Path of Medicine With a System

When seeing the child's injured finger, Zhang Fan and Lao Chen couldn't help but take a breath. I saw that the skin of the fingers at the end of the thumb and index finger bloomed like a black chrysanthemum, and the two fingers opened their mouths. In human terms, the skin on the fingertips was blown apart, and the red muscles were cut open like cords. After the cotton was removed from the finger, the blood started to flow!

When exploring the wound, the child cried heart-rendingly. The child's father hugged his child tightly and clutched the other hand. The mother, with tears, helped to press the injured hand tightly.

"Whether the child set off a firecracker or a detonator! Why is it so serious!"

"We were busy cooking, and one of us didn't pay attention. The child lit a firecracker." The child's mother was speechless. Although Zhang Fan did it very softly, his fingers connected with each other, mother and child connected with each other, and the baby cried Heart-piercing, can she feel better? The child's father talked with red eyes.

Perhaps it wouldn't be so serious today for an adult who has done heavy work. The child's skin is already meager, and the firecracker exploded directly in the hand. If the power was stronger, the finger might be blown away!

In micro-orthopedics, this kind of injury is independent and has a big name, ruined injury! For cutting wounds, if the incision is straight, then the difficulty is nothing, just like the operation performed by Li Liang and the others. Although it looks dangerous, in fact, as long as the operation is fast, the survival rate of replantation will be very high, and it can almost return to the original state in the later stage. About 80% of the functions.

But this kid is much more serious. Although it is only at the end of the finger, the skin has been damaged, the muscle layer is deeply injured, and the white bone can already be seen, and it is still the thumb and index finger of the right hand. Without skin, there is no skin at the end of this finger. The method is reserved.

One can imagine how cruel it would be for a person without his right thumb. After the thumb is gone, you can directly assess the disability, and then you can have a book, a disability certificate! And this doll is only six years old, how gloomy her future life will be!

Although the child cried heart-rendingly, the child's parents and grandparents guarding the door did not stop him at all. Crying and pain are all fine, as long as the child's fingers can be kept!

Looking at the child's finger, Zhang Fan had already conceived a solution in his mind. Although it was very serious, it was nothing to a systematic person.

"Doctor, please, the doctor at the Chinese Medicine Hospital told me that only here can save the child's finger, please, must save the child's finger!" When the child's mother saw Zhang Fan's silence, she collapsed up. The originally suppressed crying was as if the sluice was released, and the monstrous flood rushed out directly.

"Aw! Aw!" This cry was like a desperate she-wolf, her trembling hands were stained with the blood of many children! Although the child's father didn't cry out loud, he stared at the red eyes, and tears flowed down the face close to the child.

Old Chen wanted to speak, but he was not sure. He opened his mouth but didn't speak, and looked at Zhang Fan. "It can be saved!" After speaking, Zhang Fan said to Old Chen, "Prepare for surgery."

"It can be helped." These words were like a voice from heaven, and the mother's tense body directly made her sit on the ground limply. When she was in the traditional Chinese medicine hospital, when she heard from the doctor that she needed to have her finger amputated, her world turned gray, hopeless and helpless!

Fortunately, Zhang Fan and his salesmen have done their best. They have gone to the traditional Chinese medicine hospital and the city hospital countless times. ~

This kind of injury is not simply an ordinary broken injury, it is a compound injury. The huge energy not only damaged the skin and muscles, but also burned the surrounding skin to death. It's that brutal and serious.

When Zhang Fan said "It's possible to save, prepare for surgery", Lao Chen seemed to be resurrected, and quickly began to order, "Why are you crying? Now is not the time to cry, hurry up and sign and pay the fee, and prepare for surgery. Whoever, go Push the C-arm into operating room two.

hurry up! "Like the head nurse, she started to get busy.

The parents who cleared the clouds and saw the fog looked at Zhang Fan with gratitude. When Zhang Fan came out of the treatment room and was about to enter the operating room, although the two old men who were waiting at the door did not dare to disturb Zhang Fan, they had trembling lips, tears in their expectant eyes, pitiful expressions, and gray hair!

"Don't worry, old people, you'll be fine!" Zhang Fan, who had already walked past the two old people, turned around and said! Everyone has a heart of compassion, but with time and age, this heart is getting harder and harder!

In the operation, the head nurse of the operation gently comforted the child! This is the advantage of women. If Zhang Fan is asked to comfort the child, it is estimated that the child will cry even more. Why, it is probably because of the black hair!

Because he left his parents, perhaps because of fear, although the child did not dare to cry loudly, his huddled body and slightly trembling limbs were like a wounded deer facing a group of hungry lions!

"It's so pitiful!" Old Chen looked at the child, maybe he thought of his own child, and said with a little pity.

Zhang Fan turned his head and glanced at the child without saying a word. Anesthesia starts, if the skin is not damaged, this operation will be debridement directly under local anesthesia, which is a very simple operation. But it was because of the skin damage that the difficulty level of the operation was suddenly increased by N levels.

