Since 1981 Health School Chapter 644

  The culture medium made by phage is really effective.

  Under the focus and gossip of all the staff in the hospital, after soaking the injured limb in the culture medium for 24 hours, the fever subsided and the inflammatory indicators dropped significantly.

  This result made all the doctors and nurses in the Burn Surgery Department happy and encouraged.

  Chen Qi was also in tears, and finally there was no waste of money.

   Although Director Qi of the Yuezhong Iron and Steel Plant is reluctant, he feels that students and doctors should be voluntary to help with pooping, and young people should be dedicated.

  But now he doesn't dare to offend Yuezhong Hospital or Chen Qi, so on the surface he pays the "labor fee" very readily.

   One person is 20 yuan, whether it is a dean like Chen Qi or an intern doctor, all 20 yuan is truly fair and just.

  The interns were all very excited when they got 20 yuan, because they didn't even have 20 yuan in pocket money a month.

   This was definitely a huge sum of money in 1989. You could buy 4 or 5 tapes of pirated pop songs, and by the way, you could take your female classmates to see a movie before going to a restaurant.

  Of course, after the meal, at most, I would hold hands and want to go to the guest house, cough cough, don't even think about it.

  In the dean's office.

   Chen Qi couldn't laugh or cry when he got the 20 yuan from He Jia, the secretary of the hospital.

   "What do you think this is? I earned 20 yuan for half a day, 40 yuan a day, and 1,200 yuan a month. This income is higher than the salary of my dean."

  Chen Qi is currently at the deputy department level, with a monthly subsidy of 205 yuan.

  The professor subsidy of Haidong Medical University is 180 yuan per month.

  He also has three positions as the president of the Vietnam People's Hospital, the director of the Huahua Endoscopy Center, and the director of the Haidong Provincial Cleft Lip and Palate Treatment Center. The salary of the three jobs can get 1,260 yuan a month.

   In this way, his monthly salary income is 1645 yuan.

  What is the level of this income in society? That is definitely the dean with the highest income in the country, not one of them.

  Generally, the income of the director of a tertiary hospital will not exceed 500 yuan, and the income of employees is generally around 2,300 yuan.

  We must know that in 1989, the black market price of a color TV ticket alone was over 1,000 yuan. It is almost impossible for ordinary workers with this income to buy a color TV.

   Then he began to shout a slogan: "The income of the atomic bomb is not as good as that of selling tea eggs, and the income of the scalpel is not as good as that of the razor."

  He Jia was even more speechless after hearing Dean Chen's complaint:

   "Dean, your income is five times mine, which is still less. If I had so much money as you, I would go to restaurants in Rongchun every day."

  Chen Qi said speechlessly:

   "I'm shining for love now. With my ability, I go to work in a foreign hospital now. If I don't pay me four to five million dollars a year, I won't be a bird."

  He Jia rolled his eyes suddenly, and smiled: "Dean, can we give out year-end awards at the end of this year?"

   Year-end bonuses were not allowed in hospitals in 1989, but who called Chen Qi a pilot hospital, there is no taboo, He Jia, as a staff member of the hospital office and a close minister of the emperor, probably heard some rumors.

   "Hey, the little girl is very well informed, hehe, don't worry, our hospital has money in the account this year, and I, the dean, will absolutely guarantee that everyone will have a good year."

   "Yeah, it's done. Dean, you can't go back on your word. I have to save money to buy new clothes."

   Chen Qi shook his head when he heard this, thinking that it was only November, and it was still early before the Chinese New Year, and the employees were already thinking about the benefits of the Chinese New Year.

  The next day, the rescue work for the 4 burn patients continued:

  Lu Wenjie still needs to continue anti-inflammatory and anti-infective treatment because of his special condition, but the rest of Mrs. Ding, Song Yanzi, mother and daughter, and worker Wang Chuanbing will enter the next step of treatment.

  Skin grafting.

   It can't be delayed any longer, it's already the 7th day, if it continues to drag on, the granulation scar tissue will grow out, and it will be difficult to get a skin graft by then.

  Why do burn patients, especially those with extensive burns, need skin grafting?

  This is because burns will destroy skin tissue, making it difficult for the wound to heal itself. If it is not treated in time, it may cause complications such as infection and bleeding, which will seriously endanger life.

  Skin grafting can restore the integrity and function of the skin, shorten the recovery period, and reduce pain and scarring, so this is a must-have.

  It is also the third hurdle for burn patients: "Wound repair period".

  Whether the burn patient can survive is the most important hurdle. After passing this hurdle, there will be a "rehabilitation period". In fact, there is no life-threatening.

