"Come and take a look!" said the scald director of the pediatric hospital in the capital in a surprised tone, but with the addition of the environment and atmosphere, the director of 30X mistakenly thought that this mallet of tea was in trouble.

The medical industry, whether it is backward in ancient times or technological in today's world, has a particularly obvious characteristic.

That is, doctors are especially reluctant to accept patients who have already been treated.

There are too many roadways in this, especially in the current environment of medical insurance, and doctors really have a headache when they accept patients who are transferred to hospitals.

Also, there is the problem that doctors are particularly afraid of encountering the previous doctor who used the saw cluster treatment.

What does it mean, say a man, let the enemy biubiu shoot an arrow, and then be carried to the doctor by his partner.

As a result, this doctor, I don't know if he doesn't have a strong sense of responsibility, or if his level is not up to par, what about him, the treatment is also quite simple, and with a click, the arrow shaft exposed outside the body is sawed off.

Then he said to the injured man: Go, I am the doctor in charge of the outside, go and see the doctor who specializes in seeing the inside.

This is equivalent to digging a pit for the next doctor, and the next doctor can't find it, and he can't pull it out.

Therefore, when the director of the scalding department of the Capital Children's Hospital shouted out in surprise, the 30x director Chen was furious, and even complained about the mediocre Li Cunhou.

"Since you've called us, don't let the doctor here do it, it doesn't matter if you can't help, but don't make it difficult for us anymore. ”

complained about Lao Li in his heart, and he was not polite in his mouth, "Get out of the way!" To be honest, these are all good-tempered, and there are many, many surgeries who have entered the operating room, and to be honest, they are scared to death.

Lao Li was pushed inexplicably, but he didn't care, after all, people also gave themselves face and helped themselves, so he moved his body and gave up his position a little.

This position can only let him take a look, but it can't let him get started with debridement, and Lao Chen is about to be foamed at the mouth.

"You ......" was about to curse, but his eyes drifted to the wounds of the wounded.

He couldn't scold this glance.

Earlier, Zhang Fan did not dare to slow down, for fear of stimulating the patient and causing the patient's stress response.

This reaction, if explained in technical terms, is particularly troublesome, so let's make a simple analogy.

You walked alone at night, and you were a little scared, but you suddenly jumped out of one person and shouted, Sun thief!

Then, do you have a creepy feeling, full of tightness, cold sweat, loose urine muscles and want to tick.

In fact, the same is true of the body, when the injury is severe, there is a continuous stimulation injury, and the body begins to have problems.

For example, massive bleeding in the digestive tract and cerebral edema are all manifestations of stress reactions. At this time, the brain is probably in such a state, "Run for Lao Tzu!" Okay, if you don't run, Lao Tzu will self-destruct to show you!"

Therefore, in order not to cause the stress reaction of the wounded, Zhang Fan did debridement relatively slowly.

However, even then, about half of the damage area has been treated.

The untreated half is directly like a black (a) person, and it is thrown into the fire and scorched again, then brushed with a layer of oil, and it is roasted again, and it is directly roasted with the skin and cracked flesh.

The black-scorched skin, like smashed ground glass, was full of dark red and dark red cracks and incisions, and there was also pale red blood and yellow and white tissue fluid.

It's really like a black face with red lips and drooling, and there are so many mouths that you can't count them. The real one is like the mouth full of Guanyin with a thousand hands, and it makes people hairy to look at.

The side that Zhang Fan treated, although it was still black, but the cracks between the flesh and the flesh slit, and the inactivated tissue had been cleaned up.

On the loosened wound, the charred tissue was removed. It's like a curly-haired black guy being sprayed with a kerosene blowtorch.

Although it is also scorched, although it is also black, there is no infection, no bleeding, and no inactivated tissue.

Lao Chen looked at it like this, and then at Zhang Fan, "Obedient!" Because of the support of these experts in the capital, Zhang Fan at this time was holding a knife, carrying scissors, and grasping gauze, and his movements were fast.

Zhang Fan now has one thing in his mind, hurry up the debridement, and then hurry up to the operation.

Brush, brush, knife, peel off. The description is simple, like an old chef slicing fish, the knife goes down, sticking to the red, half-cooked muscles, and the skin is cut off layer by layer.

Lao Chen's anger couldn't be released, this craft, this craftsmanship, is not bad compared to him.

