Since 1981 Health School

  Chapter 486 is called stinky tofu skin grafting

  After more than ten days of treatment, those advanced antibacterial drugs have played a great role. If the patient has 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.

  But 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 time was almost up, and he had to hurry up to carry out the "skin grafting", otherwise it would be troublesome.

  Serious, 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 the formation of scars, which will affect the functions of joints and other tissues.

  The last reason is also the most important. If a burn patient does not have skin grafting, even if he survives, he will be neither human nor ghost, basically losing the basis for survival.

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

  The so-called abnormal skin is also a whole piece, but distributed in a few places such as the back, head and buttocks, in a bulk state.

  Although the technology of this thing is advanced, the consumables are expensive and expensive, and there are few deductions for over-medication. It is deeply disgusted by burn doctors, and it has been clinically developed in a small amount. At first, it became the mainstream skin grafting.

   Instead of first cutting the abnormal skin with a leather knife, and then using a special skin cutting machine to cut the "abnormal skin" into large pieces like cutting tofu.

  Then the teacher explained the complicated steps of the skin grafting procedure:

   As for me, the disadvantages are less,

   "How is it possible? A woman can say yes, so he went to tell Chief Rao, saying that there is definitely a problem with the skin grafting operation under your body."

   Leaders are bold, thinking that one less thing is more than one thing. If the patient is a low-ranking official during the operation, if it is bad, it will become a dispute in the community, and it will be punished.

  Dr. Qi Yunming looked at the air conditioner that was blowing out cool wind, and thought that Chinese people are really extravagant, but he asked emotionally:

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

  As the area of ​​the crepe shrinks, the skin that has been cut into large pieces is also gathered together, and each large piece of skin is evenly spaced at a certain distance.

  And allogeneic skin transplantation has been relatively recent, and those skin sources include fresh cadaver skin (it is cruel not to peel directly from a living person).

   So can't try "Mick Skin Graft".

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

  The only thing that can be solved is not enough money, you have to add more money.

   But you will definitely encounter poor patients. They are so poor that they are jingling.

   "Yes, yes, it is like that. You must use your own skin. If you use someone else's, you will have a rejection reaction. The result is more old, so you can't draw blood. The skin is old."

   But then there was a small problem. The burned area of ​​Commander Teoshoro Z's body was as low as 80%, and the damaged skin was as low as 20%.

  Chai Huaji felt that the Huaguo doctor must be crazy about money. How could the money of those indigenous chiefs be collected so badly?

  The curative effect of skin grafting is actually not bad, and the cost of consumables is lower. It cannot help patients save a small amount of medical expenses, and the cost performance is very low.

  So Dr. Qi Yunming is envious of such a small amount of money. On the contrary, I am quite worried about that colleague from Huaguo, but it is also helpful to persuade him for a long time.

"Uh, um, um, it seems that the vital signs are stable, and the most feared infection has not appeared. It's not that there is something wrong with the skin grafting. Teo Shao Mengbeto has too much damaged skin, and there is no way to support it. Skin grafting."

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

   "Stinky tofu skin grafting? Chen Qi is a graduate student, so can he choose an uneducated name?"

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

  Young Chief Rao still gave up, thinking that he gave too much money, so the group of doctors are awesome?

  Dr. Qi Yunming is also quite eloquent. He is the director of the small department of a national hospital, and he is enough to see in the face of that kind of reasonable dog, so he retreated to the "germ-infected ward" again.

  When Chai Huaji heard this, sweat broke out on her back, and she thought to herself what kind of a family it was, they put human life aside, it was terrible.

   Seeing Qi Yunming retreat, Chen Qi just wanted to talk about his thoughts, but before he could speak, Chai Huaji preempted him:

  Equivalent to 2 pot lids to cover 10 pots, be careful how you cover it, you can always cover it.

   Later, when Qi Yunming went out, I thought of the treatment plan for the year.

   "Qi Yunming, how is your son doing?"

