中新网北京10月21日电 题：解放军总医院第一附属医院柴家科：烧伤战线的“突击尖兵”

Beijing Beijing on October 21, problem:The people's liberation army general hospital first affiliated hospital ChaiGuKe:Burn front"Assault &exportation"

　　作者 花晓 纪鹏 陶社兰

The author take the JiPeng xiao LAN

　　资料显示，每年因意外伤害的死亡人数，烧伤仅次于交通事故，排在第二位。中国每年约有2000万人遭受不同程度烧(烫)伤，其中约5%的病人需要住院治疗，是不折不扣的烧伤大国。

Data shows,Every year because accident harm death toll,Burn after motor vehicle accidents,Row in the second.China each year about 20 million people suffering from varying degree burn(hot)injury,Roughly 5% of the patient needs to be hospitalized treatment,Is a real burn powers.

　　每当读到这些，柴家科的心都会被刺痛。年轻的柴家科给自己下了“军令状”——中国的烧伤医学要领先世界！

Whenever read these,ChaiGuKe heart will sting.The young ChaiGuKe give yourself down"JunLingZhuang"- China's burn medicine to lead the world!

　　现在，柴家科是解放军总医院第一附属医院烧伤整形科主任，总后勤部科技金星、外科学(烧伤)国家重点学科和北京市重点学科带头人、全军烧伤研究所所长。

now,ChaiGuKe is the people's liberation army general hospital first affiliated hospital of burn ZhengXingKe director,The general logistics department technology Venus/surgery(burn)Key national disciplines and Beijing municipal key discipline leaders/Army burn institute director.

　　近年来，柴家科先后荣立一等功1次，二等功2次，三等功1次，53次参与和担任国家和军队重大突发事件救治专家组组长，被指定为北京奥运会、残奥会、世博会、历次载人航天飞行、金砖五国会议、博鳌论坛、西藏和平解放60周年庆典等重大活动唯一烧(创)伤领域应急专家，足迹遍及21个省、市、区，被官兵誉为“生命线上的守护神”。

In recent years,ChaiGuKe successively won the order of merit 1 time,Iii 2 times,Once I,53 times to participate in and as a state and army major emergency treatment group leader,Is designated as the Beijing Olympic Games/Paralympic games/The world expo/All previous manned space flight/Nuggets five meetings/Boao BBS/The peaceful liberation of Tibet the 60th anniversary celebration and so on major activities, the only burn(and)Injury field emergency experts,Footprints all over 21 provinces/city/area,Be officers and soldiers as"The patron saint of the lifeline".

　　出生于山东一个普通农民家庭的他，少年时就想当一名医术高超的好医生。1972年12月入伍，成了部队卫生员。从此，柴家科与军队卫生事业结下不解之缘。

Was born in the shandong an ordinary peasant family he,Young when he wanted to be a medical skill excellent good doctor.In December 1972 the army,A busboy forces.From now on,ChaiGuKe and military health service has been wedded.

　　立志于投身烧伤医学事业的他，1985年考取了中国烧伤医学奠基人之一、著名烧伤专家盛志勇院士的研究生。10年后，柴家科赴美国纽约州立大学作博士后研究。1997年，他回国，担负起烧伤整形科主任的重担。

Aspire to burn into medical career he,1985 are eligible for the Chinese burn medicine founders/Famous burn experts ChengZhiYong academician graduate student.Ten years later,ChaiGuKe at the state university of New York in the United States for postdoctoral research.In 1997,,He returned,Shoulder the burden of burn ZhengXingKe director.

　　解放军总医院第一附属医院作为首都地区军队急救中心，担负着北京地区反恐、灾害、突发事件的应急救治任务，而烧伤整形科更是中国、中国军队重大突发事件的重要救治单位之一。每一次与烧伤有关的突发事件，组织上、同行界大都首先想到的是该院烧伤整形科。柴家科担任科室主任以后，全科人员把平时应付突发事件、抢救烧伤病人，作为提高战时救治水平的重要途径，以平时的医疗实践锻造战时救治的过硬本领。

The people's liberation army general hospital first affiliated hospital as the capital area army emergency center,Carry the Beijing area anti-terrorism/disasters/Emergency contingency task,But burn ZhengXingKe is China/China's armed forces of a major incident is one of the important treatment unit.Every time and burn the incident,organizational/Peer bound mostly thinks of above all is the hospital ZhengXingKe burns.ChaiGuKe served as director of the department after,The general staff usually deal with emergencies/Rescue burn patients,As to improve the level of wartime treatment the important way,With the usual medical practice forging wartime treatment of high power.

