Chapter 104: What I Learned Is Taught

Starting from the face, because the armed police fighter fell into the trap and was burned by the fire, and then the fallen tree hung on the protective clothing of the soldier.

The scalded skin is like a second layer of paint applied by irresponsible painters. With a swipe, the skin sticks to the protective clothing, and it just comes off alive.

To be honest, this level of pain is so painful that people go into shock.

Therefore, especially in the past in rural areas, every family built a stove to boil water for cooking, and sometimes a child accidentally fell into the boiling water pot without paying attention.

In Huaguo back then, 70% of people who were scalded were children.

Then, the parents didn't know much about first aid for burns, so they picked up the child and heard the child was in extreme pain, and even the crying sound was when he was breathing out but not getting in.

One was in a hurry, and quickly pulled off the child's clothes. As a result, even the skin and flesh, the child was directly peeled into a red boy, just like a boiled shrimp with its skin removed.

If you are unlucky, if the family sprinkles some soy sauce, clear oil, and honey, it can be directly used as honey elbow meat for the Chinese New Year.

With a little luck, the parents were sent to a bigger hospital immediately and survived.

However, even after healed, the body immediately turned into a contracted and tight brown scar, which was really painful and terrifying.

Then as the child grows, the skin contracted and tightened all over the body is like a hood, hooped on the child's body. Every time the child grows, the child is like a moth breaking out of a cocoon, full of cracks!

The faces and scalps of the armed police soldiers were first scalded together by the torn protective clothing, and then the fallen tree directly tore and pulled it. The scalp and the skin of the face were like crispy potato chips. Torn apart.

The remaining skin and hair looked particularly painful on top of the red tender flesh.

One piece of red, one piece of burnt, and then there are remaining board-inch hairs resting on the red meat, really, quite scary.

It was as if the pork had been grilled, but the pig hair hadn't been plucked clean. The blood was red with black hair, and it couldn't be seen as a human being. It was too miserable.

"The face transplant must be considered carefully, Zhang Yuan, there is no chance to do it again."

The Director of the Capital Pediatric Scald Department said to Zhang Fan worriedly.

can you not worry

Although Zhang Fan's technique is quite powerful, there are too few things to prepare before the operation.

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

This operation is difficult. First of all, this thing is three-dimensional, it is not a simple single plane like the buttocks.

Therefore, the chief surgeon must be quite familiar with its three-dimensional anatomy structure.

In the past, facial molds were made for patients in advance. Bangziguo and Europe and the United States have developed rapidly in this area. They have combined computers and medical care, which I have to admire.

Hua Guo was slowly catching up, but it was still relatively behind.

But even if these people in the capital can't make it into the top ten in the world, they still have no problem in the top fifty.

So, when they saw Zhang Fan, they did it without making molds for the wounded, and without doing three-dimensional computer construction, and just started directly. Really, they felt overwhelmed when they saw it.

"Do you have a professional computer? I'll hurry up and build a structure for the wounded!" The director of the Shuitanzi Burn Department also said.

Now is not the time to be impulsive. If you can help a little bit, you can contribute a little bit, and you can contribute a little bit.

They no longer have any doubts about Zhang Fan's surgical skills. Zhang Fan's few cuts cut off the flesh without damaging any blood vessels. This level has already amazed them.

"It was too late, the area of ​​damage was too large, and it was not only burns but also the accumulation of chemical substances after burning. If the transplant was not cleaned up early, I was worried that there would be poisoning and death of the transplanted skin.

And we don't have professional computers here either. "

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

"There are no molds, no structural drawings, it's too difficult, and the conditions are too poor." The director of 30x sighed softly.

Then he continued, "There seems to be no problem with Zhang Yuan's level. I have a patient whose body shape is very similar to this soldier's. Otherwise, I will ask our hospital to transmit the data. "

He looked at Zhang Fan.

"Thank you, thank you, no need. Believe me, his structure diagram is already in my head."

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

Yes, many times, there are a lot of doctors who secretly take some benefits, but when they face difficulties and disasters, their profession is not ashamed.

