Medical road Qingyun

For Zhao Yuan, entering the Department of Dermatology is not only to fill a knowledge gap, but also to fill a potential idea.

He is obsessed with the burn marks on Chai Jing's legs, and is interested in helping Chai Jing solve this problem.

She had burn scars on her legs, and it wasn't as simple as a skin graft.

There are quite a few disadvantages to skin grafting.

First of all, an incision or flap is required, which will increase the wound of the operation.

The skin is usually removed from the thighs or buttocks, and the location where the skin is removed is equivalent to a trauma.

Secondly, there will be a problem of survival rate after skin and skin flap transplantation, and if necrosis occurs

, further surgery will be required, and after skin grafting or skin flap surgery, the skin will have color difference, uneven surface, and it is still not perfect.

If you want to solve the burn scar for Chai Jing, you need a higher level of technology.

Tan Min had been exposing Zhao Yuan to the most basic knowledge of dermatology.

Now I'm finally getting into the dermatology surgery part.

Giant nevus is excised in stages, and Zhao Yuan still understands something.

Fractional excision can use the elasticity and natural stretch of the skin itself to repair the wound, with small incision marks and less surgical trauma.

Of course, fractional excision is only suitable for benign giant nevus, and if there are hemorrhoidal foci with a tendency to malignant, this method is not suitable for use.

In addition, the interval between fractional excisions is six months, and the next surgery can only be performed after the skin is completely loose and the wound has grown.

Zhao Yuan only stayed in the skin surgery department for a month, which was about to end, so he only had the opportunity to participate in the first surgery.

Under Tan Min's gaze, Zhao Yuan easily removed a piece of tissue from the patient's body.

Later, the tissue will have to be analyzed for pathology.

The decision to proceed with fractional resection depends on the results.

Although it is only the simplest peel, Tan Min has an understanding of Zhao Yuan's ability, which is much better than the few graduate students he has led.

"Xiao Zhao, do you usually do some surgical training?"

"Stitch pig skin, fish bubbles, occasionally practice toothpick and raisins, and fold 5MM paper cranes. Zhao Yuan did not hide it.

Tan Min glanced at the two resident doctors beside him, and said lightly, "See, is there any kung fu outside the poem." Technique is not something that can be practiced overnight, don't make excuses, give up improving yourself with reasons such as being busy with work, you are still too tender. Director Shan of the Department of Neurosurgery, why can he gain the respect of his peers, despite his age, he has been practicing the basic skills for thirty years, peeling raw eggs, hand-sewing noodles, hand-sewing plant leaves, and horizontal bars!"

The two resident doctors looked at each other, and there was no expression on their faces.

But the heart is roaring, and from tomorrow I will start to receive this kind of terrifying training method.

......

Neurosurgery, ward.

Shan Zhenyu took the film and found Zhang Fuxiang.

"Do you think about conservative treatment.

Zhang Fuxiang has actually consulted with experts in related fields in southern Xiangnan, "How many years can you live with conservative treatment?"

Faced with the same answer, Zhang Fuxiang smiled bitterly, "Long is a year, short is a few months?"

Shan Zhenyu knew that Zhang Fuxiang was a doctor before he retired, although he was not a neurosurgeon, but he also knew some basic common sense.

He nodded slightly, "You should know something about neurosurgery, there is no sign of rupture of hemangioma at present, and the risk of forcible removal is also very high."

Zhang Fuxiang's eyes were firm, "Surgery is done with the head, and without surgery is with the head lifted." Instead of living in fear every day, it is better to find a good time, just operate on me, die on the operating table, I don't blame anyone.

Zhang Fuxiang calculated that if he found a reliable doctor and the operation was successful, he could live at least five to ten years.

Half a year or five years?

It's not difficult to choose!

Shan Zhenyu saw that Zhang Fuxiang was in a good state of mind, "Your current physical indications are good, sign the agreement later, and have surgery tomorrow!" Zhang Fuxiang knew that Shan

Zhenyu personally operated on himself, and he was still very excited in his heart.

Before in Shonan, a friend also suggested finding a flying knife for Shan Zhenyu, but Shan Zhenyu rarely had flying knife surgery and was rejected.

Zhang Fuxiang had planned to find another neurosurgeon at Tianhua Hospital for surgery.

I didn't expect to find Shan Zhenyu in the end, and it can be regarded as a crooked fight.

Shan Zhenyu returned to the office and called Zhao Yuan.

He had a good impression of Zhao Yuan, "Xiao Zhao, arrange for your fellow countryman to have surgery tomorrow afternoon."

Zhao Yuan didn't expect Shan Zhenyu to take this matter to heart and contact him, "Thank you, Director Shan."

Shan Zhenyu smiled, "If you have time, you can also participate in this operation."

Zhao Yuan hurriedly said: "Thank you Director Shan for the opportunity, I will definitely come to learn."

Early the next morning, Zhao Yuan explained the situation to Deng Yunlun and came to the Department of Neurosurgery.

Shan Zhenyu had just finished checking the room, called Zhao Yuan to the office and handed him the head CT.

Zhao Yuan looked at the back and changed color slightly.

The aneurysm is located in the right internal carotid artery communication segment, the largest one is 25×19×18mm, elliptical dilation, involving the entire blood vessel, such a huge brain aneurysm is relatively rare, once ruptured the mortality rate is extremely high.

No wonder Zhang Fuxiang was determined to defuse the "bomb" ahead of schedule.

"What do you think should be used?" asked Shan Zhenyu with a smile.

"Cerebral aneurysm stent-assisted coil embolization!" Zhao Yuan thought for a while before saying.

Shan Zhenyu was a little surprised!

Originally, he asked casually.

Zhao Yuan has shown talent in many areas.

Especially Sun's surgery, but it is the strength of the deputy director.

Unexpectedly, he also had research in neurosurgery, and the proposed plan coincided with his own ideas.

......

Preoperative talk.

Shan Zhenyu led a group of people to find Zhang Fuxiang and told him and his family the plan.

After finishing the more formal content, Shan Zhenyu and Zhang Fuxiang said with a smile, "Wait a minute, your little fellow will also enter the operating room."

Zhang Fuxiang didn't know much about

Zhao Yuan, he was a little confused, "Isn't Zhao Yuan an emergency doctor?" Shan Zhenyu smiled, "Zhao Yuan is a young doctor with great potential in our hospital, and he has performed well in many fields of surgery.

Zhang Fuxiang said nervously: "Director Shan, you are the chief surgeon, right?"

He knew that many surgeries were nominally done by the director, but in fact they were only responsible for the main part, and most of them were completed by young doctors.

Shan Zhenyu patted Zhang Fuxiang on the shoulder, "I'll operate on you personally! Don't think nonsense, adjust your mentality." "

In the afternoon, I entered the operating room as scheduled.

Zhao Yuan knew that he didn't have a chance to perform the operation today, so he mainly focused on observation, but he still brushed his hands.

Liu Sha also participated in the operation, and was responsible for starting to lay out the list and improve the instruments needed for the operation.

When Liu Sha looked at Zhao Yuan, Zhao Yuan winked at her.

Liu Sha only felt her heart beat faster.

The second time I worked with Zhao Yuan in the operating room.

The last time I watched a guest by myself, Zhao Yuan was an assistant.

This time, the identity and role were reversed, and Zhao Yuan was a spectator.

Shan Zhenyu ordered in a deep voice: "Let's go!"

The operating room is obviously at a constant temperature, but the air seems to freeze instantly...