"In the past two days, the microbiology laboratory and the microbiology teaching group have put aside the work at hand and concentrated on cultivating the pathogens infected by patients in the first time.
There are also physiology, pathology, immunity, and pathophysiology research groups in digestion, breathing, heart, and nerves. After surgery, a support group is formed to ensure that the various organs of the patient do not fail.
Now I divide the operation group, academician Li Cunhou's first group operates on male patients, academician Zhao Jingjin "leads the second to operate on female patients, and I lead the third group to operate on infant patients.
For other related surgeries, two doctors from the department were sent to stand by in the operating room. Are there any problems now? "
"No!"
"No!"
"Okay, now prepare for the operation, turn on the pager for each operation, and the three groups of us will keep communicating with each other at the first time, and please keep the operating room quiet if it is not necessary.
Surgery now. "
After Zhang Fan finished speaking, a group of doctors and professors cheered and began to prepare for the operation separately. What kind of changes can the arrival of an academician produce
For example, the Department of Burns of Cha Su, when Li Cunhou was not here, Rou Guli mainly carried out dermatology.
And the main equipment is actually a burner. Anyway, the operating room of the dermatology department was full of smoke every day. Those who didn’t know thought it was a barbecue stall, but the smell of smoke from this barbecue stall was burning. With a trace of weird anger, it's the same as the barbecued belly in the night market, even worse than this smell.
But after Li Cunhou came, after two years of development in the Department of Dermatology, I felt that Xiaodouding became a Super Saiyan immediately. First of all, the status of the department has been greatly improved.
In the past, in Chasu Hospital, the four kings were orthopedics, cardiology, general surgery, and gynecology, but now the dermatology department has become a school of its own, and the income from the small scientific research in the department has already made many doctors like to switch into this department.
Although these small scientific researches seem to have little influence in academic status, for example, the department supplies digital antifreeze, just such a crap thing, if it was put in the past, it would be a labor insurance product.
But it’s different now. After packaging and the blessing of Ms. Zeng’s foreign company, it has become a must-have skin care and health care product for women all over the world in winter.
There is also whitening agent. Whenever someone asks about it, Gu Li will definitely swear that her skin color is similar to that of Zhang Yuan. Since she used the whitening agent from the dermatology department of Chasu Hospital, she has directly become a white person. skin off.
Really, Gu Li started talking nonsense, Nima, you are Europa in the first place, and you are even willing to spoil Zhang Fan in order to sell goods, but this thing is believed by some people, and there are quite a few people who believe it.
Even Shao Hua bought a bottle and took it home, put it in the bathroom, and asked Zhang Fan to apply it in the morning.
If it wasn't for his own product, Zhang Fan would have thrown it away. This thing is actually phenylethyl resorcinol and a little VC derivative improved by the dermatologist himself. When advertising, what kind of Tianshan snow lotus extract , What lavender essence, winter spring summer grass dry freeze powder, anyway, there is something mysterious to say.
Expensive ones make people think that fools would buy them, and buying a wide-brimmed hat can actually achieve this effect. Of course, Zhang Fan can't say this, otherwise Shao Hua will have to bite him.
In fact, these are not what Zhang Fan cares about the most. What Zhang Fan really cares about is the improvement of the medical staff in the department. If it is said that the hospital that is most capable of using skin allografts in the world at present is the Chasu Hospital, and the department that is most proficient in using this material is definitely the Burn Dermatology Department of the Chasu Hospital.
This group of talents is a real wealth, a bit like airplanes and pilots, airplanes are expensive, and pilots are not cheap. The hospital trains this group of people. The material of the allogeneic skin for the rabbit and the dog is not enough to go around the earth, but it is enough to make a wall insulation for a 6-story building.
Proficiency is called an expert in medical treatment. Many people compare Huaguo's medical treatment with Li Jiapo's, saying how well their doctor's education is and how their doctor's scientific research is. Your doctors can only do gallbladders, only appendixes, and only bones.
In fact, what is needed for medical treatment is not how sophisticated you are, but what you need to reach the basic level of the group. If Li Jiapo develops this allograft skin, it may take a long time until other hospitals are proficient in popularizing it. Medical treatment is the same as buying express delivery.
In fact, whoever is faster doesn’t have to wait. Relatively speaking, it gives patients more peace of mind. An appendix can wait until it is perforated! Putting this matter in Huaguo, it is a medical malpractice, and the hospital can let doctors write examinations and reviews until they cry.
In the operating room, there are three operating rooms. Children are the most difficult to operate, and the burns are the most serious, followed by men, and finally women.
Especially for children who sit on substandard safety seats, a lot of fibers burn and adhere to the child's back, legs and buttocks, just like a fairy peach fell into the asphalt pot and turned half a circle.
