Chapter 125 I Just Want to Be Ashamed of My Heart (Big Chapter)

At the end of the operation, all the experts cooperated with Zhang Fan to complete the transplantation of the wounded's allogeneic skin.

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

But after Zhang Fan's instructions, they started from being slow at the beginning, and they became faster and faster bit by bit, and became more and more handy.

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

Fortunately, many experts came here today, otherwise, such a major operation would not have to be overthought, relying on Zhang Fan and Cha Su's doctors, Zhang Fan and the others would have to use diapers.

To be honest, Zhang Fan has never used diapers since he was a child. However, there is nothing to look forward to with this thing, and Zhang Fan definitely doesn't want to use it.

After the operation, the armed police soldiers were wrapped up like mummies, with their eyes and mouth exposed, and even the little cock was wrapped in bandages, with only the urine tube protruding from the gap.

This kind of scene often appeared in the movies of Master Xing when he was young. Leaning on crutches, the supporting actor who only showed his face walked around limping.

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

In order to prevent the patient's newly transplanted skin from frictional necrosis, thick sponge cushions were placed under the patient's armpits, popliteal fossa, and elbows, and an air mattress was placed directly under the wounded's body.

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

Really, the soft and weak girls, carrying a man who weighed more than a hundred catties, came down overnight, as if they had aged ten years overnight.

After Zhang Fan had the operation, he didn't even bother to give the doctor's order, "Director Gu Li, quickly give me the doctor's order!"

After finishing speaking, Zhang Fan ran towards the bathroom without looking back. The directors of 30x and Shuitanzi followed Zhang Fan and ran towards the bathroom.

Compared with male doctors, female doctors are much better. Except for women during pregnancy, in other time periods, women can definitely hold back their urine to the extent that they beat men.

So many people like to compete with women when they drink beer in summer. Whoever urinates first loses first. To be honest, it’s no big deal if they hold it back.

And the gentlemen can’t do it anymore. After holding it for a long time, it’s hard to say whether the bladder is paralyzed or not. The prostate will definitely rebel, and then the urination will be dead, but when you pass it, it becomes tick, tick, tick. Don't hold your breath!

Several elders rushed to the bathroom in a hurry, the female director of the burn department in the capital did not go immediately to avoid embarrassment, but stood behind Gu Li to watch Gu Li give the doctor's order.

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 good at scalding. After all, most of the people who get scalded are children.

"Increase the lactated Ringer's solution and reduce the amount of protein." She frowned as she looked at Gu Li's doctor's order, and then spoke out.

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

Gu Li turned his head to look at the director, and then expressed his doubts.

With the end of the operation, the doctors of Chasu Internal Medicine and Surgery, when they heard this expert give advice to Gu Li, they slowly gathered together.

This is equivalent to Director Wang's surgery and ward rounds in the capital. People who are eager to learn will definitely not let it go.

"Usually speaking, your doctor's order is the most appropriate, but the patient's injuries are too large, and he is a young warrior, so his muscles must be well developed, so even if you give the patient twice the amount of fluid, it will not be able to make up for his loss. Loss of body fluids.

Between this kind of going out and going in, the fluid difference has virtually increased many times, and now if a large amount of protein is injected, the plasma osmotic pressure will directly appear hypertonic.

Once hypertonicity occurs and the patient is in a coma again, what problems do you think will arise next? "

The female director of the Capital Burn Department was surnamed Wang. At this time, Director Wang not only asked Gu Li, but also turned to look at other doctors as if she was doing rounds in their hospital.

People have already figured out the mechanism, if you still can't tell, it's a bit too much.

However, some directors among the doctors are a bit reserved, they are waiting, if no young people come out, they will definitely answer, after all, Ouyang is also there.

At this time, they are also investigating to see that the young man has a solid foundation.

"Hyperosmolarity induces kidney failure!"

Wang Hong of endocrinology, that flower in her heart, and several young doctors in internal medicine answered the question immediately after Director Wang asked.

"Well! So, 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, what can be done? The patient has such a large injury, and the edema is still edema.

The hospital seems to pay close attention to the study of young doctors, yes, keep working hard! "

After Director Wang finished explaining, he nodded to Ouyang, which was regarded as his approval of Ouyang.

The old lady is very happy, really, the surgery, the tea surgery now, the old lady has immunity, and now, the internal medicine can be recognized by the experts in the capital, she can't close her mouth.

After watching Zhang Fan and the others come out calmly, Director Wang apologized to everyone and hurried to the bathroom.

Ouyang looked at Director Wang's back, turned his head and whispered a few words to the director of the medical affairs department, and then the director of the medical affairs department nodded and left the waiting room of the operating room.

Zhang Fan and the other male doctors chatted while walking.

"Zhang Yuan, for example, if the current material is used on an excessively large area, what should we do if there is point-like or plaque-like necrosis?

