Chapter 766: Learn to teach

Chapter 766: Learning To Teach
Starting from the face, because the armed police fighters fell into the trap and were burned by the fire, then the fallen tree hung the soldier's protective clothing.
The scalded skin is like the second layer of paint made by an irresponsible painter, and the skin sticks to the protective clothing, so it comes off alive.
To be honest, this pain level directly makes people feel down to shock.
Therefore, especially in the past when the villagers were cooking water in the stove, sometimes the children didn't notice it and fell into the boiling water pot.
In Huaguo that year, 70% of the wounded were children.
Then, the parents did not understand the knowledge of scald first aid. They lifted up the child and listened to the child's extreme pain. Even the cry sounded when there was no air.
One was anxious and quickly took off the child's clothes. As a result, even the belt meat, the child was directly peeled into a red child, just like cooked peeled shrimp.
If you are unlucky, if you sprinkle some soy sauce, put some oil, and honey on your family, you can use it as honey and elbow meat.
With a little bit of luck, parents can be sent to a larger hospital for the first time, and they can survive.
However, even after healing, the body directly turned into a brown scar with contracture and tension. It was really painful and terrible.
Then as the child grows, the whole body's contracture tightly stretches the skin, like a cover, hooped on the child's body. Every time the child grows, the child is like a moth coming out of a cocoon, with a crack on the body!
The face of the armed police soldier, the scalp on the plate, was first scalded by the torn protective clothing, and then the falling tree was torn and pulled directly. The scalp and the skin on the face were like crispy potato chips. Torn apart.
The remaining skin and hair looked particularly painful on the red tender meat.
One piece of red, one piece of burnt, and then the remaining plate-inch hair stayed on the red meat, really, quite scary.
It's just that the pork was chopped without pulling the pig's hair clean. The blood was red with black hair.
"The transplantation of the face must be considered well, Zhang Yuan, there is no chance to come back."
The pediatric scald director of the capital said to Zhang Fan a little bit worried.
Can't you worry, although Zhang Fan's technique is quite powerful, but there are too few things prepared before the operation.
Face and head transplantation and plastic surgery, let's just say that, why do so many local tyrants go to stick country, and why go to Europe for surgery?
This operation is difficult. First of all, this thing is three-dimensional, it is not a simple single plane like the hip.
Therefore, the surgeon must be familiar with its three-dimensional planing structure.
In the past, patients were made molds of faces in advance. The country of origin and Europe and the United States have developed rapidly in this area. They have combined computers with medical treatment, and they have to admire others.
Hua Guo was slowly catching up, but still relatively behind.
But even if those in the capital can't make it into the top 10 in the world, the top 50 is still fine.
Therefore, when I saw Zhang Fan, I started to do it. One didn't make molds for the wounded, and the other didn't do computer three-dimensional construction. I started directly. Really, they all felt hanging.
"Is there a professional computer, let me hurry up to build the structure of the wounded!" The director of the Shuitanzi Burn Department also said.
Now is not the time to be emotional, to help a little bit, to give a little force, to give a little force.
They have no doubt about the level of Zhang Fan's operation. Zhang Fan's knife was used to cut the meat without damaging the blood vessels. This level is amazing to them.
"It's too late, the damage area is too large, and it's not just burns and the accumulation of chemicals after burning. If you don't clean up the transplant sooner, I'm worried that there will be poisoning and skin graft death.
And we don't have professional computers here. "
Zhang Fan said gently, although he was talking, there was no pause under his hand.
"No mold, no structure drawing, it's too difficult and the conditions are too bad." The 30x director sighed softly.
Then he immediately said, "Zhang Yuan's level seems to be no problem. I have a sick number. His body is very similar to that of the soldier. Otherwise, I now let our hospital transmit the information. "
He looked at Zhang Fan.
"Thank you, thank you, no need. Believe me, his structure is already in my mind."
Several people said that they were quite pertinent opinions. Zhang Fan's heart was warm. He was proud of the profession of doctor.
Yes, many times, there are many doctors who secretly take advantage of them, but in the face of difficulties and disasters, their profession is not shameful.
Just like a video, it makes everyone cry, "Where are you?"
