Since 1981 Health School

The focus here is on polyamide crepe.

Back then Chen Qi and the others used gauze moistened with saline in Africa.

Because the elasticity of the gauze is not very good, it is often impossible to expand to 9 times, and it is even difficult to expand to 5 times.

So later, Chen Qi and the others had to carefully pick up the tiny skin with a diameter of only 2.8 mm, and put it evenly on the gauze.

After one operation, the eyes and old waist really suffered, they were almost useless, and it took longer, which increased the risk of the operation.

After returning to China, Chen Qi began to search for suitable materials based on the memories of his previous life.

Coincidentally, Yuezhong is the largest textile producing area in the country, and the Textile City in Keqiao Town is also the largest fabric wholesale market in the country, with all kinds of fabrics available.

So Chen Qi went to China Textile City to look for the fabrics he needed when he was free.

He is a celebrity in Yuezhong and a major shareholder of China Textile City. Every time he asks for a small piece of fabric, the cloth seller will happily cut it with a pair of scissors and give it to him.

If it was someone else, it would have been kicked out long ago. After all, some fabrics and patterns are exclusive, and cutting off others may be to prevent brand theft.

In the end, Chen Qi found two raw materials, "polyamide" and "crepe", and then asked a teacher from the Textile Department of Viet Chung University to weave them into pieces of "fabric" by hand.

Polyamide is a nylon-like material, and crepe is made of silk. The combination of the two fabrics has very good tension, and it can be expanded to the extent that Chen Qi is satisfied, which is perfect.

This allowed the "stinky tofu skin grafting" to break through a technical bottleneck and proceed smoothly.

When the crepe and the tiny skin were rotten and stuck together, Zhu Huoyan and Chen Qi pulled one corner with their hands, and pulled it in four directions evenly.

As the polyamide crepe de chine spreads, the tiny skin particles are evenly and neatly separated, looking like regularly distributed stars.

When several professors outside saw this step, they already understood the principle of Chen Qi's operation, and they all started discussing it.

In fact, the principle is similar to that of postage stamp skin grafting, except that the technical difficulty of postage stamp skin grafting is low. The pieces of skin are the same size as postage stamps, and it is very simple to place them on the burn wound.

The "stinky tofu skin grafting" has higher requirements, because the normal autologous skin is smaller, so small that you can't see it clearly without reading glasses.

This is suitable for those burn patients with huge burn area and scarce normal skin, and the advantages are clear at a glance.

The professors who could see outside nodded frequently and commented a few words from time to time.

Originally, at this point, the Yuezhong team only needed to cover the wound with the expanded polyamide crepe to complete the operation.

But Chen Qi found another inspiration from Dongshan Hospital.

Originally, in the 1990s, Dongshan Hospital would invent a brand-new skin grafting technique called "big sheet of allogeneic skin with holes inserted into small autologous skin grafts".

The principle of this operation is to first find a relatively large allogeneic skin, and make N small holes in the large allogeneic skin, then insert the patient's own skin microchips into the holes, and then transplant the large skin Cover the burn.

While the allogeneic skin is gradually rejected, the small autologous skin continues to grow until it gradually covers the entire wound.

This principle is actually the same as that of stinky tofu skin grafting, or most skin grafting.

The advantage of "large sheet of allogeneic skin punched and embedded with small autologous skin grafts" is that it can effectively solve the problem of insufficient autologous skin sources, and at the same time protect the entire wound from exposure.

But there is also a disadvantage, that is, you need a whole alien skin, and the cost is very high, because you need to think of a special way to get it, such as... um... by the side of Ruoye River...

Moreover, the embedding process of the skin sheet is relatively complicated, and the operation time is relatively long.

Chen Qi found inspiration from the skin graft invented by Dongshan Hospital.

Since it would be very troublesome to make small holes in the allogeneic skin and fill them with the patient's own skin one by one, then Chen Qi can add another step on the basis of "stinky tofu skin grafting".

That is to do meek skin grafting first, and then cover the whole allogeneic skin on the wound, so that the innermost layer of self-skin can quickly fuse with the wound, so as to avoid the failure of skin grafting due to infection.

This is equivalent to the combination of "meek skin grafting + large allogeneic skin punching and embedding small autologous skin grafts", double insurance treatment, can the effect be poor?

It was the poor Dongshan Hospital's later trump card skin grafting that was cut off by Chen Qi.

In order to disgust Professor Ni Zhihua and Dongshan Hospital, Chen Qi also drilled a few holes in the allogeneic skin for today's operation, and then embedded the leftover skin that was cut from the patient before into the middle of the allogeneic skin, and then covered the patient's wound.

