Since 1981 Health School

After more than ten days of treatment, those advanced antibacterial drugs have played a great role. If a patient with extensive injuries and burns, there is no systemic infection.

This has to be said to be a miracle in Africa.

Anyway, the black doctors at Freetown National Hospital all judged that Commander Teodoro Z could not survive the infection, and the chance of survival was very small.

However, under the careful care of the Huaguo medical team, coupled with the application of high-end antibiotics and sterile wards, Commander Teodoro Z's condition stabilized.

Chen Qi saw that the timing was almost up, and he had to hurry up to carry out the "skin grafting", otherwise it would be troublesome.

Severe, large-area third-degree burn patients must have skin grafting, which has several functions.

A skin is the first protective film of the human body. No skin infection is inevitable.

The second is that if there is no skin grafting, contractures may appear after scar formation, which will affect the functions of joints and other tissues.

The last reason is also the most important. If burn patients do not have skin grafts, even if they survive, they will be neither human nor ghost, basically losing the basis for survival.

There used to be a TV series "The Ghost Husband of the Three Plum Blossoms" by Buwanwan, in which the hero's face was burned by the fire, and then a scene of joys and sorrows was triggered, which made many viewers cry.

Skin grafting is divided into two categories: free skin grafting and skin flap transplantation. The skin sources of skin grafting generally include autologous skin, allograft skin, and heterogeneous skin.

Free skin grafting is to cut off part of the thickness or full thickness of the skin from one part of the human body, completely separate it from the body, and transplant it to another place to re-establish blood circulation.

Chen Qi is too familiar with this kind of skin implant. He usually uses this method when he is doing maxillofacial plastic surgery, and the success rate is 100%.

However, allogeneic skin transplantation is more complicated. These skin sources include fresh cadaver skin (the cruelty is to peel directly from living people).

There is also a kind of xenogeneic skin transplantation, such as piglet skin, chicken skin, etc. to temporarily cover the burn wound. Later, with the development of science and technology, a kind of artificial skin also appeared.

It may be that medical technology was not developed enough in the 1980s. Whether it is an allogeneic or xenogeneic transplantation, the success rate is very low, and rejection is prone to occur.

Chen Qi was wearing an isolation suit, standing in front of "Roast Duck Commander Z", with his arms crossed, thinking about how to perform skin transplantation?

As an assistant, Dr. Momberto, who is also actually a "supervisor", is also thinking too much.

Under the medical environment and conditions in Africa, allogeneic transplantation is definitely not considered, and the only option is autologous skin transplantation.

But there was a big problem here. Commander Teodoro Z had burns on 80% of his body, and less than 20% of his skin was intact.

You have to use 20% of the skin to cover 80% of the area. Even elementary school students know that this condition is not true.

Besides, if you cut 20% of the normal skin, the original place does not need skin protection? So that becomes 20% skin, covering 100% of the body.

It is equivalent to 2 pot lids to cover 10 pots, and you can't cover them no matter how you cover them.

This stumps the attending physician.

Dr. Mombetto looked at the air conditioner that kept blowing cool wind, thinking that Chinese people are really extravagant, but he asked calmly:

"Doctor Chen, what should I do? Such a little normal skin is not enough."

The so-called normal skin is not a whole piece, but distributed in multiple places such as the back or head and buttocks, in a bulk state.

Chen Qi was a little silent at this time. In fact, his brain was running fast, and he was always recalling the literature or medical journals he had read in his previous life, and whether there was a better skin grafting method.

Seeing that Chen Qi didn't answer, Momberto quietly left the sterile ward.

Walking outside the door, all the family members of Commander Teodoro Z surrounded him, and Chief Laodo asked eagerly:

"Momberto, what is the condition of my son?"

"Uh, um, so far, it seems that the vital signs are stable, and the most feared infection has not appeared. There is something wrong with the skin grafting. Commander Teodoro has too little intact skin, and there is no way to support the skin grafting."

Old Laodo was in a hurry:

"Before you talked about ischemia, but after taking blood from many soldiers, it was solved. Now my son needs a skin graft, so you go and choose among those soldiers. Whoever has the right skin for my son will have his skin peeled off."