Lao Chen Meng was stunned, and then looked at the director of the capital's pediatric scald with a confused face, "What do you mean?"

The female director didn't even look at Lao Chen, and said directly: "Don't be stunned, everyone, let's get started." ”

"This doctor is ......"

"This is Zhang Fan, Dean Zhang!" Lao Li hurriedly introduced, and then said, "The surgical method of allogeneic skin grafting is mainly performed by Zhang Yuan. ”

"Oh, oh, Zhang Yuan, let's deal with it separately, you and I on the left, their right body. ”

"Okay, hurry up!" Zhang Fan nodded, but there was no pause under his hand.

The anesthesiologist reports every five minutes and every five minutes. The vital signs of the wounded were reported to Zhang Fan and them at any time.

Compared with Zhang Fan, the techniques of these expert directors cannot distinguish between male and female at this level of debridement, after all, debridement is the entry operation of doctors.

Twenty minutes later, the wounded man was debrided and "ready for surgery." ”

Zhang Fan didn't need to discuss with others, and directly began to order.

The director of "Forehead ......" 30x also thought that the doctor might be modest, maybe have a preoperative discussion with a few of them, but as a result, they didn't even look at them and were about to go to surgery.

The water pool, the capital pediatric scald, were all confused by Zhang Fan.

"For such a big operation, don't you design a surgical plan, don't you plan the surgical procedure? Even if it's urgent, you have to book the surgical plan in advance, you can't pee on the puppy, let's pee while walking." ”

"Hehe, no need, this kind of surgery is difficult for people. ”

Lao Li's waist was stiff at this time.

"Isn't this crossing the river and demolishing the bridge, when the patient is rescued, why didn't I think you were so angry. The director of Shuitanzi said Lao Li like a joke.

"Isn't this the condition of the wounded critical, brother, brother, I'll do it for you, don't worry about it in a small way, he's really sure, don't you still believe me?"

"Hehe!" several experts sneered.

Zhang Fan gave an order, and all the ICU nurses wearing protective suits, as well as doctors and anesthesiologists, started at the same time, pushing the operating cart and running beyond the operating room.

After the side door of the ICU is opened, it is directly the passage of the operating room, "Quick, get out of the way, get out of the way!"

In the corridor of the operating room, the nurses and doctors all leaned against the wall and gave way to the armed police soldiers.

Zhang Fan took off his protective clothing while running, "Director Guli, hurry, get on stage." ”

"Uh!~" Gu Li looked at the teacher she had studied before, and then looked at Ouyang.

Ouyang shook his head lightly as if inadvertently.

When Gu Li saw it, he immediately shouted: "Zhang Yuan, come right away, I'll go get the medical records." ”

"When is it, can't you let others take it?" Zhang Fan was furious, and his voice changed when he shouted.

Zhang Fan, who took off his hat, and Zhang Fan, who shouted his voice, made several experts in the capital see it clearly.

"So young, Lao Li, this is not a joke!"

This time, it was not only the male director who was in a hurry, but even the female director of the pediatric scald department in the capital was anxious.

"There is absolutely no problem, I use my practice reputation to guarantee that there is absolutely no problem. ”

Lao Li changed his gentle and elegant expression in the past, and his face was solemn.

At this time, Zhang Fan was actually not worried, and he was not timid at all during the operation. As long as the wounded's vital signs are stable, he really doesn't worry at all.

The last surgeon with a little bit of skill gave him an assistant, and he was able to do it.

"Okay, today is considered to be cheated by Lao Li, go up, if you can't do it, we will take over, it's better to go up in advance and let him be in front of you." ”

"Okay!"

"Disinfection, spread towels, quickly!" Zhang Fan turned his head to find an assistant, but when he saw that he didn't know the three doctors who took off their hats.

Lao Li is like a matchmaker who pulls the bridge, "This is the ...... of the capital 30x"

"Oh, thank you, directors, please do the operation!" Zhang Fan nodded lightly. It's not passionate, but it's not cold either.

It's just a normal hello. The current Zhang Fan is no longer Wuxia Ameng.

For Zhang Fan's attitude, several experts in the capital really didn't feel good in their hearts, and they felt as if they were a little catching up.

If there was no preoperative rescue, they might not have such a strong feeling, but after the preoperative rescue, they also saw that this was an ordinary district hospital.

