Chapter 765

Starting from the face, because the armed police soldiers were scalded by the fire after falling into the cave, and then the fallen trees hung on the soldiers' protective clothing.

The scalded skin is like the second layer of paint made by irresponsible painters. After a while, the skin sticks to the protective clothing and takes off alive.

To tell you the truth, this degree of pain directly makes people hurt to the shock of downtime.

So, especially in the rural areas, every family used to make a stove to boil water and cook. Sometimes a child didn't pay attention and fell into the boiling water pot.

In China, 70% of the scalded wounded were children.

Then, parents don't know much about scald first aid. When they mention their children, they listen to their children's pain to the extreme. Even the crying sound is when they are out of breath and don't breathe in.

In a hurry, he quickly pulled out the child's clothes. As a result, even the belt meat directly peeled the child into a red child, just like cooked shrimps.

If you are unlucky, your family can sprinkle some soy sauce, clear oil and honey, which can directly be used as honey elbow meat for the new year.

With a little better luck, parents can survive if they are sent to a larger hospital for the first time.

However, even after recovery, the body directly becomes a contracture and tight Brown scar, which is really painful and terrible.

Then, as the child grows up, his whole body contractures and tight skin, like a cover, hoops on the child. Every time he grows, the child is like a moth out of a cocoon, full of cracks!

On the face of the armed police soldiers and the board inch scalp, they were first scalded together by the broken protective clothing, and then the falling tree tore and pulled directly. The skin of the scalp and face was torn apart like crisp potato chips.

The remaining skin and hair look particularly painful on the red tender meat.

Red one, scorched one, and then the remaining board inch hair stays on the red meat. It's really, quite terrible.

It's the same as picking up the pork without pulling out the pig's hair. There are black hairs in the blood red. You can't see people. It's too miserable.

"Face transplantation must be considered well, Zhang Yuan. There is no chance to start again."

The director of pediatric scald in the capital said to Zhang Fan with a little worry.

Don't you worry? Although Zhang Fan's technique is quite powerful, there are too few things to prepare before operation.

Face and head transplantation and plastic surgery, let's just say, why do many local tyrants go to Bangzi country and Europe for surgery?

This operation is difficult. First of all, this thing is three-dimensional. It is not a simple and single plane of the hip.

Therefore, the surgeon in charge must be quite familiar with its three-dimensional planing structure.

In the past, it was to make face molds for patients in advance. Bangzi country and Europe and the United States developed rapidly in this area. They combined computers with medical treatment, which had to be admired.

China was slowly catching up, but it was still a little behind.

But even if these people in the capital can't get into the top 10 in the world, they still have no problem in the top 50.

Therefore, when they see Zhang Fan, they do it. First, they don't make molds for the wounded. Second, they don't carry out computer three-dimensional construction. They do it directly. Really, they feel suspended when they look at it.

"Is there a professional computer? I'll hurry to build a wounded structure!" The director of shuitanzi burn department also said.

Now is not the time to be impulsive. I can help a little, help a little, help a little.

Now they have no doubt about Zhang Fan's operation level. Zhang Fan's knives cut off the meat without damaging a little blood vessels. They have been amazed at this level.

"It's too late. The damage area is too large, and it's not only scalding, but also the accumulation of chemicals after combustion. If you don't clean up the transplant early, I'm worried about poisoning and death of transplanted skin.

And we don't have professional computers here. "

Zhang Fan said softly. Although he was talking, there was no pause under his hand.

"No mold, no structural drawing, it's too difficult, the conditions are too poor." The director of 30x sighed gently.

Then he said, "there seems to be no problem with the level of Zhang hospital. I have a patient whose body shape is very similar to that of the soldier. Otherwise, I'll ask our hospital to transmit the data."

He looked at Zhang Fan.

"Thank you, thank you, No. Trust me, his structure is already in my mind. "

What several people said was quite pertinent. Zhang Fan was warm in his heart. He was proud of his career as a doctor.

Yes, many times, there are many doctors who secretly get some benefits. However, in the face of difficulties and disasters, their profession is not ashamed.

