Facial | Li Jieshou, an academician of the Chinese Academy of Engineering: The doctor's time is the patient's

The dark background, the cross arrow positioned a small white dot. This is a small asteroid photo taken by the Zijin Mountain Observatory on March 10, 2017. "". With this photo, it is lined up on the living room display cabinet. There are also asteroid naming certificates, a member of the Chinese Academy of Medical Sciences, two or three trophies, and a photo of Academician Rico in the forum. The three or five conch and a few souvenirs on the cabinet add a bit of life.

Li Jieshou, 98, is the former deputy director of the Nanjing Military Region Nanjing General Hospital (currently the Eastern Theater General Hospital), an academician of the Chinese Academy of Engineering, founder of intestinal fistula treatment in my country, founders of clinical nutritional support, and Asians Blazers of small intestine transplantation. For an honorary surgeon, the display on the cabinet is "highly condensed" of achievements and honor. Academician Li sat in front of the counter and talked to the Yangtze Evening News reporter about doctors, patients, and medicine.

Legend 98 years old:

Watch the news on the Internet to check the literature, and take the public class to become a hospital "Internet celebrity lesson"

Sitting in front of the computer, after seeing the visiting reporter, he slid the mouse off the news page that was viewed and greeted the reporter. This was the first side of Academician Li and reporters at the age of 98. Glance at the computer screen, not even enlarged the page number. "I, the hearing is not very good. You have to sit closer and speak loudly." Wearing the hearing aid, Academician Li talked hard and talked with the reporter for more than an hour.

Born in a Book of Books in Liuyang, Hunan, Li Jieshou, who is born with his brother Li Ao and his brother Li Leishi, was born in old China with storms and growing in New China. The pioneering contribution has been elected as an academician of the Medical and Health Department of the Chinese Academy of Engineering, and has achieved the legend and story of the "one academician". It also became a legend, and the "year of the back" of the old man: more than 70 years of medicine, studying intestinal disease for half a century, even at the age of 80 or 90, Academician Li Jieshou did not leave medicine and left the lecture. His class has also become a "net red lesson" of the hospital.

In November 2020, Academician Li Jieshou, 97, came to the General Surgery Research Institute of the Army to give "Cultivation of Medical Graduate Students" for all graduate students, mentors and instructors of the department. Do things, learn, and guide life.

In February of this year, Academician Li Jieshou took the initiative to ask for another lesson for the young doctors of the hospital to remind everyone to pay attention to the treatment (war) injury treatment. , Originally planned 45 minutes, "Dragoning" reached 100 minutes.

Even everyday, Academician Li does not like to be idle. The old people wake up early, but Academician Li can sleep until 8 o'clock. "Read a book in the morning to read the newspaper. I can't read the book too long when I get older, but the People's Daily, the PLA newspaper, the reference news, the Yangtze Evening News, and other five or six newspapers are finished." I have eaten lunch, read the news online, and read the news online. Checking the literature has also been at work.

"I still bring graduate students now, and sometimes they come home to discuss the problem at home." For the students, Academician Li is very modest. "I see more about clinical knowledge and know more, but the medical development is too fast. The understanding of scientific research topics is not as good as them, especially when I encounter problems like molecular biology. But I do n’t understand, I go to find it, and then learn it. Sometimes I have to check all kinds of English literature. See which step in international research. "Academician Li said that he took students to do topics, and more for the research:" All starting points must be for patients, and they must be realistic. Of course, it is also useful to make counter -results. Patients cannot be your experimental product. This view must be clear. Will the drugs used by your subject have side effects on patients? I don't allow it. Doing animal experiments is one thing. It is another thing to use in patients. "

Do experiments in pig manure:

Eight years of research, complete the "zero" breakthrough in Asian intestine transplantation

"Like the surgery of small intestine transplants, I brought four batches of graduate students. After eight years before and after, animal experiments were unsuccessful and never tested on people." Academician Li Jieshou said.

Many people know that Academician Li Jieshou has completed the world's first Asian -like album -transplanted transplantation. What many people do not know is that he was 70 years old when he completed the operation. "At that time, my body was pretty good. The operation I took on stage in person. For 12 hours, a patient with a short -intestine syndrome was successfully transplanted with a 250 cm of the alien small intestine." Li Jieshou's operation broke the Asian small intestine " Zero "transplantation record.

The "starting point" of small intestinal transplantation is also a patient. In 1987, the hospital treated a patient with abdominal hemorrhage and the entire small intestine was removed. After diagnosis, the only way to treat is to transplant a small intestine for patients. At that time, this technology was blank in China, and there was no precedent for success in Asia. In the end, although Academician Li Jieshou and colleagues used various treatment methods, he failed to pull the patient back from the death line. People left and the bed was empty. That night, Academician Li kept himself in the empty ward and shed tears of guilty.

"At that time, doctors were doing liver transplantation and kidney transplantation. There were almost no one who studied small intestine transplantation. If there was no record in the literature, there was no record of animal treatment. But patients needed this technology. . "This period of overcoming the difficulties biased towards Hu Shanxing, it started.

