Chapter 766

At the end of the operation, the experts cooperated with Zhang Fan and finally completely transplanted the allogeneic skin of the wounded.

Although these experts are much slower than Zhang Fan, they are not as skilled as Zhang Fan and as thorough as Zhang Fan thinks.

But after Zhang Fan's advice, they became faster and faster and more handy from the beginning.

This operation is much faster than if Zhang Fan did it alone.

Fortunately, many experts came today. Otherwise, you don't have to think about such a big operation. Relying on Zhang Fan and the doctor of tea, Zhang Fan will have to use diapers.

To tell the truth, Zhang Fan hasn't used diapers since he was a child. However, there's nothing to look forward to using this thing. Zhang Fan certainly doesn't want to use it.

After the operation, the armed police soldiers were wrapped like mummies, leaking out their eyes and mouth. Then even Xiao XX was wrapped in a bandage, and only the urine tube was exposed from the gap.

This kind of scene often appears in Xingye's films when he was young. The supporting actor who leaned on crutches and only showed his face limped around.

This can be done in the film, but not in reality, especially for the scalded wounded, where they dare to go, where they can go.

In order to prevent friction necrosis of the newly transplanted skin of the patient, thick sponge cushions were padded under the armpit, popliteal fossa, elbow and. Under the wounded's body, there was an air cushion bed directly.

In this way, the safe healing of transplanted skin can not be guaranteed, especially within 24 hours after the operation, ICU nurses change the position of the wounded every 15 minutes and every 15 minutes.

Really, the soft and weak little girls, carrying more than a hundred pounds of men, come down all night, haggard as if they were ten years old overnight.

Zhang Fan had an operation and couldn't even take care of the doctor's order. "Director Guli, please help me with the next doctor's order!"

With that, Zhang Fan ran towards the bathroom without looking back. 30x, the directors of shuitanzi, one by one, followed Zhang Fan closely towards the bathroom.

Compared with male doctors, female doctors are much better. Except for women during pregnancy, the degree of women holding urine in other time periods is definitely beating men.

So many people like to compete with women when drinking beer in summer. Whoever pees first loses first. To tell the truth, it's no big deal if people hold it again. At most, they have bladder paralysis.

The old man can't do it. It's hard to say if he's paralyzed for a long time. The prostate will definitely rebel, and then he's going to die. But when he can row, he's going to tick, tick, tick. The dead heart is used, so don't hold his urine!

Several old men hurried to the bathroom. In order to avoid embarrassment, the female director of the capital burn department didn't go for the first time, but stood behind Guli and read Guli's medical advice.

Although he is the director of the scald Department of the pediatric hospital, let alone the capital, even in northern China, he is still very strong in the field of scald. After all, most of the scalded people are children.

"Increase the ringer's lactate solution and reduce the amount of protein." She looked at gulee's doctor's advice, frowned, and spoke aloud.

"Oh, the protein of the wounded is a little low. If you don't supplement it now, will there be a large area of edema?"

Gulee looked at the director and said his doubts.

With the end of the operation, the doctors of tea vegetarian internal surgery came together slowly when they heard the expert's advice on Guli.

This is tantamount to another surgical ward round by director Wang of the capital. Studious people will certainly not let go. Of course, there are also those who mix papers and listen vaguely in the crowd.

"Generally speaking, your doctor's advice is the most appropriate, but the patient's injury is too large, and he is a young soldier, and his muscles must be very developed, so now even if you give the patient twice the amount of fluid, it can't make up for his fluid loss.

This kind of liquid difference virtually increases many times between going out and going in. Now, if a large amount of protein is input, the plasma osmotic pressure will directly appear hypertonic phenomenon.

Once hyperosmolarity occurs, now the patient is in a coma. What problems do you say will occur next? "

The female director of the burn department in the capital was surnamed Wang. At this time, director Wang not only asked Guli, but also turned to other doctors.

People have already figured out the mechanism. If they can't say it, it's a little too much.

However, some directors of 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, others are also investigating to see that the young man has a solid foundation.

"High permeability can induce renal failure!"

Wang Hong of Endocrinology, the flower in his heart, and several young internal medicine doctors answered at the first time after director Wang asked.

"Well! Therefore, there is no need to supplement protein now. Ensuring the patient's body fluid volume is our most important requirement at present!

Even if the protein is supplemented, how can it be? The patient has such a big injury that the edema is still edema.

The hospital seems to pay close attention to the study of young doctors. It's good. Keep working hard! "

After director Wang explained, he nodded to Ouyang, which was also the recognition of Ouyang.

The old lady is happy. Really, surgery, today's tea element surgery, the old lady has immunity. Now, the internal medicine can be recognized by experts in the capital, and her mouth can't close.

After looking at Zhang Fan and their calm coming out, director Wang said sorry to the people and hurried to the bathroom.

Ouyang looked at director Wang's back and turned to the director of the medical office to give a few soft instructions. Then, the director of the medical office nodded and left the lounge of the operating room.