As for where did these huge "alien skins" prepared by Chen Qi come from?

Don't ask, if you ask, it was picked up by the bank of Ruoye River...

Now the doctors of Yuezhong Hospital are performing this operation in front of some of the most authoritative burn specialists in the country. Chen Qi is not afraid of Dongshan Hospital's repudiation or plagiarism in the future.

If they dare to copy, Chen Qi dares to broadcast it to them all over the world.

Professor Ni was sitting outside the operating room, unaware that his luck had been taken away unknowingly and cut off.

Unknowingly, Professor Ni looked at his watch and was still very surprised:

"Hey, Yuezhong Hospital really only used 10% of the normal skin to cover 80% of the burn wound, and the whole operation only took one and a half hours."

(Some unimportant parts are not covered)

Professor Peng was also reviewing the operation just now in his mind, and at this time he also excitedly slapped the armrest:

"Okay, okay, this surgery has solved two major problems. One is that the skin of a large area of ​​burns is difficult to support and cover the whole body with skin grafting. The other is that the stinky tofu skin grafting is simple and easy to do, and the technical requirements are not high. It is very suitable for promotion. The hospital is amazing."

Professor Wang Qizheng was a little worried. Originally, Haidong Province had the best burn department in the No. 2 Haiyi Hospital, but now it seems that it can’t beat Yuezhong Hospital. Should he go to Yuezhong Hospital to work in advance?

Professor Ni Zhihua is cautiously optimistic:

"Don't worry, don't worry, there are still three patients who need to be transplanted. Let's see if the operation can be successful, and if the transplanted skin can survive. These are all problems."

Professor Zhu Lianggong and Professor An Yongchun did not express their opinions, but they were still thinking about the previous operation while touching their chins.

Professor Peng Yongyan suddenly said:

"You said, how about we arrange the National Burn Annual Conference to be held in Vietnam? There are not many chances of four large-area burn patients at the same time. Let colleagues from all over the country come to visit and learn."

Professor Wang Qizheng must help his own people at critical moments, so he nodded quickly:

"Yes, Professor Peng's method is good. Leaders like to solve problems on the spot. Our burn society should also learn to teach on the spot. If the four operations of Yuezhong Hospital are successful, then they have created a world first."

Professor Ni Zhihua was obviously not happy, because the National Burn Annual Conference was held in Shanghai, and Dongshan Hospital was the host. He also wanted to show and brag about the achievements of Dongshan Hospital to colleagues all over the country.

"That's not good, the hostel has already been booked in Shanghai."

As a result, Professor Zhu Lianggong, who was silent before, spoke up:

"I also agree to hold the National Burns Annual Conference in Vietnam. Such a good opportunity is in front of us. If the formula and experience of Vietnam and China are successful and can be successfully promoted throughout the country, then our burn surgery in Huaguo will be able to do so." Dominate the world."

Professor An Yongchun also raised his hand in agreement.

Four of the five Standing Committee members agreed, and it was useless for Professor Ni to oppose it alone.

Fortunately, the annual medical conference these days is not as grand as later generations, and there is no sponsorship from drug companies these days. In order to save money, everyone stays in guest houses when they go out for meetings, and the meeting venue is often chosen in the conference room of the local hospital.

Shanghai is not far from Yuezhong, and it will not be difficult for the participants to temporarily transfer to Yuezhong after a few hours of train ride.

Burn surgery was actually an unpopular subject in the 1980s. Like the Cleft Lip and Palate Society, or the Plastic Surgery Society, which Chen Qi was the first to play with, it was a "primary society".

why? Because there are fewer patients.

Think about it in the 1980s, when ordinary people had just had enough to eat, a few years earlier they would not even have enough to eat.

Whoever encountered a burn, the first thought that came to mind was to apply soy sauce or dog oil at home, and get some Chinese herbal medicine if they were particular about it. Almost no one was sent to the hospital.

There are burn surgery patients in big cities, and the source of the disease is usually from public injury, the kind that is reimbursed in the factory.

Otherwise, the cost of large-scale burns like the three workers of the Yue Steel Plant would be tens of thousands. In the 1980s, tens of thousands of dollars could be spent to treat burns? is it possible?

In addition, the main patients of burn surgery are troops, and the country still attaches great importance to its own soldiers.

Whether it is the Chongqing formula or the Nanjing formula, they are actually developed by military hospitals, accounting for two-thirds of the mainstream formulas.

