Original title: A medical warrior who soothes the pain of burning skin (theme).
Reminiscence of Sheng Zhiyong, academician of the Chinese Academy of Engineering (subtitle).
Science and technology ** reporter Zhang Qiang correspondent Zhao Shuanglin.
On the eve of the Spring Festival (January 27), he was an academician of the Chinese Academy of Engineering and one of the main pioneers in the field of burn and trauma medicine in China.
1. Professor Sheng Zhiyong of the General Hospital of the People's Liberation Army passed away in Beijing due to illness at the age of 103. The medical giant failed to usher in the new year.
There is a saying in the medical community that it is difficult for a doctor to perform surgery, and it is even more difficult for a doctor to operate on a burn patient. The difficulty lies in the smell of burnt and foul odor, the fear of being infected by bacteria and viruses, and the ...... of more than ten hours of surgeryWhat makes it even more difficult for burn doctors to let go is that although the patients with large-scale and deep burns have been saved, they have invariably left lifelong scars on their bodies and minds that cannot be erased for a lifetime.
Combing through the 100-year-old life of Academician Sheng Zhiyong, in order to heal the physical pain of patients, he has never stopped moving forward; For the advancement of medicine, he has always been active in the front line, and the total burn rate of the team led by him is as high as 98%, reaching the world's advanced level. He has also won 2 first prizes and 8 second prizes of the National Science and Technology Progress Award, 4 first prizes of the Military Science and Technology Progress Award, Ho Liang Ho Li ** Science and Technology Progress Award, and the Military Professional and Technical Major Contribution Award, and was awarded 1 first-class merit and 1 second-class merit.
Academician Sheng Zhiyong at work. Photo courtesy of the interviewee.
Created many firsts in the field of burns.
History will only favor those who are determined, forge ahead, and fight, and will not wait for those who hesitate, slacken, or fear difficulties. In Sheng Zhiyong's case, this is particularly evident.
Sheng Zhiyong was born in Shanghai in July 1920. In 1948, Sheng Zhiyong, who had completed his studies in the United States, returned to his heart like an arrow. But just as the passenger ship he was on was about to depart, a workers' strike broke out on the West Coast of the United States, and all ships were suspended. In desperation, he ran to the shipping dispatch office and pleaded: "As soon as the shipping is opened, I will go back to China!" Even if it's on a small boat. "Finally, the route was restored. On the last day of 1948, he bought a ticket. Sheng Zhiyong took a small boat and sailed from across the Atlantic to his homeland.
In 1961, Sheng Zhiyong was transferred from the Academy of Military Medical Sciences to the General Hospital of the Chinese People's Liberation Army as the director of the Department of Trauma Surgery and Burns, thus beginning an in-depth study of burns.
In the burn skin grafting experiment, Sheng Zhiyong and his colleagues tried to use various animals** for skin grafting, and finally found that the best effect was the human body**. However, the human body is not only difficult to obtain, but also very difficult to preserve. Clinically, it is common to encounter cases where there is no casualty when there is skin, and when there is a burn patient who urgently needs skin grafting, the skin source cannot be found.
Therefore, Sheng Zhiyong put forward the idea of establishing a piku: save the allogene** that is usually collected, and then take it out and use it when needed. Since 1972, he has taken everyone to a farm in the northern suburbs of Beijing to learn the experience of manual storageGo to the Institute of Cryogenics, Chinese Academy of Sciences for advice on how to maintain the vitality of the best tissue in a low temperature environmentTo Shougang contact liquid nitrogen **. For every link and process of storage, he has carried out dozens or even hundreds of tests. After unremitting efforts, they finally developed a vitrified storage method with liquid nitrogen storage, and built the first low-temperature allogeneic leather storage in China and the largest in Asia at that time.
Post-burn multi-organ dysfunction syndrome (MODS) used to be a major topic in trauma surgery and critical care medicine. In order to overcome this problem of medical clinical and battlefield treatment, Sheng Zhiyong led the team to set up the bed in the laboratory and did countless animal clinical research experiments, raising more than 800 rats alone. Eventually, they found the basis for early diagnosis from these animals and proposed a key node for the prevention and treatment of post-traumatic multi-organ failure. This achievement has increased the incidence of multi-organ failure in patients with extensive burn trauma from 173% down to 69%, and the case fatality rate of patients with multi-organ failure ranged from 875% down to 40%.
Natural sciences can only strive for the first. This is the famous quote of the famous scientist Ding Zhaozhong, and it is also the motto of Sheng Zhiyong's medical research. Sheng Zhiyong is a witness, a founder, and a climber in the development of burn discipline in China, and he has created many "firsts" in basic research and clinical treatment of burns: he was the first to propose that endotoxin is the main cause of post-burn sepsis;It is the first to carry out the research on oxygen free radicals after burn trauma, which provides effective prevention and control measures to reduce cell damage after burnsIt was the first to propose the first method of whole blood transfusion in shock and applied it to practiceIt was the first to propose the first method of using the early scab cutting in the shock phase; It was the first to organize and carry out research on cryogenic storage**; It took the lead in building the first allogeneic leather warehouse for liquid ammonia storage in China and the largest in Asia; It was the first to develop a cosmetic oil paint suitable for burn patients, which solved the problem of pigmentation after the healing of superficial burns......
