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Chapter 18 The strength to dare to break through

"In the past two days, the microbiology laboratory and the microbiology teaching team have put aside the work at hand and concentrated on cultivating the bacteria that infected the patients as soon as possible.

There are also physiology, pathology, immunity, and pathophysiology research groups in the digestive, respiratory, cardiac, and neurological departments. After the surgical operation, a security team is formed to ensure that the patient's various organs do not fail.

Now I divide the surgical groups. Academician Li Cunhou's first group operates on male patients, Academician Zhao Jingjin "leads the second group to operate on female patients, and I lead the third group to operate on infant patients."

Other related surgeries have sent two department doctors to be on standby in the operating room. Are there any problems now?"

"No!"

"No!"

"Okay, now prepare for the operation. Turn on the pager for each operation. Our three groups will communicate with each other as soon as possible. Others please keep the operating room quiet unless necessary.

Now for surgery."

After Zhang Fan finished speaking, a group of doctors and professors started to prepare for the operation separately. What kind of changes can the arrival of an academician bring?

For example, the burn department of Tea Su. When Li Cunhou did not come, Rouguli mainly conducted dermatology. In fact, to be more transparent, most of the main treatments were Hualiu disease.

And the main equipment is actually a cautery device. Anyway, the operating room of the dermatology department was filled with smoke every day. Those who didn’t know better thought it was a barbecue stall, but the smell of smoke from this barbecue stall was very burning.

It has a hint of weird irritation, just like the unwashed belly of a barbecue at the night market, or even worse than this.

But after Li Cunhou came, after two years of development, the Department of Dermatology felt like it had transformed from a little kid into a Super Saiyan. First of all, the status of the department had been greatly improved.

In the past, the four major hospitals in Chasu Hospital were orthopedics, cardiology, general surgery, and gynecology. But now the dermatology department has become unique. The income from the small scientific research in the department has already made many doctors like to transfer.

Enter this department.

Although these small scientific research projects seem to have little influence in terms of academic status, for example, the department supplies digital antifreeze, which is a piece of crap. If it were placed in the past, it would be a labor protection product.

But it’s different now. After packaging and the blessing of Ms. Zeng and her foreign companies, it has suddenly become a must-have skin care and health care product for women around the world in winter.

There are also whitening agents. Whenever someone asks, Gu Li will definitely say: She originally had a similar skin color to Zhang Yuan, but after using the whitening agent from the dermatology department of Chasu Hospital, she immediately became white.

The skin is gone.

Really, Gu Li has started to tell lies. Damn, you are Europa. You are even willing to harm Zhang Fan in order to sell goods. But some people believe this thing, and there are quite a few people who believe it.

Shao Hua even bought a bottle and put it in the bathroom, asking Zhang Fan to apply some when he got up in the morning.

If it weren't for his own product, Zhang Fan would have thrown it out. This thing is actually phenylethyl resorcinol mixed with some VC derivatives modified by the dermatology department. But when it was advertised, it was Tianshan Snow Lotus Extract.

, what about lavender essence, dry frozen powder of winter, spring and summer grass, anyway, it’s just a bit mysterious.

The expensive ones make people think that only fools would buy them. Buying a wide-brimmed hat can actually achieve the same effect. Of course, Zhang Fan can't say this, otherwise Shao Hua will bite him.

In fact, these are not what Zhang Fan cares about most. What really matters to Zhang Fan is the improvement of medical care in the department. If we say that the hospital that is most capable of using skin allografts in the world, then no need to ask, this hospital is Tea Su Hospital, and the most

The department that can skillfully apply this material is definitely the Burns and Dermatology Department of Chasu Hospital.

This group of people is a serious source of wealth, a bit like airplanes and pilots. Airplanes are expensive, but pilots are not cheap. The hospital trains this group of people, and the allogeneic skin materials used only for rabbits and dogs cannot circumvent

The earth travels once a week, but it is still enough to insulate the walls of a 6-story building.

Proficiency, in medical terms, is called a question maker. Many people compare China's medical treatment with Li Jiapo's and say how good their doctor's academic qualifications are and how good their doctor's scientific research is.

Ho. Your doctor can only do gallbladder surgery, appendix surgery, and bone grafting.

In fact, what is needed for medical treatment is not how sophisticated you are, but what is needed to reach the basic level of the group. If Li Jiapo develops this allogeneic skin transplantation, and waits for other hospitals to become proficient in popularizing it, it will probably take a long, long time.

Medical care is just like buying express delivery.

In fact, whoever is faster does not have to wait. Relatively speaking, it gives the patient more psychological security. Even an appendix can wait until it is perforated! In China, this is a medical malpractice. The hospital can make the doctor write an examination and review until he cries.

In the operating room, there are three operating rooms. The ones with the most difficult operations are children with the most serious burns, followed by men and finally women.

