Chapter 767: But be ashamed (big

Chapter 767 But Worth Being Deserved (Big Chapter)
After the operation, experts cooperated with Zhang Fan to finally completely transplant the wounded allogeneous skin.
Although these experts are much slower than Zhang Fan, they are not as skilled as Zhang Fan, and they are not as thorough as Zhang Fan thought.
But after Zhang Fan's advice, they have been slow from the beginning, getting faster and faster, more and more handy.
This operation is much faster than Zhang Fan's alone.
Fortunately, many experts came today, otherwise, such a large operation, you don't have to think about it. By relying on Zhang Fan and Cha Su's doctors, Zhang Fan would have to use diapers.
To be honest, Zhang Fan hasn't used diapers since childhood, but there is nothing to expect with this gadget, and Zhang Fan certainly doesn't want to use it.
After the operation, the armed police soldier was wrapped like a mummy, so he leaked his eyes, leaked his mouth, and even wrapped the small XX in the bandage. Only the urinary tube was exposed through the gap.
This kind of scene often appears in Xingye's young movies. Holding a cane, and then showing only the supporting role of his face, he limped around.
This can be done in the movie, but it is not possible in reality, especially for the wounded, who dare to leave and where can he go.
In order to prevent frictional necrosis of the newly transplanted skin of the patient, a thick sponge pad was placed under the patient's armpits, under the iliac fossa, elbows, and under the body of the wounded, directly an air bed.
In this way, the safe healing of the transplanted skin cannot be guaranteed, especially in the 24 hours after the operation, the ICU nurse changes the wounded person's position every fifteen minutes and changes the wounded person's position every fifteen minutes.
Really, the little girls who are weak and weak, carrying a hundred pounds of man, come down one night and feel like they are ten years old all night.
Zhang Fan had surgery and couldn't even care about the doctor's order. "Director Gu Li, help me with my doctor's order!"
After speaking, Zhang Fan ran towards the bathroom without turning his head. One of the directors of 30x, Shuitanzi counted one, and they followed Zhang Fan toward the bathroom.
Compared to male doctors, female doctors are much better. Except for women during pregnancy, in other time periods, the degree of women holding urine is definitely hanged on men.
Therefore, many people love to compete with women when they drink beer in the summer. Whoever pee first loses. To be honest, it doesn't matter if they are stingy, at most, there is paralysis of the bladder.
But the old men ca n’t do it for a long time. It ’s hard to say if the bladder is paralyzed or not paralyzed, the prostate will definitely rebel, and then the urination will die, but when it is discharged, it becomes ticking, ticking, ticking. Don't hold back!
Several grandfathers hurriedly rushed towards the bathroom. In order to avoid embarrassment, the female director of the Capital Burn Department did not go for the first time, but stood behind Guli to see Guli's medical order.
Although they are the director of the scald department of the pediatric hospital, let alone the capital, even in northern China, they are still very good in the field of scalds. After all, most of the scalds are children.
"Larger lactated Ringer's solution, a little less protein." She looked at Guli's doctor's order, frowned, and spoke loudly.
"Oh, the protein in the wounded is a bit low. If you don't add it now, will there be a large area of ​​edema?"
Guli turned to look at the director, and then expressed his doubts.
With the end of the surgery, the doctors of Thealine Medicine and Surgery, when they heard the expert instructed Guli, everyone slowly came together.
This is tantamount to the director Wang of the capital's capital performing another round of surgery, and those who are hard to learn will certainly not let go. Of course, there are also mixed papers, and they are confused in the crowd.
"Conventionally, your doctor's order is the most appropriate, but the patient has suffered too much damage, and he is a young warrior. His muscles must be very developed, so even if you give the patient twice the amount of fluid, he cannot make up for his Fluid loss.
The liquid difference has increased many times between entering and exiting, and now if a large amount of protein is input again, the osmotic pressure of plasma will directly appear hypertonic.
Once the hyperosmosis occurs, and the patient is in a coma, what problem do you think will happen next? "
The female director of the Capital Burns Department was named Wang. At this time, the director Wang not only asked Guli, but turned to look at other doctors as if she was conducting a rounds in their hospital.
People have already figured out the mechanism. If it can't be said, it's a bit too much.
However, some directors in the doctors are a little reserved, they are waiting, if no young people come out, they will definitely answer, after all, Ouyang is also there.
At this time, they were also investigating to see if the young man had a solid foundation.
"High permeability can induce kidney failure!"
Wang Hong, the endocrinologist, and the one in her heart, as well as several young doctors in internal medicine, answered the questions as soon as Director Wang asked them.
"Well! So, there is no need to supplement protein now, and ensuring the fluid volume of the patient is our most important requirement at present!
Even if the protein supplement is added, what can happen? The patient has such a large injury, and the edema is still edema.
The hospital seems to be very focused on the study of young doctors, yes, continue to work hard! "
After Director Wang finished the explanation, he nodded to Ouyang, which was considered an approval of Ouyang.
The old lady was happy, really, surgery, today's tea vegetarian surgery, the old lady has immunity, and now, internal medicine can be recognized by experts in the capital, her mouth can not be closed.
