Chapter 363

"Burn infection is the main factor threatening the lives of patients at present. Three military region hospitals in China have given reference guidelines. 52% of scalded patients died of infection, and the Cincinnati burn center reported that 75% of large-area scalded patients died of infected wounded." Zhang Fan opened his mouth and came. These data came from the liver when he was transferred to the dermatology department.

Medicine is a science department. When you can't convince each other in surgery or treatment, you can only rely on data. If these data are not specially prepared, it is difficult for ordinary doctors to come if they want to open their mouth. These data are not used for treatment. This is the difference between doctors and scholars. Things in the world are so bullshit. It is really not easy to be a good doctor.

"This has little to do with the use of anti anaerobic antibiotics. I think the use of anti anaerobic bacteria in this three series of antibiotics is a waste. It not only occupies the channel, but also easy to cause drug resistance. " The doctor of the military hospital directly interrupted Zhang Fan's words.

The dispute over ideas seems very mild. In fact, the sword light and sword shadow can be fatal if you are careless. By grasping one point, you can directly overthrow all of you, and then push back the responsibility.

Human life matters, a little bit of small things can be magnified to the point that ordinary doctors can't bear, not to mention that the wounded is still a hero.

Ouyang thought it was wrong. She turned to see the doctor in her hospital. Her meaning was very clear. Help the field! She knows Zhang Fan. Surgery is very powerful, but internal medicine is general. Zhang Fan is about to collapse because of a cardiology department.

And she knows such things too well. A little carelessness is a matter of endless trouble. She is worried that Zhang Fan is too young and some things are not so simple.

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

The director of the respiratory department, Juma Buick, was just about to speak. Zhang Fan nodded to him and motioned him to wait a moment. Then, Zhang Fan continued, "if there is rot, there must be bacteria! Although most burns are bacilli. However, after using spectrum antibiotics, the effect is still not obvious. Why? Because of the omission of anaerobic bacteria. "

"Are you justified in saying that? Do you have laboratory data? Where did this come from? It's healing, it's human life, not your mouth. " One of the army doctors is starting to get a little on the agenda.

In fact, this matter, how to say, China's burn department has taken 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 nothing for the tightness of China's blockade. In that year, a large number of soldiers were burned in a war in the south of China.

The whole medical system, especially the military medical system, is one after another. It can be said that there is no need to find ways.

For example, comprehensive debridement. After the wounded were admitted to the hospital, several surgeons were gathered to comprehensively debridement the patient. The result was still not good, and the infection was still the same.

Then there is aseptic isolation, which is quite strict. The medical staff entering the ward should take a bath, wear isolation clothes, have bacteriostatic gum in their mouth, and the pen and paper entering the ward are strictly disinfected, so the infection can continue.

These are human lives! The lives of countless soldiers.

"Ha ha!" Zhang Fan smiled expressionless. Does he really want to say it's necessary? Is this necessary?

"First of all, there are all kinds of germs in the human body itself. Originally non pathogenic bacteria have become pathogenic bacteria under this large-area trauma. The reason why we can't achieve the expected results after using a large number of broad-spectrum antibiotics is because of anaerobic bacteria. After the U.S. war in Afghanistan, their telplitz Research Center clearly pointed out that the first time for burns to be antibacterial, antibiotics must first be anti anaerobic. "

Zhang Fan directly threw out the results in the system. Infection is a very big subject in the surgical system. When Zhang Fan was on the basis of liver surgery, he didn't know how many times he saw it. Zhang Fan's step-by-step promotion is really not in vain.

"This, but there is a great debate at present. I think it is debatable to occupy such a valuable liquid channel." The tone of the military doctor who raised the question immediately dropped several grades. There was no way. The other party was too liver friendly. He could read such a small number of journals. He had nothing to say.

This kind of journal is also for the doctors of the military scald department. Because there is also a first aid for the battlefield in the medical industry, and the telplitz center is only a small center for the study of battlefield scald in the U.S. Army. He has also read it, so he can't speak.

The director of the burn department of the general hospital was also surprised. There are not many doctors who can read this journal in their hospital. After all, the war seems to be far away.

The doctors in tea vegetable city have hardly heard of this center, but this does not prevent them from being proud! Ouyang's frown slowly opened, and the corners of his mouth began to tilt slightly, proud! Zhang Fan didn't humiliate her and didn't waste her acting for him.

"It seems that Dr. Zhang has a plan! What's next. Can you make sure the patient goes through the bacterial outbreak? " The director of the scald Department of the general hospital made a speech and pointed to the key points.

Zhang Fan is tongue tied and can't say it. Treatment, especially this antibacterial treatment, has too many unexpected factors. Even if the probability is 99%, it can not be guaranteed to be safe. Moreover, this treatment can not reach such a high proportion at present.

"Even without anti anaerobic treatment, can you ensure that patients can safely get through this dangerous period? Is the spectrum of non anaerobic antibiotics correct? " Before the other party's voice fell, Ouyang said it directly.

"However, this is the treatment plan in our army."

"Nothing is necessarily right! Can you ensure that the wounded can safely survive the dangerous outbreak? "

This becomes an inconclusive debate. Is it meaningful or meaningless? I don't know, but what Zhang fan can be sure is that no one can convince anyone.

"Well, let's not discuss this problem first. What should we do now?" The director of the general hospital blushed with anger.

"Hum!" Ouyang didn't know how much he experienced when he was young. The director of the general hospital was her opponent.

"I understand the doctor's mood when the patient is lying in the hospital bed, but now is not the time to discuss this matter. Now, I command. " Ouyang beat the rake. The old lady is really strong, her brain is alive, her language is sharp, and ordinary people are not rivals. After she took the initiative, she began to order directly, and didn't give you a chance to breathe at all.

As soon as this was said, all the doctors of the tea vegetable city hospital stood up and listened attentively. No matter how angry the doctors of the general hospital were, they had to implement it. There was no way. It was not that the national army did not work hard, but that the other party was too cunning.

"I am the team leader, the director of the scald Department of the general hospital and the president of shitoucheng hospital are the deputy team leaders. I am fully responsible for the condition of the wounded, coordinate up and down and report in time.

The director of the dermatology department of chasu city and the deputy high of the scald Department of the general hospital led the vice president of stone city, the director of ICU and the head nurse as the first group to fully monitor the patients' skin and their life conditions, 24 hours.

The director of the respiratory department, the director of endocardiology and the doctors of the General Hospital of chasu city are the backup group to timely and accurately integrate the patient's condition, estimate the patient's condition, adjust the treatment at any time and be on standby for 24 hours.

Zhang Fan led other personnel to prepare for all operations for the second group and was on standby for 24 hours. "

After that, Ouyang looked at everyone here and continued, "now, put aside the dispute and go all out. As the leader with the highest position at present, I will give you a preventive shot first. If anyone doesn't care and shirks responsibility during the rescue, no matter which system you are, I will never give up.

The hero lying in bed has paid such a high price. As doctors, the last and only hope doctors, we must not let him chill. Go to work! "

In white coats, they put on the white coats of stone city hospital and entered their respective posts.

"Heart rate, pulse and blood pressure shall be recorded once every ten minutes. Apply hormones and increase the amount of colloidal rehydration. " With the help of the local government, the families of firefighters thousands of miles away set out.

Silent tears spread across the thousands of miles.