Zhang Fan and some male doctors talked while walking.

"Zhang Yuan, for example, what if there is dot or plaque necrosis when the use area of this material is too large.

After all, it is still allogeneic transplantation. Often, when blood vessels and nerves have not been derived in the past, the infected bacteria have been eroded, and the drug effect is not good. "

Shuitanzi's director of the burn department asked about the problems he had encountered.

He thinks his operation is not as good as Zhang Fan, but it should not be too bad.

But in each operation, when the operation area is slightly, once the patient's allogeneic transplantation, there will be punctate infection and necrosis.

Punctate necrosis. Most people haven't seen much. How can this thing happen for a while.

For example, a palm is transplanted with skin, and then after a few days of healing period, when the dressing is untied, the result is that a large piece of silver coin in the palm of the patient's hand is necrotic, which is very troublesome.

To put it simply, it's like a steamed bread, big white steamed bread, which has been put for a few days. Take it out and look, darling, there are mildew spots on it.

Not all of them, but dots. At this time, you hesitate and throw them away? Or did you pick it up and eat it?

Also, I ate the fruit and bit it down. As a result, I found that some of it was broken, but the area was small. It was a pity to throw it away.

Then, adhering to the fine tradition of China's ancestors, he picked and ate the steamed bread or fruit.

This thing, how to say, this moldy and deteriorated food, no matter how you choose, actually contains a large number of various deterioration factors.

If it's not necessary, throw it away. This thing won't do any harm in a short time, but for a long time, the deterioration factors accumulated in the body are the cancer that can't run away from the head.

Skin transplantation is almost the same. Once necrosis occurs, it is controlled. After the skin heals and grows, this place is a big contracture scar.

If the control is not good, this place is the source of infection. The effect of medication is particularly bad because there is no derivation of blood vessels.

In this case, I don't want to have a second operation. I have to clean up every day. How to clean up.

Just like the Three Kingdoms novel Zhonghua Tuo cures Lao Guan, the QingChuang at this time is super cruel.

A pair of scissors, a knife, iodophor, gauze and normal saline are necessary. Then, first cut off the necrotic edge with scissors, and then use a scalpel to dig the edge of the wound, just like digging apple puree for a child.

Here's the idea. This kind of debridement doesn't have a little pain or the use of narcotic drugs!

Bit by bit, scrape off the necrotic tissue with a sharp knife. In this cleaning, you must see fresh tissue and fresh blood flowing out.

Once a day, some can even last about a year. Really, it's super cruel. During debridement, four or five people must press the patient to complete it.

Just like killing a pig, the patient's pain is tearing his heart and lungs, what iron and steel heroes. In front of this treatment, none of them is not crying snot and silly water.

One kill a day, many patients can not accept, can not insist, can only choose the second operation, if this happens again after the second operation, then they can only start again.

Zhang fanlue said after thinking: "if the operation can not achieve the expected guarantee, then we can only mesh skin."

"Zhang Yuan, do you usually choose mesh skin grafting?"

At this time, the director of 30x also asked curiously. He also had a headache when director shuitanzi asked this question.

"Oh, I rarely choose reticular skin grafting. Generally, there will be no necrosis in my operation!"

Zhang Fan is telling the truth. Really, he doesn't boast at all.

However, several experts were directly stunned in situ, just like the cold wind blowing, and they all shivered.

"Hard work, everyone! Please have a rest and we'll have dinner. It's a great honor for us to come to the tea vegetable hospital! "

Ouyang looked at the experts with grandma wolf's smile as if he were seeing a lamb with a mouth.

Several experts nodded to Ouyang. As for eating, it's not important.

"Zhang Yuan, how do you guarantee that there will be no such point necrosis?" Director 30x is an acute child. He asked urgently.

"First of all..." when Zhang Fan wanted to say.

Ouyang said, "Oh, Zhang Yuan, you're not hungry. Others are not hungry. Eat first. After eating, you'll give a class to the hospital doctors. By the way, let the experts in the capital give you a lecture!"

Ouyang doesn't have to squeeze his eyes at Zhang Fan. This is the tacit understanding between the two. For this tacit understanding, Ouyang is very complacent. She feels that Zhang Fan was brought up by her.

As for Ren Li, there is no such tacit understanding, so Ouyang thinks Ren Li has no happy eyes.

As soon as Zhang Fan heard this, he knew what Ouyang was going to do, and immediately said, "the dean said, I'm really hungry. Hi, sorry, directors, I've been neglected, neglected. Eat first, eat first. "

No way, people say so. Even if they are worried, they have to eat first.

At this time, the officers of the medical service had begun to decorate the largest conference room in the hospital.

"Welcome experts from the capital to our institute to guide our work!" Characters with large heads have been hung above the conference room.

Then all nameplates were put in place. The burn department is very special. When there are no patients, doctors fart and rub eggs at leisure. When they are busy, ghosts can't catch up.

Therefore, it is not applicable to outpatient service. It is best to let experts give lectures to doctors in the hospital and talk about their experience.