After looking at Zhang Fan as they calmly came out, Director Wang said an apology to the crowd and quickly went to the bathroom.
Ouyang looked at Director Wang's back, turned his head and said a few words to the director of the medical office, and then the director of the medical office nodded and left the operating room lounge.
Fan Zhang and their male doctors talked while walking.
"Zhang Yuan, for example, this kind of material, when the area used is too large, what to do if spot-like or plaque-like necrosis occurs.
After all, it is an allogeneic transplant. Oftentimes, when the blood vessels and nerves are not yet derived, the infected bacteria have eroded and the effect of the drug is not good. "
The director of the burn department at Shuitanzi asked himself what he had encountered.
He thought that his operation was not as good as Zhang Fan's, but it should not be too bad.
But with each operation, when the surgical area is slightly once, the patient's allogeneic transplantation, necrosis of point infection occurs.
Point necrosis, the average person has not seen much, how does this thing happen for a while?
For example, a palm is transplanted with skin, and after a few days of healing, the dressing is unwound. As a result, a piece of silver coin in the patient's hand is necrotic, which is very troublesome.
To put it briefly, like a bun, a big white bun, let it stand for a few days, take a look, obediently, there are mold spots on it.
Not all of them, but points. At this time, you are very hesitant to throw them away? Or did you eat after picking?
Also, I ate fruit and bite it down, but found that some of it was broken, but the area was not large, and it was a pity to throw it away.
Then, adhering to the fine traditions of the ancestors of Huaguo, they picked this bun or fruit to eat.
This thing, how to say, this moldy spoiled food, no matter how you pick it, actually contains a lot of various spoilage factors in it.
If you do n’t need it, throw it away. You wo n’t see any harm in a short period of time. However, the deterioration factor accumulated in the body over a long period of time is that the cancer becomes free from the head.
The skin transplantation is also similar. Once necrosis occurs and is controlled, the skin will become a large contracture scar after the skin has healed.
If the control is not good, this is the source of the infection. The medication is not effective because the blood vessels are not derived.
In this case, I don't want to have a second operation, only debridement every day, how to debride.
Just as the Chinese novel of the Three Kingdoms novel treats Laoguan to cure the bone, the debridement at this time is super cruel.
A pair of scissors, a knife, iodophor, gauze, and saline are necessary. Then, first cut off the necrotic edge with a scissors, and then use a scalpel on the edge of the wound, just like digging apple cider for a child.
The idea here is that this debridement does not have a little pain relief or the use of anesthetics!
Use a sharp knife to scrape off the necrotic tissue little by little. In this kind of cleaning, you must see fresh tissue and you must see fresh blood flowing out before you can stop.
Once a day, some can even last for about a year. Really, it is extremely cruel. When debridement, four or five people must press the patient to complete it.
Just like killing a pig, the patient hurts his heart and heart, what kind of iron and steel man, in the face of this treatment, none of them is not a crying snot.
Killing one day, many patients can't accept it, can't persist, and can only choose a second operation. If this happens again in the second operation, you can only do it again from the beginning.
Zhang Fanlue said after a moment of thinking: "If the operation can not achieve the expected protection, then the mesh can only be made."
"Zhang Yuan, do you usually choose mesh skin grafting?"
At this time, the director of 30x also asked curiously. The question asked by Director Shuitanzi had also encountered it, and it was a headache.
"Oh, I rarely choose reticulated skin grafts. Generally, the surgery I do will not cause necrosis!"
Zhang Fan was telling the truth, really, nothing bragging.
However, several experts were stunned, as if the cold wind was blowing, and they trembled involuntarily.
"It's hard, everyone! Thank you for taking a break. Let's go to dinner. Your arrival, we will be honored to go up and down the Chasu Hospital!
Ouyang's smile on her grandma's wolf looked at several experts as if she was seeing a lamb with a mouth.
Several experts nodded to Ouyang, as it was not important to eat anything.
"Zhang Yuan, how do you guarantee, and how can you avoid such punctate necrosis." Director 30X is an acute child, he asked urgently.
"First ..." when Zhang Fan was about to say.
Ouyang spoke, "Ah, Zhang Yuan, you are not hungry, others are not hungry. Eat first, and after you finish eating, you will give a lecture to the hospital doctor, and by the way, experts from the capital will also speak to everyone!"
Ouyang doesn't have to squeeze her eyes at Zhang Fan. This is the tacit understanding of the two. For this tacit understanding, Ouyang is very contented. She thinks that Zhang Fan is brought by her.
As for Ren Li, there is no such tacit understanding, so Ouyang feels that Ren Li is not happy.
As soon as Zhang Fan heard it, he knew what Ouyang was going to do. He said immediately: "The dean said, I'm really hungry. . "
No way, everyone said so, even if some people were worried about meow meow, they had to eat first.
At this time, the officers of the medical service department were already set up in the largest conference room of the hospital.
"Welcome experts from the capital to come to our hospital to guide the work!" The big character has been hung above the conference room.
Then put all the nameplates. The burn department is very special. When there is no illness number, the doctors will fart and rub eggs freely. When they are busy, the ghosts can't catch them.