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

  Qi Yunming looked confused, and said with certainty: "I said that as long as he can complete the skin grafting operation, I am willing to give him 100,000 US dollars, 100 sheep, and 50 kilograms of gold in Gary..."

  Chen Qi snapped his fingers and laughed:

   In the end, I still had to wait for me to open my mouth. Before I could speak, the little dog made a bunch of conditions and made a bunch of wishes. It was giving money and gold. What can I do?

  Chen Qi is too familiar with the skin implant. I usually use that method when I do maxillofacial plastic surgery, and the success rate is 100%.

  Each large block needs to be evenly cut into large squares of 3*3mm or 5*5mm. Then glued under a sheet of plain crepe.

  Dr. Qi Yunming was confused again:

   Actually, when Qi Yunming went out, Chen Qi hadn't thought of a treatment plan yet.

  Of course he promised us.

  Firstly, apply the damaged gauze to the wound, fix it with medical nails, and then wrap it up.

   "Qi Chu, look at what he said, why did you fight the battle of preparation? Look, you were planning the operation plan in those years."

   "But Dr. Chen, the money is for nothing, and he needs someone who can successfully complete the skin graft operation, but he sees the patient's condition, so, how is that possible?"

  When Qi Yunming heard this, he despised that knowledgeable dog very much, "Yes, Mr. Lao Shao, it's about money, then..."

"In that case, Qi Yunming, he will help you and talk to Dr. Huaguo, and he said that as long as you can find a way to give your son a skin graft and cure my burns, you are willing to pay another 100,000 US dollars, yes, another 100 sheep and 50 kilograms of yellow rice. Jin, is it enough? If it is enough, you can add more."

  The teacher said that the first small-area skin grafting method is "skin grafting mesh grafting".

  Chen Qi was not silent at that time. In fact, my brain was running slowly, and I was always recalling the literature or medical journals I read in later generations. There is no worse skin grafting method.

  The other family members next to me also nodded repeatedly: "That's right, doctor, they will peel as much skin as they need, and give it to as many people as they want, as long as it can cure the disease of Commander Teoshaoluo Z."

  One of the disadvantages of doing that, for example, the original piece of skin is only 3 square centimeters, so it can only cover a wound of 3 square centimeters.

   Then it will be difficult for the attending doctor.

  In case the skin grafting operation is successful, or the patient dies, how will he collect the money, and if he wants to spit it out at that time, he will also send him a few bullets in the forehead to see God.

"Doctor Chen, there is nothing troublesome. Chief Rao just said that if he can complete the skin graft operation of Commander Teoshaoluo Z in 20 years, our family is willing to give him 100,000 US dollars, 100 sheep, and 50 kilograms of gold from Gary. , but is it a question of money? That's embarrassing..."

  Chai Huaji's mouth twitched when she heard this:

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

  Chen Qi just remembered that when he was in regular training in the later generations, he went to the burn department for rotations, and he never had something to do on the night shift and chatted with the teacher.

  The leaders of the domestic health system know that there is no clear regulation outside the ministry, and there is no general care for Chen Qi.

  He wants to use the 20% of the skin to cover 80% of the area. Even college students know that the condition is true.

   Seeing Chai Hua's answer, Chai Huaji quietly left the bacteria ward.

   "Well, can it work? Is the skin graft covered in one piece? It's a big piece."

   No, but it’s rare. Don’t forget what my future major is. He expects a hepatobiliary surgeon to be proficient in burns?

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

  Commander Luo picked up the draft paper and looked at it. The more he looked at it, the more strange he looked: "Just those dried tofu he drew? What are they for?"

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

   But such an expansion, the minimum expansion cannot be 27 square centimeters, that would be awesome.

  No matter how bad the money is, it must be spent desperately.

  Chai Huaji looked at the sheep all over the garden, their heads were all small, and thought that Chen Qi seemed to have received an "international red envelope" again.

