Chapter 123 Zhang's Sword Technique

"Come and have a look!" The scald director of the Children's Hospital in the capital said in a surprised tone, but with the addition of the environment and the atmosphere, the director of 30X mistakenly thought that the mallet of Cha Su had caused trouble.

The medical industry, whether it is backward in ancient times or technologically advanced today, has a particularly obvious characteristic.

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

There are too many things to do here, especially in the current medical insurance environment, doctors who accept transfer patients really have a headache.

Moreover, there is another problem, that is, doctors are particularly afraid of encountering the previous doctor who used saw cluster therapy.

What do you mean, let's talk about a person, let the enemy biubiu shoot an arrow, and then he was carried to the doctor by his partner.

As a result, the doctor didn't know whether it was because he had a weak sense of responsibility or was not good enough. His treatment was also quite simple. With a click, he sawed off the arrow shaft protruding from his body.

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

This is tantamount to digging a hole for the next doctor. The next doctor cannot be found or pulled out.

Therefore, when the Director of the Burn Department of the Capital Children's Hospital shouted out in surprise, Director Chen from 30x was furious and even complained about the mediocre Li Cunhou.

"Since you have called us, don't let the doctors here do it. It doesn't matter if they can't help, but you don't want to create difficulties for us, okay?"

Complaining about Lao Li in his heart, he said unceremoniously, "Get out of the way!" To be honest, these are all good tempered, the temper that has been brought into the operating room after so many surgeries is frightening to death.

Lao Li was bumped for no reason, but he didn't care about it. After all, he was giving him face and helping him, so he moved his body to make room for him.

This position can only let him have a look, but not allow him to clean up the wounds. Old Chen is almost foaming with anger.

"You..." He was about to scold someone, but his eyes drifted to the wounded wound.

With this glance, he couldn't swear.

In the early days, Zhang Fan didn't dare to speed up, for he was afraid of irritating the patient and causing the patient's stress response.

If this reaction is explained in technical terms, it is particularly troublesome. Let me briefly describe it.

You were walking alone at night, and you were a little nervous at first, but suddenly a person jumped out and shouted, grandson thief!

Then, do you have a feeling of creepiness, tension, cold sweat, relaxation of muscles holding back urine and wanting to tick.

In fact, the same is true for the body. When the injury is severe, there is continuous stimulation and damage, and the body begins to have problems.

For example, gastrointestinal bleeding and cerebral edema are all manifestations of stress response. At this time, the brain is probably in such a state, "Run for me! Okay, if you don't run, I will self-destruct for you!"

Therefore, in order not to arouse the wounded's stress response, Zhang Fan did the debridement relatively slowly.

But, even so, about half of the damaged area has been treated.

The unprocessed half is directly like a black (a) person, who was thrown into the fire and roasted again, then brushed with oil, and roasted again, directly the skin was cracked.

On the scorched skin, like smashed frosted glass, there are dark red and dark red cracks and cuts everywhere, and there are also light red blood and yellow and white interstitial fluid.

It's really like black blushing and drooling lips, and there are so many mouths that you can't count them. The real ones are like the mouths all over the body of Avalokitesvara, which makes people feel creepy.

As for the side treated by Zhang Fan, although it was still black, the gap between the fleshy seams and the dead tissue had been cleaned up.

On the loosened wound, the scorched tissue was excised. It's like curly-haired niggas get sprayed with a kerosene blowtorch.

Although it was still scorched and black, the infection, bleeding, and devitalized tissues were no longer visible.

Old Chen looked at it this way, and then looked at Zhang Fan, "Good boy!" Because of the support of these capital experts, Zhang Fan at this time was holding a knife, scissors, and gauze, and his movements were fast.

There is only one thing in Zhang Fan's mind right now, debride the wound as soon as possible, and then perform surgery as soon as possible.

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

Old Chen couldn't vent his anger anymore. This skill, this skill, is not bad compared to him.

Old Chen Meng was stunned, and then looked at the director of Beijing Pediatrics with a confused face, "What do you mean?"

The female director didn't even look at Lao Chen, and said directly: "Don't be dazed, everyone, hurry up and help."

"This doctor is..."

"This is Zhang Fan, Dean Zhang!" Lao Li quickly 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 me on the left side, and their right side."

"Okay, hurry up!" Zhang Fan nodded, but his hands didn't stop.

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

Compared with Zhang Fan, the techniques of this group of experts and directors are indistinguishable from male to female in this level of debridement. After all, debridement is an introductory operation for doctors.

Twenty minutes later, the wounded was debrided all over his body, "Ready for surgery."

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

"Um..." The director of 30x was also thinking that the doctor might be humble, and maybe have a pre-operative discussion with a few of them. As a result, they didn't even look at them, and they were about to go to the operation.

Those from Shuitanzi and those from Pediatrics in the Capital were all confused by Zhang Fan.

"For such a major operation, don't you plan the operation plan? Don't you plan the operation procedure? No matter how urgent it is, you should book the operation plan in advance. You can't pee like a dog. Let's do it while walking."

"Hehe, no need, this kind of operation is not difficult for others."

At this time, Lao Li's waist became stiff.

"Isn't this crossing the river and demolishing the bridge? When the patient was being rescued, I didn't think you were so loud." The director of Shuitanzi said Lao Li as a joke.

"Isn't the wounded in critical condition? Brother, brother, I'll bow to you, don't worry about small things, he is really sure, don't you believe me?"

"Hehe!" Several experts sneered.

