At the end of the operation, all 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's subordinates, they are not as skilled as Zhang Fanlai, and they are not as transparent as Zhang Fan thinks.

But after Zhang Fan's click, they became faster and faster little by little, and became more and more handy.

This operation is much faster than if Zhang Fan came alone.

Fortunately, there are a lot of experts here today, otherwise, such a big operation, you don't have to think about it, relying on Zhang Fan and the doctors of Chasu, Zhang Fan and they have to use diapers.

To be honest, Zhang Fan has never used diapers since he was a child, but 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 soldier was wrapped like a mummy, leaking out of his eyes and mouth, and then even Xiao XX was wrapped in a bandage, and only the urine catheter was exposed from the gap.

This kind of scene often appeared in the movies of Xing Ye when he was young. The supporting character, who is on crutches and then only shows his face, limps around.

It can be done in the movie, but not in reality, especially the scalded wounded, where they dare to go, where they can still walk.

In order to prevent the patient's newly transplanted skin from friction and necrosis, thick sponge pads are placed under the patient's armpits, popliteal fossa, and elbows, and an air mattress bed is directly under the body of the wounded.

In this way, the safe healing of the grafted skin cannot be guaranteed, especially in the 24 hours after the operation, when the ICU nurse replaces the casualty every 15 minutes and replaces the casualty every 15 minutes.

Really, the soft and weak little girls, carrying a man of more than 100 pounds, came down at night, haggard as if they were ten years old overnight.

Zhang Fan had surgery, and he couldn't even take care of the doctor's order, "Director Guli, help me give a doctor's order!"

After speaking, Zhang Fan ran towards the bathroom without looking back, and the directors of 30x and Shuitanzi, one of them counted one, and they all followed Zhang Fan towards the bathroom.

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

So many people love to compete with women when they drink beer in the summer, whoever pees first loses, to be honest, it's not a big deal for people to hold back, at most it's just bladder paralysis.

And the old man can't do it, it's hard to say if the bladder is paralyzed or not, the prostate will definitely rebel, and then the urine will die, but when it is discharged, it becomes tick, tick, tick, and the dead heart is used, so don't hold your urine!

Several old men hurriedly ran towards the bathroom, and the female director of the capital burn department did not go for the first time in order to avoid embarrassment, but stood behind Gu Li and watched Gu Li give medical advice.

Although he is the director of the scald department of the pediatric hospital, let alone the capital, even if it is northern China, he is still very good in the field of scalding, after all, most of the people who are scalded are children.

"Increase the lactated Ringer's solution a little bit and reduce the amount of protein a little bit. She looked at Gul's doctor's advice, frowned, and spoke up.

"Oh, the wounded's protein is a little low, if you don't replenish 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 and Surgical Surgery, when they heard this expert pointing out Coulee, everyone slowly came over.

This is equivalent to the operation of Director Wang in the capital of the people, and the studious people will definitely not let it go, of course, there are also mixed papers, and those who listen to it in the crowd are confused.

"Traditionally, your kind of advice is the best, but the patient is too damaged, and he's a young warrior and must have a lot of muscles, so even if you give the patient twice the amount of fluids now, you won't be able to compensate for the loss of fluids.

This kind of liquid difference between one out and one in, invisibly increases many times, and now if a large amount of protein is injected, the plasma osmotic pressure will directly appear hypertonic.

Once there is hyperosmolarity, and now the patient is in a coma, what do you think will happen next?"

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

People have already figured out the mechanism, and if they can't say it, it would be a bit excessive.

However, some of the directors among the 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, they were also inspecting to see that the young man's foundation was solid.

"High osmosis induces kidney failure!"

Wang Hong, who is endocrine, and the one in my heart, as well as several young doctors in internal medicine, answered as soon as Director Wang asked.

So, there is no need to supplement protein now, and ensuring the patient's body fluid volume is our most important requirement at the moment!

Even if the protein is supplemented, what can be done, the patient is so damaged, the edema is still edema.

The hospital seems to be very close to the study of young doctors, yes, keep up the hard work!"

After Director Wang finished explaining, he nodded at Ouyang, which could be regarded as a recognition of Ouyang.

