Yang Fuquan's brows furrowed suddenly, he first looked left and right at the others, and found that they all shook their heads, Yang Fuquan understood what they meant, so he thought about the wording and said: "Dean Su, I understand your feelings about wanting to save people, but we have to abide by the rules, if the patient's family does not sign, we can only do debridement and suture, plastic surgery is not possible, although Xiao Chen is a doctor in our hospital, but as the old saying goes, people are separated from the belly, and no one dares to guarantee that he will bite back afterwards, said that we didn't need to do plastic surgery on his mother without his consent, if he really made trouble, we would be very passive, Dean Su, you have to think about this matter clearly. ”

Su Hongwen stopped but didn't turn around, he could hear what Yang Fuquan and the others meant, they were afraid of taking responsibility, if Chen Jinzhou really made trouble afterwards, just one thing that he did not sign the hospital to give his mother plastic surgery was enough for everyone to drink a pot, but Su Hongwen believed that Chen Jinzhou would not do such a thing.

"Director Yang, go back, I'll do this operation myself." Su Hongwen's voice was very cold, and he already had a little anger in his heart.

When he talked to him at that time, Su Hongwen had already moved the idea of helping him pay the hospitalization fee and surgery fee, but he was afraid that Chen Jinzhou would not accept his help, so he didn't say it, but Su Hongwen could see that he wanted to do plastic surgery for his mother, so he decided to do a prelude first, it was indeed not in line with the rules, but Su Hongwen really believed that Chen Jinzhou was not that kind of person.

The other people glanced at each other and then persuaded Su Hongwen a few words, probably with the same meaning as Yang Fuquan. persuaded Su Hongwen not to do any plastic surgery, afterwards Chen Jinzhou really used this matter to make trouble for you Su Hongwen is going to be unlucky, but they persuaded a few words to see that Su Hongwen was unmoved and lazy to persuade, anyway, they did it to the fullest, you Su Hongwen want to make trouble for yourself, it's your business, we don't care, and we can't control it.

As for whether Su Hongwen can suture such a strict wound and do a plastic surgery, they don't bother to worry about it, Su Hongwen is not the only general practitioner in the hospital, so let him toss, it's his business to do it badly. It has nothing to do with them.

As soon as Yang Fuquan and the others left, Su Hongwen immediately asked the anesthesiologist to call the emergency department and asked Zhuang Ying and Jin Hao to come up immediately. Su Hongwen knew that finding them would not help him much, but this operation was an opportunity for them to learn plastic surgery and sutures.

As soon as Su Hongwen laid out the operation sheet, Zhuang Ying and Jin Hao came in, and Zhuang Ying's mask revealed two eyes full of worry. She walked up to Su Hongwen, pulled the corner of his clothes, and whispered, "Teacher Su, the patient's family didn't sign. I don't think you'd better do plastic surgery. It might get you in trouble. ”

Su Hongwen turned his head to look at Zhuang Ying and said, "The hospital spread so quickly?" ”

Zhuang Ying nodded and said, "As soon as Jin Hao and I entered the operating room, we listened to those doctors talking about this matter, so don't do it." ”

Su Hongwen shook his head and said, "I can just stitch the patient without plastic surgery." But have you thought about it? How will the patient feel when she sees her face after the stitches are removed in a few days? No matter how old the patient is, she is a woman, even if she is not a woman or a man, he will not be able to accept it, everyone has a love for beauty, you have heard this sentence, people always like to pursue beautiful things, and they also care about their appearance, when he suddenly becomes a person who is afraid of ugly monsters, how many people can accept it? ”

"We doctors don't just treat diseases, sometimes we need to treat the heart, if you want to be a good doctor with Jin Hao, remember my words, treat the disease more to cure the heart, after saying that debridement suture and facial plastic surgery can be carried out together, if the second surgery is doing plastic surgery, the patient will suffer more, and will spend more money, okay, just say that, brush your hands, go on stage." When Su Hongwen said this, he turned his head to look at the ECG monitor.

The anesthesiologist said at this time: "Dean Su's patient's tongue is very broken, and we can only have local anesthesia, but his injury is too bad, and if he uses too much lidocaine, his heart will have problems." ”

Su Hongwen nodded and said: "I know this situation, give me 20 ml of lidocaine, dilute it with normal saline, and I will anesthetize it myself." ”

The anesthesiologist also knew that the patient's injury could only be anesthetized with lidocaine, and there was no other way, so he nodded and motioned for her to prepare narcotic drugs.

Just now, the debridement of Yang Fuquan and others is actually to remove the soil and debris on the wound and did not suture, and now Su Hongwen has taken over that he not only has to suture but also have plastic surgery, so he can't start rashly, he has to carefully observe the patient's wound and design a set of surgical plans suitable for her, this design process involves some calculation problems, Su Hongwen and the instrument nurse asked for a percussion hammer, and there are scale rulers on the two handles of the percussion hammer, and now this thing is used by Su Hongwen as a ruler.

