. We can't do it or we can take it over. It's better to go up ahead and let him in front.
"Row!"
"Disinfection, spread towels, quickly!" Zhang Fan turned his head to find an assistant, but at a glance, none of the three doctors who took off their hats knew him.
Old Li is like a matchmaker who pulls a bridge. "This is the capital 30x ..."
"Oh! Thank you directors, please take care of the operation!" Zhang Fan nodded gently. Not enthusiastic, but not indifferent.
It's just plain hello. Now Zhang Fan is no longer Wu Xia Ameng.
For the attitude of Zhang Fan, the experts in several capitals really didn't feel it. They felt like they were catching up.
If there is no pre-operative rescue, they may not have such a strong feeling, but after the pre-operative rescue, they can also see that this is an ordinary regional hospital.
In Huaguo, there is one other than Modu. They went to the local hospital.
But now, in a small frontier hospital, the doctors are not only rude, it seems that their cards are just the same.
The doctors up and down saw that they did not have that eager look, especially this dean, who was young at all ages.
Facing them, he simply nodded, as if he was the director of the large hospital in the capital, his face remained unchanged!
"Oh, let's do surgery first. Your sword?"
The older female director smiled reluctantly, and asked.
To be honest, it is not that the doctors at Chasu City Hospital are not enthusiastic. In the past year or two, they have seen too much too much to make their eyes pop.
Even the legendary characters in the textbooks have visited their hospitals, so they are really immune to ordinary Da Na! ~
As for Zhang Fan, the attitude of worship has long passed.
"My sword!" Zhang Fan still nodded.
"His!" The 30x chief's teeth are beginning to hurt.
But what can I do now? I rushed to myself, in a more vulgar language, I made an appointment ... I need to grit my teeth ...
Come on!
Tensioned, several experts really went to the operating table. As soon as Zhang Fan arrives in the operating room, his mind will definitely become particularly singular.
The only thing to think about is how to do the operation well and how to make the operation better.
As for the others, he was unwilling to distract himself.
Surgery begins.
For the operation of large-area burns, to be honest, the risk of single-finger surgery is not as high as the risks outside the brain and the heart.
Outside the brain and outside the heart, sometimes the doctor is not careful, either arteries or nerves, and it is definitely dangerous step by step.
Although the risk of large-scale burns during surgery is not so thrilling, the requirements for a surgeon are high.
The first is microscopic, local skin sutures, allogeneic skin transplantation, sutures and re-establishment of the vasculature, a little under the hand, although it will not cause problems for patients at the time, but the allogeneic materials cannot survive after surgery Infections are not escaped.
Macroscopically, where you need to put more, where you need to put less, and where you need to transplant a little muscle, you need to reduce a little muscle, which must be considered before surgery and make corresponding changes during surgery.
If you don't have this big picture, sit down during the operation, or if the patient is pulling the skin, the skin collapses tightly, and closing the mouth is a big problem.
Do you want the skin to build up? Just like a Shar Pei, take a breath. The skin on your body is like waves, wave after wave.
"Blade!" Zhang Fan said to the surgical nurse, "Material!" Then he said to Li Cunhou.
Today, Li is out of his place on the operating table, so he can only resign as a material nurse.
Zhang Fan first started with the soldier's face, skin transplantation, where the hardest, the hardest face.
Really, without any beauty or aesthetics, there are more holes in the face than anywhere else, so the skin transplantation on the face is the most difficult.
"If you don't start with the abdomen, you can figure out something unexpected, and there is still room for returning to the world!"
The director of Shuitanzi couldn't help saying that although he was not very cold about Zhang Fan's attitude, he was responsible for the patients.
"Yes!" The other directors nodded, this is the normal operation sequence.
Lao Li looked at Zhang Fan and looked at several other directors. He remained silent. He knew Zhang Fan too well.
"No! Start directly on the face." Zhang Fan did not have time to explain. First, the waiting time is more likely to be infected. Once the face has a second infection, then even if the skin is successfully formed, the patient's face has a vortex like a cannonball. The blasted position is the same as the young man.
Secondly, Zhang Fan is too skilled with this kind of transplantation. Not to mention that he did it many times a day during the experiment. In the system, he did not know how many times.
If you are not sure, you dare not take this risk, and you cannot take these into consideration for the wounded. I am so sorry for his system.
Several directors looked at each other. When the 30x old Chen was about to open his mouth to stop it, Zhang Fan moved, and he even had no chance to speak.
The knife, just like a meat grinder, is alas, the muscles of the face are cleared out, and the blood vessels like red shreds stuffed into the teeth are exposed, all exposed!
"material!"
Lao Li quickly passed the materials in his hand.
You don't need to do more than a few knives. Zhang Fan used a few knives to convince several directors completely.
"Oh! Good luck! Where did he learn this hand?" As the so-called three-handed boxer, the director of Shuitanzi asked Lao Li in surprise.
"Hey, this is Zhang's knife method!"
(End of this chapter)