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

"Huaxi, where are you from?"

"Mountain doctor!"

"Come on, take care!"

"Take care, come on."

What is it for? In fact, it is for the patients. When these experts recognized Zhang Fan's level, one of them counted as one, and they kept thinking of ways for Zhang Fan and giving Zhang Fan advice.

They have no high seat on the wall, and they will not stand by, because this is a matter of human life.

As long as people with a bit of conscience, no matter what occupation they are, no matter whether they are men or women, they will lend a helping hand at such moments. This may be the reason why the blood of Huaguo can last for thousands of years.

There is no other way, there is no good way, and now we can only rely on Zhang Fan's technology.

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

Originally, for vascular and nerve surgery, the microscope was more sophisticated and the magnification was better.

But the burns of the patient were too severe, not only the trachea was cut, but there were too many drainage tubes on the body, which took up too much space. The microscope is too big to be used, so we can only use a magnifying glass.

The medical magnifying glass is not the kind of ants that the brat holds to burn ants.

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

Wearing this thing, it looks very handsome, like a technology madman, but it is not. Wearing this thing, I don’t know whether it is handsome or not. If you are not used to it, turn your head a little faster, and you will be 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 after performing an operation with this thing, and she can't even lift her head.

"Tweezers, a needle holder!" Zhang Fan was wearing a magnifying glass and couldn't turn his head. To be honest with this thing, he didn't dare to turn his head too quickly, he was also afraid of fainting.

Stretching out her hand, the nurse quickly passed the instrument to Zhang Fan's hand.

"Open the lumen!" Zhang Fan said to Yisuke, who was the female director of the Pediatric Burn Department in the capital.

"Okay!" She was also wearing a magnifying glass.

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

To build a new blood vessel, the blood on the blood vessel must be cleaned and sutured before the blood can flow, which is an awkward sentence.

But, it's just that awkward.

In the reconstruction of blood vessels, as long as there is some residual blood, this thing is like a detonator, which can activate some blood coagulation factors in the damaged outer skin of blood vessels.

Once one is accidentally activated, it will be troublesome. A blood vessel is connected, but just after the tourniquet is released, the blood will all coagulate together, forming a large number of thrombus.

The female director held the tweezers in one hand, clamped the adventitia of a blood vessel, and the suction device in the other hand, ready to suck the accumulated blood and flushing fluid at any time.

Zhang Fanyi held the pliers in his left hand and clamped the other side of the blood vessel, then took the washing gun in his right hand and started washing.

What kind of action is it? It may be a bit vague to say this.

Many people have played with filling balloons with water when they were young, and this is actually the action.

The mouth of the balloon is too small, and it will shrink, so the children cooperated, pulling one side, and then stretching the balloon to the faucet.

It is this one action.

simple? No, for doctors, this movement is too difficult. Without tens of thousands of exercises, I don't even think about doing this kind of operation.

The adventitia of the blood vessel is only 3~4mm, not to mention coughing and hand shaking, as long as there is a little bit of out-of-sync between doctors, the blood vessel will be useless.

"Director, hold on, put down the suction device, let the second assistant take over your suction device, you need to open the adventitia of the blood vessel for me, the adventitia is a bit scalded, I need to repair it."

"Ah!" The directors of several capitals were sweating. It is too difficult, the operation can only be done under the electron microscope under the magnifying glass, really, it is too difficult, and the requirements are too high.

Peel off, pick up, and then gently, gently and slowly peel off the scalded outer skin of the blood vessel and trim it with sharp-nosed scissors.

If this thing is enlarged by N times, it is actually exactly the same as circumcision, that is, to lose the outer skin.

Outside the operating room, Ren Li organized the physicians to pay attention to the vital signs of the wounded, and at the same time began to let the young physicians learn the medicines used by the experts.

"Stimulant, when it reaches a maximum dose, it will have an inhibitory effect, everyone, look here..." Ren Li understood and pointed out the key points to the young doctor.

