There was an anesthesiologist in the emergency room, and Chu Jianwen was fine for the time being, so he simply went to see the excitement with him.

Dean Luo strode in front, Zhong Yu and Chu Jianwen followed, Chu Jianwen looked angry with a collapsed face, and he didn't forget to whisper when he walked:

"This person is really a big face, even if he is at the same level as you, he is not as senior as you in the hospital, the emergency room obviously came to look for you, and he actually took it upon himself to rob people, it's really funny."

Zhong Yu didn't think about it deeply, maybe it was possible that Director Du didn't understand human feelings, she had to take a look again.

Turning his head sideways, he whispered: "Don't make things difficult for Dean Luo, Director Du is older, and I should respect him more, maybe he just behaves like this, don't have malicious intentions."

Chu Jianwen is not stupid, although he is not happy, he still closes his mouth and waits for changes.

When they rushed to the emergency room, Director Du was debrideing the patient, and Zhong Yu took a closer look and saw that the patient was a young woman of 26 or 7 years old.

Her hands and wrists were burned by fire, and the wound area was somewhat large, and the bone and tendon were exposed in large areas, which could not be repaired by autologous skin transplantation alone.

Du Jin's face was serious, and judging from his skillful debridement techniques, he really didn't say anything big before.

Due to the thin skin and soft tissues of the wrist, chemical burns, fire burns, hot pressure injuries and other conditions are often severe, accompanied by tendons and bone exposure.

Thorough debridement of the wound is the key to reducing the occurrence of infection, and for patients with severe contamination and the activity of deeply injured tissues that cannot be determined temporarily, continuous negative pressure closure and drainage is required after primary debridement, and reconstruction is performed after infection control and tissue boundaries are clear.

Du Jin's operation method made Dean Luo, who was originally not good-looking, soothe slightly, and after observing for more than two hours, when Director Du was about to insert the drainage tube, he turned his head sideways and asked Zhong Yu in a low voice:

"Is Director Du's handling appropriate? Are there any shortcomings? ”

Zhong Yu frowned slightly, and she said truthfully: "Director Du's treatment is correct, but I suspect that the patient's wound has infiltrated unknown chemicals, and it should need to be rinsed several times, and if necessary, the composition needs to be analyzed, otherwise there will be a risk of postoperative infection."

She didn't deliberately keep her voice down, no matter what the relationship between the two is, the patient should not be allowed to take risks.

Du Jin didn't take Zhong Yu's words to heart, the patient was already in shock, he still continued to insert the drainage tube unhurriedly, he ignored Zhong Yu's rather confident and said to Dean Luo:

"The dean can rest assured, judging from my experience, the patient is just an ordinary burn, and it is enough to rinse the wound with normal saline two or three times, and the drainage material can be removed for surgery in about five days."

Zhong Yu's ability is obvious to all, and Dean Luo is essentially more inclined to her, but Du Jin's past performance is indeed good, and it is really unreasonable to rashly interfere with his diagnosis and treatment.

After all, the patient will not die because of this, and Dean Luo did not force anything, he glanced at Zhong Yu, Zhong Yu immediately understood what he meant, subconsciously took a step back, and said no more.

Dean Luo said: "Since the patient has been handed over to you, we have no opinion if you think it is okay, if the follow-up surgical treatment is up to you, you have to tell me about the surgical plan later."

Dean Luo has a cautious personality, and his criteria for employing people mainly depend on clinical manifestations and the recovery of patients, and he doesn't believe the rest of what he says.

After the patient's debridement was completed, Zhong Yu came out of the emergency room and was about to leave with Chu Jianwen, but Dean Luo called her back.

"Director Zhong will wait for a while, and listen to Director Du's surgical plan with me."

Zhong Yu's eyes flashed, the dean couldn't trust Du Jin, she didn't think that Du Jin would listen to her opinion, but Dean Luo's face always had to be given.

Chu Jianwen left first, she understood it, no matter what, Zhong Yu couldn't suffer anyway.

The two of them waited outside the door of the emergency room for a while, Du Jin still looked confident when he came out, although he didn't look down on Zhong Yu very much, he still respected Dean Luo, and followed the dean to the office with a proper attitude.

After entering the office, Dean Luo got straight to the point:

"Let's not waste time, Director Du will talk about your surgical plan, I will listen to Director Zhong, and the two of you will communicate and learn from each other."

Du Jin smiled, he was quite smug and said:

"Director Zhong is young, he really should listen more and learn more, I plan to use artificial dermis combined with autologous blade thick dermal transplantation for surgery, Director Zhong may have heard of it, but it must not have been used, you can learn more from me, it will be of great benefit to you."