"Waxi, where are you from?"
"Shanyi!"
"Come on, take care!"
"Take care, come on."
For what it is, it is actually for the patients. When these experts approve Zhang Fan's level, one of them counts one and keeps trying to find a way for Zhang Fan and keeps giving ideas to Zhang Fan.
They don't sit on high walls and don't stand idly by, because this is a matter of life and death.
As long as people with a little conscience, no matter what profession, regardless of men and women, will give a helping hand at this moment, this may be the reason that the blood of the Chinese nation can last for thousands of years.
There is no way, there is no good way, now we can only count on Zhang Fan's technology.
"Build blood vessels! Prepare a magnifying glass!" Zhang Fan nodded, and began to order directly.
Originally vascular and nerve surgery, the microscope is more sophisticated, the magnification is better.
However, the patient was burned too severely. Not only the trachea was cut, there were too many channel drainage tubes on the body, taking up too much space. The volume of the microscope is too large, it is not applicable, and only a magnifying glass can be used.
The medical magnifying glass is not the kind of burning ants that the little fart holds.
It is estimated that the elderly person may have seen the watchmaker's watch repairing, the medical magnifying glass, and the watchmaker's magnifying glass are special, but the watchmaker's is a single tube, while the medical is double cylinder.
Bringing this stuff looks handsome, like a madman in technology. Actually, it ’s not. Bringing this stuff, I ’m not handsome, I do n’t know. If you ’re not used to it, turn your head a little faster, and you can spit out.
And this thing is particularly heavy. It can be said that a female doctor with a narrower neck can straighten the neck and bring her head up after performing an operation with this thing.
"Tweezers, needle holders!" Zhang Fan took a magnifying glass and couldn't turn his head. To tell the truth, he didn't dare to turn his head too fast. He was also afraid of dizziness.
Reaching out, the nurse quickly passed the instrument to Zhang Fan's hand.
"Open the lumen!" Zhang Fan said to Yizhu, a female director of the Pediatric Burns Department in the capital.
"OK!" She also carried a magnifying glass.
The two hands, in a staggered, opened the diameter of the blood vessel.
To build a new blood vessel, the blood on the blood vessel must be cleaned and the blood can be circulated after suture. This is an awkward sentence.
But that's so awkward.
In the reconstruction of blood vessels, as long as there is a little residual blood, this thing is like a detonator, which can activate certain clotting factors of the damaged outer skin of blood vessels.
Once one is accidentally activated, it is troublesome, and a blood vessel is connected. As a result, the tourniquet is loosened. After the blood comes over, all the blood is coagulated together to form a large amount of blood clots.
The female director held tweezers in one hand, clamped the outer membrane of a blood vessel, and held the suction device in one hand, ready to draw blood and irrigation fluid at any time.
Zhang Fan took the pliers in his left hand and clamped the other side of the blood vessel, then took the flushing gun in his right hand and started to flush.
What exactly is an action? This may be a bit vague.
Many people have played with filling balloons with water when they were young.
The mouth of the balloon is too small, and it will shrink, so the children cooperated, pulled one side aside, and then extended the balloon to the tap.
This is one action.
Easy? No, for doctors, this movement is too difficult and too difficult. Without tens of thousands of exercises, don't even think about doing this operation.
The adventitia of the blood vessel is also 3 ~ 4mm, let alone coughing and shaking hands. As long as the doctors are slightly out of sync with each other, this blood vessel will be discarded.
"Director, hold on, put down the suction device and let the second assistant replace your suction device. You have to open the adventitia of the blood vessel. The adventitia is a little burned. I want to repair it."
"Uh!" The sweat of the directors of several capitals came down. It's too difficult. It can only be done under the microscope under the magnifying glass. Really, it's too difficult and the requirements are too high.
Peel off, lift up, and then sharply cut with a sharp mouth, gently peel off and trim the scald skin.
This thing, if it is enlarged N times, it is exactly the same as foreskin surgery, that is, the outer skin is reduced.
Outside the operating room, Ren Li organized physicians to pay attention to the vital signs of the wounded, and at the same time began to let young physicians learn the medicine of experts.