In the operating room, several experts were wearing magnifying glasses, staring at Zhang Fan's hands like students, staring closely 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 cannot be popularized, and there are many competing materials.

For example, the more popular biological culture in Europe and the United States is to use the patient's own skin to undergo bioengineering to grow the desired skin.

This is very good, but the limitations are also very strong, not to mention time-consuming, but also cost money.

In this way, not everyone can use this thing, and there are not many studios in the world that can be cultivated with bioengineering, so ordinary people can't count on it in the short term.

And Lao Li's material is definitely comparable to the cultivated skin, but the surgical requirements are too difficult.

Therefore, when Zhang Fan demonstrated his Zhang's sword technique, everyone's eyes were straightened.

"Surgery, can you still do this?"

"My God, it turns out that blood vessels can improve the survival rate by doing this."

"Awful, really, it's amazing."

They were so knowledgeable. When Zhang Fan entered the critical step, they became more serious than the other. The disdain and annoyance at the beginning were all gone now.

Repair blood vessels, repair lymph, step by step, Zhang Fan did it quite perfectly.

Really, looking at the soldier's face, the originally burnt potholes slowly crawled out of the cobweb-like vascular plexus.

"Old Li, materials!" Just like in the laboratory, Zhang Fan is about to start using skin materials for transplantation.

He took the skin, took a light breath, then closed his eyes, his mind was filled with the three-dimensional structure of the soldier's face.

Combining the system, he simulated it piece by piece in his mind.

While Zhang Fan was simulating with his eyes closed, the experts in the operating room did not urge him.

Ninety-nine steps have been taken, and now it is the last step. No one dares to rush, nor can they.

After filling the last piece in his mind, Zhang Fan let out a soft breath.

"start!"

End-to-end anastomosis, separation of inner and outer molds, establishment of nerves, establishment of lymph, formation of facial muscles, and filling of action muscles.

Step by step, the operating room was silent, and every time Zhang Fan took new materials and walked through the spider web-like vascular plexus, nerves, and lymphatic vessels, the hearts of all the experts were raised.

"Oh my god, he constructed the blood vessels first, and then let the blood vessels spread into the tissue by themselves. The idea is really genius."

"Hands are so steady, almost all shots are taken between breaths and breaths, so that's how it is!"

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

This is called understanding, understanding.

As long as they know what they are lacking, then they can practice, they can go to the liver, and they will be afraid if they are afraid, and they will never understand where they are wrong.

Or when they understand what is wrong, their age no longer allows them to go to the stage with a knife. This is the tragedy of surgeons.

This also shows from another aspect that it is valuable for a surgeon to have a good teacher.

"Understood. I really understand. It turns out that I was wrong!" The director of 30x sighed deeply, and looked at the young doctor opposite with a very special look.

The face ends.

Neck ends.

The chest ends.

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

The Director of the Capital Pediatric Scald Department asked anxiously, although four or five hours had passed, they did not feel tired at all.

Because they have crossed a threshold, a considerable threshold in their practice career, it can be said that they have broken through the ceiling of their practice, and now they are full of adrenaline!

"Okay! But, don't force it!"

"Okay! Absolutely not, if there is a slight problem, we will stop immediately."

Several directors split up and started allografting of limb skin.

What you do is so careful, what you do is so exciting.

God! It was as if they were performing the surgery for the first time that year, and the excitement in their hearts could not be expressed in words.

"Zhang Yuan, this side, this side, it doesn't seem to be very sticky to fill in!"

"Look, in this way, to move the limbs, a certain amount of skin must be reserved, and the blood vessels here must be connected in advance."

Zhang Fan continued to guide them. What he had learned, he had to hand over to others. Zhang Fan handed over his knowledge of combining the system to everyone without reservation.

Outside the operating room, the young doctor didn't feel much. Looking at the doctor's orders of these experts, he had no idea, "What are they all, and how are they used!"

As for doctors of Ren Li's level, the more they watched, the more interesting they became. Sometimes they frowned, sometimes they seemed to be the same, and sometimes they seemed to be puzzled.

The operation is slowly coming to an end.

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