Therefore, it is not suitable for outpatient clinics. It is best to let experts give lectures to doctors in the hospital and talk about their experiences.
Experts of this level will give lectures. If they are not in college, it is difficult to invite them. And Zhang Fan is a can of northern burns this time. If Ouyang can let them go, he will not be called Ouyang. .
Ouyang and Zhang Fan, as well as Ren Li and directors of some hospitals, warmly greeted experts from the capital to leave the operating room. Although Zhang Fan was the main surgeon this time, people could not help but respect him.
When they walked out of the operating room, as a result, everyone was speechless, especially the experts from the capital, who originally wanted to chat with Zhang Fanduo, but when they saw the scene outside now, all of a sudden, in their hearts The mouth was tight and the mouth started to choke.
At the entrance of the operating room, all armed policemen were standing. The uniform armed policemen stood neatly in two rows, as if waiting for a military parade.
Serious and quiet. Although, among them, many soldiers bandaged gauze, hung their arms, and even were in wheelchairs.
The clothes on their bodies were smoky and shattered, but their expressions were serious and their military posture was standard. Their current uniforms were the most beautiful and eye-catching.
"Everyone, salute our comrades!"
Huh!
Huh!
Huh!
"Oh, what are you doing here? What are they doing? Some of them are wounded. Hurry down and hurry down." Ouyang said as she stepped forward to stop.
However, looking at the soldiers with tears in her eyes, Ouyang couldn't move, really, one by one, looking at her green face, with traces of burns, and slightly painful muscle twitching, she felt distressed The old lady who looked at was distressed.
"this is what we are supposed to do!"
Speaking, Zhang Fan took the lead and bowed gently to these young soldiers.
Then, all the doctors around him had the mark of a mask on their faces, and the expression of fatigue was so solemn at this time.
Uniform return.
Mutual salute between military and civilians!
Family members of patients outside the operating room also quietly looked at these special groups.
How can they do what they want but be ashamed, they are all qualified, and in their respective posts, they have not disappointed the Chinese people.
I don't know who took the lead, and the family members outside the operating room applauded.
"Good job!"
This time, no more, there are doctors in the operating room doing surgery. Ouyang rushed to maintain order at the scene with red eyes.
...
In the cafeteria of Chasu Hospital, a group of doctors sat at a table. Although it is a canteen, Ouyang knows the quality of the chefs here, and all the food is delivered from the outside.
"The time is urgent, and everyone can make up any points. After the wounded wake up tomorrow, we will take good care of the experts."
The director of the medical office was busy starting meals.
Each major city has its own fast and delicious food, fried rice in Yangzhou, small noodles in Sanchuan, hot dry noodles in Hankou, and beef noodles in Lanshi. Each taste has its own characteristics.
Of course, when you come to the frontier, the quick food is pilaf, and the most famous are roasted buns and thin-skinned buns.
Although the fillings are the same, the taste is different because of the different methods.
The thin-skinned buns are similar to the dumplings in that they are thin. The skin must be transparent.
The filling needs to be fat, 80% of the lamb is refined, then 10% of the fat on the sheep's tail is mixed, and then a little skin is added, and then a lot of water is added.
This filling is like a muddy hand, which means that the filling is fat and watery. It's also quite particular when it comes to packages.
The chef's hand must be fast, otherwise this soup filling will definitely make people with slow hands make a piece of soup.
Steam the steamed buns in a large pan. The larger the pan, the more evenly heated, the better the buns.
When the bun skin is shiny and the moisture in the filling slowly soaks the bun skin into a broth color, the bun is cooked.
This kind of buns, accompanied by specially cooked dry pilaf, is good, that taste is really beautiful.
A bite of the bun, the scent of fat, the deliciousness of the soup, and the strength of the lean meat exploded directly in the mouth.
Then take another bite of this special pilaf with very few oils, the aroma of tea and rice, mixed with the sweetness of carrots, and the sweetness of the skin!
Obediently, especially those who are hungry, this kind of meal, when it goes down on a plate, is really delicious and relieving diarrhea. It also allows the stomach to feel the fullness of the food, which is too beautiful.
"Come, have a taste, the chasu thin crusty buns, this is the same as the soup in the south, so come to Director Wang to try."
Fan Zhang and Ouyang kept calling several experts.
"Well, it's another day!" Several experts looked at each other and shook their heads with a grin.
Old Li was an unexpected delight this time. Previously, he took his doctoral students with Zhang Fan for experiments.
Except for Zhang Fan's surgery, the chances of others' success were too low. Later, Lao Li also found a lot of people, which was not good, and did not meet his expectations.
He was also distressed. How could it be difficult to make good materials?
As a result, he was really happy this time. These experts had various problems when using this new type of material. This time, they let Zhang Fan know everything.
At this moment, there are many more surgeons who can use this material, and they are still doctors at the level of Huaguo experts.
Now, Ouyang doesn't say let him stay for one day, he will be willing to stay for ten days. He was anxious that Ouyang tied these experts to Zhang Fan.
Uncles,
Today i see
Can we have another chapter?
(End of this chapter)