Four Hundred and Sixty-Five Very Durable!

The latest website: If orthopedic surgery is relatively open and closed, then skin transplantation is embroidery on the flesh, even more delicate than embroidery.

The first is debridement, the eternal topic of surgery, cleanliness, asepsis, and disinfection. Hands are soft like catkins, skin is like creamy fat, this poem is definitely not too much to describe a child. For a normal child, there is a faint pink under the thin skin, and the faint fat makes the skin clearer.

What skin care products, what big beauties, in front of the skin of young children, there is no way to compare. But after being scalded, the child's delicate skin is so unbearable to look at.

The little person's body is now as crisp as it was just out of the pot, covered with flesh-colored bubbles, no broken bubbles, cool and cool like rain bubbles in a pond on a rainy day in summer, and broken bubbles of different sizes Bubbles, just like a used condom, the thin skin contains grayish white and dark red mucus and is applied to the body. It is really like a person with prostatitis who has run through a red light with scleritis. No matter how you look at it, it makes people feel Feel uncomfortable, how sad and sad it is.

If a person with rich emotions undergoes such operations several times, he will definitely be able to practice emotional introversion.

The body of the little child is covered with countless such large or small, broken or unbroken bubbles.

After wiping with the cool bromogeramine solution, the blood was wiped away, but the pus inside the bubbles could not be wiped clean, just like eating sesame paste and eating big bubble gum, and then the red lips began to blow out bubbles contaminated with sesame paste.

Healthy skin seldom hides dirt, the most is the belly button, and a little bit between the toes. After being burned, the skin directly becomes a petri dish rich in various germs.

Moreover, it is a very good petri dish, it has all kinds of medium, protein, fat, amino acid, sugar, everything is missing. Therefore, in less than a day, the child's originally white and tender skin was as if a piece of moss had grown on it, and there were large patches of dark red mixed with gray-black plaques on his body.

Just like taking a bath and accidentally falling into the coal ash, and then not taking it out for three years, the coal ash seeped into the skin. The transplant operation is particularly afraid of infection. When it is in winter, it is directly a greenhouse in winter, and bacteria can grow into mushrooms. By that time, it was too late for the doctor to cry.

Therefore, preoperative debridement is quite strict and cruel.

"Brush! Put on a soft brush first." Zhang Fan slapped the soft brush bit by bit, like wiping porcelain, and wiped off the pus and bacteria with soapy water. The plump Gu Li stood by Zhang Fan's side. , panting slightly, after the middle-aged aunt became fat, the burden on her upper body was too heavy. Not only did he have to lift the cup with weight, but he also had to bend over to cooperate with Zhang Fan in wiping.

Gu Li's waist began to feel sore. Just like when she asked Zhang Fan to climb close to the black silk girl to observe, now Zhang Fan has to let her bend down to get closer. This pose is too sour.

After the soft-bristled brush is finished, apply the hard-bristled brush, which cannot be removed partially but is visible to the naked eye. This kind of weapon can't be used too much, otherwise it will cause secondary damage to the skin, but it can't be used, and the speed can't be too slow. Really, the doctor at this time is really sad.

Hurt sooner, slower infection.

After the brush was finished, tweezers and a curette were used, piece by piece, Zhang Fan removed the deactivated skin with forceps, these are the roots of trouble and fortune, leaving one piece will cause headaches for doctors in the future.

After pruning the inactivated skin, the large unruptured bubbles must be managed to prevent the inactivation of the skin and let it burst.

Really, that is to say, the child's skin area is small. If the area is larger, it's hard to say what will happen to Zhang Fan. Gu Li probably won't be able to straighten her waist.

Because there is no clinical guideline for this kind of surgery, that is to say, doctors rely on experience to perform this kind of surgery, so the postoperative results vary widely.

"Record!"

Like eating duck intestines with chopsticks, Zhang Fan pinched piece by piece, at this moment Zhang Fan said suddenly.

Everyone froze for a moment, this is not a rescue, why should it be recorded?

During the rescue, due to time constraints, the doctor did not have time to give the doctor's order, so he could only exercise the right to give the doctor's order verbally. Therefore, without saying a word, there will almost always be a nurse or doctor's record. This is not only a case, but also a record of the life and death of the patient in the future.

In the operating room, this is rarely the case.

When everyone was in a daze, the head nurse in the operating room hurriedly squeezed the itinerant nurse away with a pen and a nursing record book, rolling her eyelids while squeezing, as if to say: "Wood, can't you hear me!" It's like the old bustard trying to look good to a girl.

"Zhang Yuan, you said that the recording is ready." Jiang was still old and spicy, and the voice of a young woman sounded behind Zhang Fan.

Although she didn't know what Zhang Fan wanted them to record, she was able to execute it immediately. This is professionalism.

She vividly embodies the relationship between doctors and nurses. She is really not an ordinary woman to be the head nurse in Chasu Hospital, or to be the head nurse in Chasu Hospital with great development.