In Huaguo, except for the magic capital, one of the others is counted as one, and they went to the local hospital, and there was no politeness up and down.

But now, in a small frontier hospital, the doctors are not only polite, as if their cards are the same.

The doctors up and down saw that they didn't have that kind of eager eyes, especially this dean, who was young and not small.

Facing them, he simply nodded, as if he was the director of that large hospital in the capital, and his face did not change at all!

"Hehe, let's have surgery first. You're the main knife?"

The older female director smiled reluctantly, and then asked.

To be honest, it's not that the doctors at Chasu City Hospital are not enthusiastic, in the last year or two, they have seen too many big people who make their eyeballs pop out.

Even the legendary-level characters in the textbooks have come to their hospital, so for the average Dana, really, a little immune!~

As for Zhang Fan, he has long passed the worship mentality.

"I'm the main knife!" Zhang Fan still nodded.

"Shhh

But what can I do now? I came in a hurry, to use a more colloquial phrase, I made an appointment...... Gritting your teeth, you have to ......

Then go for it!

Nervous, several experts really nervously went to the operating table. As long as Zhang Fan arrives in the operating room, his mind will definitely become very single.

The only thing to think about is how to do the operation well and how to make the operation more refined.

As for the rest, he was reluctant to distract himself.

Surgery begins.

To be honest, surgery for large-scale burns is not as risky as extracerebral or extracardiac surgery.

Outside the brain, outside the heart, sometimes, if the doctor is not careful, it is either an artery or a nerve, which is absolutely dangerous.

Although the risk of extensive burns in surgery is not as thrilling, the requirements for a surgeon are high.

First of all, microscopic, local skin sutures, allogeneic skin grafting, suturing and re-establishing the vasculature, a little weight under the hands is a little heavier, although it will not cause problems for the patient at the time, but the allogeneic material cannot survive after surgery, and infection will not be able to escape.

Macroscopic, where you need to put a little more, where you need to put a little less, where you need to transplant a little muscle, you need to reduce a little muscle, this should be considered before the operation, and the corresponding changes should be made during the operation.

If you don't have this overall view, sitting down during surgery, or the patient will be like pulling the skin, the skin will collapse tightly, and closing the mouth is a big problem.

Or is it a build-up of skin, like a Shar Pei dog, breathe, and the skin on the body is like ocean waves, wave after wave.

"Knife!" Zhang Fan said to the operating nurse, "Materials!" and then said to Li Cunhou.

Today, Lao Li has no place for him on the operating table, so he can only retreat to being a material nurse.

Zhang Fan first started with the soldier's face, skin grafting, where is the most difficult, the face is the most difficult.

Really, not to mention anything about beauty and beauty, there are more holes on the face than in other places, so skin grafting on the face is the most difficult.

"Why don't you start with the abdomen first, even if there is an accident, there is room to go back!"

The director of Shuitanzi couldn't help but say, although he was not very interested in Zhang Fan's attitude, he was responsible for the patient.

"Yes!" the other directors also nodded, this is the normal sequence of surgeries.

Lao Li looked at Zhang Fan and looked at the other directors, he was silent, he knew Zhang Fan too well.

"No! Zhang Fan didn't have time to explain, first, the easier it is to get infected when you wait, once there is a secondary infection on the face, then even if the skin is successful, the patient's face will be pit and vortex, like a cannonball bombed position, how old is the young man.

Secondly, Zhang Fan is too proficient in this kind of transplantation, not to mention that the experiment is done many times a day, and he has done it in the system I don't know how many times.

If he didn't have this certainty, he didn't dare to take this risk, and he couldn't take these things into account for the wounded, which would be too sorry for his system.

Several directors looked at each other, and when the 30x Lao Chen was about to open his mouth to stop it, Zhang Fan moved, and he didn't even have a chance to speak.

The knife, like a meat grinder, is rippling, the muscles of the face are cleaned out, and the blood vessels like red flesh threads stuffed between the teeth are exposed!

"Materials!"

Lao Li hurriedly handed over the materials in his hand.

A few knives, you don't need to do more, Zhang Fan just a few knives, completely convinced a few directors.

"Oh boy, play slippery, where did he learn this? As a three-assist boxer who fights soy sauce, the director of Shuitanzi asked Lao Li in surprise and in a low voice.

"Hehe, this is called Zhang's Knife Technique!"