Chapter 1119

If orthopedic surgery is more open and close, then skin transplantation is embroidery on meat, even finer than embroidery.

The first is debridement, the eternal topic of surgery, cleaning, asepsis and disinfection. Hands are like catkins and skin is like condensed fat. This poem is absolutely not too much to describe children. Normal children are faintly pink under their thin skin, and the light fat makes the skin clearer and clearer.

What skin care products, what beauty, in front of children's skin, there is no way to compare. But after scalding, how delicate the child's skin is now, how can't bear to look directly at it.

The little man's body is now like the crispness just out of the pot. It is covered with flesh colored bubbles without broken bubbles. It is cool like the rain bubbles in the pond on rainy days in summer. The broken bubbles of different sizes are just like used condoms. The thin skin contains gray and dark red mucus pasted on the body, It's really like people with prostatitis run through the red light with hard urethritis. How do you think it makes people feel uncomfortable? How sad is it.

If people with rich emotions go through such operations several times, they can definitely practice emotional introversion.

The little child's body is full of countless such bubbles, large or small, broken or unbroken.

After the cool Bromogeramine solution was wiped, the blood was wiped, but the pus in the bubble could not be wiped clean, just like eating sesame paste and big bubble gum, and then the red lips began to blow out bubbles contaminated with sesame paste.

Healthy skin rarely hides dirt. At most, it hides a little in the belly button and toe seam. After being scalded, the skin directly becomes a Petri dish rich in all kinds of germs.

It is also a very good Petri dish. It needs all kinds of culture media, including protein, fat, amino acids and sugar. Therefore, in less than a day, the child's original white and tender skin is like a piece of moss, with large pieces of dark red mixed with gray and black patches.

Just like when I accidentally fell into the coal ash after taking a bath and didn't take it for three years, the coal ash seeped into the skin. Transplantation is particularly afraid of infection. As long as there is one place where the disinfection is not complete, when the allogeneic transplantation material is covered on it, it is directly the greenhouse in winter, and bacteria can grow into mushrooms. By that time, the doctor had no time to cry.

Therefore, preoperative debridement is quite strict and cruel.

"Brush! Apply a soft brush first. " With a palm sized soft brush, Zhang Fan is like wiping porcelain bit by bit. She wipes the pus and bacteria with soapy water. The plump Guli stands on Zhang Fan's side and gasps slightly. After the middle-aged aunt becomes fat, the burden on her upper body is too heavy. Not only to load the cup, but also bend over and cooperate with Zhang Fan to wipe it.

Guri's waist is starting to sour. Just as she let Zhang Fan climb close to the black silk woman to observe, now Zhang Fan has to let her bend down and close. This position is too sour.

After the brush with soft hair is finished, the brush with hard hair is visible to the naked eye. This weapon can't be used too much, otherwise it will cause secondary damage to the skin, but it can't be used. It can't be too slow. Really, it's really difficult for doctors at this time.

Fast injury, slow infection.

At the end of the brush, put on tweezers and curettes, piece by piece. Zhang Fan removed the inactivated skin forceps, which are the root of trouble and wealth. Leaving one piece will give doctors a headache in the future.

After trimming the inactivated skin, we should also find a way to break the unbroken large bubble without inactivating the skin.

Really, that is, the child's skin area is small. If the area is a little larger, it's hard to say how Zhang Fan is. Guli can't stand up straight.

Because there is no clinical guide for this kind of operation at present, that is, doctors rely on experience to do this kind of operation, so the postoperative effects vary greatly.

"Record!"

Like eating duck intestines with small chopsticks, Zhang Fan pinched them one by one. At this time, Zhang Fan suddenly said.

Everyone was stunned. It's not rescue at this time. Why record it?

During the rescue, because of the time, the doctor had no time to give the doctor's order and could only orally exercise the right of doctor's order. Therefore, without saying a word, almost all of them will be recorded by nurses or doctors. This is not only a case, but also a file of the life and death of patients in the future.

In the operating room, this is rarely the case.

Just when everyone was stunned, the head nurse in the operating room hurriedly pushed away the itinerant nurses with a pen and nursing record book. While squeezing, she turned over her white eyelids, as if to say, "wood, can't you hear me!" The sharp eyes are really just like the procuress wants to look good to a girl.

"Zhang Yuan, you said that the record has been prepared." Jiang was still old and spicy, and the young woman's voice sounded behind Zhang Fan.

Although she doesn't know what Zhang Fan wants them to record, she can implement it at the first time. This is professional quality.

She embodies the relationship between doctors and nurses incisively and vividly. She can be the head nurse in the tea vegetable hospital or in the greatly developed tea vegetable hospital. She is really not an ordinary woman.