Zhang Fan didn't click on the burn department at first, but for some reason, he suddenly realized that it was as if a thin film was broken by a barrel, and it immediately became extra smooth, and the slightly unfamiliar places seemed to be lubricated all at once. , surprisingly oily.

Zhang Fan was deeply afraid that this was a flash of inspiration, because he had never encountered a subject that he hadn't selected to understand. Therefore, he was afraid that he would lose this feeling after the operation, so he wanted to record it.

"The subcutaneous 2mm is cut to damage the skin, and it must be ensured that there is an extensible capillary network nearby. The scald of the muscle layer is cut off..."

While Zhang Fan was doing it, he was talking, and while he was talking, he was doing it.

The head nurse in the operating room murmured, "Are you getting better soon, are you getting better soon, my mother's hand is almost broken."

One page, two pages, ... ten pages.

The head nurse complained in her heart, but she didn't understand what Zhang Fan was doing. The anesthetist was curious, but he didn't quite understand what it was doing.

However, the old Li beside him, Professor Li Cunhou, was so excited at this time that his hair almost stood on end.

If he hadn't been on the operating table, he would have taken away the young woman's pen and recorded it himself. He was afraid of disturbing Zhang Fan, so while soaking the foreign body material, he whispered: "Be sure to record it completely, one word None can fall."

He understood so well, he looked at Zhang Fan with the look of wanting to swallow it.

Zhang Fan is formulating clinical guidelines for children with allogeneic skin surgery!

How powerful is this?

It can be said that this is Zhang Fan setting the boundaries for this kind of surgery. In layman's terms, it means that Zhang Fan is formulating rules and regulations.

Just like playing basketball, Zhang Fan is making the rules now, and if you want to win the championship in the future, you must follow my rules.

The reason why the failure rate of this kind of operation is so high is because there are no rules and regulations. When everyone is groping for this boundary, Zhang Fan has already begun to set the boundary.

Lao Li almost fainted from excitement.

If Zhang Fan can completely formulate the children's plan, even if it is not complete, it will definitely be no less than the achievement of researching the materials.

If there are materials but no guidelines, no one can use them, and the materials will have no future.

Only when there are materials and guidelines can it be promoted.

Indispensable.

How difficult this kind of guidance is, you can look at the textbooks of Xinhua. The great editors of the first edition, those who hang on the textbooks, can really be said to be the top existence of Huaguo medicine. Even with the development of science and technology, subsequent textbooks will make some changes on the basis of this edition.

Not only Lao Li was shocked, but also the dermatologists from various hospitals who came to observe from the operating room were also shocked.

"I'll go, don't you want to be so awesome, the surgical site specifies the surgical guide! This is too incredible!"

"It's true, let me go in and have a look!"

As soon as these words were said, everyone directly raised their eyebrows and responded coldly. "I'll just say whatever I want, just say whatever I want."

Professor Zeng stood in the crowd, sweat dripping from his body.

"It's fake, it must be fake, he's such a brat, it's already against the sky to be able to do this kind of surgery, and he even made guidelines on the spot, fake, it must be fake!" His mouth was dry, and he was starting to feel a little regretful now. up.

"Lao Li, are the materials ready?" Zhang Fan didn't even lift his head, his slightly bent head seemed to be fixed in that space, and he remained motionless.

"Old Li!" Zhang Fan's voice was slightly strained. "I just had a flash of inspiration. I don't know when the flash will end, but you are still distracted by me."

Zhang Fan was deeply afraid that this realization would be like the happy time with Shao Hua, which would disappear with a shudder, so he talked about it and found that Lao Li was in a daze, and he was very angry.

It's like buying a lottery ticket for two yuan. When I opened it, I went to five million, but the boss who redeemed the prize said that the computer crashed. Can you not be in a hurry!

Lao Li seemed to wake up from a dream.

"Okay, okay." He quickly handed over the materials with both hands. "Zhang Yuan..."

"Shut up!" Zhang Fan interrupted Lao Li like a Tibetan mastiff protecting food.

Bit by bit, a child is like a tattered doll, Zhang Fan repairs it bit by bit.

The original large area of ​​festering gradually turned into allograft material. When the tourniquet is released, the capillaries are like spring rain, slowly moistening the foreign body material, and the original clear gray material becomes pink and tender.

Large, expensive experimental-grade materials were skillfully trimmed by Zhang Fan into small pieces of various shapes and pasted on the child's body.

Lao Li pursed his lips, not feeling distressed, but excited.

The recording was still going on. At this time, under Lao Li's signal, Lao Li's doctor took over the head nurse in the operating room.

The head nurse in the operating room rubbed her wrists, and cast a bewitching look at Zhang Fan, "It's been a long time! I don't even know I'm thirsty after talking for so long!"

"Go, turn on the glucose, don't turn on 10%, turn on 5%, I'll feed some to Zhang Yuan!"