　　柴家科说：“烧伤学科的特点和承担使命，决定了不仅仅在平时、自然灾害和重大事故时要发挥重要作用，更要想到我们是军人，更要想到军事医学需求，具备履行使命任务的职能，这样才能在国家、军队和人民需要的时刻拉得出、冲得上、救得好。”

ChaiGuKe said:"Burn subject characteristics and bear the mission,Decided not only on weekdays/Natural disasters and major accident will play an important role,More to think we are soldiers,More to be thought of military medical needs,Have to perform the functions of the mission,Such ability in the country/The army and the people need time to pull draw/Impact on/Save well."

　　做医生的自豪莫过于技高一筹，救人无数。在30多年的军医生涯中，柴家科高超的医术无数次地在国家和人民的危难之时发挥重要作用。随着名声越来越大，他被“点将”出征参加全国性重大抢救的次数也越来越多。云南森林大火、营口沥青爆炸、兰州火药燃烧、成都公交车爆燃、鞍山钢水喷爆……从白山黑水，到云贵高原，从东南沿海，到西北边陲，许多被火魔吞噬而濒临死亡的生灵，在柴家科及其团队的精心救治下奇迹般生还。

Do the doctor's pride is more skillful,Save countless.In the 30 years of military medical career,ChaiGuKe superb skill of many times in the country and the people's h39ing play an important role.Along with the reputation is more and more big,He was"O 'clock"To participate in the number of national important rescue more and more.Yunnan forest fire/Yingkou asphalt explosion/Lanzhou powder burning/Chengdu bus deflagration/Anshan steel spray explosion...From northeast China,To the eastern yunnan-guizhou plateau,From the southeast coastal,To the northwest border area,Many were HuoMo devour and dying creatures,In ChaiGuKe and its team of careful treatment the miraculous survivor.

　　2006年5月26日，黑龙江省黑河市嘎拉山林大火肆虐，奉命作战的武警官兵有35名不幸严重烧伤。

On May 26, 2006,In heihe city in heilongjiang province GaLa wildfires wreak havoc,The armed police officers and soldiers were ordered to combat a 35 unfortunate serious burns.

　　当时，柴家科正在山东烟台，主持一个全军性烧伤专业学术会议。接到命令后，柴家科二话没说，连夜安排好会议相关事宜后，就火速搭乘凌晨第一班飞机辗转北京、哈尔滨等地，驰援千里、历经18个小时于次日下午抵达黑河。饥肠辘辘的柴家科连一口水也来不及喝，就立即组织医务人员对3名病危伤员展开紧急抢救，同时对13名危重伤员实施气管切开术，并为17名伤员开展焦痂切开减张术，经过一夜的努力，使伤情得到初步控制。

At that time,ChaiGuKe are shandong yantai,Host a QuanJunXing burn professional academic conference.After received the order,ChaiGuKe said nothing,All through the night arranged meeting after the relevant matters,Is speeding on the first flight in the morning after Beijing/Harbin, etc,Step into the breach a/After 18 hours in the afternoon arrived in heihe.Hungry ChaiGuKe even water also without enough time to drink,Immediately organize medical personnel to three dying the wounded expansion of emergency rescue,At the same time to 13 critical wounded a tracheotomy,And for 17 wounded in eschar open reduction zhang technique,Through the efforts of the night,Make injury get preliminary control.

　　烧伤的官兵大多是独生子，年龄最小的18岁，最大的36岁。看着一张张被大火烧焦的还很稚嫩的脸，柴家科眼在流泪，心在滴血。

Burn the officers and soldiers are mostly only son,The age of the youngest 18 years old,Biggest 36 years old.Look at one of the burned by fire is still very young face,ChaiGuKe eye in tears,Heart in drop.

　　由于当地急救设备达不到救治条件，伤员伤情仍旧危急，柴家科力主将危重伤员转运至条件比较好的北京进行救治。在得到上级批准后，一场空中大转移扑火英雄的战斗开始了。长途跋涉数千公里，空陆联合转运一批35名危重烧伤伴有吸入性损伤的伤员，这在中国、中国军队甚至是世界烧伤医学史上都极为罕见。途中稍微出现一丁点意外，都可能导致救治功亏一篑！

Because of the local emergency equipment can not reach the treatment conditions,The wounded injury still critical,ChaiGuKe argued that will be critical to the wounded transport condition better Beijing treatment.After the approval by the superior,With a sieve cuhk transfer base heroes battle began.Travelled thousands of kilometers,Empty land combined transport a batch of 35 severe burn with inhalation injury wounded,This in China/Chinese troops and even the world burn medical history are extremely rare.The way a little appear a little accident,Could lead to the lip treatment!