So it is the annual meeting of the National Society of Burn Surgery. In fact, not many doctors participated in the meeting. Only 50 doctors came from all over the country.

The lack of doctors means that the conference organization is easy, and the boat is small so it is easy to turn around.

When Professor Peng told Guo Yuanhang Shuji about this proposal, Old Comrade Guo was very excited:

"Okay, no problem. The National Burn Conference is held in Yuezhong. Our Yuezhong Hospital has sponsored the whole process. We have covered the accommodation. Our hospital also has ready-made meeting rooms. We guarantee that the meeting will go smoothly."

Yuezhong Hospital is rich, and Lao Guo has the confidence to speak.

Chen Qi was also happy when he heard it. He didn't expect that he originally wanted to help Yuezhong Hospital generate income, but he actually caught a big fish.

If the National Burn Conference is held in Yuezhong Hospital, it will be a free advertisement, and the reputation of the Burn Surgery Department of Yuezhong Hospital will be quickly expanded and more people will know about it.

If Yuezhong Hospital can become a national key hospital for large-area burns, there will be no shortage of patients by then, and this will be another big income generator.

The burn department is not the same as endoscopic surgery. The fees for endoscopic surgery are really not high, and the cost of one operation can reach a few hundred yuan.

But burn surgery is different. The equipment and medicines used in one system of rescue are sky-high.

Generations of blood products, bottles of imported medicines, repeated operations, and a burn patient waiting to be discharged from the hospital.

For example, the medical expenses of these workers in the Yue Steel Plant have already paid more than 50,000 yuan so far, and the follow-up treatment will cost a lot.

Of course, the Yue Steel Factory said it was rescuing 3 patients, but in fact they paid for 5 patients, ahem, so a little more...

No wonder hospitals like to develop surgery. No wonder surgery is easy to produce results and leaders. The reason is that surgery is so fucking profitable.

Lao Guo saw that Chen Qi agreed, so he proposed:

"Next, you can wait for Song Yanzi and Wang Chuanbing's surgery. After the foreign burn doctors arrive in Yuezhong, we will teach the surgery on site. In addition, Lu Wenjie's condition is more complicated, and necrotic tissue needs to be removed. You have to wait. Do it the day after tomorrow."

"Okay, let's delay it for two days, and then we will show off."

The hospital office and medical department of the Vietnam Hospital of Traditional Chinese Medicine also took action immediately, contacting the guest house to arrange the meeting venue.

The Vietnam Hospital of Traditional Chinese Medicine has organized several conferences of foreign experts, so organizing a national burn conference is trivial and familiar.

In this way, a temporary proposal, the 1989 annual meeting of the National Society of Burn Surgery was temporarily rescheduled to be held in Yuezhong Hospital.

This move surprised many participating doctors who had already traveled to Shanghai, and they were all puzzled.

Temporarily changing the venue of the meeting is a bit offending, because not only meetings are held these days, many people take advantage of the opportunity of meetings to travel, and even take their families to travel together.

Greater Shanghai is the most popular tourist destination in the country. These days, people want to go to the Bund for a walk, and go to Nanjing Road to buy some woolen sweaters and white rabbit toffee.

The venue of the meeting was changed to Yuezhong. Although this is also a famous historical city, it is a standard countryside compared to Shanghai.

So many people expressed their dissatisfaction:

"Why go to Yuezhong? I won't go without giving a reason!"

"Yes, yes, there is no way to change the address temporarily. In such a big Shanghai, is there no place for a meeting?"

"I can say yes, my time is precious, there are so many patients waiting, but I don't have time to fool around with you!"

The doctors attending the meeting were all chattering and arguing, and the atmosphere became unfriendly.

Those who can participate in the national conference are all the directors of major hospitals, even the presidents and the like. These people are not easy to fool and have a big temper.

This made the staff of the organizing committee (mainly Yuezhong Hospital) very anxious. On the contrary, Guo Yuanhang, who went to Shanghai to pick up the patients himself, was not in a hurry at all.

"Professors, teachers, please be quiet and listen to me. I am the secretary of the Yuezhong People's Hospital. I want to explain to you why the National Burn Conference has been temporarily changed to our Yuezhong Hospital."

After all, everyone is a quality person. After hearing someone explain, they all fell silent.

"Everyone is an expert in the field of burns. Everyone should know that there is no record of successful rescue of a patient with a large area of ​​severe burn if the burn area exceeds 60%. It is the same at home and abroad, right?"

The people below didn't know why, so they didn't say a word, wanting to hear what this Shu Ji from Yuezhong Hospital wanted to say.