Chapter 124: Learn to teach

Starting from the face, because the armed police soldier was burned by the fire after falling into the trap, and then the fallen tree hung on the protective clothing on the soldier's body.

The scalded skin is like a two-layer paint made by an irresponsible painter, and the skin sticks to the protective clothing and is taken off alive.

To be honest, this pain level directly makes people go into shock.

Therefore, especially in the old days in the countryside, every family made a stove to boil water for cooking, and sometimes the children did not pay attention and fell into the pot of boiling water.

In China at that time, 70% of the scalded wounded were children.

Then, the parents don't know much about the knowledge of first aid for burns, so they lift the child and listen to the child's pain to the extreme, and even the crying sound is when there is no air intake.

One was in a hurry and quickly pulled off the child's clothes, and as a result, even the belt meat, directly peeled the child into a red child, just like a shrimp that had been boiled and peeled.

If you are unlucky, the family will sprinkle some soy sauce, put some clear oil, and honey, and you can directly use it as honey elbow meat for the New Year.

If you are a little lucky, your parents will be sent to a larger hospital as soon as possible and you will be able to survive.

However, even after healing, the body directly becomes a contracture and tight, coffee-colored scar, which is really, painful and terrible.

Then as the child grows, the skin contracted and tightened together all over the body, like a hood, hoops around the child's body, and every time it grows, the child is like a moth out of the cocoon, full of cracks!

The faces of the armed police soldiers, on the scalp of the board inch, were first burned together by the ripped protective clothing, and then the falling tree directly tore it, and the scalp and the skin of the face were torn apart like crunchy potato chips.

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

It's red, it's burnt, and then there's the rest of the hairs that sit on top of the red flesh, and it's really, quite scary.

It's just like picking up the pork, and not plucking the pig hair, the blood red is full of black hair, and I can't see the human appearance, it's too miserable.

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

The director of the Capital Pediatric Scald said to Zhang Fan a little worriedly.

Can you not worry, although Zhang Fan's technique is quite powerful, there are too few things to prepare before the operation.

Transplantation and plastic surgery of the face and head, let's just say this, why do many local tyrants go to the country of sticks, why do they go to Europe for surgery?

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

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

In the past, it was to make facial molds for patients in advance, and the stick country and Europe and the United States have developed rapidly in this area, and they have combined computers and medical treatment, which has to be admired by others.

Huaguo later slowly caught up, but it was still a little behind.

But even if these people in the capital can't get into the top 10 in the world, they are still in the top 50.

Therefore, when they saw Zhang Fan, they did it, first, they didn't make molds for the wounded, and second, they didn't do three-dimensional computer construction, and they started directly.

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

Now is not the time to be rash, you can help a little bit, you can do something, you can do something.

They now have no doubts about Zhang Fan's surgical level, just Zhang Fan's few knives, cut the flesh, but did not damage a little blood vessel, at this level, it has already amazed them.

"It's too late, the damage is too large, and it's not just burns but also the accumulation of chemicals after burning, and if I don't clean up the transplant early, I'm worried that there will be poisoning and death of the grafted skin.

And we don't have a professional computer here either. ”

Zhang Fan said softly, although he was talking, there was no pause under his hand.

"There is no mold, no structural drawing, it is too difficult, the conditions are too poor. The director of 30x sighed softly.

Then he continued, "Zhang Yuan's level seems to be no problem, I have a sick number, his body shape is very similar to this fighter's, otherwise, I will now let our hospital transmit the information." ”

He looked at Zhang Fan.

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

Several people said quite pertinent opinions, Zhang Fan's heart was warm, he was proud of the profession of a doctor.

Yes, many times, there are many doctors who secretly take some benefits, but in the face of difficulties and disasters, there is no shame in their profession.

It's like a video, it makes people cry when they look at it, "Where are you guys?"

"Huaxi's, where are you?"

"Mountain Doctor's!"

"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 counted one, kept thinking of ways for Zhang Fan, and kept giving Zhang Fan ideas.

They don't sit on high walls, and they don't stand idly by, because it's a matter of human life.

As long as a person with a little conscience, no matter what profession, whether male or female, will lend a helping hand at such a moment, this may be the cause of the Chinese bloodline that can last for thousands of years.

There is no way, there is no good way, now I can only count on Zhang Fan's skills.

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

Originally, vascular nerve surgery was more sophisticated with a microscope and better magnification.

However, the patient's burns were too severe, not only the trachea was cut, but there were too many drainage tubes in various channels on the body, which took up too much space. The microscope is too large to be suitable, so you can only use a magnifying glass.

The magnifying glass on the medical field is not the kind of little kid holding a burning ant.

It is estimated that people who are a little older may have seen the appearance of a watchmaker repairing a watch, and the magnifying glass on the medical side is particularly similar to the magnifying glass of the watchmaker, but the watchmaker is monocular, and the medical one is double-tube.

With this thing, it looks very handsome, like a technology maniac, but it's not, with this thing, I don't know if it's handsome or not, if you're not used to it, turn your head a little faster, and it can make you vomit.

And this thing is very heavy, so to speak, after a female doctor with a thinner neck takes this thing for an operation, she can directly straighten her neck and can't lift her head.

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

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

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

"Okay!" she also carried a magnifying glass.

The two of them held their hands and staggered their hands to open the diameter of the blood vessels.

