When they saw the child's injured fingers, Zhang Fan and Lao Chen couldn't help but inhale the cold air. I saw that the skin of the fingers at the ends of the thumb and index finger bloomed like a black chrysanthemum, and the two fingers were open. To speak human words is to shatter the skin of the fingertips, and the red muscles are open like cords. When the cotton on my fingers is removed, the blood begins to flow!

When the wound was examined, the child cried heartbreakingly, the child's father held his child tightly, holding on to his other hand, and the mother was in tears and helped to squeeze the injured hand.

"Is the kid putting a cannon or a detonator!

"We were busy cooking, and one of us didn't pay attention, and the kid lit it with a cannon. The child's mother is speechless, although Zhang Fan is very gentle, but ten fingers are connected to the heart, mother and son are heart-to-heart, the doll is crying heartbreakingly, can she feel better. The child's father was talking with red eyes.

If an adult had done heavy work today, it might not be so serious. The child's skin is thin, and the cannon battle will explode directly in his hand, if this power is a little greater, maybe he will blow up his finger directly!

In microscopic orthopedics, this kind of injury is independent, there is a big name, ruined injury, cut injury, if the incision is straight, the difficulty is nothing, just like the operation Li Liang and they did, although it looks dangerous, in fact, as long as the action is fast, the survival rate of replantation will be very high, and it can almost recover to about 80% of the original function in the later stage.

But this child's is much more serious. Although it is just a little place at the end of the finger, the skin has been damaged, the muscle layer is deeply injured, and the white bone can already be seen, and it is the thumb and index finger of the right hand, without skin, the end of this finger cannot be preserved.

You can imagine how cruel it is for a person to lose his right thumb. After the thumb is not there, it can be directly assessed for disability, and then there can be a book, disability certificate! And this doll is only six years old, how gray the future life will be!

Although the child cried heartbreakingly, the child's parents and grandparents guarding the door did not have any words to stop them, crying and hurting are fine, as long as they can keep the child's fingers!

Zhang Fan looked at the child's fingers, and had already conceived a way to deal with it in his mind, although it was serious, but for a systematic person, this was nothing.

"Doctor, please, the doctor from the Chinese Medicine Hospital told me that only here can I save the child's finger, please, I must save the child's finger!" The originally suppressed crying was directly like the sluice gate was opened, and the monstrous flood directly surged out.

"Whew!Whew!" This cry was directly like a desperate she-wolf, and his trembling hands were stained with the blood of many children! Although the child's father did not cry, he stared at the red eyes, and tears flowed down the face that was clinging to the child.

Lao Chen wanted to speak, but he was not sure, he opened his mouth, but he didn't speak, and looked at Zhang Fan. "There is salvation!" After finishing speaking, Zhang Fan said to Lao Chen again, "Prepare for surgery." ”

"There is salvation. These words were like a heavenly sound, and directly made the child's mother's tense body sit on the ground softly. When she was in the Chinese medicine hospital, when she heard from the doctor that she needed to amputate her finger, her world turned gray and hopeless!

Fortunately, Zhang Fan and their salesmen have made it home, and the traditional Chinese medicine hospital and the city hospital have run countless times, otherwise what year will this family have, and it is estimated that there will be no New Year in the future!~

This kind of injury is not just an ordinary broken injury, it is a compound injury. The huge energy not only blew up the skin muscles, but also burned the surrounding skin and burned to death. It's so cruel and serious.

When Zhang Fan said "save and prepare for surgery", Lao Chen seemed to be resurrected, and began to instruct neatly, "What are you crying about, now is not the time to cry, hurry up and sign and pay the fee and prepare for surgery." Whoever is going to push the C-arm to the second operating room. Hurry up!" like a head nurse, he began to get busy.

The parents who saw the clouds and fog looked at Zhang Fan full of gratitude. When Zhang Fan came out of the disposal room and was about to enter the operating room, although the two old men waiting at the door did not dare to interfere with Zhang Fan, their lips trembled, their expectant eyes were filled with tears, their expressions were pitiful, and their hair was gray!

"Don't worry, the old man will be fine!" Zhang Fan, who had already walked past the two old men, turned his head and said! Everyone has a heart of compassion, but with time and age, this heart is getting harder and harder!

During the operation, the head nurse of the operation gently comforted the child! This is the advantage of women, if Zhang Fan is allowed to comfort the child, it is estimated that the child will cry even more. Why, I guess it's because of the blackness!

Because he was away from his parents, perhaps because he was afraid, although the child did not dare to cry loudly, his body shrunk together, his limbs trembled slightly, like a wounded fawn, facing a group of hungry lions!

"It's so pitiful!" Lao Chen looked at the child, perhaps because he remembered his child, and said with a little pity.

Zhang Fan turned his head to look at the child and did not speak. The anesthesia begins, and if the skin is not broken, this surgery is debrided directly under local anesthesia, which is a very simple operation. However, because of the damage to the skin, the difficulty level of the operation was suddenly raised by N levels.

