After more than ten days of treatment, those high-grade antibacterial drugs played a great role, and if the patients with extensive injuries and burns did not have 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 chances of survival were very small.

However, under the careful care of Huaguo's 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 then he had to hurry up and carry out "skin grafting", and it would be troublesome if it was too late.

Skin grafting is necessary for patients with severe, large-scale third-degree burns, and there are several roles in this.

A skin is the first protective film of the human body, and no skin infection is inevitable, and you can't hide from the first day of junior high school.

The second is that if there is no skin grafting, contractures may occur after the formation of scars, affecting the function of joints and other tissues.

The last reason is also the most important, if the burn patient does not have skin grafting, even if he survives, he will not be a ghost or a ghost, and he will basically lose the basis for survival.

In the past, there was a Wanwan TV series "The Ghost Husband of the Three Alleys of Plum Blossoms", in which the hero's face was burned by the fire, and then it led to a joys and sorrows, which deceived the tears of many audiences.

Skin grafting is divided into two categories: free skin grafting and skin flap transplantation, and the skin source of skin grafting is generally autologous skin, allogeneic skin, xenogeneic skin, etc.

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

This implant is so familiar with this skin that he often uses this method when he does maxillofacial plastic surgery, and the success rate is 100%.

Allografts, on the other hand, are more complicated, and these skin sources include fresh cadaveric skins (or to put it mildly, directly from a living person).

There is also a kind called xenogeneic skin transplantation, such as piglets, chicken skin, etc., which temporarily cover the burn wounds.

It may be that medical technology was not developed enough in the 80s, whether it is 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 "Commander Z of Roast Duck", holding his chest with his hands, and had been thinking about how to perform a skin graft?

As an assistant, Dr. Momberto, who is actually also a "superintendent", also thinks big.

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

But this presents a big problem, Commander Teodoro Z has burned up to 80% of his body, and less than 20% of his skin is intact.

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

Besides, you cut 20% of your normal skin, and you don't need skin protection in the original place? So that's 20% skin, and you have to cover 100% of the whole body.

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

This stumped the attending doctor.

Dr. Momberto looked at the air conditioner that was constantly blowing a cool breeze, and thought that the Chinese were really luxurious, but he asked quietly:

"Dr. Chen, what should I do? That's not enough normal skin. ”

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

Chen Qi was a little silent at this time, in fact, his brain was running rapidly, and he had been recalling the literature or medical journals he had read in his previous life, and whether there was a better way to graft skin.

Seeing that Chen Qi did not answer, Momberto quietly left the sterile ward.

Walking outside the door, all the family members of Commander Teodoro Z gathered around, and Chief Raodore asked eagerly:

"Momberto, how is my son doing?"

"Well, this and this, it seems that the vital signs are stable at the moment, and the infection that I am most afraid of has not appeared, that is, there is something wrong with the skin graft here, and Commander Teodoro has too little intact skin, and there is no way to support the skin graft."

Old man Raodo was anxious:

"Before, you said that there was ischemia, but then it was solved by drawing a lot of soldiers' blood, and now my son needs skin grafting, so you go to those soldiers and choose, whose skin is suitable for my son, and then peel his skin."

The other family members next to him also nodded again and again: "That's right, 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 person this is, it is terrible not to take human life in his eyes.

"No, no, no, it's not like this, you must use your own skin thing, if you use someone else's, you will have a rejection reaction, and the consequences will be more serious, so it's okay to draw blood, but not to the skin."

Chief Raodo still didn't give up, thinking that he had less money, so this group of doctors didn't give up?

"So, Momberto, you go and tell the Chinese doctor for me, and say that as long as I can find a way to graft my son's skin and cure his burns, I am willing to pay another 100,000 US dollars, yes, another 100 sheep, 50 kilograms of yellow catties, is it enough? Not enough for me to add more. ”

In the eyes of big dogs, there is nothing that cannot be solved with money, and there must be brave men under heavy rewards.

The only possibility that can't be solved is that there is not enough money, and you have to add money.

When Montberto heard this, he despised this ignorant dog very much, "No, Mr. Raodo, it's not a matter of money, it's ......"

Raodo waved his hand: "Okay, you can bring me a message in, and let Dr. Chen decide." ”

Dr. Momberto was also quite speechless, the director of general surgery of a national hospital was not enough to see in front of such an unreasonable dog, so he walked into the "sterile ward" again.

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

Seeing Momberto come in, Chen Qi just wanted to talk about his thoughts, but before he could speak, he was preempted by Montberto:

"Doctor Chen, there is a troublesome matter, Chief Raodore just said that if the skin grafting operation of Commander Teodoro Z can be completed, their family is willing to give you 100,000 US dollars, 100 sheep, and 50 kilograms of gold, but is this a matter of money? Isn't that embarrassing......"

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

"Wait, what do you say? What did Mr. Chief say to give? ”

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 50 kilograms of gold......

Chen Qi snapped his fingers and laughed:

"This, how embarrassing this is, our doctors are just treating diseases and saving people, giving so much at once, hehehe, how embarrassing."

