Chapter 136 Xu Qiu's Treatment Plan, Terrifying Clinical Judgment
This is the norm for the hospital-wide consultation.
Rescue of critically ill patients is basically like this.
At the beginning, the guide was clearly written and there were a lot of treatments that could be carried out.
Doctors from various departments were quarreling and decided which symptoms to deal with first.
but,
The more you treat it later, the less powerful you become, the fewer and fewer treatment methods you can choose.
Doctors can do less and they can only choose to remain silent.
Treatment options are often continually compromised.
This risk is high, but if you don’t correct it, you will die - you can only do it!
That measure will make the prognosis very poor, but if the patient is not treated, sepsis will develop again - it can only be implemented!
In the end, contradictory medical methods may even appear.
But contradictions, at least, mean there is a rescue. When it is really time to make things happen, there may be no chance to weigh the pros and cons.
"Everyone says it, you can't just let him soak in the feces like this. If you delay, you will sooner or later and it will be useless to get into the ICU at that time." The director of the burn surgery department said in a deep voice.
After a while, Director Yu said, "Or why don't you let it go.
There are indeed a lot of bacteria in the feces.
But, this is the patient's own bacteria. His immune system has been fighting against his own bacteria for most of his life. It is better than introducing some strange enemies!
We will keep his immune system for the time being. As long as we maintain immune function, these bacteria should not cause any major storms!”
Director Zhang was silent for a moment and said, "This method is more reliable than releasing anal tube and changing the medicine frequently."
Using too many medicines will damage the original bacteria in the intestines.
Once the flora is dysregulated, E. coli and other probabilistic pathogenic bacteria, as well as malignant bacteria such as Enterococcus faecalis, may gain the upper hand and cause a comprehensive and large-scale infection.
But at this time, Xu Qiu, who had been silent, discovered some details.
"If you let it develop, the patient will probably not live for a few days..."
As soon as Xu Qiu finished speaking, everyone's passionate eyes came over at the same time.
Even Director Yu himself was a little excited and said, "Tell me your judgment!"
Xu Qiu stood up and said:
"I have used a variety of anti-infective drugs on the medical record, but...the effect is not very good, why?"
This question made the conference room briefly silent.
Suddenly, Director Zhang slapped his thigh suddenly and said in horror: "What do you mean is super bacteria?!"
Xu Qiu nodded: "Yes, the patient is most likely infected with super bacteria, and he is resistant to all drugs."
When everyone's face changed drastically after hearing this conclusion.
No wonder anal tube treatment is useless!
It turned out to be a super bacteria making a fuss behind the scenes!
"That's not good, the medicine cannot be used, and the patient's own immunity cannot be reliable, so he can only drag it?" Director Zhang swallowed, unable to imagine the consequences.
The patient whom the entire hospital wanted to be protected actually died under the noses of a large number of directors...
This is equivalent to slapping Linhai in the face!
The director of burn surgery said: "There is a last solution."
Everyone's eyes looked at each other.
He said: "Consider abandoning the intestines. Use intravenous nutrient solution. In this way, without excretion through the intestines, there will be no trouble with feces - although the intestines will degenerate and may even be discarded, it will at least save your life!"
This is the compromise of critically ill patients.
For the sake of life, throwing away the digestive tract is cruel, but it is a helpless act in front of the god of death!
"Feasable..." Director Zhang nodded.
"Live in ICU, you can save your life at least."
"Yes, although he has to live by hanging nutrient solution every day for the rest of his life, it's a bit ugly... the old professor is over seventy..."
The implication is that he will not live for a few years after such a big car accident this time.
Just as everyone agreed to abandon the car and protect the coach, Xu Qiu's voice sounded again.
“The gut has a chance to be preserved.
There is also a therapy, fecal flora transplantation.”
That is, transplant the feces of healthy people to the patient, allowing the patient to rebuild the microbial flora in the body, thereby killing super bacteria.
In that case, the old professor will have the opportunity to save his life without any cost.
This plan made many people's eyes lit up.
Director Zhang, Director Yu and others checked the information on the spot, and took a deep breath after a moment: "Maybe, you can really give it a try..."
But the director of the burn surgery department shook his head: "What if there is a serious infection?"
Xu Qiu said calmly: "The main problem now is super bacteria.
Reconstruct the bacterial flora and drive away super bacteria, and patients can rely on their autoimmunity to curb serious infections."
"I agree!"
"You can try it. If it doesn't work, it's not too late to consider intravenous nutrition at that time!"
"Yes, as long as you are careful about sepsis, you will immediately give up fecal transplant therapy if there are signs of sepsis!"
After another half an hour, we finally decided to use Xu Qiu's opinion as the final plan.
...
As expected,
The old professor's condition is almost exactly the same as Xu Qiu's prediction.
After transplanting feces, he successfully established a normal bacterial flora, and the super bacteria gradually disappeared.
Although the wound of the amputation had several infections, it was quickly controlled and gradually recovered, and the wound finally healed successfully!
The directors who participated in this case consultation were shocked.
In Linhai First Hospital, there were not many traumatic wounds that were treated by everyone.
The most experienced director of burn surgery, fecal pollution is his blind spot.
but……
Xu Qiu can accurately judge that feces will not have a fatal impact on patients!
This kind of clinical judgment is not something you can learn even if you want to!
A few days of sign-in,
Xu Qiu also obtained several surgical abilities.
For daily tasks, I took several bottles of primary physical potion and primary energy potion.
The effect of drinking is similar to having a full meal and sleeping for eight hours.
Almost resurrected from the spot full of blood and blue.
"Ding! Congratulations on getting the sign-in reward: Master-level testicular tumor resection!"
On this day, Xu Qiu signed in again. When he saw the reward, he raised his eyebrows.
It's a coincidence.
He originally planned to ask Xie Qinran to go to the urology department for surgery, but now it seems that there is no need to transfer to the department.
During the early rounds, Xu Qiu came to Xie Qinran's ward.
The couple has already agreed to have surgery.
As for the xy chromosome matter—
They themselves are not recognized by the law and cannot have children. Not to mention xy, even xo, they cannot have actual impact.
The woman with earrings rubbed Xie Qinran's head helplessly and said, "I'm t (attack), but her chromosome turned out to be a man. I really couldn't imagine that..."
Xie Qinran pouted aggrievedly. She raised her head and looked at the woman with earrings, wanting to speak but stopping.
"What's wrong? What else is there to hide from me?" The woman with earrings pinched Xie Qinran's ear and asked.
———
Chapter completed!