　　烧伤抢救的“黄金时期”在6小时之内，受伤官兵抵达北京时已是烧伤后的第三天，伤员生命随时面临危险。有的业内专家断言：“这么多重伤员，能救活一个就已经是奇迹！”

Burn rescue of"Golden age"In six hours,Injured officers and soldiers has arrived in Beijing after burn is the third day,The wounded life danger at any time.Some industry experts assert:"So multiple injuries,Can save a was miracle!"

　　为减少脓毒血症的发生、降低伤残程度，柴家科带领救治小组全体人员连续奋战3个昼夜，完成27台大手术。此后的80多个日日夜夜，他吃住在办公室，带领全体医护人员上演了一场场惊心动魄的攻坚战。

In order to reduce the occurrence of sepsis/Reduce disability degree,ChaiGuKe lead treatment group staff around the clock for three day and night,Complete and big surgery.Since then more than 80 days and nights,He eats living in the office,Lead all staff on a thrilling matches tough sell.

　　经过艰苦努力，硬是将全部35名伤员从死神手中夺了回来，实现了党中央、国务院、中央军委“零死亡、低伤残、早康复”的救治目标。而柴家科为了抢救这些伤员，已熬肿了双眼，体重也下降了整整8斤。

After hard work,Just will all 35 the wounded hand took back from death,Realized the party central committee/The state council/The central military commission"Zero death/Low disability/Early rehabilitation"Goal of treatment.And ChaiGuKe in order to rescue the wounded,Already have swollen eyes,Weight also drop the whole 8 jin.

　　烧伤学科具有显著的军事特色。多年来，烧伤整形科姓军为兵当先锋、保障打赢铸盾牌，深入部队服务、应对突发事件、抢救危重伤员、出国执行任务，屡创奇迹。而很多应用于战场的救治手段和技术，也能反过来提高为民服务的本领。

Burn subject has significant military characteristics.For many years,Burn ZhengXingKe surname army for the soldiers pioneers/Security win cast shields,In-depth forces service/emergency/Rescue critical wounded/Mission abroad,Repeated miracle.And many applied to the battlefield treatment means and technology,Also can, in turn, improve the ability to serve the people.

　　2003年，黑龙江齐齐哈尔市发生了新中国成立以来最大的侵华日军遗留化学毒剂芥子气泄漏事件，几十人沾染中毒，情况相当紧急。柴家科临危受命，担任救治小组的总指挥，第一时间赶到现场并迅速制订出救治方案。

In 2003,,Heilongjiang happened in qiqihaer city since the founding of the Japanese aggression against China's largest left chemical agent mustard gas leakage incident,Dozens of people infected with poisoning,Situation is extremely urgent.ChaiGuKe was dangerous,As a treatment group of commander in chief,The first time arrived on the scene and quickly work out treatment plan.

　　芥子气是一种剧毒的糜烂性毒剂，面对“毒剂之王”，柴家科不顾随时都有被感染的危险，冲到最前线，采取切实有效的治疗措施，避免了毒气的进一步扩散，稳定了社会恐慌情绪。由于救治及时，44名芥子气中毒患者中，除1名深度烧伤患者死亡外，其余全部救治成功。

Mustard gas is a kind of virulent erosive agent,In the face of"King of the agent",ChaiGuKe regardless of always has been the risk of infection,Rushed to the forefront,Take effective treatment measures,To avoid the gas further diffusion,Stable social panic.Due to the timely treatment,44 members of mustard gas poisoning patients,In addition to a deep burn patients died outside,The rest all treatment success.

　　2012年5月26日晚7时许，柴家科主任再一次接到命令：三入火海抢险救人的扑火英雄高铁成被烧伤。

On May 26, 2012, at about seven,ChaiGuKe director once again received the order:Three into flames rescue save base hero GaoTieCheng burnt.

　　柴家科在时任解放军总医院副院长任国荃的带领下，星夜兼程赶到哈尔滨，对伤员进行会诊和救治。为加强后期治疗，确保顺利康复，他果断决定立即将高铁成转往北京治疗。

ChaiGuKe in the liberation army general hospital, vice President of the RenGuoQuan led,A starry night hardships to Harbin,To the wounded to consultation and treatment.In order to strengthen the treatment of late,Ensure a smooth recovery,He decided he GaoTieCheng immediately transferred to Beijing treatment.