Experts at this level usually want to invite them to give lectures if they are not in the University. Moreover, Zhang Fan has brought a pot of burns in the north this time. If Ouyang can let them go, he won't be called Ouyang.

Ouyang and Zhang Fan, as well as Ren Li and the directors of some hospitals, warmly greeted the experts in the capital out of the operating room. Although Zhang Fan was the main knife this time, they could not afford too much respect.

When they walked out of the operating room, as a result, the people were speechless, especially the experts from the capital. Originally, they wanted to talk to Zhang fanduo with cat claw and cat bite in their heart, but when they saw the scene outside, they were blocked in their heart and their mouths began to tremble.

The passageway outside the operating room was full of armed police. All the armed police stood in two rows, just like waiting for the military parade.

Serious, quiet. Although, among them, many soldiers were wrapped in gauze, suspended their arms, and even in wheelchairs.

Their clothes are even more smoky and ragged. However, their looks are serious, their military posture is standard, and their military clothes are the most beautiful and eye-catching.

"All of you, salute our doctors and comrades!"

Oh!

Oh!

Oh!

"Oh, what's this? What's this? Some of them are injured. Put them down quickly." Ouyang wanted to stop him as he said.

However, looking at the tearful soldiers in her eyes, Ouyang couldn't move. Really, she looked at them one by one. There were signs of scalding on her green and astringent faces, and there were painful muscle convulsions. She was distressed. The old lady was distressed.

"This is what we should do!"

With these words, Zhang Fan took the lead and bowed gently to these young soldiers.

Then, all the doctors around them have the mark of masks on their faces. Their originally tired look is so solemn at this time.

Unified return.

Mutual salute between the army and the people!

The family members of patients outside the operating room also quietly looked at these special groups.

They are all qualified. They did not disappoint the Chinese people in their respective posts.

I don't know who took the lead. The families outside the operating room burst into applause.

"Good job!"

This time, no, there are doctors in the operating room. Ouyang, with red eyes, hurried to maintain order at the scene.

……

In the canteen of tea vegetable hospital, a group of doctors are sitting on a table. Although it's a canteen, Ouyang knows the level of cooks here. All the food is packed from the outside.

"Time is urgent. We can make up for it. When the wounded wake up tomorrow, we will reward the experts."

The director of the medical office was busy starting to divide the meal.

Each big city has its own fast and delicious food, fried rice in Yangzhou, small noodles in Sanchuan, hot and dry noodles in Hankou and beef noodles in Lanshi. Each flavor has its own characteristics.

Of course, when you come to the frontier, the fast food is steamed stuffed buns to catch rice. The most famous ones are roast steamed stuffed buns and thin skinned steamed stuffed buns.

Although the stuffing is the same, the taste is also different because of different production methods.

Thin skinned steamed stuffed bun, with a similar noodle skin and dumpling skin, is thin in one word, and the skin must be transparent.

The filling should be fat, with 80% of refined mutton, then mixed with 10% of the fat on the sheep's tail, put some leather teeth, and then add a lot of water.

This stuffing is like a thin mud hand, which means that the stuffing is fat and water enough. The bag is also quite exquisite.

The cook must be quick under his hand, otherwise the filling of this soup can definitely make a piece of soup for those who are slow.

Steamed stuffed buns in a large pot. The bigger the pot, the more evenly heated, the better the steamed stuffed buns.

When the steamed stuffed bun skin is shiny and the water in the stuffing slowly infiltrates the steamed stuffed bun skin into broth color, the steamed stuffed bun is cooked.

This kind of steamed stuffed bun, coupled with the specially cooked dry rice, is really delicious.

A mouthful of steamed stuffed bun, the smell of fat meat, the delicious soup and the strength of lean meat exploded directly in the mouth.

Then take another bite of this special little oil separated rice, the aroma of tea vegetable rice, mixed with the sweetness of carrot and the sweetness of leather teeth!

Darling, especially hungry people, this kind of food is really delicious and greedy. It can also make the stomach feel the fullness brought by the food. It's so beautiful.

"Come and have a taste of tea vegetable thin skin steamed stuffed bun. This is similar to the soup bun in the south. Come to Director Wang and have a taste."

Zhang Fan and Ouyang kept greeting several experts.

"Well, one more day!" Several experts looked at each other, smiled bitterly and shook their heads.

Lao Li was surprised this time. In the past, he took his doctoral students to do experiments with Zhang Fan.

In addition to Zhang Fan's operation, the success rate of others was too low. Later, Lao Li also found many people, which were not very good and did not meet his expectations.

He was also distressed. Why was it difficult to use the good materials?

As a result, he was really happy this time. These experts had all kinds of problems when using this new material. This time, Zhang Fan gave a thorough explanation.

All of a sudden, there are many more surgeons who can use this material, and they are still experts in China.

Now, Ouyang doesn't want him to stay for one day. He is willing to stay for ten days. He wanted Ouyang to tie these experts with Zhang Fan.