Chapter 117 What Is Reputation? What Is My Reputation, Zhang Fan?

The latest website: In the corridor outside the emergency center, a group of remorseful family members were anxious like ants on a hot pot. Only the mother of the child smashed her remorseful head on the wall, and the relatives had to let the mother who was holding the child , Weeping silently with the mother of the child who is like dead wood.

It was originally a festive day, the child's aunt got married, and the family attended in all their costumes. As a result, the child saw the cannons being set off outside, so he followed them out. Since the child's mother belonged to the woman's family, she had to help greet relatives at this time. As a result, the wedding banquet, which was originally extremely festive, suddenly heard a bang.

Then I heard the heart-piercing sound, and when I saw the child covered in blood and her arms drooping, the child's mother was going crazy.

When he was sent to the hospital, his arms were fried from his armpits to his chest wall like burnt meatballs. The originally festive wedding banquet lacked a hint of festive flavor, and even had a little terror and panic.

"If you save your arms, the child's life will be in danger. If you don't protect your arms, the risk factor will drop a lot. As parents, you have to make up your mind about what to do now."

If it is an ordinary hospital, at this time, the doctor has finished explaining what should be explained. The rest is up to the family members of the patients to choose.

In fact, the medical reform of the patient's informed letter is really doing shit.

To be honest, let alone ordinary families, even high-skilled families, no one is engaged in this industry, and a stack of notices as thick as surgical books, how do you let them choose.

Just like an insurance contract, if you read it word for word, most people may not be able to understand it.

This kind of technology-monopoly industry, and then come up with this way to let patients' families choose, has a taste of dereliction of duty.

"What should I do? What should I do?" The child's mother looked around blankly, thinking that someone could stand up and say something, but a group of ordinary people can know and understand.

The child's father also rushed over. After listening to the doctor's words, the five-year-old man stood there anxiously and humbled like a slave. "Yuan Zhang means to keep the child's arm as much as possible. There are risks, but we will try our best. I hope you can understand."

"Okay, okay, okay, doctor, please, save the child, he is still young, he has no arms, and he will be disabled in the future. He studies very well. He is very good, doctor!"

Tears dripped down his face from the edge of his stubble.

When the deputy director of the emergency center entered the emergency room, he heard, piaji, what sounded like a slap in the face. He couldn't care less.

The child's father slapped the child's mother on the face, and instantly the five finger prints crawled on her face like five red centipedes.

"My child!" She finally cried out, but a slap in the face didn't seem to alleviate her guilt a little bit, but made her care even more. She already had an idea in her mind.

If, if the child really dies, she will compensate the child, and use her only life to compensate the child. "Parents agree to the child's surgery."

"Okay, transfer to the operating room immediately. Let's go!"

Zhang Fan said something immediately.

The flat cart pushed the child, and a group of nurses surrounded the child. Painkillers and tranquilizers were injected into the child's body. The child, who was in extreme pain, fell asleep quietly at this time.

On the long eyelashes, there are tears. "Old Huang, the chief surgeon writes my name."

Li Cunhou said something to the anesthetist while preparing the skin transplant materials.

The anesthesiologist Lao Huang froze for a moment, then nodded immediately, and the itinerant nurse beside him also nodded. "What nonsense? I am the chief surgeon, how can I write your name."

"Zhang Yuan, the hospital is in a critical period recently. The hospital can live without me, but it cannot live without you. Just write my name."

"Stop talking nonsense, you are the hospital's card, so you can't fail, okay, don't interfere with me, as I said, I am still the dean, and I have no way of usurping the throne."

Maybe Zhang Fan's joke wasn't very funny. No one in the operating room smiled. Li Cunhou sighed and began to deal with the stump.

Wang Yanan glanced at Zhang Fan and immediately began to disinfect.

Zhang Fan leaned against the wall, entered the system, and began to simulate the operation.

To be honest, Zhang Fan didn't think about things other than surgery like prestige and position at all from the beginning to the end. To be honest, the more important the operation is, the less it can involve things outside of the operating room.

Why do many important people's operations go wrong. There is a mentality here for the sake of it.

To tell the truth, the father of a book in a certain unit had an acute appendicitis attack, and the pain was so painful that he was dying. Then the director of general surgery went to the operating table in person. At that time, laparoscopy was not widely popularized.

The director originally wanted to do a better job for the father of the book. The knife edge was opened a little bit, only the size of a coin.

As a result, the appendix was not found for half an hour, so I had to extend it a little more, and finally it got bigger and bigger. After the operation, the old man's belly was like a zipper overall.

And Zhang Fan never considered these things, not because he was lofty, but because he didn't have to think about them so far. This is also one of the reasons why he can't do without Cha Suo.

Debridement, Zhang Fan, Wang Yanan, and Wang Guofu, the three of them held six pairs of tweezers, like chopsticks, and kept tearing the burnt and dead skin on the left shoulder and back.

Pieces of necrotic tissue and skin, as if several people were eating iron barbecue, with black and red blood stains in the charred black. Gauze pieces of gauze kept wiping the child's injured wound.

time goes by little by little

The damaged wound was like a scorched potato egg that was carefully peeled off by a girl. Finally, bright red blood and bright red muscles were protruded out.

But a large part of the wound has been lost.

"Zhang Yuan, it is estimated that the bones will not survive. After being burned by gunpowder, a large area of ​​periosteum will also..." Zhang Fan pulled his head out and took a look.

"Boil it to sterilize it, take a gamble, there is really no other way."

On the side of the operating table, the iron basin of the induction cooker was immediately taken out, and the distilled water was poured in continuously. It's really like eating hot pot when there is a fire.