  There are also various methods of skin grafting, mainly stamp skin grafting, skin flap transplantation, microparticle skin grafting and MEEK micro-skin grafting.

   Among them, stamp skin transplantation and skin flap transplantation were the mainstream transplantation in the 1980s.

  MEEK micro-skin grafting has been amputated by Chen Qi and renamed "Stinky Tofu Skin Grafting".

  The medical science and technology of the later generations are more and more developed. Relying on cell engineering and tissue skin engineering, many new skin transplantation technologies have been developed.

  For example, small autologous skin grafts with large holes in allogeneic skin, mixed skin pulp transplantation, direct epidermal cell transplantation, and thin autologous skin grafts with acellular allogeneic dermal matrix, etc.

  Chen Qi can do these transplants, but he can't provide the raw materials, so he can only think about it.

   It's time for skin transplantation, and the original African team has gathered again.

  Yi Zewen and Chen Li rushed over from the emergency department, together with Zhang Xing and Yang Xiuxiu, the anesthetist He Fule was missing.

  After He Fule returned to China, he returned to the Sixth Hospital of his original unit to be the director of his anesthesiology department. He led two or three kittens and lived a contented life.

   Zhang Xing, Chen Li, and Yang Xiuxiu firmly followed President Chen, so they were transferred from various county hospitals to the People's Hospital by Chen Qi.

  Actually, He Fule also knew that, relying on his two-year revolutionary friendship with Chen Qi, he was transferred to the People's Hospital and became the deputy director of the anesthesiology department.

  But when he arrives at a higher-level hospital, facing the busy clinical work, he has to take on the heavy responsibility of an anesthesiology department leader, working day and night.

  Zhang Xing and the others are still young, and they can still work hard to create a world for themselves.

  And He Fule felt that he was too old to break through, so he wanted to be promoted to a higher level, and then he would be satisfied with his wife and children.

  Chen Qi respects everyone's choice. He is like a big ship. Some people get on the boat and some people get off the boat. This is a personal choice, and there is nothing wrong with it.

   Burn surgery operating room.

  The first patient to receive skin transplantation was Ding Xinjuan.

  Ding Xinjuan suffered burns on 90% of her body, including 40% of third-degree burns, which can be described as extremely tragic.

  At that time, their mother and daughter hugged each other at the scene of the fire, so Ding Xinjuan still had a small amount of normal skin on her chest and neck.

  It is equivalent to using 10% of her skin to cover 90% of her skin surface from head to toe,

  This is equivalent to that you are a chef, and you only have one pot cover, but you have to cover 10 pots. This is more difficult, because you can't cover it at all.

  So how to do the surgery has aroused the great interest of several old professors such as Peng Yongyan, Ni Zhihua, Wang Qizheng, Zhu Lianggong, An Yongchun and so on.

  They had previously determined that the reason why Yuezhong Hospital took all the patients with confidence must have their exclusive secret recipe, so they waited and watched, and did not leave Yuezhong.

  Outside the operating room, Professor Peng grabbed Chen Qi and asked with a smile:

"Principal Chen, skin grafting is going to happen today. I have read the patient's medical records. 10% of the normal skin needs to be transplanted to the whole body. This is an impossible task in terms of physics and medicine. How about it?" , Tell us old guys how about your operation idea?"

  Professor Wang also said foolishly: "That's right, Xiao Chen, we have waited for so many days, you can't hide your secrets, let us wait for nothing."

  Professor Ni is more direct:

   "Boy, if you want to step on our Dongshan Hospital, you have to show your real skills. If the skin grafting operation fails, the patient will still die, and your Yuezhong Hospital will still fail."

  Chen Qi knew that this was a proper aggressive method, so he glanced complicatedly at Professor Ni Zhihua of Shanghai Dongshan Hospital.

  Because his next surgical plan actually borrowed from Dongshan Hospital's later creation of "big sheet of allogeneic skin with holes embedded in small autologous skin grafts".

  The name of this operation sounds quite long, but it is known as "Chinese-style skin transplantation", and it is very famous in later generations.

  As for this life, ahem, Chen Qi will cut me off.

  So Chen Qi looked at Professor Ni just now with sympathy and gloating in his eyes.

   "Professors, don't be in a hurry. Today I will let you see the exclusive burn surgery therapy of our Yuezhong Hospital, stinky tofu skin grafting."

  Puff Chi~~~~

  Professor Zhu Lianggong from Jishuitan Hospital was drinking tea. After hearing this name, he couldn't help but spit out the water.

   Several other professors pulled their faces down when they heard this: "Dean Chen, are you joking with us old men? Are you afraid that we will learn your new technology?"

