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

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

Anyway, all the black doctors at the Freetown National Hospital judged that Commander Teodoro Z would not be able to survive the infection and his chance of survival was very low.

However, under the careful care of the Chinese medical team, coupled with the use 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 seize the time to perform "skin grafting". If it was later, it would be troublesome.

Patients with severe and extensive third-degree burns must undergo skin grafting, which has several functions.

Skin is the first protective film of the human body. No skin infection is inevitable. You can't escape the first day of junior high school, but you can't escape the fifteenth day.

The second is that if skin grafting is not performed, contracture may occur after scar formation, 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 be a human being and a ghost, and he will basically lose the basis for survival.

There used to be a Buwanwan TV series "Plum Blossom Three Lanes: The Ghost Husband", in which the male protagonist's face was burned by a fire, and the resulting scene of joys and sorrows made many viewers cry.

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

Although the technology of this thing was advanced, the consumables were extremely expensive, and the prescription cost was low. It was deeply disliked by burn doctors, and it was also carried out in small clinical trials, and it eventually became a mainstream skin grafting technique.

Instead of using a dermatome to cut out the abnormal skin from your own body, you can then use a special skin cutting machine to cut the "abnormal skin" into large pieces like tofu.

So the teacher explained the complicated steps of the skin grafting technique:

As for me, the disadvantages are less,

"How is it possible? Even if a woman can say it's OK, he went to Chief Rao and told him that there is definitely something wrong with the skin grafting surgery wrapped under your body."

Leaders are bold, thinking that doing less means doing more. If the patient is a low-ranking official during the surgery and something goes wrong, it will become an internal dispute and he will be slapped.

Doctor Qi Yunming looked at the air conditioner that was blowing out cool air and thought that Chinese people are really luxurious, but he asked with emotion:

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

As the area of ​​the crepe expands, the skin that has been cut into large pieces also gathers together, with a certain distance evenly spaced between each large piece of skin.

Allogeneic skin transplantation is relatively new, and the sources of skin include fresh corpse skin (which is crueler than peeling it directly from a living person).

So I can’t try “Mick Skin Grafting”.

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

The only solution is not that money is enough, but more money is needed.

But you will definitely encounter poor patients, who are so poor that they are so poor. It is obviously appropriate to take these free money. Robbing people also depends on the person. As a doctor, you still have to have no bottom line.

"Yes, yes, that's right. You must use your own skin. If you use someone else's, there will definitely be rejection reactions, and the consequences will be worse. So you can't draw blood, and your skin will be damaged."
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But then there is a small problem. Commander Te'ao Shaoluo Z's body burn area is as low as 80%, and the intact skin is up to 20%.

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

In fact, the skin grafting surgery is not very effective, and the cost of consumables is cheaper. It cannot help patients save a small amount of medical expenses, and the price/performance ratio is very low.

Therefore, Dr. Qi Yunming was envious of such a small amount of money. On the contrary, I was quite worried about his Chinese colleague, but even after a long time of persuasion, it was of no use.

"Well, um, it seems that the vital signs are stable at present, and the infection that I was most afraid of has not appeared. It's not that there is something wrong with the skin grafting. There is too much intact skin in Te'ao Monberto, and there is no way to support it.

Skin grafting."

The so-called "Mick Skin Grafting Technique" actually has a very complicated principle.

"Skin grafting with stinky tofu? Chen Qi is in graduate school after all, but can he choose an uncultured name?"

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

Chief Rao still gave up, thinking that he had given too much money, so those doctors were really good?

Dr. Qi Yunming is also quite eloquent. He is the director of the Department of Surgery at a national hospital, and he is not able to stand up to such a reasonable dog, so he left the "germ ward" again.

When Chai Huaji heard this, sweat started to form on her back. She thought to herself what kind of family that was, they were putting human life aside, it was terrible.

Seeing Qi Yunming retreating, Chen Qi just wanted to express his thoughts, but Chai Huaji beat him to it:

It is equivalent to using 2 pot lids to cover 10 pots. Be careful how you cover them so that they are securely covered.

After Qi Yunming went out, I thought of the treatment plan.

"Qi Yunming, how is your son's condition?"