The medical conditions at the end of the 1980s were much better than that of Academician Li as a doctor, but it was still far worse than it is now. The laboratory was not ready, and even experimental animals had to raise themselves. Since then, Academician Li Jieshou moved the office into the animal experimental room, and began to raise pigs, surgery and observation, and recorded every data of animal intestinal transplantation experiments uninterrupted. The so -called experimental room, that is, a shed, has no ventilation equipment, the smell of pig manure is lingering. In the winter, the pigs are burned and coal stoves. In the summer, water the pigs without electric fans and cool down the pigs.

There is no information and no concept. Six years later, animal experiments with small intestine transplants have been successful. In the following two years, the first pro -intestinal transplantation surgery was also successful.

"The difficulty of surgery lies in the matching technology during the operation, and the other is the postoperative rejection. The problem of postoperative rejection has not been completely solved until now, and it is necessary to rely on the advancement of drugs." Academician Li Jieshou told reporters that There are also difficulties in the supply of small intestinal transplantation, but fortunately, in addition to intestinal transplantation, now he has also studied the intestinal nutrition support technology of his life. Essence

Receive nearly 20,000 Jinqi and thank you letter

He said: The doctor's time is the patient's

Figures of the Eastern Theater General Hospital

Talking about the patient, Academician Li Jieshou can also tell the treatment of several patients in detail. What was the situation sent at the time, how the condition developed step by step, how doctors rescued, and stepped out a medical miracle step by step.

In the 1960s, the hospital also lacked medical medicine. The former General Hospital of the Nanjing Military Region, where Academician Rico Shou was located, received a little boy who was dying due to intestinal reversal. Black. "We used a tenth dose of vascular dilatation drugs' to explore the road", and we hit a small blood vessels. The intestinal color became red, and the effective blood pressure of the drugs did not fall. It ’s time.” Then the intestinal function was restored.

A patient caused an intestinal rupture because of a car accident and was sent to the former General Hospital of the Nanjing Military Region for treatment. The condition has been repeated. The intestine developed from the original 4 fistula to 15 fistulas. 15 fistulas, that is, 15 mouths have been broken on the intestine. It is difficult to treat the difficulty of treatment. While treating treatment, checking the information, finding a way, and the worsening of the condition, then the soldiers will cover the water to cover the soil. In the year, the accumulation of exploration and experience from this patient also greatly promoted the advancement of intestinal nutrition support technology.

17 years ago, when Yunnan girl Li Shicong arrived at the hospital, the intestinal fistula was very serious, the feces were overflowing, and the whole body exuded a strong smell. Many hospitals did not dare to accept it. Although Li Jieshou, who was 81 -year -old at that time, had back pain for many days, he still put on the surgical suit and took his disciples to the operating table, and rescued a small patient for more than 5 hours. When she returned to the hospital to visit Academician Li Jieshou 13 years later, she also brought a small note of the encouragement of Academician Li.

As a military doctor for more than 70 years, for so many years, Academician Li Jieshou's most moved is nearly 20,000 Jinqi and thanks. "After we were treated, there were four years old, a teenager, more than twenty, and older patients who kept in touch with us. Some of them later got married, children went to college, some were I am in my 80s, and I will write to us and call us. "The patient who was rescued by the doctor continued to miss the doctor.

How to be a good doctor? How to become the "top flow" among doctors? Academician Li Jieshou talked about chatting from the doctors. "'What surgery did I do today', the tone of different doctors may be different." Academician Li Jieshou explained that some people focus on adding a record or refreshing the speed of surgery. On the problems encountered, the tone is different. In fact, the starting point can be different. "The profession of a doctor is not the same as other jobs. You have to be more pure and spend time on the patient. Other jobs are still possible to do it slowly, but the patient must not be delayed in front of you." Academician Li Jieshou said that If you want to live a comfortable life, if you are not prepared for psychological preparation, don't be a doctor. The freedom of the doctor is controlled by the patient, and the doctor's time is the patient.

Figures of the Eastern Theater General Hospital

Quick question and answer >>

Y = Yangtze Evening News/Zi Niu Journalist Yang Yan

L = Li Jieshou

Y: Now many surgery are done by robots. As a surgeon, what do you think?

L: I do not oppose the robot. In our hospital, I am also the first in favor of buying surgery robots. But after the hospital purchases, I do not perform the operation of the robot. I am older, and robot surgery requires a learning process. I cannot use patients to exercise my skills. The purpose of using robots is to improve the quality of surgery and improve the cure rate. Whether this surgical robot can do it. Should the robot do it and need to be controlled.

Y: At the age of 98, do you have any "small goals"?

L: As a military doctor, I hope that the medical community can pay attention to wounds. I have experienced war. The wounds are cruel and different from the treatment of ordinary diseases. I hope that the Eastern Theater General Hospital can build a "war -type" hospital.

Y: What do you want to say to young people?

L: I often say to the students, but unfortunately I was born too early. Nowadays, young people have many days of negative conditions. Unlike when we are studying medicine, they do not even have textbooks. Some surgical equipment must be grinded and done by themselves. They want to find a literature. You live in the golden age. If you do not work hard, you are sorry for the country, sorry for the people.

Wen | Yangtze Evening News/Zi Niu Journalist Yang Yan

Photography | Chen King Kong intern Jing Yuhan

Editing | Wang Yimeng

Face -to -face series works, without permission, must not be reprinted or extract

Edit: Qin Xiaoyi

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