Zhang Fan not only took the burn and dermatology department, but also the pediatric department, and a group of mixed internal medicine. Pediatric medicine is more about experience, whether Zhang Fan understands pediatrics or not, he does.
But, this thing, this kind of understanding can only be related to common diseases. When encountering such extreme cases, the understanding of ordinary doctors is actually not much different from that of people who go shopping outside the hospital.
"Jiang Yuan, the blood oxygen saturation has dropped, and the child has pulmonary edema. What should I do now? Reduce the amount of infusion?" The anesthesiologist discovered the problem immediately, and asked the academician of pediatrics standing aside.
Even Zhang Fan's operation stopped, and the ventilator was already hung on his body, but the blood oxygen was still falling downwards!
"You continue your operation, don't stop, the key is to end the operation quickly!" Academician Jiang frowned, it is absolutely no problem for a fly to sink in, after he finished speaking to Zhang Fan, he immediately shouted to the treatment team : "Increase the amount of liquid, repeat intravenous injection of lanatoside 0.4mg, nitroglycerin 10mg, and morphine 5mg.
Nitrate file, vancomycin 1.0g... "
"This is the dosage for an adult!" the itinerant old nurse asked softly.
"There's no other way now, it's the only way."
As a rule, when pulmonary edema requires a large amount of diuretics, the intake should be reduced.
However, under such extreme conditions, once the intake is reduced, the attachment of neutrophils to the capillary walls of the lungs will be aggravated, which will positively aggravate pulmonary edema.
And now a large amount of intake will also lead to aggravation of pulmonary edema, but it will not affect cardiac output.
In human terms, in fact, the flood is coming, and the first way is to release the flood. The old man Jiang is to intensify efforts to increase the height of the dam, and the old man Jiang also bet again. He bet that Zhang Fan can complete the operation before the dam collapses. He is betting on the child. Compensation of heart function will surely overcome this difficulty.
However, there are not many people who dare to gamble like this. Old man Jiang gambled with his half-life experience, half-life study, and half-life reputation.
Rescue came, you are an academician, this is as it should be.
It can't be rescued, and there are too many faults in this rescue record. Why do you give such a large dose? Animal experiments will not give such a large dose.
At that time, none of the three mouths could understand.
However, some things still need people to do.
The people on the operating table are really doing their best to operate quickly.
Not only here, but also Li Cunhou and Zhao Jingjin.
Even the entire Chasu Hospital is contributing collectively.
an hour, two hours...
Six hours later, Zhao Jingjin's operation was completed.
At the age of seven, Li Cunhou was skilled in surgery.
On Zhang Fan's side, it's not over yet.
Li Cunhou didn't even have time to change the diapers in his crotch, so he changed into the surgical gown and came to Zhang Fan's operating table.
"The skin is too thin!" Li Cunhou sighed deeply when he saw Zhang Fan holding the smallest suture needle.
Just then, Academician Jiang kept urging him under the operating table.
"Hurry up, the damage will be over 12 hours soon!"
Because of a large area of skin damage like a burn, once 12 hours have passed, it is the period of bacterial outbreak. No matter whether you use antibiotics or not, or how good the antibiotics are, you will usher in an outbreak.
But now not only the chest was opened, but also the abdomen was opened. The outbreak period was about to come, but now the skin was broken, and the internal organs were also exposed to the air.
At this time, it is directly adding fuel to the fire.
The beads of sweat on Zhang Fan's forehead were densely packed, like a pearl hat with a circle on his forehead.
He was also worried.
Surgery that requires inter-provincial transfer is really not easy.
Just when it was going to be more than 12 hours, the allogeneic skin transplantation was finally completed for the child. Zhang Fan felt relieved when the child was completely wrapped in a transparent burn elastic garment.
The child who was originally as coke, at this time, except for the oxygen channel out of the trachea and the urine channel in the lower limbs, everything else is tightly wrapped.
It's like wrapping a child into a mummy with scotch tape.
"The three patients are placed side by side in the intensive care unit. When they wake up, they can see each other. We are done with the hospital affairs now, and the next step is to see their desire to survive."
Zhang Fan said something to Bayin, and Bayin nodded in agreement.
"Go and rest! I'll watch tonight."
Li Cunhou waited for Zhang Fan to drag the surgical gown, and after he came out of the bathroom, he said something to Zhang Fan.
"Why don't you come in rotation? You've had surgery for a day, so don't be overwhelmed."
"I don't worry about other people coming. Even if I go back, I won't be able to sleep well. I might as well sleep here. All right, go back quickly."
Zhang Fan nodded.
As for Academician Jiang, this meeting can only be supported by the students and slowly walk downstairs.
"I'm old, I'm old, I've been standing for a long time, and my legs are no longer obedient. After you go back today, write a paper for me to read. You can't just cover your head, you must have your own ideas.
Why am I giving morphine? And it is repeated. You have to figure out what the mechanism is here. "