"Cardiotonic agent, when it reaches an extreme amount, there will be an inhibitory effect, everyone sees here ..." While understanding, Li Li pointed out the key points to the young doctor.
In the operating room, several experts with magnifying glasses, like students, stared at Zhang Fan's hands and stared at Zhang Fan's hands tightly.
They are too aware of the importance of this method of operation.
There are many reasons why Lao Li's materials cannot be promoted, and there are many competing materials.
For example, the more popular biological culture in Europe and the United States is to use the patient's own skin through biological engineering to breed the required skin.
This is very good, but the limitations are also very strong. It takes time and money.
In this way, this thing is not available to everyone, and there are not many studios that can be cultivated with biological engineering. Therefore, ordinary people cannot expect it in the short term.
The material of Lao Li is definitely comparable to the skin that has been cultivated, but the surgical requirements are too difficult.
Therefore, when Zhang Fan showed his Zhang's sword, everyone's eyes were straight.
"Surgery, can you still do this?"
"Oh my God, blood vessels can improve survival rates."
"Bull, really, too bull."
They were too knowledgeable. When Zhang Fan entered the key steps, they were more serious than one. They were dismissive at first, and their anger was gone now.
Repairing blood vessels and repairing lymph, step by step, Zhang Fan did a perfect job.
Really, watching the warrior's slowly burning potholes slowly crawled out of the spider-like vascular plexus.
"Lao Li, materials!" Just like in the laboratory, Zhang Fan is about to use skin materials for transplantation.
He took the skin, took a soft breath, then closed his eyes, his mind was full of the three-dimensional structure of the soldier's face.
Combining the system, he simulated it piece by piece in his mind.
When Zhang Fan was simulating with his eyes closed, the operating room experts did not urge.
Ninety-nine steps have been taken, and now the last step, we dare not urge, nor can we urge.
After filling the last piece in his mind, Zhang Fan exhaled gently.
"Start!"
End-to-end anastomosis, separation of internal and external molds, nerves, lymphatics, facial muscles, and action muscles.
Step by step, the operating room was silent. Every time Zhang Fan took the new material and walked through the vascular plexus, nerves and lymphatic vessels like spider webs, the hearts of all the experts raised.
"Oh my God, he built the blood vessels first, and then let the blood vessels spread into the tissues by himself. The idea is really genius."
"The hand is really stable. Almost all the shots are taken in one breath. It turned out to be this way!"
Experts have learned their own difficult thresholds from Zhang Fan's surgery.
This is called understand, understand.
As long as they know what they lack, then they can practice, they can go to the liver, they are afraid, they will never understand what is wrong.
Or when they understand what went wrong, their age does not allow them to take the knife to the table, which is the sadness of the surgeon.
This also shows from another aspect that a surgeon has a good teacher.
"I see. I really understand. I thought I was wrong!" The 30x director sighed deeply and looked at the young doctor opposite him with a very special look.
Face ends.
The neck ends.
The chest ends.
"Zhang Yuan, can the patient's limbs be separated at the same time?"
The pediatric scald director of the capital asked 忐忑, although four or five hours had passed, they did not feel a little tired.
Because, they have crossed a threshold, a considerable threshold of their careers. It can be said that they broke their ceiling of practice, and now the adrenaline is full!
"OK! But don't force it!"
"Okay! Absolutely not. There is a problem. We stop immediately."
Several directors split up and started an allogeneic transplantation of limb skin.
I was so careful, I was so excited.
Oh my god! They felt like the first sword of the year, and the excitement in their hearts was beyond words.
"Zhang Yuan, here, here? It doesn't seem to fit well!"
"Look, in this way, for the limbs to perform actions, a certain amount of skin must be reserved, and the blood vessels here must be connected in advance."
Zhang Fan was constantly guiding them, and if he had learned it, he had to give it to others. Zhang Fan gave his knowledge of integrating the system to the people without any reservation.
And in the operating room, the young doctors didn't feel much. Looking at the orders of these experts, they had no idea, "What are they, how are they used!"
The doctors of this level of Ren Li, the more interesting they became, the more they frowned, the other seemed to be the same, and the second seemed to be incomprehensible.
Surgery came to an end.
(End of this chapter)