Just like a video, watching it makes people cry, "where are you from?"

"Huaxi's, where are you?"

"Mountain doctor!"

"Come on, take care!"

"Take care, come on."

What is it for? In fact, it is for patients. When these experts recognize Zhang Fan's level, they count one by one, constantly think of ways and give advice to Zhang Fan.

They don't stand on the high wall, and they won't stand idly by, because it's a matter of human life.

As long as people with a little conscience, no matter what occupation they are, men and women, will lend a helping hand at this moment. This may be the reason why Chinese blood can last for thousands of years.

There's no way. There's no good way. Now we can only count on Zhang Fan's technology.

"Build blood vessels! Prepare the magnifying glass! " Zhang Fan nodded and began to order directly.

The original vascular and nerve surgery is better with microscope and better magnification.

However, the patient's burn was too serious. He not only cut the trachea, but also had too many channels and drainage tubes on his body, which occupied too much space. The volume of the microscope is too large to apply. You can only use a magnifying glass.

The magnifying glass in medical treatment is not the kind of thing that a little boy takes to burn ants.

It is estimated that people of some years of age may have seen the appearance of a watch repairman repairing a watch. The medical magnifying glass is very similar to the watchmaker's magnifying glass, but the watchmaker's is a single cylinder, while the medical one is a double cylinder.

It looks handsome with this thing. It looks like a technology maniac. In fact, it's not. Take this thing. I don't know whether it's handsome or not. If you're not used to it, turn your head a little faster and you'll feel dizzy and make you vomit.

And this thing is very heavy. It can be said that a female doctor with a thinner neck can straighten her neck and can't lift her head after an operation with this thing.

"Tweezers, needle holder!" Zhang Fan has a magnifying glass and can't turn his head. To tell the truth, he doesn't dare to turn his head too fast. He's also afraid of dizziness.

Reaching out, the nurse quickly passed the instrument to Zhang Fan.

"Open the lumen!" Zhang Fan said to Yizhu, a female director of the pediatric burn department in the capital.

"OK!" She also has a magnifying glass.

The two hands, staggered, opened the diameter of the blood vessel.

To establish a new blood vessel, the blood on the blood vessel must be cleaned and sutured to allow blood circulation.

But it'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 some coagulation factors in the damaged skin of blood vessels.

Once a person is accidentally activated, it will be troublesome. Connect a blood vessel. As a result, the tourniquet has just been loosened. After the blood comes over, it will all coagulate together to form a large number of thrombosis.

The female director holds forceps in one hand, clamps the outer membrane of a blood vessel, and an aspirator in the other hand, ready to absorb blood accumulation and flushing fluid at any time.

Zhang Fanyi took pliers in his left hand, clamped the other side of the blood vessel, and then took a flushing gun in his right hand to start flushing.

It may be a little vague to say what kind of action it is.

Many people used to fill balloons with water when they were young. In fact, this is the action.

The mouth of the balloon is too small and will shrink, so the children cooperate, pull one side, and then extend the balloon to the faucet.

This is an action.

Is it easy? No, for doctors, this action is too difficult. Without tens of thousands of exercises, don't even want to do this kind of operation.

The adventitia of blood vessels is only 3 ~ 4mm. Don't mention coughing and shaking hands. As long as the doctors are a little out of sync, this blood vessel will be abandoned.

"Director, hold on, put down the aspirator and let the second assistant take over your aspirator. You have to open the vascular adventitia for me. The adventitia is a little scalded and I want to repair it."

"Well!" Several directors in the capital are sweating. It's too difficult. The operation can only be done under the magnifying glass and the electron microscope. It's really, too difficult and the requirements are too high.

Peel off, stir up, and then gently, gently and slowly peel and trim the skin of blood vessel scald.

As like as two peas, N is the same thing as wrapping operation, which is to reduce the outer skin.

Outside the operating room, Ren Li organized physicians to pay attention to the vital signs of the wounded and began to let young physicians learn the medicine of experts.

