Chapter 254: Thunder in the palm! Will fry

Chapter 254 Thunder in the Palm! Will fry
When seeing the child's injured finger, Zhang Fan and Lao Chen couldn't breathe. I saw the skin of the fingers at the ends of the thumb and forefinger bloom like a black chrysanthemum, and the were open. Talking about people means breaking the skin of the fingertips without saying anything, and the red muscles open like a cord. After the cotton on your fingers is removed, blood begins to flow!
When the wound was explored, the child cried with tears of heart, the father of the child hugged his child tightly, grasped the other hand, and the mother shed tears to help squeeze the injured hand.
"Is the child firing a cannonball or a detonator! Why is it so serious!"
"We were busy cooking. One of them didn't notice. The child lit up with artillery." The mother of the child was speechless. Although Zhang Fan made it very gently, she could connect her fingers, her mother and her child, and the baby cried. Heartbreak, can she feel good about it. The child's father talked with red eyes.
An adult who has done heavy work today may not be so serious. The child had thin skin, and the gunfire exploded directly in his hands. If this power is even greater, he may blow his finger directly!
In micro orthopedics, this injury is independent and has a big name, destroy the injury! If the wound is cut and the incision is straight, the difficulty is not much. Just like the operation that Li Liang performed, although looking at the danger, in fact, as long as the action is fast, the replantation rate will be very high, and it can almost return to the original stage About eighty percent of the functionality.
But this little child's is much worse. Although it is such a little place at the end of the finger, the skin has been damaged, the muscle layer has been injured deeply, and the white bone is already visible, and the thumb and index finger of the right hand have no skin, so there is no end of this finger The method is reserved.
You can imagine how cruel a person is without his right thumb. After the thumb is gone, you can directly assess the disability, and then you can have a book, a disability certificate! And this doll is only six years old, how bleak life will be in the future!
Although the child cried heartbreaking, but the child's parents and grandparents staying outside the door didn't have any words to stop, crying and pain were all right, as long as they could keep the child's finger!
Zhang Fan looked at the child's finger and thought of a way of dealing with it. Although it was serious, for a systematic person, this was not much.
"Doctor, please, the doctor at the Chinese Hospital told me that only here can save the child's finger. Please, be sure to save the child's finger!" When the mother saw Zhang Fan silent, she collapsed. Already. The depressive weeping was just like the sluice was released, and the torrential flood rushed out.
"Oh! Hey!" This cry was like a desperate she-wolf, and her trembling hands were stained with the blood of many children! Although the child's father didn't cry, his eyes were red with tears, and tears flowed down against the child's face.
Lao Chen wanted to speak, but he was not sure. He opened his mouth, but did not speak, looking at Zhang Fan. "There is rescue!" After speaking, Zhang Fan said to Lao Chen, "Ready for surgery."
"There is salvation." This resembled the sound of nature, directly making the children's mother's tight body soft and sitting on the ground. When in the hospital of Chinese medicine, when it was heard from the doctor's mouth that her finger needs to be intercepted, her world became gray, desperate and helpless!
Fortunately, Zhang Fan's salesperson has made their home. Traditional Chinese medicine hospitals and municipal hospitals have run countless times. Otherwise, this family will not have any more years, and it is estimated that they will not have another New Year in the future! ~
This injury is not simply a general injury, it is a compound injury. The huge energy not only damaged the skin and muscles, but also burned and burned the surrounding skin. It was so cruel and serious.
When Zhang Fan said "there is rescue, ready for surgery", Lao Chen seemed to be resurrected. Lisuo began to say, "Cry what you cry, now is not the time to cry. Hurry up and sign the fee and prepare for the operation. Who, go Push the C-arm to the second operating room. Hurry up! "Just like the head nurse, he started to get busy.
Seeing the fog, parents watching Zhang Fan are full of gratitude. When Zhang Fan came out of the treatment room and was about to enter the operating room, although the two old men waiting at the door didn't dare to interfere with Zhang Fan's lips, his eyes looked hopeful with tears, poor expression, and gray hair!
"Elderly people, rest assured, it will be fine!" Zhang Fan, who had already passed the two elderly people, turned around and said something! Everyone has a secretive heart, but it is only getting harder and harder with time and age!
During the operation, the head nurse of the operation gently comforted the child! This is the advantage of women. If Zhang Fan is asked to comfort the child, it is estimated that the child will cry even more. Why? It's probably because it looks dark!
Because they may have been afraid of leaving their parents, although the child did not dare to cry loudly, the shrinkable body, slightly trembling limbs, were like a wounded deer, facing a group of hungry lions!
"It's so pitiful!" Lao Chen looked at the child, maybe he thought of his child, and said with a bit of mercy.
Zhang Fan turned his head and glanced at the child not speaking. At the beginning of anesthesia, if it is not for skin damage, this operation will be debrided directly under local anesthesia. It is a very simple operation. But because of skin damage, the difficulty level of the operation was suddenly raised by N levels.