He is an academician and a warrior.
Sheng Zhiyong is an academician, but also a warrior!
When the war of the invaders burned to the banks of the Yalu River, he resolutely joined the medical team to resist US aggression and aid Korea and went to the front line to rescue the wounded volunteers; When the fighting on the southwest border intensified, he was twice ordered to lead his team to the mountains and jungles, and drilled into the "cat's ear hole" to treat batch after batch of wounded; When the Xingtai and Tangshan Da** occurred, he rushed to the disaster area with the medical team, braving the aftershocks to save the lives and ...... in the rubble
In his decades of medical career, Sheng Zhiyong has participated in many emergency medical rescues. The kind of small plane that can only accommodate five or six people, Sheng Zhiyong doesn't know how many times he has been on it.
* Sheng Zhiyong's scientific research path, the reporter found that many of his achievements and discoveries originated from the clinical front line and battlefield.
During the War to Resist US Aggression and Aid Korea, together with his mentor Shen Kefei and other predecessors, in the extremely difficult war environment, he took the systematic research on the treatment of radiological composite burns as a breakthrough, and carried out research on firearm wounds, traumatic ballistics, low-volume war wound shock, and allogeneic skin transplantation. The starch sponge he researched and made effectively solved the problem of bleeding from the wounded of the Volunteer Army and filled the gap of war wounds.
In 1981, Sheng Zhiyong led the establishment of the first trauma surgery center in the whole army. He started by recruiting talents, and established the first trauma surgery laboratory in the whole army and the first sterile animal laboratory in Beijing, and soon established the first intensive care department in the whole army. With Sheng Zhiyong's efforts, a complete discipline system has been gradually established. In the Trauma Surgery Center, Sheng Zhiyong led the students to conduct a large-sample clinical review and prospective study on the pathogenesis, diagnostic criteria and prevention and treatment measures of burn sepsis, and put forward an important surgical theory that "bacterial endotoxin is the main cause of burns and post-war sepsis".
Efforts are made to reintegrate patients into society.
Sheng Zhiyong proposed early on that the goal of modern burns should not only be limited to saving the lives of patients, but should include the physical, mental, physical and mental health and function of patients, so that they can live independently, have a higher quality of life, and can also go to society and become self-reliant workers.
In the 80s of the 20th century, Xiao Sun, a young female worker in a certain unit, was burned to the point of incomplete skin due to an accidental fire, and her whole body became black and charred, which was miserable. After diagnosis, Xiaosun had burns of 95%, including third-degree burns of 90%, accompanied by severe respiratory tract injuries, and his life was in danger. After receiving urgent help from his brother hospital, Sheng Zhiyong resolutely agreed to admit the critically ill burn patient. After that, he led the most capable medical team to give her precise rescue, so that the patient miraculously survived. After her life was saved, Sheng Zhiyong began to do "beauty" for her, and successively underwent 8 skin grafts and cosmetic surgeries, and only performed more than 30 scalp transplants.
After more than half a year of meticulous **, a miracle occurred. Xiao Sun miraculously grew black hair, almost lost his ten fingers, partially regained his functions, and was able to make dumplings, knit sweaters, and play table tennis. Later, Xiao Sun formed a happy family and had a smart and cute baby.
When this case was held at the International Burn Conference in the United States, it shocked the academic leaders who attended the meeting. An American burn expert actually picked up Professor Guo Zhenrong, a member of Sheng Zhiyong's team who was in charge of introducing the situation, and turned around three times in a row, and said in a loud voice: "The miraculous Chinese miracle!" ”
In the long-term clinical practice, Sheng Zhiyong led everyone to summarize a series of functions according to the different conditions of burns, one by one, patients with limb contracture deformities and long-term bed rest, got back up under their **, and some even returned to work.
In recent years, new progress has been made in the research of substitution in various countries around the world, but how to solve the problem of sweating after large-scale burns has always been a major problem plaguing the world's burn community. In response to this problem, Sheng Zhiyong and Academician Fu Xiaobing finally succeeded in inducing stem cells into sweat gland cells after repeated exploration experiments, and implanted them into patients after removing scars, so that burn patients can restore their sweating function. In June 2009, the international academic journal "Wound Repair and Regeneration" evaluated it as "a landmark study".
But Sheng Zhiyong said that the study has only found a way, and there is still a lot of work to be done to actually use it on patients.
In December 2018, Sheng Zhiyong retired from his job. When recalling the research results achieved in the field of burns, he has two deepest feelings: first, a good doctor must be good at clinical observation, find out the regularity from a large number of successful and failed cases, and summarize them attentively; Second, clinical practice must be combined with scientific research, without scientific research, there can be no breakthrough in clinical results.
*:Technology**.