To build a new blood vessel, the blood on the blood vessel must be cleaned, and the blood can be circulated after suturing, which is an awkward sentence.

But, that's how awkward it is.

In the reconstruction of blood vessels, as long as there is a little residual blood, this thing acts like a detonator, which can activate some clotting factors in the skin of the broken blood vessels.

Once one is careless, after being activated, it will be troublesome, connecting a blood vessel, and as a result, the tourniquet is just loosened, and after the blood comes, it is all coagulated together, forming a large number of blood clots.

The female director holds tweezers in one hand, clamps the outer membrane of a blood vessel, and holds a suction device in the other, ready to suck up the accumulated blood and irrigation fluid at any time.

Zhang Fanyi took the pliers in his left hand, clamped the other side of the blood vessel, and then took the irrigation gun in his right hand and began to flush.

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, but this is actually the action.

The mouth of the balloon is too small and it shrinks, so the children cooperate, one pulls the side, and then extends the balloon to the faucet.

It's just this one action.

No, it's too difficult for a doctor, and without tens of thousands of exercises, you can't even think about doing this kind of surgery.

The adventitia of the blood vessel is only 3~4mm, not to mention coughing and hand trembling, as long as there is a little bit of asynchronous between doctors, this blood vessel will be wasted.

"Director, hold on, put down the suction device, let the second assistant take over your suction device, you have to open the adventitia of the blood vessel for me, the adventitia is a little burned, I want to repair it." ”

"Huh!" the directors of several capitals, sweat down. It's too difficult, and the operation that can only be done under the electron microscope under the magnifying glass is really, too difficult, and too demanding.

Peel off, pick up, and then sharpen the mouth scissors gently, gently and slowly peel off and trim the skin of the scalded blood vessels.

This thing, if you magnify it N times, is actually exactly the same as doing circumcision, that is, the outer skin is removed.

Outside the operating room, Ren Li organized internists to pay attention to the vital signs of the wounded while starting to let the young internists learn the medicine of the experts.

"Heart booster, when it reaches an extreme, there will be an inhibitory effect, everyone look here......" Ren Li understood while pointing out the key points to the young doctor.

In the operating room, several experts with magnifying glasses, like students, stared at Zhang Fan's hands and stared at Zhang Fan's hands tightly.

They know all too well the importance of this way of working.

There are many reasons why Lao Li's materials can't be promoted, and there are many competing materials.

For example, biological culture, which is more popular in Europe and the United States, is to use the patient's own skin through bioengineering to cultivate the required skin.

This is very good, but it is also very limited, and it takes time and money.

In this way, this thing is not something that everyone can use, and there are few 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 and too difficult.

Therefore, when Zhang Fan showed his Zhang knife technique, everyone's eyes were straight.

"Surgery, can you still do this?"

"Oh my God, it turns out that blood vessels do this to improve survival rates. ”

"Cow, really, it's awesome. ”

They are too knowledgeable, when Zhang Fan entered the key steps, they were more serious than the other, the original disdain, the original annoyance, now all disappeared.

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

Really, watching the warrior's face slowly burn out of the cobweb-like vascular plexus.

"Lao Li, materials!" Just like when he was in the laboratory, Zhang Fan was about to start using skin material transplantation.

He took the skin, inhaled softly, and closed his eyes, his mind full of three-dimensional drawings of the warrior's face.

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

Just when Zhang Fan closed his eyes and simulated, the experts in the operating room did not urge.

Ninety-nine steps have been taken, and now the last step is taken, and everyone does not dare to urge, nor can they urge.

When the last piece was filled in his mind, Zhang Fan exhaled softly.

"Let's go!"

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

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

"Oh my God, he first constructed the blood vessels, and then let the blood vessels spread into the tissues on their own, the idea is really genius. ”

"The hand is so steady, and the shot is almost always between a breath and a breath, so that's the case!"

All the experts have learned from Zhang Fan's operation that they are difficult to cross the threshold.

It's called understood, understood.

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

Or when they understand what is wrong, age no longer allows them to take a knife to the stage, this is the pathetic of the surgeon.

This also shows from another aspect that a surgeon has the value of having 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 him with a very protective look.

The end of the face.

End of the neck.

Chest ends.

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

The director of the pediatric scald department in the capital asked worriedly, although four or five hours had passed, they did not feel the slightest tiredness.

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

"Okay! but, not forcefully!"

"Yes, absolutely not, if there is a slight problem, we will stop immediately. ”

Several directors split up and began to do allogeneic transplantation of the skin of the limbs.

I was so careful and excited.

Oh my God, they felt like they were the first time they were swordsmen, and the excitement in their hearts was indescribable.

"Zhang Yuan, this way, this side, it doesn't seem to be too close to fill in!"

"You see, in this way, the limbs have to move, the skin must reserve a certain amount, and the blood vessels on this side must be connected in advance. ”

Zhang Fan kept guiding them, and if he learned it, he had to hand it over to others, and Zhang Fan handed over the knowledge of his system to everyone without reservation.

Outside the operating room, the young doctor didn't feel anything, looking at the instructions of these experts, he didn't have any idea, "What is it, how to use it!"

And Ren Li, a doctor of their level, the more they look at it, the more interesting it becomes, one moment frowns, one moment it seems to be the same, and another moment it seems that they can't figure it out.

The operation is slowly coming to an end.