After anesthesia, debridement is started. This kind of injury can almost be regarded as a firearm injury. Rinse first, and a large amount of isotonic saline starts to rinse. Flush the broken free tissue (rotten meat!) In the wound, and then use a sharp knife to gently Remove the superficial powder particles from the surrounding area.
"Tourniquet!" When cleared, Zhang Fan did not let the tourniquet, because Zhang Fan needs to know that there is no bleeding in that place, and the tissue in that place has been inactivated.
Today's operation, Lao Chen is Zhang Fan's assistant, everything is proceeding methodically. The surgery area is not large, but the place is too important, it really makes people speechless, even if you explode to the palm of your hand, it is not so troublesome. The big thing is to do a skin graft, but the general skin graft in this place is useless directly, and the blood supply at the end of the limb is not good. If you blast it like this, the circulatory system will be blown out directly.
The focus of the early stage of this operation is irrigation, thorough irrigation, and then the complete removal of the inactivated tissue. This tissue is not cleared away, and it will be a scourge of infection. In layman's terms, it is tantamount to burying the rotten meat in the body.
This is the first step after these treatments. The next step is the most important. How should this operation be done? Without blood vessels and skin, there is no way to deal with conventional surgery.
As a young child, Zhang Fan chose cross arm flap transplantation. What do you mean by designing a flap on the child's contralateral upper arm or forearm? What is a flap? A flap is formed by the skin with blood supply and its attached subcutaneous fat tissue.
Simply put, find a suitable place on the opposite arm, then open the skin muscles, find a place where the muscles are thicker, and take the skin muscle blood vessels and trim them to a defect.
Then stitch this tissue with the child's finger. The trimmed tissue is not completely separated from the original place. Sew it on the child's finger. This nutritional blood vessel continues to be supplied by the contralateral arm, etc. The blood vessels at the place of transplantation are grown and then separated.
After the operation, the child's were stitched directly into the opposite arm.
Because she is a child, Zhang Fan does very fine work. The child is constantly growing and developing. If the operation is not done well and the choice is not good, it will directly affect the function.
The design of this flap is very particular. Although doctors with rough techniques have preserved their fingers after finishing, it is too ugly. It is just like a sarcoma growing on the egg of the finger, because the design is not good.
Why the design is not good, because the surgery is done less. It's not that doctors don't care. This is not difficult for Zhang Fan. I don't know how many times I practiced it in the system.
Slowly open the deep fascia of the opposite upper arm, repair the hemostasis, and then gently transplant the trimmed flap to the child's wound. This operation is really embroidery. The wound is too small. Zhang Fanyi He bowed his head, blocking the vision of others, and Lao Chen bent his waist to take time to blood and wipe.
The tissue that was constructed was connected to the place where the original tissue was called, this is the way to ensure that the child's wounds can be resurrected. After repairing, Zhang Fan quickly sutured continuously. Just bury the child's in his left upper arm.
Before the bandaging, it looked like the child made an OK gesture with his right hand, but the thumb and index finger reached into the flesh of the left arm.
Although the operation is not easy to do, Zhang Fan ’s speed is too fast compared to Li Liang and Song Bing. When Zhang Fan and Lao Chen started to bandage, Li Liang was still doing the third finger !!
Gently insert cotton between the injured hand and the left arm, and then fix it with adhesive tape. Give the child a beautiful triangle to hang his right hand.
This operation has not been completed yet. It is necessary to wait two to three weeks after the wound is alive before breaking the pedicle. Although it was a long time and very uncomfortable, but finally the family did not spend the Spring Festival in the dark!
After the operation, Zhang Fan stretched his waist, and it has been more than two hours. "After going down, we must explain to the parents to look after the child. The child does not understand, if one accidentally breaks, it is finished. The doctor in charge is also Worry, pay attention to the solidity of this cross. "
"Okay, I'll be in charge of this child myself. Master, you should go back early, it's almost eleven."
"Don't worry, wait for Li Liang to take the operation and have a big dinner together. Are you ready?"
"Yes, I have prepared a lot of quick-frozen dumplings for the doctors and nurses on duty, and they will be lively and lively together!"
Outside the operation, the child's family and the middle-aged woman's family were quietly sitting in front of the operation door, with the same anxiety and worry, and the sound of firecrackers from the distance was so harsh and irritating to them!
In the old Chen's house, his wife and children looked out of the dark window. "Let's eat, your dad is probably undergoing surgery again! Hey, there is no time to rest throughout the year."
At Shao Hua's house, he looked at the Spring Festival Gala quietly and boringly. The old man had been watching in the community several times.
"Eat! I guess we can't come, let's eat, not waiting for him. Come quietly, I'll pour you drinks." Shao Huaqiang said with a smile. Why not call?
It's very simple. If the doctor goes to the surgery and the family has no major issues, he usually won't call! Unless the doctor calls home.
Among the lights in Wanjia, the personnel in these special posts are still continuing their daily work.
Spring is coming! ~
Hey! Don't know
One must be startled!
Then come again!
Thank you for your reward!
(End of this chapter)