"Cardiotonic, when reaching a maximum, will have an inhibitory effect. Look here..." Ren Li understood and 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 closely stared at Zhang Fan's hands.

They are too aware of the importance of this mode of operation.

There are many reasons why Lao Li's materials can't be popularized, and there are many competitive materials.

For example, the more popular biological culture in Europe and America is to use the patient's own skin to cultivate the needed skin through biological engineering.

This is very good, but it has strong limitations. It takes time and money.

In this way, not everyone can afford this thing. Moreover, there are few studios in the world that can be trained by bioengineering. Therefore, ordinary people can't count on it in the short term.

Lao Li's material is absolutely comparable to the cultured skin, but the surgical requirements are too difficult.

Therefore, when Zhang Fan showed his Zhang's sword technique, everyone's eyes were straight.

"Surgery, can you still do this?"

"God, it turns out that this can improve the survival rate."

"Cow, really, it's so cow."

They are too knowledgeable. When Zhang Fan entered the key steps, they were more serious one by one. The original disdain and the original anger have all dissipated.

Repair blood vessels and lymph nodes step by step. Zhang Fan did it perfectly.

Really, looking at the soldier's face slowly, all the originally burned potholes on his face slowly climbed out of the spider web like vascular plexus.

"Lao Li, materials!" Just as in the laboratory, Zhang Fan is going to start using skin materials for transplantation.

He took the skin, took a gentle breath, and then closed his eyes. His mind was full of three-dimensional structure of the soldier's face.

Combined with the system, he simulated piece by piece in his mind.

When Zhang Fan simulated with his eyes closed, the experts in the operating room didn't urge him.

Ninety nine steps have been taken, and now it's the last step. We don't dare or can't rush.

After filling the last piece in his mind, Zhang Fan gently exhaled a breath.

"Start!"

End to end anastomosis, internal and external mold separation, establish nerves, establish lymph, form facial muscles and fill action muscles.

Step by step, the operating room was silent. When Zhang Fan walked through the cobweb like vascular plexus, nerves and lymphatic vessels with new materials, all the experts mentioned it.

"God, he first constructs blood vessels, and then allows them to spread into the tissue. The idea is really genius."

"Hands are really stable. Almost all hands are between exhaling and inhaling. It turned out to be so!"

All experts have learned from Zhang Fan's operation that it is difficult for them to break through the threshold.

That's what I get. I get it.

As long as they know what they lack, they can practice, go to the liver, be afraid, and never understand what is wrong.

Or when they understand what's wrong, their age doesn't allow them to go on stage with a knife. This is the tragedy of surgeons.

This also shows from another aspect that a surgeon has the value of a good teacher.

"I see. I really understand. I was wrong! " The director of 30x sighed deeply and looked at the young doctor opposite with a very special look.

End of face.

End of neck.

Chest end.

"Zhang Yuan, can the patient's limbs be separated and carried out at the same time?"

The director of pediatric scald in the capital asked nervously. Although four or five hours have passed, they don't feel a little tired.

Because they have crossed a threshold, a considerable threshold of their professional career. It can be said that they have broken through the ceiling of their practice. Now they are full of adrenal hormones!

"OK! But you can't force it! "

"Good! Absolutely not. If there's a problem, we'll stop right away. "

Several directors started the allogeneic transplantation of limb skin separately.

I was so careful and excited.

Oh, my God! It's like the first time they took charge of the knife. Their excitement can't be expressed.

"Zhang Yuan, this way, this way? It doesn't seem to stick well to fill it in!"

"You see, if you want to move your limbs, you must reserve a certain amount of skin, and the blood vessels here must be connected in advance."

Zhang Fan kept guiding them. When he learned it, he had to give it to others. Zhang Fan gave his knowledge of the system to everyone without reservation.

Outside the operating room, the young doctor didn't feel much. Looking at the doctor's advice from these experts, he didn't have any idea, "what are they and how to use them!"

And Ren Li, a doctor at their level, looked more and more interesting. For a while, she frowned, looked the same, and seemed unable to figure it out.

The operation came to an end slowly.