Domestic ones are counted, and collecting them does not mean it is wrong to be accurate.

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 pay him US$100,000, 100 sheep, and 50 kilograms of gold..."

Chen Qi snapped his fingers and laughed:

As a result, before I could open my mouth, the little guy had already told me a bunch of conditions and made a bunch of wishes, which included both money and gold. What should I do?

Chen Qi is very familiar with that kind of skin grafting. I often use that method when doing pre-maxillofacial plastic surgery, and the success rate is 100%.

Each large piece needs to be cut into large squares of 3*3mm or 5*5mm evenly, and then glued under a piece of ordinary crepe.

Dr. Qi Yunming was confused again:

In fact, when Qi Yunming left, Chen Qi had not thought of a treatment plan.

Of course you promise us.

First, apply the broken gauze to the wound surface, fix it with medical staples, and then wrap it up.

"Qi Chu, look what he said, have you ever been prepared for a battle? Look, you were designing a surgical plan back then."

"But Dr. Chen, he got the money for free. He needs to be able to successfully complete the skin grafting surgery, but he looks at the patient's condition. So, how is that possible?"

When Qi Yunming heard this, he despised the knowledgeable little guy in his heart, "Yes, yes, Mr. Rao, it's a matter of money, then..."

"In that case, Qi Yunming, he will help you tell Dr. Hua Guo that as long as he can find a way to graft your son's skin and cure my burns, you are willing to pay another 100,000 US dollars, yes, and 100 sheep, 50 kilograms of yellow sheep, etc."

Jin, is it enough? If it is enough, you can add more."

The teacher said that the most popular small-area skin grafting method in the future is "skin grafting and 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 had read in later generations. There was no worse way to graft skin.

The other family members next to me also nodded repeatedly: "Yes, doctor, if you need more skin, they will peel it off, and give it to as many people as you need. As long as they can cure Commander Teosolo Z's disease."<

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One disadvantage of doing this is that the original skin is only 3 square centimeters, so it can only cover a wound of 3 square centimeters.

That would stump the attending doctor.

If the skin grafting operation is successful or the patient dies, how will he collect the money? How will he vomit it out? In addition, he will have to send a few bullets in his forehead to see the emperor.

"Dr. Chen, there is nothing troublesome. Chief Rao just said that if he can complete the skin grafting surgery of Commander Teo Shaoluo Z in 2020, our family is willing to pay him US$100,000, 100 sheep, and 50 kilograms of gold."

, but is it a matter of money? Is it a embarrassment..."

Chai Huaji's mouth twitched after hearing this:

When the gaps between the skin merge together, the transplant will be considered successful.

Chen Qi just remembered that when he was in training in later generations, he went to the burn department for rotation, and he never had anything to do during the night shift, so he chatted with the teacher.

Leaders of the domestic health system all know that there are no clear regulations outside the ministry, and there is no ordinary care for Chen Qi.

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

When Chai Huaji saw Chai Hua's answer, she quietly left the germy ward.

"Well, is that possible? Is the skin transplant covered in one piece? It's in big pieces."

No, but it's still a small number. Don't forget what my major is in the future. He expects a hepatobiliary surgeon to be proficient in burns department?

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

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

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

But once it is expanded, the minimum expansion cannot be 27 square centimeters, which is awesome.

No matter how bad the money is, you still have to spend it without your life.

Chai Huaji looked at the sheep in the garden, her head was all small, and she thought that that guy Chen Qi seemed to have received another "international red envelope".

Mr. Rao calmed down:

After all, Chen Qi was born as a top student, so he naturally kept it in his heart. Even if he returned to the next life, he would remember the techniques he learned and the knowledge he read by heart.

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

Chai Hua's eyes lit up after hearing this:

Chen Qi was wearing an isolation suit, standing behind "Roast Duck Commander Z", with his hands folded across his chest, thinking about how to perform degenerative skin transplantation?

This does not mean that all the "labor fees" and "knife flying fees" received by Chen Qi in the country belong to me personally and are paid to the country.

Mr. Rao waved his hand: "Okay, okay, he will give you a message and leave, let Dr. Chen decide."
To be continued...