The other family members next to him also nodded repeatedly: "Yes, doctor, you can peel as many skins as you need, and give as many people as you want, as long as you can cure Commander Teodoro Z's illness."

When Momberto heard this, the sweat on his back came out, and he thought to himself what kind of family this is, it is terrible that it does not take human life seriously.

"No, no, that's not the case. You must use your own skin. If you use someone else's, you will have a rejection reaction, and the consequences will be more serious. So blood can be drawn, but skin can't."

Chief Laodo still didn't give up. Did he think that the group of doctors wasn't able to do so because he didn't have enough money?

"Well, Momberto, go help me and tell Doctor Huaguo that as long as I can find a way to give my son a skin graft and heal his burns, I am willing to pay another 100,000 US dollars, yes, another 100 sheep, 50 Is it enough? Is it enough? I’ll add more if it’s not enough.”

In the eyes of a big dog, there is nothing that cannot be solved with money, and there must be a brave man under a heavy reward.

The only possibility that cannot be solved is that there is not enough money and more money has to be added.

When Mombetto heard this, he despised this ignorant big dog very much, "No, Mr. Raodo, it's not about money, it's..."

Raodor waved his hand: "If it's okay, you can bring me a message and let Dr. Chen decide."

Dr. Mombetto was also quite speechless. As the director of the major surgery of a national hospital, he was not enough to see this kind of unreasonable big dog, so he walked into the "sterile ward" again.

In fact, when Momberto went out, Chen Qi had already thought of a treatment plan.

Seeing Mombetto coming in, Chen Qi just wanted to talk about his thoughts, but before he could speak, Mombetto preempted him:

"Dr. Chen, there is a troublesome matter. Chief Raodo just said that if Commander Teodoro Z's skin graft operation can be completed, his family is willing to give you 100,000 US dollars, 100 sheep, and 50 kilograms of gold. But is this a question of money? Isn't this embarrassing..."

Chen Qi's eyes lit up when he heard that:

"Wait, what did you say? What did Mr. Chief say?"

Momberto looked confused, and said uncertainly: "He said that as long as you can complete the skin grafting operation, he is willing to give you 100,000 US dollars, 100 sheep, and an additional 50 kilograms of gold..."

Chen Qi snapped his fingers and laughed:

"Well, how embarrassing this is. Our doctors are there to cure diseases and save lives. I'm paying so much all of a sudden. Hehehe, how embarrassing."

Dr. Mombetto was confused again:

"But Dr. Chen, the money is not for nothing. It needs someone who can successfully complete the skin grafting operation. But look at the patient's condition. How is this possible?"

"How is it impossible? A man can't say no. You can tell Chief Laodo, and just say that this skin grafting operation is on me, and it will be absolutely fine."

Momberto felt that this Huaguo doctor must be crazy about money. How could the money of these indigenous chiefs be so easy to collect?

In case the skin grafting operation is unsuccessful, or the patient dies, how do you collect the money, and you will definitely have to spit it out at that time, and you will also be sent a few extra bullets to see God.

No matter how good the money is, you have to spend it wisely.

So Dr. Momberto didn't envy so much money at all. On the contrary, he was quite worried about his Chinese colleague, but it was useless to persuade him for a long time.

"Die, die, good words are hard to persuade, damn ghost, if you want to die, die as long as you don't implicate me."

When Dr. Mombetto conveyed Chen Qi's words to Chief Laodo, the black old man suddenly became ecstatic.

Probably afraid that the Huaguo doctor would go back on his word, so within two hours, the promised US dollars and gold, as well as 100 sheep were all sent to the China-Serbia Friendship Hospital.

This incident alarmed the whole hospital, even the black doctors in Freetown Hospital.

Qi Yunming looked at the sheep all over the garden, their heads growing big, thinking that Chen Qi seemed to have received an "international red envelope" again.

The leaders of the domestic health system all know that the ministry has clearly stipulated that Chen Qi has a special care.

That is, as long as all the "labor fees" and "flying knife fees" received by Chen Qi abroad belong to him personally, they do not need to be turned over to the state.

Domestic ones are not counted, and it is a mistake to accept them.

Qi Yunming didn't care about how much money Chen Qi received, it was useless to know, it just made him feel envious and jealous in vain.

What he is most concerned about now is, what confidence does Chen Qi have to do this extremely difficult skin transplantation?