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

After watching Zhang Fan and them come out calmly, Director Wang said sorry 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 department, and then the director of the medical department nodded and left the lounge of the operating room.

Zhang Fan and a few male doctors, chatting while walking.

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

After all, it is still an allogeneic transplant, and often in many cases, when the blood vessels and nerves have not been derived, the infected bacteria have eroded, and the effect of medication is not good. ”

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

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

However, with each operation, when the surgical area is slightly larger, the patient's allogeneic transplantation will cause punctate infection necrosis.

Spot necrosis, most people have not seen much, how can this thing be a thing.

For example, when a palm is grafted with skin, and then after a few days of healing, when the dressing is undressed, the result is necrosis the size of a silver coin in the patient's palm, which is very troublesome.

To put it simply, it's like a steamed bun, a big white steamed bun, put it for a few days, take it out and take a look, obediently, there are mold spots on it.

It's not all of them, but they're dotted, and at this time, you're hesitant to throw them away, or are you picking them up and eating them?

Also, I just ate the fruit and took a bite of it, and it turned out that some of it was broken, but the area was not large, and it was a pity to throw it away.

Then, adhering to the fine tradition of the ancestors of China, I ate this steamed bun or fruit selectively.

This thing, how to say, this kind of moldy and spoiled food, no matter how you choose, actually contains a lot of various spoilage factors in it.

If it's not necessary, throw it away, this thing can't see any harm in a short time, but in the long run, the metamorphic factors accumulated in the body are cancer that becomes the beginning, and you can't run away.

The skin graft is similar, once necrosis occurs, it is controlled, and when the skin heals and grows, this place is a large contracture scar.

If it is not well controlled, this place is the source of infection, and the effect of medication is particularly bad because there is no blood vessel derivation.

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

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

A pair of scissors, a knife, iodophor, gauze, saline are essential. Then, first cut off the necrotic edges with scissors, and then use a scalpel to cut off the edges of the wound, as if digging apple puree for a child.

The idea here is that this debridement does not have the slightest pain relief or the use of anesthetic drugs!

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

Once a day, some can even last for about a year, really, super cruel, when debridement, you have to have four or five people to press the patient to complete.

Just like killing a pig, the patient is in pain and heartbreaking, what a steel man, in the face of this treatment, there is no one who is not crying snot.

One kill a day, many patients can't accept it, can't stick to it, can only choose a second operation, if this happens again once the second operation, then you can only start all over again.

After thinking for a while, Zhang Fan said: "If the operation cannot achieve the expected protection, then it can only be made in the form of mesh skin." ”

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

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

"Oh, I rarely choose mesh skin grafting, and in general, I don't have necrosis when I do surgery!"

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

However, several experts were directly stunned in place, as if a cold wind was blowing, and they all shivered.

"Thank you for your hard work, everyone's hard work! Please take a short rest, let's go to dinner, your arrival, we feel honored up and down the Chasu Hospital!"

Ouyang had the smile of a wolf grandmother on his face, looking at several experts as if he was seeing a little lamb with a mouth.

Several experts nodded at Ouyang, as for eating or anything, it didn't matter.

"Zhang Yuan, how do you guarantee that there will be no such punctate necrosis. Director 30X was an impatient, he asked urgently.

"First of all......" Zhang Fan was about to say.

Ouyang spoke, "Oh, Zhang Yuan, you're not hungry, others aren't hungry, eat first, after eating, you give a special class to the hospital doctors, and by the way, let the experts from the capital also give you a lecture on stage!"

Ouyang didn't have to squeeze his eyes at Zhang Fan, this was the tacit understanding between the two, for this tacit understanding, Ouyang was very complacent, 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 not happy.

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

There's no way, everyone says so, even if a few people are anxious, they have to eat first.

At this time, the officers of the medical office had already begun to set up the largest conference room in the hospital.

"Welcome experts from the capital to our institute to guide the work!" The big characters on the head were already hanging above the conference room.

Then all the nameplates were put away. The burn department is very special, when there is no sick number, the doctors are idle and rubbing eggs, and when they are busy, the ghosts can't chase them.

Therefore, it is not suitable for outpatient visits, and it is better to have experts give lectures to the doctors in the hospital and talk about their experiences.