Jin Hao brushed his hands and changed his clothes, came to the stage to see Su Hongwen measuring there, and couldn't help asking, "Teacher Su, what are you doing here?" ”

Su Hongwen didn't raise his head and said while continuing his work: "Design a suture plan, in fact, this operation should not be called debridement suture or plastic surgery, it should be called debridement and cosmetic suture, I measure the size, depth and integrity of the wound is to collect the number of jù, and then design a suture plan according to the number jù, do you understand?" ”

Su Hongwen raised his head and saw that Jin Hao and Zhuang Ying's heads were shaking like rattles, knowing that they didn't understand, he thought about the wording and said: "Let's put it this way, now the patient's face is a rag full of cuts and holes, and we doctors are tailors, we want to use needles and threads to repair the cuts and holes on this cloth, so that it can be restored to its previous appearance, now you understand?" ”

The instrument nurse burst out laughing, and then said, "Dean Su, your analogy is really interesting, but it's really appropriate, this kind of surgery is not the doctor is the tailor, and the patient is the damaged piece of cloth." ”

Su Hongwen continued with a smile: "But the conventional cloth is a plane, and this 'cloth' is not a plane, you can imagine it as a very thick step, we not only have to sew the surface of the 'cloth' with needles and threads, but also stitch the inside, Jin Hao, if you are the chief surgeon, you will sew that piece first?" ”

Jin Hao stood there and wanted to reach out and scratch his head, but when he thought that he was wearing a surgical gown and gloves now, he couldn't scratch his head, so he quickly put down his raised hand and thought about the wound on the patient's forehead and said, "Sew this piece first." ”

Su Hongwen shook his head and said: "No, this wound is very big, but you remember that when you suture this kind of facial trauma in the future, you must sew it from small to large, from the inside to the outside, the skin of the face is limited, and the patient has a lot of skin missing, if you sew the big wound first, it will be like this." Speaking of this, Su Hongwen picked up the syringe, took five milliliters of diluted lidocaine, and began to anesthetize.

Su Hongwen's anesthesia is very interesting, he is not like other doctors who have a wound and then inject lidocaine into that piece, he is playing lidocaine is to choose a few points to hit inside, these points form a fan, after the beating, Su Hongwen began to knead these points, he rubbed and said: "The patient's injury is very serious, because there are many broken places on the tongue, there is no way to intubate with general anesthesia, only local anesthesia can be used, but there are too many wounds, if you hit lidocaine one by one, then you have to play a lot, a lot, Lidocaine will bring a lot of burden to the patient's heart, and it is very likely that cardiac arrest will occur, so I choose this fan-shaped anesthesia method, I hit the points below are the main nerves of the face, anesthesia to put it bluntly is to block the patient's pain nerves, these main nerves are anesthetized naturally The patient will not be in pain, this can reduce the amount of lidocaine, this anesthesia method I will hand over to you, now we continue the problem of wounds. ”

Speaking of this, Su Hongwen stretched out his hand and pulled the skin hanging down from the patient's forehead back into the distance, and then said to Jin Hao: "According to what you said, the wound on the forehead has been stitched up, and now you use your hand to pull the skin on the left eyelid to reset it." ”

Jin Hao stretched out his hand to pull the drooping skin of his eyelids back, but when he pulled it down, he found that the skin was very tense and it was difficult to pull it back, he frowned and said, "Teacher Su, I can't pull it back." ”

Su Hongwen let go of the skin that his hands were pulling and said, "Now you are pulling." ”

This time, Jin Hao easily pulled the hanging skin back into the distance, and Su Hongwen reached out again and pulled the skin hanging down from his forehead again, a little more powerful than the first time, but not much bigger.

"Do you understand what I said now?" After Su Hongwen finished speaking, he looked at Zhuang Ying again.

Zhuang Ying, this girl is very smart, clapped her hands and said: "I understand, because the patient has more wounds, and the skin is defective in many places, which reduces the area of the original skin on the face. ”

Su Hongwen nodded with a smile and said: "That's probably what it means, but you talk too much nonsense, in fact, you can explain it in one sentence, the bigger the wound, the greater the force you can bear, and the smaller the wound is the opposite, you can borrow the force from the big wound by sewing the small wound first, but if you sew the small wound first, this force can't be borrowed, what is this force?" ”

Jin Hao grabbed in front of Zhuang Ying this time and said, "The traction caused by stitching." ”

Su Hongwen nodded and said, "Okay, you have already understood the order of stitching, now I ask you how we should stitch up?" ”

Zhuang Ying frowned and said, "Sew up the small wound first, and then sew the big wound." (To be continued......)