Zhong Yu said with a calm expression: "If Director Du doesn't mind, you can expand and talk about it."

Dean Luo was slightly dissatisfied with the contempt for Zhong Yu in Du Jin's words, but he didn't say anything to stop him, and let him continue.

Du Jin said in high spirits: "Artificial dermis is not widely used at present, but it is a double-layer structure of biomaterial, the upper layer of which is a polyester fiber membrane, which can protect the wound, prevent the evaporation of wound water, maintain the integrity of the underlying structure, prevent infection, and it itself has a certain mechanical strength, and its basic shape can be maintained for 2~3 weeks after surgery."

At the same time, due to its good air permeability, moisture permeability, tensile strength, softness and other properties, and good adhesion to the wound, it can create a good environment for cell growth and reproduction. ”

Zhong Yu nodded expressionlessly, motioning for him to continue, Du Jin said with a smile:

"The artificial subdermis is end-free porcine collagen, which has very low antigenicity, a wide range of sources, low price and strong economy. At the same time, as a collagen sponge layer, it is conducive to the growth of capillaries and Fb, forming dermal-like tissue, replacing the defective dermis.

When the vascularization is completed, a good basal layer can be formed, which is conducive to the transplantation of the second-stage autologous blade thick dermis, and the autologous blade thick dermal transplantation combined with artificial dermis scheme is more valuable, which can achieve the effect of close to full-thickness skin grafting, which is conducive to the healing of the donor area, and has obvious advantages in reducing the scarring of the recipient area and the donor area. ”

After speaking, he deliberately paused, and then said with a sense of superiority: "Director Zhong also knows that I am from the capital Concord, and all kinds of surgical treatment methods are at the forefront, and it is normal that you don't understand."

Zhong Yu raised her eyebrows slightly and was not angry, she commented unhurriedly:

"Although there are reports of good clinical results in the repair of artificial dermis combined with blade thick skin tablets, has Director Du forgotten that it also has shortcomings such as poor wear resistance and easy repeated rupture in the later stage?"

Her eyes were sharp, like a sword out of the sheath, which made people unable to parry, Du Jin's face froze, and he looked at Zhong Yu with a little surprise, after all, these internal information have not been revealed at present, and he doesn't understand how Zhong Yu knows.

He was a little aggressive: "Since Director Zhong doesn't agree with my surgical plan, you must have a better one, you might as well tell me about it."

Zhong Yu chuckled, "Director Du has praised falsely, my chief surgeon will use the modified pedicled thoracic umbilical flap to repair the deep burn wound of the hand, although the traditional pedicled thoracic umbilical flap has the advantages of simple operation, high survival rate and low surgical risk when repairing the patient's wound, but there are also disadvantages such as long treatment time and high medical costs.

The improved surgical method takes into account the precision of wound repair and the minimization of donor damage, and can ensure the patient's functional recovery to a greater extent from the aspect of blood supply, and the Doppler vascular detector is used to clarify the paraumbilical perforation branch of the inferior abdominal wall artery as the blood supply system, so that the flap is not susceptible to the influence of tension and other circulatory disorders, and at the same time, the flap is rich in blood vascularity and strong anti-infection ability, which can reduce the occurrence of basal tendon or bone infection, and is very suitable for the repair of hand tendons and exposed bone wounds. ”

What she said was reasonable, Dean Luo quite agreed, she glanced at Du Jin again, and said lightly:

"From an aesthetic point of view, due to the abundance of subcutaneous adipose tissue in the chest and abdomen, the traditional pedicled thoracic umbilical flap will lead to postoperative flap bloat, and the patient needs to undergo flap thinning again, and the donor valve area is prone to scarring, which affects the aesthetics.

The modified surgical method can avoid blood vessels under a magnifying glass or microscope, trim and remove some fat particles, and trim and thin the flap, which is conducive to reducing the bloat of the flap and improving the flexibility of the wrist after surgery.

At the same time, due to the small tension of the donor area, it can be directly pulled and sutured, and some wounds that are difficult to suture can be repaired by proximal flap transfer or autologous skin grafting, which solves the aesthetic problem well. ”

Zhong Yu's surgical plan was considered in all aspects, and it was enough to suppress Du Jin's arrogance without practical operation.

Du Jin was flustered, remorseful for his previous words and deeds, and he didn't even dare to look at Dean Luo's face.

Dean Luo was tactful, and he said in a sincere tone:

"The two doctors are rare talents in our hospital, so that they can collide with different sparks by discussing each other, you are all very good, but the patient is a young woman after all, considering her actual situation, I think Director Zhong's surgical plan is more appropriate, otherwise Director Du will use her plan?"