Experts of this level, if they give lectures, if they are not in the university, they generally want to invite them, it is very difficult, and Zhang Fan can be regarded as taking a pot of northern burns this time, if Ouyang can let them go, he will not be called Ouyang.

Ouyang and Zhang Fan, as well as Ren Li and some hospital directors, warmly greeted the experts in the capital out of the operating room, although this time Zhang Fan was the chief surgeon, but people reached out to support, how respectful it is.

When they walked out of the operating room, as a result, everyone was speechless, especially the experts from the capital, who originally wanted to talk to Zhang Fan more in their hearts, but when they saw the scene outside, all of a sudden, their hearts were tightly blocked, and their mouths began to tremble.

In the passage outside the operating room, there were all armed police, all of whom stood in two rows neatly, as if waiting for a military parade.

Serious, silent. Although, among them, many soldiers were bandaged with gauze, hanging their arms, and even 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 uniforms are the most beautiful and eye-catching.

"All of them, salute our fellow doctors!"

Hello!

Hello!

Hello!

"Oh, what is this for, what is this for, some of them are injured, hurry up and put it down, hurry up and put it down. Ouyang said as he wanted to step forward to stop him.

However, looking at the soldiers with tears in their eyes, Ouyang couldn't walk, really, looking over one by one, there were still traces of burns on her green faces, and there were painful muscle twitches in her slightly, she was distressed, and the old lady who looked at it felt distressed in her heart.

"This is what we should do!"

As he spoke, Zhang Fan took the lead and bowed lightly to these young warriors.

Then, all the doctors around me had them, they had the marks of masks on their faces, and their original tired expressions were so solemn at this time.

Uniform return of gifts.

Military and civilian salute each other!

The families of patients outside the operating room also quietly looked at these special people.

How can they be as satisfactory as they want to be, they are all qualified, and they have not disappointed the Chinese people in their respective posts.

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

"Well done!"

Now, no, there are still doctors in the operating room doing surgery. Ouyang hurriedly maintained order on the scene with red eyes.

......

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

"Time is urgent, let's make up for it casually, and when the wounded come to their senses tomorrow, we will treat the experts well. ”

The director of the medical service was busy starting to divide the meals.

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

Of course, when you come to the frontier, the quick food is steamed buns and pilaf, and the most famous ones are baked buns and thin-crust buns.

Although the filling is the same, the taste is different because of the different ways of making it.

Thin-skinned buns, the dough used is similar to the dumpling skin, just one word thin, and this skin must be able to transmit light.

The stuffing should be fat, 80% of the fine mutton, and then mixed with 10% of the fat on the tail of the sheep, and then put some skin teeth, and then add a lot of water.

This filling is like a muddy hand, which means that the filling is fat and watery enough. The bag is also quite particular.

The chef's hands must be fast, otherwise the filling of this soup will definitely make a slice of soup for slow people.

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

When the skin of the bun is shiny and the moisture in the filling slowly soaks the skin into a broth color, the bun is cooked.

This kind of steamed bun, with specially boiled dry pilaf, is obedient, and the taste is really beautiful.

A bite of the bun, the aroma of the fatty meat, the deliciousness of the soup, and the strength of the lean meat exploded directly in the mouth.

Then take a bite of this pilaf with a particularly little oil separation, the fragrance of tea vegetarian rice, mixed with the sweetness of carrots, and the sweetness of the skin and teeth!

Obediently, especially for hungry people, this kind of meal, a plate, really, delicious, and satisfying, but also make the stomach feel the fullness brought by the food, so beautiful.

"Come, try it, tea vegetarian thin-skinned buns, this is similar to the soup dumplings in the south, come and try Director Wang." ”

Zhang Fan and Ouyang kept greeting several experts.

"Well, it's going to be a day!" several experts looked at each other and shook their heads with a wry smile.

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

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

He was also distressed in his heart, why couldn't he make good materials?

As a result, he was really happy this time, these experts, when using this new material, had all kinds of problems, and this time, Zhang Fan gave it all a thoroughness.

At this time, there are many, many more surgeons who can use this material, and they are still experts in Huaguo.

Now, Ouyang didn't say let him stay for one day, he was willing to stay for ten days. He wished that Ouyang would tie these experts to Zhang Fan.