Zhang Fan didn't open the burn department at first, but he didn't know why. He suddenly realized that, just like a thin film was broken by a bucket, it immediately became particularly smooth. The slightly unfamiliar places were as greasy as lubricating oil.

Zhang Fan is deeply afraid that this is a flash of light, because he has never met a subject that has not been opened and can feel it. Therefore, he was afraid that he would not have this feeling after the operation, so he had to record it.

"When the damaged skin is cut off subcutaneously, it must be ensured that there is an extensible capillary network nearby. Cut the burn of the muscle layer... "

Zhang Fan said and did while doing.

The head nurse in the operating room muttered, "is it almost ready? Is it almost ready? My mother's hands are almost broken."

One page, two pages,... Ten pages.

The head nurse complained in her heart, but she didn't understand what Zhang Fan was doing. The anesthesiologist was curious, but he didn't quite understand what he was doing.

However, Lao Li and Professor Li Cunhou around him were excited and their hair was about to stand up.

If he hadn't been on the operating table, he now wanted to take away the young woman's pen and record it himself. He was deeply afraid of disturbing Zhang Fan. While soaking the allogeneic material, he whispered, "you must record it completely, and you can't drop a word."

He understood too well. His eyes at Zhang Fan showed an attitude of wanting to swallow it.

Zhang Fan is making clinical guidelines for children with allogeneic skin surgery!

How good is this?

It can be said that this is Zhang Fan's boundary for this kind of operation. More popular, that is to say, Zhang Fan is formulating rules and regulations.

Just like playing ball, Zhang Fan is making rules now. If you want to win the championship in the future, you must follow my rules.

The reason why the failure rate of this operation is extremely high is that there are no rules and regulations. When everyone is groping for this boundary, Zhang Fan has begun to formulate the margin.

Lao Li almost fainted with excitement.

If Zhang fan can make a complete plan for children, even if it is not complete, it is definitely no less than the achievement of studying materials.

With materials and no guide, no one can use them. Materials have no future.

Only with materials and guidelines can it be popularized.

not a single one can be omitted.

How difficult this guide is, you can look at the textbooks of Xinhua. The great gods compiled in the first edition and those hanging in textbooks can really be said to be the top existence of Chinese medicine. Even with the development of science and technology, later textbooks made some changes on the basis of this edition.

Not only Lao Li was shocked, but also dermatologists from various hospitals outside the operating room.

"I'll go. Do you want to be so good? Specify the operation guide at the operation site! This is incredible! "

"True or false, but I'll go in and have a look!"

As soon as this was said, everyone directly raised eyebrows“ I'll just say it, say it. "

Professor Zeng stood in the crowd, sweating all over.

"Fake, it must be fake. He's a hairy boy. It's against the sky to be able to do this kind of operation. He even made guidelines on the spot. Fake, it must be fake!" His mouth was dry and his tongue was dry. Now he began to regret it.

"Lao Li, are the materials ready?" Zhang Fan doesn't lift his head. His head bent slightly is just like fixed in that space. He doesn't move. This is Kung Fu. Kung Fu comes from practice.

"Lao Li!" Zhang Fan's voice is a little hard“ I'm so smart. I don't know when it's over. You're still distracted by me. "

Zhang Fan was deeply afraid that this sentiment was like the happy time with Shaohua. He trembled and disappeared, so he said it and found that Lao Li was very angry after he was in a daze.

It's like buying a lottery ticket for two dollars. When I opened it, I went to five million. As a result, the boss who cashed the prize said that the computer crashed. Don't worry!

Lao Li is like waking up from a dream.

"All right, all right." Quickly pass the material with both hands“ Zhang Yuan... "

"Shut up!" Zhang Fan interrupted Lao Li's speech like a Tibetan mastiff protecting food.

Little by little, the child is like a ragged doll, and Zhang Fan mends it bit by bit.

Originally a large area of ulceration, slowly became allogeneic transplantation material. When the tourniquet is released, the capillaries, like the rain in spring, slowly moisten the allogeneic materials. The original gray materials become pink and tender.

Large, expensive experimental allogeneic materials were cleverly trimmed into small pieces of various shapes by Zhang Fan and applied to the child.

Lao Li clapped his mouth, not distressed, but excited.

The record continued. At this time, under Lao Li's sign, Lao Li's doctor took over the head nurse in the operating room.

The head nurse in the operating room rubbed her wrist and looked at Zhang Fan with strange eyes. "It's still a long time! After talking for so long, I don't know I'm thirsty! "

"Go, open the glucose, don't open 10%, open 5%, I'll feed some to Zhang Yuan!"