  Chen Qi knew that the old men lacked a sense of humor, so he quickly asked Zhang Xing to bring over the latest revised version of the thesis.

"Professors, don't be in a hurry. Come on, take a look. Our stinky tofu skin grafting technique has been experimented with African compatriots many times. It's not a joke. I even wrote the thesis, but I haven't done it yet." Post it yourself."

   (It's not that it wasn't published, it's that the manuscript was rejected.)

   A few old men dubiously took a look at the draft of the thesis, and sure enough, the name was a big "stinky tofu skin grafting technique", and the English name was "Stinkytofu Skingrafting".

   This made several old professors dumbfounded:

   "Principal Chen, you, your name is really eye-catching."

   "It's more than just eye-catching, it's simply impossible to guess what kind of skin grafting method it is."

   "It's a good name. Burn patients smell very bad after bacterial infection. Don't mention it, it's really similar to stinky tofu."

  hahaha~~~

   Zhu Huoyan just came out after putting on the surgical gown at this time, when he heard Chen Qi joking with several top experts, he educated:

   "Chen Qi, explain to the teachers carefully, don't be so hippie."

   "Oh, oh," Chen Qi quickly pretended to be very serious when he saw his teacher coming, and explained:

"Today's skin grafting operation is actually very simple. I need to go through the steps of cutting, splitting, carrier transfer, expansion, and transplantation to achieve the expansion of the skin graft at a ratio of 1:3 to 1:9, and use the least amount of skin to make the largest area. Skin grafting."

  The professors were just about to listen carefully, but found that Chen Qi had stopped talking, so they asked strangely: "Are you ready?"

   "Okay, what's the use of talking? The key is to see how I do it."

  Professor Peng nodded: "That's right, today we will see how you perform this extremely difficult operation."

  Professor Ni also chuckled: "Perhaps Xiao Chen's operation can inspire us."

  Chen Qi cursed in his heart: Yes, it was an inspiration, but unfortunately it was the inspiration you Dongshan Hospital gave me.

  The operation started, and the two cameras started running at the same time. Chen Qi's operations are usually videotaped, and they are valuable teaching operations.

  Because Chen Qi's team of "Stinky Tofu Skin Grafting" has performed dozens of sets in Africa, the team's cooperation is very tacit.

  But today's surgeon is director Zhu Huoyan, and Chen Qi is just an assistant.

   Director Zhu is the chief surgeon, while Chen Qi has his own considerations.

  Firstly, the development of the burn department mainly depends on the surgery. Chen Qi has only one person, and he has too much work to break up. Therefore, he must "train" burn doctors with the same high level.

   Besides Lao Guo, Zhu Huoyan has the highest level of surgery in the People's Hospital.

   Another purpose, if the Burn Department of Yuezhong Hospital can become the No. 1 in the country, then various honors and titles, and medical association positions will fall from the sky.

  Chen Qi's future is to be an expert in hepatobiliary surgery, definitely not an expert in burns, so he took the initiative to give up this opportunity to Zhu Huoyan.

  Besides, if the Yuezhong Hospital wants to develop in an all-round way, it is far from enough for Chen Qi to develop alone. It requires everyone to work together and blossom more, so that it can eventually become a top hospital.

   "Stinky tofu skin grafting" is actually very simple. Chen Qi has secretly done several experiments with Director Zhu, so technically it is not difficult for Director Zhu.

  When Zhu Huoyan walked into the operating room after being sterilized, he had just stood in the position of the chief surgeon, and as soon as he assisted Chen Qi, he handed over the "skin knife" to him.

  What Zhu Huoyan had to do was to use a razor blade to cut an autologous split skin with a thickness of 0.2 mm from the only remaining normal skin on Ding Xinjuan's chest.

  In order to build a teaching hospital, Vietnam Hospital of Traditional Chinese Medicine, except for the closed-circuit television system, one wall of the operating room is all glass, which is convenient for those who visit the operation to see clearly.

   Several old professors saw that the operation had already started, and they all sat in front of the glass window and observed carefully.

  After Zhu Huoyan removed the normal skin, Zhang Xing, the second assistant, took out a piece of 4*4cm cork, cut the skin according to the size of the cork, and collected all the leftovers.

Yi Zewen took out a small skin cutting machine, cut the 4 cm square skin 14 times horizontally and 14 vertically at the same distance, and cut them into equilateral miniature squares. Calculated in millimeters, a total of 196 piece.

  Nurse Chen Li immediately handed over a piece of polyamide crepe yarn, and Director Zhu took it and covered the 196 pieces of human skin with the crepe yarn.

  The cooperation of several people is really smooth and efficient.

  This polyamide crepe is about to talk.

Chapter end