　　在高铁成入院治疗的20多天时间里，烧伤整形科柴家科主任带领医护人员每天三次查房，及时掌握高铁成的伤势，检查愈合情况，调整治疗方案。他还亲自指导换药，对每天的伤情变化进行细致的评估，对不同部位采取有针对性的治疗方法。

In GaoTieCheng hospital more than 20 days,Burn ZhengXingKe ChaiGuKe director led medical staff ward round three times a day,Master in time the GaoTieCheng injury,Check the healing situation,Adjustment treatments.He also personally guided dressing,Every day after the change of meticulous evaluation,For different parts adopt targeted treatment.

　　不到一个月，恢复良好的高铁成顺利出院。告别时刻，高铁成说：“人们说我是英雄，但我觉得，真正的英雄是柴家科主任，我只不过救了10多个人，而他日复一日，年复一年，不知挽救了多少人的生命。”

Less than a month,Restore good GaoTieCheng smooth discharge.Farewell moment,High iron achieve:"People say that I am a hero,But I think,The real heroes are ChaiGuKe director,I just saved more than 10 people,And he day after day,Year after year,Don't know saved many people's life."

　　英雄出院的那一刻，柴家科脸上的笑容格外灿烂。他说：“基层官兵在我心中最重！作为一名军医，最欣慰的事情莫过于此。”

The hero of the hospital at that moment,ChaiGuKe face more brilliant smile.He said:"Grassroots officers and soldiers in my heart the heaviest!As a surgeon,The most delighted thing this."

　　柴家科常说，我平生有两个目标：第一个目标是把更多的烧伤病人治好，使他们重获新生；第二个目标是让烧伤病人的外貌恢复美观，功能得以重建，使他们能够重新融入社会。

ChaiGuKe often say,There are two goals in my life:The first goal is to put more burn patients healed,Make them regain a new life;The second goal is to let the burn patients restore beautiful appearance,Function was rebuilt,So they can back into society.

　　柴家科提出了以整形美容的观点救治烧伤病人的原则，从病人住院的第一天起，就要想到病人出院后的功能康复。大面积深度烧伤病人自体皮源不足，是早期创面覆盖、后期瘢痕增生、外观和功能差等临床救治中迫切需要解决的难题。能不能研制出一种同人体皮肤相似的替代皮肤呢？柴主任带领课题组，查阅了大量文献，借鉴国内外先进技术，率先在国内开展了对异种(猪)皮肤替代物的艰苦攻关。

ChaiGuKe put forward the point of view of orthopedics hairdressing treatment of burn patient's principle,Patients in hospital from the first day,We should think of the patients after discharge function recovery.Large area deep burn patients ZiTiPi source shortage,Is early wound coverage/Later scar hyperplasia/Poor appearance and function in clinical treatment urgent need to solve the problem.Can you develop a similar with human skin skin or replacement?Wood director lead group,Access to a large number of literature,Advanced technology at home and abroad for reference,Took the lead in the country to carry out the species(pig)Skin substitute of hard research.

　　通过这项研究，柴家科先后以第一完成人获得了2008年北京市科技进步一等奖、2011年中华医学科技一等奖。

Through the study,ChaiGuKe successively in the first of the persons involved won the 2008 Beijing science and technology progress award/In 2011 the first prize of the medical science and technology.

　　解放军总医院第一附属医院政委卿建中介绍说，柴家科在烧伤界是出了名的“拼命三郎”，一年365天，除非外出开会和参加重大抢救，他都泡在病房和办公室里。他的家就像一个补充精力、体力的驿站，他人生真正的位置是门诊、病房、手术室、实验室、讲台和图书馆。

The people's liberation army general hospital first affiliated hospital commissar QingJianZhong said,ChaiGuKe in ShaoShangJie gave a name"workaholic",365 days a year,Unless meeting and go out to participate in major rescue,He bubble in the ward and in the office.His house is like a supplementary energy/Manual station,His life is the real position is outpatient service/ward/Operating room/laboratory/Platform and the library.

　　柴家科说：“一定要深入一线，观察每个细节。只有真切地了解到病人的临床症状、体征和病情的细微变化，才可能把握住任何一次抢救的机会。”

ChaiGuKe said:"Must further a line,Observation every detail.Only truly understand the patient's clinical symptoms/Signs and symptoms and subtle change condition,Just may seize any chance of a rescue."