Medical road

"Burn infections are currently the main factor threatening the lives of patients. Three military hospitals in my country have already given reference guidelines. 52% of burn patients die from infections. The Cincinnati Burn Center in the United States reported that a large area of ​​burn patients died from infections. It accounts for 75%." Zhang Fan opened his mouth and came. These data came from the liver when he transferred to the dermatology department.

Medicine is regarded as science, and when it is impossible to persuade each other in surgery or treatment, it can only rely on data.If these data are not specially prepared, it is very difficult for ordinary doctors to come if they want to open their mouths. These data are not needed for treatment. This is the difference between doctors and scholars. Things in the world are so nonsense and want to be a good doctor. , It's really not easy.

"This has nothing to do with the use of anti-anaerobic antibiotics. I think the use of anti-anaerobes for this triple antibiotic is wasteful, not only occupying the passage, but also easily causing drug resistance." The doctor at the military hospital directly interrupted Zhang Fan.

The battle of ideas seems to be very mild, but in fact, a little carelessness can be fatal.Grasping one point, you can directly overthrow all of you, and then it is to reverse the responsibility.

Human life matters, a little bit can be magnified to the point that ordinary doctors can't bear it, let alone the wounded is still a hero.

Ouyang didn't think it was right, she turned to look at the doctor in her hospital, and the meaning was very clear, help the place!She knows Zhang Fan. Surgery is very good, but the internal medicine department is average. Zhang Fan who is a cardiology department is about to collapse.

And she knows this kind of thing too well, a little carelessness is a matter of endless trouble, she worried that Zhang Fan is too young, and some things are not that simple.

A unit, especially a medical unit, if there is no special competition, it is actually very united. You help me, I help you, walk slowly and cautiously in this special industry.

The director of the respiratory department, Jumabek was just about to speak.Zhang Fan nodded to him and motioned to him to wait a moment.Then, Zhang Fan continued: "If there is rot, there must be bacteria! Although the burns are mostly bacilli. However, after the use of spectrum antibiotics, the effect is still not obvious, why? It is because of the omission of anaerobic bacteria."

"Do you have a basis for saying this? Do you have laboratory data? Where did this statement come from? This is treatment, this is human life, and you are not talking about it." One of the army doctors started to get on the line.

In fact, how can I put this matter? The burn department in our country takes too many detours. Compared with other departments, this discipline is really not easy.

The European and American blockades in the early years, especially those related to war, really did everything for the strict blockade of our country.A large number of soldiers were burned during a war in the south of our country that year.

The entire medical system, especially the military medical system, can be regarded as one step forward, and various methods can be used to do everything.

For example, comprehensive debridement. After the wounded are admitted to the hospital, multiple surgeons are assembled to debride the patient comprehensively, but the result is still not good, and the infection is still there.

Then there is aseptic isolation, quite strict aseptic isolation. Medical staff entering the ward must bathe, wear isolation gowns, and contain antibacterial chewing gum in the mouth. The strokes and pieces of paper entering the ward are strictly disinfected. The infection continues.

These are human lives!The result of the verification of the lives of countless soldiers.

"Haha!" Zhang Fan smiled blankly.Does he really want to say it is necessary?Is it necessary?

"First of all, there are various pathogens in the human body. Bacteria that did not cause disease in the first place have become pathogenic bacteria under such a large area of ​​trauma. Why did we not achieve the expected results after using a large number of broad-spectrum antibiotics? It is because of anaerobic bacteria. After the US military in Afghanistan, their Telplitz Research Center clearly pointed out that burns should be antibacterial as soon as possible, and antibiotics must be the first to use anti-anaerobes."

Zhang Fan directly threw out the results in the system.Infection is one of the most important subjects in the surgical system. Zhang Fan did not know how many times he saw it when he was in basic liver surgery.Zhang Fan's step-by-step improvement is really not in vain.