Du Jin looked puzzled: "Director Zhong's surgical plan needs to avoid vascular operations under a magnifying glass or microscope, and the requirements for fineness here are too high, and my hands can no longer do such fine movements......

His face was a little gloomy, and he jumped from Concord, not necessarily without this reason.

Dean Luo is also a human being, and immediately understood the key point, although he can't do fine operations, general illnesses can still be solved, after all, he has rich clinical experience, and those are all accumulated in real life, and he is not considered to have made a loss-making transaction.

Although Dean Luo was disappointed, he did an excellent job of expression management, and he pondered for a moment and said:

"After all, it is a young military family, and the beauty of the hands is still very important, otherwise this operation will be handed over to Director Zhong for surgery, and Director Du can assist if he wants."

The patient is not a guinea pig, so why not use it if there is a better surgical plan, in case of repeated infection in the later stage, who will bear the blame and infamy?

Du Jin was unhappy in his heart, but he didn't dare to have the slightest opinion on his face, who made him inferior in skills.

He said with interest: "Director Zhong has his own surgical team, so I won't mix in it, and let the two young people on my side follow the operation to learn."

Dean Luo agreed, after all, his problem was not to study, he couldn't do fine operations by hand, and no matter how much he knew, it was useless.

Dean Luo looked at Zhong Yu again, and said with a gentle attitude: "Let Director Du hand over the medical records to you later, and you can arrange the follow-up surgery."

Zhong Yu nodded neither humbly nor arrogantly, she had no opinion on Dean Luo, and she was willing to cooperate with his work.

"Reassuring the dean, I will get the patient back to his best."

Dean Luo was completely relieved to put the patient in her hands, and he smiled:

"Then you go get busy first, and I'll have a few more words with Director Du."

Since Du Jin doesn't have the strength to cross the world, he has to take in the temper he shouldn't have, Dean Luo has to beat one or two, Zhong Yu is not suitable to listen, she said goodbye with a smile and left.

As soon as she walked out of the office, she saw Du Chuanshan waiting at the corner of the stairs, and when she saw Zhong Yu, he immediately stepped forward and explained:

"Mr. Zhong, I apologize to you for my second uncle, he is not a bad person, or he is not very good at handling interpersonal relationships, although he doesn't speak well, but his heart is not bad."

Zhong Yu glanced at him indifferently, and said in an ordinary tone:

"Doctor Du, there is no contradiction between me and Director Du, I don't need you to apologize, although you are in the internship period, our identities are equal, you can just call me Director Zhong, I am not your teacher."

After saying that, she walked towards the stairs, and had no intention of continuing to communicate with him, Du Chuanshan hurriedly followed and said anxiously:

"Director Zhong, I really like you, I came here for an internship for you, can you not be so indifferent to me?"

Zhong Yu's footsteps down the stairs paused, and he said with a displeased face:

"Please don't associate me with you, from the first time I knew your name, I made it clear that I have a partner, your internship is not for me, even if you don't have me, you have to go to the internship, this is your professional development requirement, you are a student of the Military Medical University, it is natural to come here for an internship, don't blindly touch me with porcelain."

Du Chuanshan was shocked by her sharp eyes, and stood in place for a moment, Zhong Yu looked at him from top to bottom, and said mercilessly:

"Don't be as self-aware as your uncle, if you like me, I have to respond? What are you? How much is your heart worth? Am I that easy to get? Don't be a rookie with yourself, have that time to study hard. ”

Her words were harsh and ugly, which broke Du Chuanshan's glass heart.

In a sense, he can be regarded as innocent lying on the gun, who made his uncle unhappy with Zhong Yu, he took the initiative to send it to the muzzle, who did not spray him?

Zhong Yu felt refreshed after venting her anger, she returned to the department, went to the outpatient clinic first, knocked on the door of Zhou Ze's clinic, and said in a relaxed tone:

"You take the time to observe the situation of the female patient with hand burns today, and then prepare the relevant medicines and materials for the operation."

Zhou Ze was stunned at first, and then his face was full of shock, he knew what happened before, the patient who was snatched away by Director Du, and finally Director Zhong was the main surgeon, which was really a slap in the face.

He said loudly: "Director Zhong, don't worry, I'll do it right away."

He couldn't wait to share this good news with Zheng Jun and Chu Jianwen, and he knew that Director Zhong was pretending to be a pig and eating a tiger, so they didn't have to worry so much.

Zhong Yu looked at his back and shook his head and smiled, she is very easy to get along with, you respect me, I respect you.

If you have to carry her hard, she won't back down, who can help her if her strength is supreme?