392 There is something wrong with your medication

Huang Ping's heart was like the sky was falling apart.

Is this Boss Su?

How is that possible!

He doesn't believe it.

After coming back to his senses, he quickly glanced at the others in the ward.

He felt that the director must be joking with him.

Therefore, there will be a playful smile on other people's faces.

But he is not afraid. Even if everyone discusses and wants to tease him, there will still be people who are secretly funny in their hearts, so there will be certain performance on their faces and traces on their bodies.

However, to his disappointment, his eyes wandered around the ward and found no abnormalities.

Strange, are we all actors?

He became more and more puzzled.

He had never seen Su Yang, he had only heard of it.

And it is strange that everyone seems to be talking about Su Yang's rescue. No one talks about his appearance. So Huang Ping always believes that since Boss Su is so powerful, he must be a doctor in his forties and may still be wearing glasses. He has secretly speculated about Boss Su's appearance in his heart more than once, and never once thought Boss Su was younger than him.

But the guy in front of him looked younger than him and didn't wear glasses!

How is this possible?

He was still wondering, and the director of the emergency center spoke: "Xiao Huang, Boss Su has some questions about your medication. You can tell me about your medication first!"

Huang Ping called out a whisper, and after two seconds, he came to his senses.

Although he still didn't believe that the guy in front of him was the boss Su who snatched Guo Jia from the God of Death, he had already seen that everyone in the ward seemed to be very serious and no one was joking.

So he quickly said seriously: "Boss Su, is there any problem?"

To his surprise, the young guy standing in front of him actually spoke. He said: "The patient's kidney function has declined a bit severely. In addition, the patient's abdominal surgery incision is not very good. According to this trend, there is a possibility of infection."

When Huang Ping heard this, his pupils shrank.

Su Yang's words are a bit serious, and the decline in kidney function is not very good, but if there is an infection, the qualitative statement is serious. Doesn't this mean that his anti-infection work has not been done well, his treatment has not been effective, and even his treatment may fail.

Thinking of this, the faint smile on his face suddenly faded away, and he answered expressionlessly: "Boss Su, my treatment is strictly in accordance with the requirements. I first gave cefoperazone tinidazole anti-infection treatment, but later I found that the effect was not very good, so I gave sulfobenzillin 4g-bid cefothamimidine 2g-bid moxifloxacin 0.4g-qd metronidazole 0.5g-q8h azurenan 2g-bid for anti-infection treatment. After treatment, the patient's condition has improved a lot, so I am in this state."

Huang Ping's tone was a little stiff because Su Yang's words just now made him angry.

You don’t know that Guo Jia is in a serious condition, but you actually questioned my treatment?

To be honest, if it weren't for me, Guo Jia's current condition would have been even worse?

Not only are you not grateful, but you also question my plan?

What does it mean!

Faced with such a situation, everyone will have a temper, let alone Huang Ping, who has never been angry since childhood!

Huang Ping was indignant, but Su Yang, who was standing on his side, said nothing and just frowned.

Guo Jia's situation is actually pretty good. To be honest, if it were someone else, he would feel that the treatment was quite satisfactory, but Guo Jia is his brother and his relative, and he cares a lot, so he hopes that Guo Jia will get better as soon as possible. Moreover, during the treatment process, the damage to liver and kidney function should be minimized. Guo Jia has lost so much that he can no longer cause any damage to his liver and kidney function.

Huang Ping just talked about his treatment. He thought about it carefully and felt that the problem was not very big, but from the current perspective, the effect was not very good. Moreover, through systematic deduction, he found that Guo Jia might even have the possibility of infection, so he was so worried.

Guo Jia performed abdominal surgery, which can easily cause abdominal infection after the operation. According to the range of exposure, it can be divided into localized abdominal infection and diffuse abdominal infection.

There are many colonized bacteria such as the gastrointestinal tract and bile tract, while cholecystitis, appendicitis, gastrointestinal tumors and other diseases often have bacterial infections in the lesion area before the operation, so the risk of infection after abdominal surgery is high.

The pathogenesis of abdominal infection is mainly bacteria in Enterobacteriaceae, Escherichia coli, and Pseudomonas aeruginosa and Acinetobacterium are also uncommon. If the lower digestive tract is perforated or ruptured, the risk of anaerobic bacteria is higher.

In the past two years, with the increasing abuse of antibiotics, the pressure on anti-infection work is naturally increasing.

Therefore, this time, Guo Jia's anti-infection treatment will face such a severe situation.

Guo Jia's previous surgery was very successful, but he still had to go through the most difficult level to recover, which is to fight infection. Once he could not pass this level, he would suffer repeated infections or large-scale infections, and his life would be threatened again.

t study showed that a total of 3,540 bacteria were collected from patients with peritoneal infection in seven regions of my country, with bacteria in Enterobacteria family accounting for 81.7%, mainly Escherichia coli (46.3%), Klebsiella pneumoniae (19.7%), Pseudomonas aeruginosa (9.8%), and Acinetobacteria (6.6%). Escherichia coli was middle-class. 8%, and Klebsiella pneumoniae was middle-class. esbls were 39.9%.

In addition, the drug sensitivity results showed that the sensitivity rates of Enterobacteriaceae bacteria to ertapenem, amikacin, piperacillin/tazobactam and imipenem were 71.3%~100.0%, 81.3%~100.0%, 64.7%~100.0% and 83.1%~100.0%, respectively.

Therefore, infections after abdominal surgery are mostly caused by endogenous bacterial translocation, with intestinal bacteria as the main pathogens, especially Gram-negative bacilli represented by Escherichia coli and Klebsiella pneumoniae, causing the highest proportion of postoperative infections, and often have a high drug resistance rate, manifested as a high ESBLS production ratio, and even carbapenem-resistant widespread (XDR) and pan-resistant (pdr) pathogens.

It can be seen that the anti-infection work of some major surgeries is not so easy, very difficult, and it tests the surgeon's ability.

After thinking about it carefully, Su Yang said, "Mr. Huang, in the subsequent treatment, you will change the medicine. You first choose vancomycin,·d), and do it in 2-4 times, or use tecolanin. The alternative drugs are linezolid, daptomycin and tigecycline..."

Su Yang expressed his thoughts one by one.

Huang Ping was stunned when he heard it.

When the director of the emergency department saw this, he scolded with dissatisfaction: "Xiao Huang, remember it quickly, what a stupid person is like!"
Chapter completed!