After all, it is still an allogeneic transplant. Often, when the blood vessels and nerves have not been derived, the infection bacteria have already eroded, and the drug effect is not good. "

The director of the burn department in Shuitanzi asked about the problems he had encountered at the beginning.

He thought that his surgery was not as good as Zhang Fan's, but it shouldn't be too bad.

But every operation, when the operation area is slightly narrowed, the patient's allograft will suffer from point-like infection and necrosis.

Punctate necrosis is rarely seen by ordinary people. How can this thing happen for a while?

For example, a palm with skin transplanted, and after a few days of healing, when the dressing was removed, the patient's palm was necrotic the size of a silver coin, which is very troublesome.

To put it simply, it is like a steamed bun, a big white steamed bun, after a few days of storage, take it out and see, darling, there are mold spots growing on it.

Not all of them are there, but dotted. At this time, you are hesitant to throw them away? Or pick it up and eat it?

Also, when I ate fruit and bit into it, I found that part of it was broken, but the area was not large, so it was a pity to throw it away.

Then, adhering to the fine traditions of the ancestors of Huaguo, they picked and picked the steamed buns or fruits and ate them.

This thing, how should I put it, this kind of moldy and spoiled food, no matter how you pick it, actually already contains a lot of various spoilage factors in it.

If it is not necessary, throw it away. There is no harm in this thing in a short period of time, but after a long time, the degenerative factors accumulated in the body are cancerous and can't be run away.

The same is true for skin transplantation. Once necrosis occurs and is controlled, after the skin heals and grows, this area will become a large contracture scar.

If the control is not good, this place is the source of infection, and the effect of the medicine is particularly bad because the blood vessels are not derived.

In this case, I don't want a second operation, but debridement every day, how to debride the wound.

Just like the Three Kingdoms Zhonghua Tuo scraped Laoguan's bones to heal his wounds, the debridement at this time was extremely cruel.

A pair of scissors, a knife, povidone iodine, gauze, and normal saline are necessary. Then, first cut off the necrotic edge with scissors, and then use a scalpel on the edge of the wound, just like digging applesauce for a child.

Here's the idea, this kind of debridement does not use a little painkiller or anesthesia!

Little by little, the necrotic tissue is scraped off with a sharp knife. This kind of cleaning must see fresh tissue and fresh blood flow out.

Once a day, some can even last for about a year. Really, it is super cruel. When debridement is performed, four or five people must press the patient to complete it.

Just like slaughtering a pig, the pain of the patient is heart-piercing, what a strong man of steel, in front of this kind of treatment, there is no one who is not crying with snot and water.

Killing once a day is unacceptable for many patients, and they cannot persist. They can only choose a second operation. If this happens again in the second operation, they can only do it all over again.

After thinking for a while, Zhang Fan said: "If the operation cannot achieve the expected protection, then the only option is to make leather with a mesh."

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

At this time, the director of 30x also asked curiously. He had also encountered the question asked by director Shuitanzi, and it was a headache.

"Oh, I seldom choose mesh skin grafting. Normally, the surgery I do will not cause necrosis!"

Zhang Fan was telling the truth, really, not bragging at all.

However, several experts froze in place, shivering unanimously like a cold wind blowing.

"Thank you for your hard work, everyone! Please rest for a while, and then we will go to eat. It is a great honor for you to come to Chasu Hospital!"

Ouyang had a wolf grandma's smile on his face, looking at the experts was like seeing a lamb with a mouth.

Several experts nodded to Ouyang. As for eating, it doesn't matter.

"Yuan Zhang, how do you guarantee that this kind of spotty necrosis will not occur." Director 30X is impatient, he asked urgently.

"First..." Zhang Fan was about to speak.

Ouyang said, "Oh, Zhang Yuan, you are not hungry, others are not hungry, eat first, and after eating, you have a special class for the hospital doctors, and let the experts from the capital also give you a lecture!"

Ouyang didn't even have to wink at Zhang Fan. This was the tacit understanding between the two of them. Ouyang was very proud of this tacit understanding. She felt that Zhang Fan was brought up by her.

As for Ren Li, there is no such tacit understanding, so Ouyang feels that Ren Li is unhappy.

As soon as Zhang Fan heard it, he knew what Ouyang was going to do, and immediately said, "I'm really hungry after what the director said, hey, I'm sorry, directors, I'm neglecting, I'm neglecting. Eat first, eat first .”

There is no way, everyone has said so, even if a few people are anxious, they have to eat first.

At this time, the officers of the medical department had already started to set up the arrangement in the largest conference room of the hospital.

"Welcome experts from the capital to come to our institute to guide our work!" Characters with big heads were already hanging above the meeting room.

Then all the nameplates are put away. The burn department is very special. When there is no patient number, the doctors are idle, and when they are busy, ghosts can't catch up with them.

Therefore, it is not suitable for outpatient clinics. It is best to let experts teach the doctors in the hospital and talk about their experience.