Boiling disinfection method, this thing is generally not used in the operating room, not without it, there are, but it is mainly performed by orthopedic bone cancer patients when the tumor cannot be completely removed.

The benefits are obvious. Although the boiling method is relatively backward, it is actually more effective than some antibiotic chemotherapy drugs. But the disadvantages are also quite obvious. After boiling at high temperature, it is extremely easy to cause bone necrosis.

Now there is no way around this.

If you give a little more time, maybe you can find a more perfect way.

But it’s too late, God won’t give you time, don’t let you think about it, think about it more, if the child dies, think less about osteonecrosis. Really, this kind of moment not only tests the doctor's technical level, but also tests the doctor's responsibility.

If one day, one day, all hospitals are privatized, and when patients can be measured by money, will there still be such responsible doctors? If there is, it is estimated that they will be expelled as well.

Because the hospital is unwilling to be the last backing for doctors.

Zhang Fan quickly repaired the burnt area, while Li Cunhou, holding a long oval forceps, kept pulling a piece of bone back and forth in the pot.

It's like a diner who is not full after eating hot pot and keeps rummaging for meat and bones in the pot. "are you done?"

"alright!"

As he spoke, Li Cunhou carefully picked up the bone and slowly placed it on the instrument table of the operating table. The boiled bones are like a mutton jade ring finger, white and dazzling.

"Kirschner wire!"

The Kirschner wires, which looked like metal needles for knitting sweaters, were delivered to Zhang Fan. Directly through the skin, it wedged in three times with bang bang bang.

The bones are firmly connected.

But the current situation is like the father-in-law of Dongchang who was scraped by the Northwest Orange with a knife in the New Dragon Gate Inn. His bones are dense, like a skeleton.

The burns were so severe, large areas of tissue and skin were destroyed, and there was too much tissue missing. "Blood valve transplant!"

The large blood vessel on the left has been abolished, and the blood valve containing the artery can only be taken from the right one

up. Where is this thing? In fact, it is the place where the old Chinese doctor gave you the pulse and said that there is a happy pulse. This is the most superficial and easiest artery to graft.

There are more superficial places in other parts of the body, such as the carotid arteries, but these arteries are not to be messed with. You can only bully where bullying can be provoked.

Because of the severity of the injury, the arteries in the drive and left arm had been damaged. Now it's not just the missing tissue that needs to be transplanted, but also the arteries.

This surgery is too risky.

The bone is alive, but the attached tissue is not alive, and the tissue is alive, but the arterial valve is not alive. The arterial valve survived, but the place where it was taken was embolized.

This is all possible, and once it happens, all previous efforts will be wasted. You can't even win a lawsuit.

You told people that the injury is serious and the failure rate is high.

But the judge only asked one question: "Why do you need such a major operation when you know the damage is serious? The guideline clearly states that amputation is required, so why do you need a transplant?"

At this time, the doctor was speechless when asked.

If it succeeds, the doctor can say that I want the benevolence of the doctor, but if it fails, you can’t say these words. Even if you say it, it will be considered that you have more other ideas.

Time passed little by little.

The originally anxious state in the corridor has become numb.

A group of people were leaning against the wall and some were sitting on chairs. Some even sat paralyzed on the ground, and everyone stared blankly at the door of the operating room.

The fluorescent lamps inside are always bright, and the light penetrates through, shining on the faces of a group of family members with pale faces, which is extraordinarily dazzling and distressing.

"Wipe your sweat!" The operation was too difficult.

The amount of tissue that needs to be removed is too large, not only from the right arm, but also from the inner thigh. Moreover, there is a time limit. If the operation is performed too slowly and the tissue loses blood for a long time, perfusion-reperfusion injury will occur.

To put it bluntly, after the tissue has no oxygen supply for a long time, it will form acidosis due to the retention of carbon dioxide. When the blood enters again, strong thrombosis will occur, and there is no way to prevent it.

Zhang Fan's speed was so fast that it could almost be said that there was no unnecessary movement.

There is no higher improvement in the direct connection between several doctors.

A white and clean child is like a little pork pig in the market, which piece he looks at, and which piece is cut off. Pieces of tissue were attached to the gap in the shoulder and back.

Under the steady hands of the doctor, the red blood vessels were stitched together stitch by stitch. The arterial suturing must not be sloppy at all, even if there is a slight accident, it cannot be dealt with. "Open the clamp and check the blood supply."

Click, blood dripped on the clamp, like the teeth of a monster. When the artery was loosened, the red blood slowly passed through the stitched place, and the fingers that had lost temperature and color began to slowly turn pale. There is color and temperature.

Now the blood vessels are alive, but it is not time to breathe a sigh of relief. Because there are still transplanted tissues that have been removed.

Li Cunhou's skin allograft can be transplanted on a large area of ​​scalded tissue. But for things that are just under the skin, there is nothing he can do with this material.

Now it can only rely on Zhang Fan's surgical skills.

Stitching, the stitching at this time, is quite particular.

The tissue from the right arm was transplanted to the left, which was relatively simple. But from the thigh to the arm, this is a big problem. From the thickness of the muscles to the way the muscles are combined are different.

At this time, if there is a slight mismatch, it may be muscle necrosis or tissue necrosis. Zhang Fan's sweat was dripping down.

Really, this sweat is as if Zhang Fan is doing a heavy physical work. Wang Yanan was not at ease either, he felt fluid leaking from his eyelids.

Zhang Fan wanted to move, but Wang Yanan's hands and even his body had to maintain the most stable state, so that Zhang Fan could use the easiest way to exert strength.