After anesthesia, start debridement. This kind of injury can almost be regarded as a gunshot wound. First rinse, a large amount of isotonic saline begins to rinse, and rinse off the broken free tissue (rotten meat!) in the wound, and then gently massage the wound with a sharp knife Clean up the superficial gunpowder particles around.

"Tourniquet!" When clearing, Zhang Fan didn't let the tourniquet be put on, because Zhang Fan needed to know that there was no bleeding in that place, and the tissue in that place had been inactivated.

Today's operation, Lao Chen is Zhang Fan's assistant, and everything is going on in an orderly manner. The surgical area is not large, but the location is so important that it really makes people speechless. Even if you blow up your palms, it won't be such a trouble. The big deal is to do a skin graft, but the general skin graft in this place is useless. The blood supply to the extremities is not good, and the circulatory system here will be blown up by such an explosion. Even with the skin graft, it will not survive.

The key point in the early stage of the operation is flushing, thorough flushing, and then the complete removal of inactivated tissue. If this tissue is not cleaned, it will be a scourge in the future, the scourge of infection. In layman's terms, it is equivalent to burying the flesh that is about to rot in the body.

The first step is after these treatments are completed, and the next step is the most important, how to do this operation? Without blood vessels and skin, there is no way to deal with it with conventional surgery.

Because he was a child, Zhang Fan chose the cross-arm flap transplantation. What does it mean? It is to design a skin flap at the appropriate position on the contralateral upper arm or forearm of the child. What is a skin flap? A skin flap is formed by a skin with a blood supply and its attached subcutaneous fat tissue.

To put it simply, it is to find a suitable place on the opposite arm, then open the skin and muscles, find a place with thicker muscles, and trim the blood vessels of the skin and muscles to look like a defect.

Then suture this piece of tissue and the child's finger. The trimmed tissue is not completely separated from the original place, and it is sewn on the child's finger. The nutrient blood vessels of this piece continue to be supplied by the opposite arm, etc. After the transplanted blood vessels grow, they are separated.

After surgery it looked like the child's two fingers were sewn directly into the opposite arm.

Because it is a child, Zhang Fan did it very carefully, and the child is constantly growing and developing. If the operation is not done well, the function will be directly affected.

The design of this flap is very particular. Although the doctor with rough technique has preserved the finger, it is too ugly, just like a sarcoma growing on the ball of the finger, because of the poor design.

Why the design is not good, because there are few surgeries. It's not that doctors don't care. This is not difficult for Zhang Fan, and he has practiced it in the system for countless times.

Slowly opened the deep fascia of the upper arm on the opposite side, thinned it to stop the bleeding, and then gently transplanted the trimmed skin flap to the child's wound. This operation was really embroidery, and the wound was too small. Zhang Fanyi Lowering his head, directly blocking the view of others, Lao Chen bent over and took the time to suck blood and wipe it.

The repaired tissue is connected to the original tissue called the pedicle, which is the channel to ensure the child's wound can be revived. After repairing, Zhang Fan quickly and continuously sutures eversion. Directly buried the child's two fingers into the left upper arm.

Before bandaging, it looked like the child made an OK gesture with his right hand, but the thumb and index finger were inserted into the flesh of the left arm.

Although the operation is difficult, Zhang Fan's speed is too fast compared to Li Liang and Song Bing. When Zhang Fan and Lao Chen started to pressurize and bandage, Li Liang and the others were still working on the third finger. !

Gently put cotton between the injured hand and the left arm, then fix it with adhesive tape, and made a beautiful triangular scarf for the child to hang the right hand up.

The operation has not been completed yet, and the pedicle can only be broken after two to three weeks, when the wound surface has survived. Although the time was long and uncomfortable, the family did not spend this Spring Festival in the dark!

After the operation, Zhang Fan stretched his waist, and more than two hours had passed, "After going down, you must tell the parents to keep an eye on the child. The child is too young to understand. If it is accidentally broken, it will be finished. The doctor in charge also Take care, and pay attention to the firmness of this cross.”

"Okay, I will take care of the bed for this child myself, master, you should go back early, it's almost eleven o'clock."

"Don't worry, just wait for Li Liang and the others to undergo surgery, and let's have a New Year's Eve dinner together. Are you ready?"

"Yes, I have prepared a lot of quick-frozen dumplings for the doctors and nurses on duty, so let's have a lively time later!"

Outside the operation, the child's family and the middle-aged woman's family stayed quietly in front of the operation door. They were equally anxious and worried. The sound of firecrackers in the distance was so piercing and irritating to them!

At Old Chen's house, his wife and children looked out the dark window, "Eat, your father is probably undergoing surgery again! Hey, there is no time to rest all year round."

At Shao Hua's house, Jing Shu watched the Spring Festival Gala boredly. The old man had already watched several times in the community.

"Eat! I guess we won't be here anymore, let's eat without waiting for him. Come to Jingshu, I'll pour you a drink." Shao Huaqiang said with a smile. Why not call?

It's very simple. If the doctor is going to have an operation and the family has no serious problems, they generally won't call! Unless the doctor himself calls home.

Amidst the lights of thousands of homes, the personnel in these special positions are still continuing their daily work.

Spring is coming! ~

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