After anesthesia, debridement begins, this injury can almost be regarded as a firearm injury, first rinse, a large amount of isotonic saline begins to rinse, the wound is broken and free tissue (rotten meat!) washed away, and then with a sharp knife gently remove the superficial gunpowder particles around it.

"Tourniquet!" When it was cleared, Zhang Fan did not let the tourniquet be applied, because Zhang Fan needed to know that there was no bleeding in that place, and that the tissue in that place had been inactivated.

In today's operation, Lao Chen is Zhang Fan's assistant, and everything is being carried out in an orderly manner. The surgical area is not large, but the place is too important, it really makes people speechless, and you don't have so much trouble even if you blow up the palm of your hand. It's a big deal to do a skin graft, but the general skin grafting in this place is directly useless, and the blood supply at the end of the limb is not good.

The focus of this pre-operation is to rinse, thoroughly rinse, and then completely remove the deactivated tissue, if this tissue is not cleaned, it will be a scourge in the future, a scourge of infection. In layman's terms, it is equivalent to burying the rotten meat in the body.

After these treatments are the first step, the next is the most important, how to do this surgery? There is no blood vessels, no skin, there is no way to deal with conventional surgery.

Because he was a child, Zhang Fan chose cross-arm flap transplantation. What does it mean, it is to design a flap on the opposite upper arm or forearm of the child. What is a flap, which is formed by the skin with a blood supply and the subcutaneous fatty tissue to which it is attached.

To put it simply, find a suitable place on the opposite arm, and then turn the skin muscle over, find a place where the muscle is thicker, connect the skin muscle blood vessels, and trim it into a defect.

Then this piece of tissue is sutured together with the child's finger, the trimmed tissue is not completely separated from the original place, and it is sewn on the child's finger, and the vegetative vessels of this piece continue to be supplied by the opposite arm, and then separated after the blood vessels in the transplanted place have grown.

After the surgery, it looks like the child's two fingers have been sewn directly into the opposite arm.

Because it is a child, Zhang Fan is very fine, the child is constantly growing and developing, if the operation is not done well, the choice is not good, it will directly affect the function.

The design of this flap is very exquisite, although the rough doctor has preserved the finger after doing it, it is too ugly, directly like a sarcoma on the finger egg, because the design is not good.

Why is the design not good, because there are few surgeries? It's not that doctors don't care. This is not difficult for Zhang Fan, I don't know how many times I have practiced in the system.

Slowly opened the deep fascia of the opposite upper arm, thinned and stopped bleeding, and then gently transplanted the trimmed flap to the child's wound, this operation is really embroidery, the wound is too small, Zhang Fan lowered his head, directly blocking the vision of others, Lao Chen bent his waist to take time to suck blood and wipe.

The built tissue is connected to the original tissue called pedicle, which is the channel to ensure that the child's wound can be resurrected. Directly buried the child's two fingers in the left upper arm.

Before the bandage, it looked like the child was doing an OK position with his right hand, but the thumb and index finger were inserted into the flesh of the left arm.

Although the operation is not easy to do, Zhang Fan's speed is too fast compared to Li Liang and Song Bing, when Zhang Fan and Lao Chen began to pressurize and bandage, Li Liang and they were still doing the third finger!

Gently put cotton between the injured hand and the left arm, then fix it with adhesive tape, and give the child a beautiful triangular scarf to hang the right hand.

This operation is not yet done, and it will take two to three weeks to wait for the wound to survive before the pedicle can be broken. Although it was a long time and very uncomfortable, it finally made the family not spend this Spring Festival in the gloom!

After the operation, Zhang Fan stretched his waist, more than two hours have passed, "After going down, you must explain to the parents to take care of the child, the child does not understand, if one accidentally breaks off, it will be over." The doctor in charge should also worry about the stability of this cross-arm. ”

"Okay, I'll take care of the bed for this kid myself, master, you should go back early, it's almost eleven o'clock." ”

"Don't worry, wait for Li Liang and them to get under the operation, and have a Chinese New Year's Eve dinner together." Are you ready?"

"Yes, I have prepared a lot of quick-frozen dumplings for the doctors and nurses on duty, and we will simply be lively together!"

Outside the operation, the child's family and the middle-aged woman's family stayed quietly in front of the operation door, the same anxiety, the same worry, and the sound of firecrackers in the distance was so harsh and irritating for them!

At Lao Chen's house, his wife and children looked out of the dark window, "Eat, your father is probably having surgery again!" ”

At Shao Hua's house, Jingshu was bored watching the Spring Festival Gala, and the old man had already watched the community several times.

"Let's eat! I guess we won't be able to come, let's eat, don't wait for him." Come to Jingshu, I'll pour you a drink. Shao Huaqiang said with a smile. Why not call?

Quite simply, if the doctor goes for surgery, the family will not call unless the doctor himself calls home.

In the lights of thousands of homes, the personnel in these special positions are still continuing their daily work.

Spring is coming!~

.。 m.