It is very difficult for an expert of this level to open his mouth to give lectures if he is not in a university. Moreover, this time Zhang Fan has taken the big burns from the north. If Ouyang can let them go, he will not be called Ouyang. .

Ouyang, Zhang Fan, Ren Li and some directors of the hospital warmly greeted the experts from the capital out of the operating room. Although Zhang Fan was the chief surgeon this time, they extended their hands to help, and their respect cannot be overstated.

When they walked out of the operating room, everyone was speechless, especially the experts from the capital. Originally, they wanted to chat with Zhang Fan, but seeing the scene outside, all of a sudden, their hearts It was so tightly blocked that my mouth began to tremble.

The passageway outside the operating room was full of armed police, all of whom stood neatly in two rows, as if waiting for a military parade.

Serious, quiet. Although, among them, many soldiers were bandaged with gauze, their arms were suspended, and some even sat in wheelchairs.

The clothes on their bodies are even more smoky and tattered, but their expressions are serious, their military posture is standard, and their current military uniforms are the most beautiful and eye-catching.

"There are all of them, salute to our comrades doctors!"

歘!

歘!

歘!

"Oh, what's this for, what's this for, some of them are wounded, put them down quickly, put them down quickly." Ouyang said while trying to stop.

However, looking at the soldiers with tears in their eyes, Ouyang couldn't move anymore. Really, looking over one by one, there were still traces of burns on the young faces, and there were still painful muscle twitches slightly, she felt distressed, The old lady who saw it felt distressed in her heart.

"this is what we are supposed to do!"

While talking, Zhang Fan took the lead and bowed lightly to these young fighters.

Then, all the doctors around had masks on their faces, and their fatigued expressions were so solemn at this moment.

Repay the gift uniformly.

Mutual salute between the army and the people!

The family members of the patients outside the operating room also quietly watched these special groups of people.

How can they be as good as they want but not ashamed of their hearts, they are all qualified, and they have not disappointed the common people of Huaguo in their respective positions.

I don't know who took the lead, but the family members outside the operating room applauded unanimously.

"Good job!"

This time, it's too bad, there are still doctors in the operating room. With red eyes, Ouyang hurriedly maintained the order of the scene.

...

In the cafeteria of Cha Su Hospital, a group of doctors sat at a table. Although it is a cafeteria, Ouyang knows the level of the cooks here, and all the food is packaged and delivered from outside.

"Time is urgent, everyone can make up for it, and when the wounded wake up tomorrow, we will reward the experts."

The director of the medical department was busy distributing meals.

Every 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 fast food is steamed buns, and the most famous ones are baked buns and thin-skinned buns.

Although the stuffing is the same, the taste is different because of the way it is made.

For thin-skinned buns, the dough used is similar to dumpling wrappers, only one character is thin, and the skin must be transparent.

The stuffing should be fat, 80% of which is refined mutton, and then 10% of the fat from the tail of the sheep is added, then some leather teeth are added, and then a lot of water is added.

The stuffing is like a muddy hand, which means that the stuffing is fat enough and watery enough. It is also quite particular about the package.

The chef's hands must be fast, otherwise this kind of soup filling will definitely make people with slow hands make soup.

The wrapped buns are steamed in a large pot. The bigger the pot, the more evenly heated the buns will be.

The buns are done when the skin is shiny and the moisture in the filling slowly infiltrates the skin into a broth color.

This kind of steamed stuffed bun, paired with specially cooked dry pilaf, darling, the taste is really beautiful.

One bite of the steamed stuffed bun, the aroma of fatty meat, the deliciousness of soup, and the chewiness of lean meat exploded in the mouth.

Then take another bite of this special pilaf with less oil and separated grains, the aroma of tea rice, mixed with the sweetness of carrots, and the sweetness of Piyazi!

Be good, especially for those who are hungry, this kind of meal is really delicious when eaten on a plate, and it can also satisfy the gluttony, and it can also make the stomach feel the sense of fullness brought by the food, it is so beautiful.

"Come on, have a taste, tea vegetarian thin-skinned steamed stuffed bun, this is similar to the soup dumpling in the south, come to Director Wang to have a taste."

Zhang Fan and Ouyang kept greeting several experts.

"Uh, we'll have to wait another day!" Several experts looked at each other, smiled wryly and shook their heads.

It was a surprise for Lao Li this time. In the past, he brought his doctoral students to do experiments with Zhang Fan.

Except for Zhang Fan's operation, the success rate of others was too low. Later, Lao Li also found many people, but they were not very good, and they did not meet his expectations.

He was also troubled in his heart, why the materials that were originally good could not be used?

As a result, he was really happy when he came this time. These experts had various problems when using this new type of material. This time, Zhang Fan was able to clarify them all.

All of a sudden, it means that there are many more surgeons who can use this material, and they are still doctors at the expert level of Huaguo.

Now, Ouyang is willing to let him stay for ten days, let alone one day. He wished Ouyang could tie these experts together with Zhang Fan.

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