At Zhang Fan's order, all the ICU nurses in protective suits, doctors, and anesthesiologists started at the same time, pushing the operating trolley across 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 aisle of the operating room, nurses and doctors were all against the wall, leaving the passage to the armed police soldiers.

Zhang Fan took off his protective clothing while running, "Director Gu Li, hurry up and get on the stage."

"Eh!~" Gu Li looked at the teacher she was studying in the past, and then at Ouyang.

Ouyang shook his head gently as if inadvertently.

Gu Li saw it, and immediately shouted: "Zhang Yuan, come here soon, I'll get the medical records."

"What time is it, can't someone else 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 out his voice, let several experts from the capital see clearly.

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

This time, it was not only the anxious male director, but also the female director of the Pediatric Scald Department in the capital.

"There is absolutely no problem. I use my professional reputation to guarantee that there is absolutely no problem."

Lao Li changed from his previous gentle expression to a serious one.

At this time, Zhang Fan was actually not worried anymore, and he was not timid at all about the surgery. As long as the wounded's vital signs were stable, he really wasn't worried at all.

He was able to do it when a slightly qualified surgeon was his assistant.

"Okay, I was tricked by Lao Li today. If we can't do it, we will take over. Why don't we go up early and let him be in front of us."

"Row!"

"Disinfect, spread towels, hurry up!" Zhang Fan turned his head to find an assistant, but he saw that he didn't recognize the three doctors who took off their hats.

Lao Li is like a matchmaker pulling strings on a bridge, "This is 30x in the capital..."

"Oh! Thank you directors, please leave the operation!" Zhang Fan nodded lightly. Not enthusiastic, but not cold either.

It was just a normal greeting. The current Zhang Fan is no longer Wuxia Amon.

Regarding Zhang Fan's attitude, several experts in the capital were really upset. They felt that they seemed to be rushing.

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

In Huaguo, apart from Shanghai, everyone else counts as one, and they went to the local hospital, so it's not polite to go up and down.

But now, in a small frontier hospital, the doctors are not only rude, but also seem to have the same cards.

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

Facing them, he simply nodded his head, as if he was the director of that large hospital in the capital, his face didn't change at all!

"Hehe, let's do the surgery first. Are you the chief surgeon?"

The older female director forced a smile, and then asked.

To be honest, it's not that the doctors in Chasu City Hospital are not enthusiastic. In the past one or two years, they have seen too many danas that made their eyes pop out.

Even the legendary characters in the textbooks have been to their hospital, so for the general big shots, really, a little bit immune! ~

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

"I'm the chief surgeon!" Zhang Fan still nodded.

"Hiss!" The director of 30x's teeth started to ache.

But what can I do now? I came here in a hurry, to use a rather vulgar word, I made an appointment... Gritting my teeth, I still want to...

Then get on it!

Stretched, several experts really went to the operating table tense. As soon as Zhang Fan arrived in the operating room, his mind would definitely become very single.

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

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

The operation begins.

To be honest, the surgery for large area burns is not as high as the risks outside the brain and heart in terms of the risks of surgery alone.

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 at every step.

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

First of all, it is microscopic. When suturing local skin and transplanting allogeneic skin, when suturing and re-establishing the vascular system, the hand should be slightly heavier. Although it will not cause problems for the patient at the time, the allogeneic material cannot survive after surgery. Infection cannot escape.

Macroscopically, where more or less muscle needs to be placed, where a little muscle needs to be transplanted, and where a little muscle needs to be reduced, all these must be considered before the operation, and corresponding changes should be made during the operation.

If there is no such a big picture, the patient will feel as if the skin has been pulled after sitting down during the operation, the skin will collapse and tighten, and closing the mouth will be a big problem.

Or it is the accumulation of skin, like a Shar Pei, take a breath, and the skin on your body is like waves, wave after wave.

"Knife!" Zhang Fan said to the surgical nurse, "Materials!" Then he said to Li Cunhou.

Today, Lao Li has no place for him on the operating table, so he can only settle down and become a material nurse.

Zhang Fan first began to use the knife on the face of the soldier, skin grafting, where the most difficult, the face is the most difficult.

Really, let’s not talk about beauty and aesthetics, the face has more holes than other places, so the skin transplantation on the face is the most difficult.

"Why don't you start with the abdomen first, even if there is an accident, there is still room for recovery!"

The director of Shuitanzi couldn't help saying that although Zhang Fan's attitude was not very cold, he was responsible for the patients.

"Yes!" The other directors also nodded, this is the routine operation sequence.

Lao Li looked at Zhang Fan and at the other directors. He remained silent because he knew Zhang Fan too well.

"No! Just start on the face." Zhang Fan didn't have time to explain. First, the longer the waiting time, the easier it is to get infected. Once the face has a second infection, then even if the leather is successfully made, the patient's face will be full of pits and vortexes, like shells The bombed position is the same, how old is the young man.

Secondly, Zhang Fan is too proficient in this kind of transplantation, not to mention that he did it many times a day during the experiment, just in the system, he has done it countless times.

If he is not sure of this, dare not take this risk, and cannot consider these things for the wounded, he will be so sorry for his system.

Several directors looked at each other, and when the 30x old 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 is like a meat grinder, the muscles of the face are cleaned out, and the blood vessels like shredded red meat stuffed between the teeth are exposed!

"Material!"

Lao Li quickly handed over the materials in his hand.

There is no need to do more than a few knives, Zhang Fan just a few knives, completely convinced the directors.

"Hey! You're so good at playing! Where did he learn this move?" As a three-assistant boxer who fights soy sauce, the director of Shuitanzi asked Lao Li in a surprised voice.

"Hey, this is Zhang's sword technique!"

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