Especially for children, because they sit in safety seats of substandard quality, a large amount of fiber burns and sticks to the child's back, legs and buttocks, just like a fairy peach dropped into an asphalt pot and turned half a circle.

Zhang Fan not only brings a team of burn and dermatologists, but also a team of pediatricians, as well as a group of mixed internal medicine doctors. Pediatric medication is more about experience. Does Zhang Fan understand pediatrics?

But, this kind of understanding can only be about common diseases. When encountering such extreme cases, the understanding of ordinary doctors is not much different from that of people walking on the street outside the hospital.

"Jiang Hospital, the blood oxygen saturation has come down. The patient has pulmonary edema. What should we do now? Reduce the amount of infusion?" The anesthesiologist noticed the problem immediately and asked directly to the pediatrician standing aside.

Zhang Fan's surgery even stopped and the ventilator was attached to his body, but his blood oxygen was still dropping!

"You continue your operation, don't stop. Ending the operation quickly is the key now!" There is absolutely no problem if a fly sinks into Academician Jiang's wrinkled brow. After he finished speaking to Zhang Fan, he immediately shouted to the treatment team:

"Increase the amount of fluid, repeat the intravenous injection of 0.4 cinnamonin, 10 nitroglycerin, and 5 morphine.

Tinide file, vancomycin 1.0g..."

"This is an adult dosage!" the old circulating nurse asked softly.

"There is no other way now, we have to do this."

As a rule, pulmonary edema requires a large amount of diuretics, and the dosage should be reduced.

However, under such extreme conditions, once the dosage is reduced, the attachment of neutrophils to the pulmonary capillary walls will be aggravated, positively aggravating pulmonary edema.

Nowadays, large intakes can also lead to aggravation of pulmonary edema, but will not affect cardiac output.

In human terms, when the flood comes, the first solution is to release the flood. Old man Jiang is increasing efforts to raise the dam. Old man Jiang also bets again. He is betting that Zhang Fan can complete the operation before the dam collapses. He is betting on his child's health.

Cardiac function compensation will surely overcome this difficulty.

However, not many people dare to bet like this. Old Jiang is betting with half his life's experience, half his life's study, and half his life's reputation.

You have been rescued, you are an academician, this is what you should be doing.

It cannot be rescued. There are too many faults to be found in this rescue record. Why did you give such a large dose? Even animal experiments would not give such a large dose.

By then, none of the three mouths could explain it clearly.

However, some things still need people to do it.

The people on the operating table really tried their best to operate quickly.

Not only here, but also with Li Cunhou and Zhao Jingjin.

Even the entire Tea Su Hospital is contributing its collective strength.

One hour, two hours...

Six hours later, Zhao Jingjin's surgery was completed.

Seven hours later, Li Cunhou became skilled in surgery.

As for Zhang Fan, it's not over yet.

Li Cunhou didn't even have time to change out of the diaper in his crotch, so he changed into a 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 was under the operating table, still urging me.

"Hurry up, the damage will be done in about 12 hours!"

because of burning

Once 12 hours have passed for such a large-scale skin injury, it will be a bacterial outbreak period. No matter whether you use antibiotics or not, or how good the antibiotics are, there will be an outbreak.

But now not only the chest but also the abdomen have been opened. The outbreak was about to begin, but now the skin is ulcerated and the internal organs are also exposed to the air.

At this time, it directly adds 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 anxious.

Surgery that requires inter-provincial transfer is really not easy.

Just when it was about to exceed 12 hours, the allogeneic skin transplantation was finally completed on the child. When the child was completely wrapped in a transparent burn elastic garment, Zhang Fan felt relieved.

The child who was originally as coke-like as a charcoal was now covered tightly except for the oxygen channel in his trachea and the urine channel in his lower limbs.

It's like wrapping a child in Scotch tape like a mummy.

"The three patients are placed in the intensive care room side by side. When they wake up, they can see each other. We have finished the hospital affairs now, and then it depends on their desire to survive."

Zhang Fan said something to Bayin, who nodded in agreement.

"You go and rest! I'll keep an eye on you tonight."

Li Cunhou waited for Zhang Fan to drag off the surgical gown, and after coming out of the bathroom, he said something to Zhang Fan.

"Why don't you take turns? You've already had surgery for a day, so your body won't be overwhelmed."

"I don't worry about others coming. Even if I go back, I won't be able to sleep well. I might as well sleep here. Okay, go back quickly."

Zhang Fan nodded.

As for Academician Jiang, he could only let students support him as he walked slowly downstairs.

"I'm old, I'm old. After standing for a long time, my legs are no longer obedient. When you go back today, write a paper for me to see. You can't just study with your head covered, you must also have your own ideas.

Why did I give morphine? And it was given repeatedly. You have to understand the mechanism behind this."


Chapter completed!
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