"This, but there is a lot of controversy at the moment. I think it needs to be discussed." The voice of the military doctor who raised the question immediately dropped several grades. There is no way, the other party is too capable, such a niche journal Can dabble, he has nothing to say.

This kind of journal is also reviewed by doctors in the Department of Burns of the Army, because the medical industry also has a battlefield first aid, and the Telplitz Center is just a small center for the US military to study burns on the battlefield. He has also read it, so he can’t speak. .

The director of the Burns Department of the General Hospital was also surprised. There are not many doctors in their hospitals who can read such periodicals. After all, the war seems to be far away.

The doctors in the tea city have hardly heard of this center, but this does not prevent them from being proud!Ouyang's frowning brows slowly let go, and the corners of his mouth began to rise slightly, proud!Zhang Fan didn't shame her, and it was not in vain that she stood up for him.

"It seems that Dr. Zhang is confident! What's next. Can you make sure that the patient survives the bacterial outbreak?" The director of the scald department of the General Hospital said, pointing to the point.

Zhang Fan was speechless.The treatment, especially this kind of antibacterial treatment, has too many factors, even if there is a 99% chance that it is not guaranteed to be safe, not to mention this treatment has not yet reached such a high proportion.

"Even if you don't use anti-anaerobe therapy, can you ensure that patients can safely pass this dangerous period? Are non-anaerobe-resistant spectral antibiotics correct?" Ouyang said directly before the other party's voice.

"However, our military is currently using this treatment plan."

"Nothing is correct! Can you ensure that the wounded survive the dangerous outbreak period?"

This has become a fruitless argument, is it meaningful or meaningless?I don't know, but what Zhang Fan can be sure of is that no one can convince anyone.

"Okay, let's not discuss this issue, what should I do now?" The director of the General Hospital flushed with anger.

"Huh!" Arguments, especially this kind of ideological or fruitless line argument, Ouyang didn't know how much he experienced when he was young, and the director of the General Hospital was her opponent.

"The patient is lying on the bed. I understand the doctor's mood, but now is not the time to discuss this matter. Now, I order." Ouyang countered, the old lady is really strong, her brains are sharp, and most people are not opponents at all. .After she seized the initiative, she immediately began to give orders, without giving you a chance to breathe.

When I said this, all the doctors at the Chasu City Hospital stood up and listened attentively. The doctors at the General Hospital had no choice but to execute them no matter how unrestrained they were. There was no way, not because the national army did not work hard, but the other party was too cunning.

"I am the team leader, the director of the scald department of the General Hospital, and the director of the Stone Town Hospital as the deputy team leader. I am responsible for the illness of the wounded, and coordinate the work of top and bottom to report in time.

The director of the Dermatology Department of Chasu City and the deputy senior of the scalding department of the General Hospital led the deputy director of Stone Town and the director of ICU and the head nurse as the first group to fully monitor the skin and life conditions of the patients, and monitor them for 24 hours.

The director of the Respiratory Department of Tea City, the director of the heart, and the doctors of the general hospital are the back-up team, which can timely and accurately integrate the patient's condition, estimate the patient's condition, adjust the treatment at any time, and stand by for 24 hours.

Zhang Fan led the other personnel as the second group, prepared for all operations, and was on standby for 24 hours."

After speaking, Ouyang looked at everyone present, and continued: "Now, set aside the dispute and go all out. As the highest-ranking leader at present, I will give everyone a shot first. If anyone does not care during the rescue period, To shirk responsibility, no matter which system you are in, I will never give up.

The hero lying on the bed has already paid such a high price. As doctors, as the last and only hopeful doctor, we must not chill him.On duty!"

In white coats, everyone put on the white coats of Stone Town Hospital and entered their respective posts.

"Heart rate, pulse, blood pressure, record every ten minutes. Use hormones and increase the amount of colloidal fluids." The figures in the ICU were shaking, and the families of firefighters thousands of miles away set off with the help of the local government.

Silent tears shed this thousand li roads.