Chapter 522 Bacterial infection
522 Bacterial infection
The appearance of the patient's family made Su Yang and Huajun feel a little bad.
Their experience is sympathetic, and their requests also put pressure on the two of them, especially Su Yang. The release of the system task has already made him feel breathless. He met the patient's family at this moment, and the other party was still a pregnant woman. He had treated the other party before. He saw him at this moment, and he felt mixed feelings and was very sad. He naturally agreed that the patient's family would do his best. But to be honest, he really had no idea. The patient's current situation is pretty good, but why is the difficulty of the task issued by the system extremely difficult? What is the reason? This uncertain factor made Su Yang very anxious, and he was like an ant on a hot pan, unable to sleep or eat.
After persuading the patient's family to leave, Su Yang and Huajun returned to the office. Both of them were silent, without saying a word, and were in a heavy mood.
After a while, Hua Jun raised his head and said, "I'll go find Vice President Zhang Tong, I want to organize a consultation for the whole hospital."
After hearing this, Su Yang raised his head and looked at Hua Jun.
This guy is innocent and looks like a kind rich businessman and a cultural businessman. He always looks smiling, but in fact he doesn't like to deal with people. He is even more afraid of finding superiors. But at this moment, for the sake of the patient, he is willing to bite the bullet and do these things.
Su Yang sighed in his heart.
Hua Jun is a good doctor!
After coming back to his senses, when Hua Jun was about to pick up the landline, Su Yang spoke: "Boss Hua, forget it, don't bother the hospital leaders for the time being."
"Hmm?" Hua Jun looked at Su Yang in surprise.
"The next key point is also a difficult point. It is skin grafting. The skin grafting process is definitely fine. If the director of a department like you is personally taking over, there will definitely be no problems. The only problem that will arise is the anti-infection aspect. I think we can contact you myself. If we really need a consultation in the whole hospital later, I will be familiar with Vice President Zhang Tong. If I need a consultation in the whole hospital, I will be responsible, what's going on?"
Hua Jun glanced at Su Yang and nodded: "Okay, then do what you said."
The two discussed some of the following details and decided. Hua Jun started preparing for related operations, and Su Yang returned to the emergency department.
In the next few days, he planned to not go anywhere, stay in the hospital, eat and live in the hospital, and not go back tonight, and sleep in the hospital. In this way, once there is any problem with the patient, he can participate in the processing as soon as possible. In addition, he will basically go to see the patient every three hours and collect data in person so that he can know the development of the patient's condition and perform experimental treatment in the system space in advance.
The patient's condition improved slightly and his condition was controlled. After that, the Burn Department concentrated its general practice to start skin grafting.
This process was quite smooth, almost the same as Su Yang's estimate.
But the more this happens, the more nervous Su Yang feels.
If the skin grafting process is smooth, it means that there may be major problems in the next anti-infection process, that is, the implanted skin may cause serious infections.
Sure enough, on the third day after the skin graft surgery, a rapid ringtone rang. Su Yang, who was pretending to sleep on the bed, jumped up and picked up his phone to connect. Hua Jun's hoarse voice came out of the receiver: "Boss Su, the patient is in septic shock, come and take a look."
Su Yang grabbed the white suit and rushed out while wearing it.
When he arrived at the burn department, the anti-shock work had been completed and the patient's condition improved slightly. However, after taking a look at the skin grafting area, there were serious infections in many places, which was a bit shocking.
"Have you contacted for consultation?" Su Yang turned his head and asked Hua Jun.
"Not yet, I want to ask you to have a look first."
After hearing this, Su Yang nodded.
He pretended to focus on observing the patient, and then quickly entered the system space.
The patient has a serious infection, so the first priority is to figure out how the patient should take medicine next. If this problem is not clear, there is no way to discuss the next treatment.
Infection is one of the main complications and causes of death for burn patients, and preventing burn infection is one of the main measures to treat burns. At present, the widespread use of antibacterial drugs has caused changes in bacterial infection species and sensitivity to antibacterial drugs in burn patients, and the gradual increase of drug-resistant bacteria, which brings challenges to the prevention of burn infection and anti-infection treatment.
Bacterial infection is one of the important factors that cause death in burn patients. Among the dead patients with burn area exceeding 40, the factors that cause death due to complications caused by infection or infection are as high as 75. The skin is the barrier for the human body to resist bacterial invasion. After burns damage the skin, it becomes a good culture medium for bacteria to reproduce and invade.
This is a global problem, not just a problem with Su Yang and Huajun.
Su Yang quickly entered the system space and started related experiments.
The first priority at present is to understand the patient's bacterial infection situation. Only when the infected bacteria are understood can the symptomatic treatment be carried out.
Su Yang first washed the wound surface of the experiment body with sterile saline 12 times, collected the patient's wound secretions with sterile cotton swabs, and then immediately sent it to the microbial bacterial chamber.
Afterwards, he cultured, isolated and identified the specimens according to standard operating procedures.
As an emergency department doctor, these things should not be mastered. However, as a representative of a general practitioner, Su Yang often conducts experimental treatments in the system space. He is the only one who treats them, and many operations must be completed independently. Over time, he has developed the habit of operating everything independently!
The drug sensitivity test uses culture medium, minimum inhibitory concentration and paper diffusion method.
The antibacterial drug resistance was judged by reference to the 20142017 edition of the implementation standard for antibacterial drug sensitivity test.
The instrument uses Merrier 2 fully automatic bacteria identification device, r carbon dioxide incubator, Guangzhou Nat Biotechnology Co., Ltd.'s drug sensitive paper sheet, vernier caliper, and culture medium.
The analysis software used 56 software for data analysis, and 170 statistical software for statistical analysis of the data obtained in this study. The counting data was tested by 2. When 005, it was considered to be significant and statistically significant.
After some operation, Su Yang saw the results.
Chapter completed!