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Chapter 466 Big Almighty, Big Four, The Last Line of Defense for Infection!

"Gel sponge." At this time, Xu Qiu spoke.

Mo Wan was stunned.

Gel sponge?

Isn’t this a common material used in stomatology? After tooth extraction, hemostatic material needs to be placed in the alveolar socket, and the gel sponge is used.

Liver repair...need to use this?

In her incomprehensible eyes, Xu Qiu took out the No. 10 silk thread and passed through the gel sponge at both ends of the suture. Soon, a thin thread wrapped in a soft sponge was successfully prepared.

This scene made the doctors in the medical field, including Wang Ping, feel extremely familiar.

At that time, the criminal who poked a steel bar in his head was also Xu Qiu who proposed to wrap the steel bars with a condom, and finally took them out successfully.

Now that the same trick is repeated, the things wrapped have become thin stitches as thin as hair.

"This is really OK?" Mo Wan felt incomprehensible.

But she quickly realized that the gel sponge is soluble, can be absorbed by the human body, and has been proven to be harmless, and in theory can be used for liver repair!

Xu Qiu's behavior also proves this.

The sutures wrapped in protective films shuttled through the broken liver tissues in China, and intermittent sutures were performed along with the wound edge and the liver mask.

Each suture is accurately passed through the bottom of the crack, perfectly avoiding the occurrence of dead cavity.

The deeper liver laceration was still not able to be sutured directly even with gel sponge protection. Xu Qiu simply did a parallel mattress-style suture at 15 cm in the Chuangyuan, and then intermittently sutured the outside of the mattress-style suture, and then connected the wound together.

This step by step made Mo Wan dumbfounded.

Gel sponge avoids liver cutting…

The intermittent alignment of mattress-type sutures solved the dilemma of deep liver laceration...

Is this for surgery?

This is to solve the existing problem!

"No wonder you dislike me!" Mo Wan's voice was trembling.

With Xu Qiu's surgical ability, the two-point injury score was simply an insult to him!

...

"The operation is over, and it takes twenty-seven minutes."

This speed surprised everyone present.

The operation lasted for more than an hour, but was shortened by Xu Qiu to less than half an hour.

Liver repair and spleen repair, and both major surgeries are smooth.

The damage caused by aortic occlusion, which originally had to be paid special attention to, also recovered blood flow early because the operation was over too quickly, without any negative impact.

Not to mention the innovative operations in the operation.

"The patient's liver damage is relatively serious, and the probability of shock occurs after surgery is relatively high. Anti-shock treatment will continue within 48 hours after surgery."

"Monitor blood potassium, sodium, chlorine and CO2 binding capacity for 24 hours, and replenish sufficient water and electrolytes in a timely manner."

"In addition, after the liver is broken, thrombin and seven factors will be reduced by about 40%, and the patient will tend to bleeding. After the operation, fresh blood and vitamin K are combined with fluids..."

Xu Qiu's explanation was meticulous and finally explained the antibiotic medication: "routine broad-spectrum coverage, mepmvcmclid."

That is, meropenem combined with vancomycin and clindamycin hydrochloride.

This is the most commonly used antibiotic combination in clinical practice.

After leaving the operating room, Shi Lian couldn't help but feel curious and thought for a while, "Teacher, the book says, shouldn't the big universal solution be used for such patients?"

"Great omnipotent?"

If Xu Qiu had not taken the postgraduate entrance examination last year and read all the textbooks, he might not have understood what this means at the first time.

He shook his head and said, "It's outdated. Great Universal is the plan that was more than 20 years ago."

This is also the most criticized point in medical textbooks.

The latest version of the textbook was revised two years ago, but it still contains clinical experiences from more than 20 years ago. It can still be used today, but it has long since disappeared from its invincible posture at the time.

Twenty years ago, the "Great Universal" solution of Dafukang Vancomycin Taineng was launched and shocked the world.

The three can complement each other, and each targeted infectious bacteria can cover fungi, Gram-positive bacteria, and Gram-negative bacteria at the same time, which is also the last line of defense in the infectious family.

But now, with the continuous iteration of antibiotics and new drugs emerging, there is a stronger line of infection defense in clinical practice.

What kind of antibiotics are surrounded by a large number, and it is many times better than the Great Wonderland.

Nowadays, the top anti-infection therapy is Dasixi therapy.

That is, Taineng combined with linezolid, moxifloxacin, and fluconazole.

However, Lin Medical has not yet conducted a patient who has used the Big Four Xi. This type of patient is generally very serious and basically cannot use the Big Four Xi. He has already been announced by the ICU and taken home by his family to prepare for a meal.

"It turns out to be like this..." Shi Lian nodded. It would be nice to follow the teacher. She could enjoy it for a long time with just one word.

"Okay, there's nothing you have to do next. If you want to take the postgraduate entrance examination, you can continue to have surgery with me if you want to do an internship." Xu Qiu said.

"I'm guaranteed to graduate from this school, I want to continue to follow you!"

"oh."

Xu Qiu was a little surprised.

This year's major is the first, and he actually chose to be admitted to the school for postgraduate education?

Linhai University Medical School is not very strong, and it has some job-seeking advantages in Baiyun Province. After leaving the province, it is not easy to use in the south.

Therefore, in previous years, those who had admission to graduate school were basically all going to Tiandu and Magic City to study, some went to Union University, some went to West China, Fudan and Sun Yat-sen University.

This phenomenon does not only occur at Linhai University.

Almost all medical schools in the world are sending talents to top medical schools and a reserve library for fresh blood. The top group of medical students eventually went to top medical schools, and those who came out of top medical schools became doctors in top hospitals...

This is an unbreakable cycle and will further aggravate the Matthew effect in the medical field.ωωw..net

But it seems that Linhai University Medical School has been separated from the cycle. With Xu Qiu alone, more and more people want to come to the hospital.

"Who else has been admitted to the school for postgraduate studies?" Xu Qiu asked.

"There are so many. This year, seven of the top ten majors have given up on the postgraduate entrance examinations in other schools. Moreover, the school has conducted a survey before. There are 67% of the people who want to apply for the school this year, and before that, only about 40%!"

Mo Wan followed silently.

To be honest, if she stood in the position of Shi Psychology, she would choose to stay in the doctor without hesitation.

After seeing Xu Qiu's operation and seeing other doctors, it was like slaughtering pigs...

"How about it, our Dr. Xu's surgical level is OK?" Wang Ping took two steps quickly and started chatting with Mo Wan with a smile.

Mo Wan looked at Xu Qiu's back and said, "It's not just OK, it's 666!"
Chapter completed!
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