Dr. Momberto was bewildered again:

"But Dr. Chen, this money is not taken for nothing, you need to be able to successfully complete the skin grafting surgery, but you look at the patient's condition, this, how is this possible?"

"How could it not be? Men can't just say no, you go and tell Chief Raodo, just say this skin graft is on me, it's absolutely fine. ”

Momberto thinks that this Chinese doctor must be crazy about money, where is the money of these indigenous chiefs so easy to collect?

In case the skin graft is not successful, or the patient dies, how do you collect the money, and then you will definitely have to spit it out, and you will have to send a few extra bullets to God.

No matter how good the money is, it has to be spent.

Therefore, Dr. Momberto was not envious of so much money at all, on the contrary, he was quite worried about this Chinese colleague, but it was useless to persuade him for a long time.

"Die, die, it's hard to persuade damn ghosts, if you want to die, just die, don't bother me."

When Dr. Momberto relayed Chen Qi's words to Chief Raodore, the old man was ecstatic.

Probably afraid that the Chinese doctor would temporarily renege, so in less than two hours, the promised dollars and gold, as well as 100 sheep, were all sent to the China-Cyprus Friendship Hospital.

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

Qi Yunming looked at the sheep in the garden, his head was big, and he thought to himself that Chen Qi seemed to have received an "international red envelope" again.

The leaders of the domestic health system know that there is a clear rule in the ministry that there is a special care for Chen Qi.

That is, as long as all the "labor fees" and "flying knife fees" received by Chen Qi abroad belong to him, he does not need to hand them over to the state.

The domestic ones don't count, and if you accept them, you're making a mistake.

Qi Yunming didn't care how much money Chen Qi received, it was useless to know it, and he made his heart envious and jealous in vain.

What he is most concerned about now is, how confident does Chen Qi have to do this ultra-difficult skin graft?

If the operation fails and the patient is a high-ranking official, it will become a diplomatic dispute and will be beaten.

Does Chen Qi have any self-confidence?

Yes, but not much, don't forget what his specialty was in his previous life, how proficient do you expect a hepatobiliary surgeon to be in burns?

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

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

Although this thing is technologically advanced, and the consumables are also expensive, there are many drug buckles, which are deeply loved by burn doctors, and a large number of clinical activities have been carried out, and finally it has become the mainstream skin grafting.

But if you encounter a poor patient, who is so poor that they are all clanging, it is obviously inappropriate to take those black money, and it depends on people to kill people, and as a doctor, you still have to have a bottom line.

So you can try "Mick Skin Graft".

In fact, the effect of this dermatoid implant is not bad, and the cost of consumables is more economical, which can help patients save a lot of medical expenses, and it is very cost-effective.

The two of them were idle, and Chen Qi asked how to do this "Mick Skin Grafting"?

So the teacher briefly explained the steps of this skin implant:

The so-called "Mick Skin Graft" is actually very simple.

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

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

Then the two doctors pull the 4 corners of the crepe, and then pull hard in the four directions, expanding the area of the crepe several times, 3 times, 4 times, 6 times, 9 times, as needed.

As the area of crepe expands, the skin that has been cut into small pieces is also dispersed, and each small piece of skin is evenly spaced at a certain distance from each other.

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

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

One of the advantages of this is that a normal piece of skin is only 3 square centimeters, so it can only cover a 3 square centimeter wound.

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

As for the other benefits more,

For example, shorten the operation time and reduce the risk of surgery; In addition, the skin grafting area is uniform, breathable and penetrating, the skin implantation speed is fast, it is easy to survive, and the treatment effect is improved.

As for reducing medical costs, well, this is negligible in this big African dog family.

Chen Qi is a scholar, so he naturally remembers it in his heart, even if he returns to his first life, the techniques he learned in his previous life and the knowledge he has seen are all memorized.

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

As a result, before he could speak, the big dog had already forced him to talk about a lot of conditions and made a lot of wishes, which was to send money and gold, so what could he do?

Yes, of course.

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

"Xiao Chen, this patient is different, it's more special, it's not those indigenous blacks, they will be cured if they die. You received a red envelope from someone's family today, and if you can't cure it, it will be difficult to end it. ”

While writing and drawing on the paper, Chen Qi said casually:

"Qi, look at what you said, what have I fought a battle that I was not prepared for? Look, I'm not already planning a surgical plan. ”

Qi Yunming took a look at the draft paper, and the more he looked at it, the more strange it became: "Just these dried tofu you painted?" What is this for? ”

"This is the skin grafting method I designed, this patient is not normal skin, so I cut the skin piece by piece, and then like farming, plant it one by one to the surface of the burn wound, and after a while, it will naturally grow into a piece."

"W-this is going to work? Isn't the skin graft covered in one piece? Why are you a small piece. ”

"You don't understand this, my inspiration comes from my eldest sister, my eldest sister used to fry stinky tofu, and every time she had to cut the tofu to make it, so I decided to name this new treatment program stinky tofu skin grafting."

Qi Yunming listened, and the corners of his mouth twitched:

"Stinky tofu skin grafting? Chen Qi: If you're a graduate student, can't you choose a cultured name? ”

(End of chapter)