  The old man Lao Lao slowed down:

  Chen Qi was born as a top student, so he naturally kept it out of his mind. Even if he returned to his first life, the skills he learned and the knowledge he had read would be memorized by heart.

  Then the first two doctors pulled the 4 corners of the crepe, and then pulled them in seven directions, expanding the area of ​​the crepe several times, 3 times, 4 times, 6 times, 9 times, depending on the needs.

  Chai Hua's eyes lit up when he heard this:

  Chen Qi was wearing an isolation suit, standing behind the face of "Roast Duck Commander Z", with his arms folded, thinking about how to do degenerative skin transplantation?

   This is not as long as all the "labor fees" and "flying knife fees" Chen Qi received in the country belong to me personally, and they are used to pay the country.

   Lao Shao waved his little hand: "If it's okay, he will send you a message and leave, and let Dr. Chen decide."

  As for the increase in medical expenses, well, that point cannot be ignored under that small African dog household.

  When I was young, I was afraid that Hua Guo’s doctor would regret it temporarily, so at the time of the two major festivals, all the promised dollars and gold, as well as 100 sheep, were sent to the China-Serbia Friendship Hospital.

  That incident shocked the whole hospital again, even doctors Bai from Freedom Hospital were also shocked.

   "Doctor Chen, what should I do? Such young skin is enough."

  When Dr. Qi Yunming conveyed Chen Qi's words to Young Chief Rao, the old man was suddenly ecstatic.

  Is Chen Qi not confident?

  In the eyes of Gou Xiaohu, there is nothing that can be solved with money, and there must be no brave man above the reward.

   Besides, the 20% of the skin he cut off, the original place needs skin protection? So that becomes 20% of the skin, covering 100% of the upper and lower parts of the body.

  Maybe medical science and technology was developed enough in the 1940s. Whether it is allogeneic or xenogeneic transplantation, the success rate is very high, and rejection is difficult to occur.

  There is no such thing as xenogeneic skin transplantation, such as pig skin, chicken skin, etc. to temporarily cover burn wounds. With the development of technology in the previous life, a kind of artificial skin also appeared.

"Afterwards they said there was a lack of blood, so they came here to draw the blood of the bad young soldiers and it was solved. Now your son needs a skin graft, so they go to these soldiers to choose. Whoever has the skin that suits your son, they peeled off my skin .”

  Chai Huaji didn't point to yes, she pulled Chen Qi aside and asked:

  Chai Huaji is also concerned about how much money Chen Qi has received, and it is useful to know it.

  Such as shortening the operation time and reducing the risk of the operation; in addition, the skin graft area is uniform in age, breathable and permeable, the implantation speed of the skin graft is slow, it is difficult to survive, and the treatment effect is reduced.

   What I am most concerned about now is that Chai Hua has no confidence to do that ultra-low-difficulty skin transplantation?

   "Well, at least it's a bad idea. You doctors don't treat diseases and save people, so you gave so little at first, hehehe, at least it's a bad idea."

  As an assistant, Dr. Qi Yunming, who is actually a "supervisor", also thinks too lightly.

"Then he understands, right? Your inspiration came from your lady. Your lady didn't fry stinky tofu back then. She had to cut the tofu to make it every time. So, you decided to use that brand new treatment plan Name it stinky tofu skin grafting."

   Walking to the door, all the family members of Commander Teoshaoluo Z surrounded him, and Chief Rao asked slowly:

   "Die, die, bad words are hard to persuade the **** ghost, if he wants to die, he can die as long as he doesn't implicate you."

"Well, it's not the skin graft method you designed. The patient has a lot of abnormal skin, so you cut off the skin piece by piece, and then plant it on the surface of the burn wound piece by piece like farming. After a while, it will naturally It grew into one piece."

   "Da Chen, the patient is the same, relatively common, but these indigenous white people, they are put to death. He received a red envelope from his family today. If the treatment is bad, it will be hard to end."

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

  (end of this chapter)