Leaders are timid, thinking that one more thing is worse than one less thing. If the operation fails and the patient is a high-ranking official, it may become a diplomatic dispute and be punished.

Does Chen Qi have confidence?

Yes, but not many. Don’t forget what his specialty was in his previous life. How proficient in burns do you expect a hepatobiliary surgeon to be?

Chen Qi just remembered that when he was in regular training in his previous life, he went to the burn department for rotations. Once he was on night shift and had nothing to do, so he chatted with the teacher.

The teacher said that the most advanced large-area skin grafting method is "skin grafting mesh grafting".

Although this thing is advanced in technology and consumables are expensive, it also has a lot of medicine buckles, which is very popular among burn doctors, and it has been widely used clinically, and finally became the mainstream skin grafting.

But if you encounter poor patients, they are so poor that they are jingling, and it is obviously inappropriate to take those black-hearted money. Killing people depends on the person. As a doctor, you still have to have a bottom line.

So try "Mick's Skin Graft".

In fact, the curative effect of this kind of skin grafting is not bad, and the cost of consumables is less, which can help patients save a lot of medical expenses, and the cost performance is very high.

The two of them were also idle, so Chen Qi asked how to do this "Mick skin grafting"?

So the teacher with the teaching staff briefly explained the steps of this skin grafting:

The so-called "Mick skin grafting" is actually very simple in principle.

It is to first cut off the normal skin with a leather knife, and then use a special skin cutting machine to cut the "normal skin" into small pieces like cutting tofu.

Each small piece needs to be evenly cut into small squares of 3*3mm or 5*5mm. It is then glued to a sheet of specially made crepe.

Then two doctors pulled the 4 corners of the crepe, and then pulled it in four directions, expanding the area of ​​the crepe several times, 3 times, 4 times, 6 times, 9 times, depending on the need.

As the crepe expands, the cut pieces of skin are spread out, with each piece evenly spaced a certain distance apart.

Finally, the prepared tulle is applied to the wound, fixed with medical nails, and then bandaged.

When the gap between the skin and the skin merges together, the transplant is considered successful.

One advantage of this is that, for example, a piece of normal skin is only 3 square centimeters, so it can only cover a wound of 3 square centimeters.

But with such an expansion, it can expand up to 27 square centimeters, which is awesome.

As for other benefits more,

For example, shortening the operation time and reducing the risk of the operation; in addition, the skin grafting area is uniform, breathable and permeable, the skin grafting speed is fast, it is easy to survive, and the treatment effect is improved.

As for reducing medical expenses, well, this point can be ignored in this big African dog family.

Chen Qi was born as a top student, so he naturally remembered it in his heart. Even if he returned to his first life, he would memorize all the skills and knowledge he had learned in his previous life.

When Momberto went out before, he had already thought of this treatment plan.

In the end, before he could open his mouth, the big dog has already made a lot of conditions and made a lot of wishes. This is giving money and gold, so what can we do?

Of course I promised them.

Qi Yunming was a little worried, pulled Chen Qi aside and asked:

"Xiao Chen, this patient is different. It's quite special. It's not like those black natives. They'll be put to death if they die. You received a red envelope from someone's family today. If you don't cure it, it will be hard to end."

Chen Qi said casually while writing and drawing on the paper:

"Qi Chu, look at what you said, why did I fight unprepared battles? Look, I'm already planning the operation plan."

Qi Yunming picked up the draft paper and looked at it. The more he looked at it, the more strange he looked: "These dried tofu you drew? What are they for?"

"This is the skin grafting method I designed. This patient has less normal skin, so I cut the skin piece by piece, and then planted them on the surface of the burn wound one by one like farming. After a while, it will naturally grow. It's all in one piece."

"This, this can work? Isn't the skin graft covered in one piece? Why are you in small pieces?"

"You don't understand this, but my inspiration comes from my eldest sister. My eldest sister used to fry stinky tofu. Every time I have to cut the tofu to make it, so I decided to use this brand new treatment. The scheme is named stinky tofu skin grafting."

Qi Yunming's mouth twitched when he heard this:

"Stinky tofu skin grafting? Chen Qi, you are a graduate student after all, so can't you choose an educated name?"