This is the norm for general consultations in the hospital. The rescue of critically ill patients basically follows this process. At the beginning, the guide was clearly written and there were a lot of treatment methods that could be carried out. Doctors quarreled over which symptoms to treat first. but, The further back the treatment goes, the more powerless it becomes, and there are fewer and fewer treatment options. There was little the doctor could do, so he could only choose to remain silent. Treatment plans often involve constant compromises. The risk is high, but if you don't correct it, you will die - just 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, there may even be conflicting medical treatments. But the contradiction at least means that there is hope. When it comes to the end of the road, there may not even be a chance to weigh the pros and cons. "Let's talk about it, we can't just let him soak in the feces like this. If he delays it any longer, he will develop sepsis sooner or later, and it will be useless to enter the ICU by then." The director of the burn surgery department said solemnly. After a while, Director Yu said: "How about letting it go. There are indeed a lot of bacteria in feces. However, these are the patient's own bacteria after all. His immune system has been fighting his own bacteria for most of his life. It is better than introducing some strange enemies! Let’s save his immune system for the time being. As long as his immune function is maintained, these bacteria should not cause any big trouble! " Director Zhang was silent for a moment and said: "This method is more reliable than inserting anal canal and changing dressing frequently." Taking too many medicines will destroy the original flora of the intestines. Once the bacterial flora is imbalanced, opportunistic pathogens such as Escherichia coli and harmful bacteria such as Enterococcus faecalis may gain the upper hand and cause comprehensive and large-scale infections. But at this time, Xu Qiu, who had been silent, discovered some details. "If left unchecked, the patient may not survive for a few days..." As soon as Xu Qiu finished speaking, everyone's fiery gazes were cast 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: "A variety of anti-infective drugs have been used in the medical records, but...the effects are not very good. Why?" The question silenced the conference room for a brief moment. Suddenly, Director Zhang suddenly slapped his thigh and said with some horror: "You mean, super bacteria?!" Xu Qiu nodded: "Yes, the patient is most likely infected with super bacteria, and he has become resistant to all drugs."
Upon hearing this conclusion, everyone's expressions changed drastically. No wonder anal canal treatment doesn’t work! It turned out to be a super bacteria behind it! "Then it's not good. The medicine can't be used, and the patient's own immunity is unreliable, so we can only delay it?" Director Zhang swallowed, not daring to imagine the consequences. The patient that the whole hospital wanted to save actually died under the noses of a lot of directors... This is equivalent to a slap in the face of Linhai No. 1 Hospital! The director of the burn surgery department said: "There is one last way." Everyone looked at it at the same time. He said: "Consider abandoning the intestines. Use intravenous nutrition solution. In this case, there will be no stool problems without intestinal excretion. Although the intestines will degenerate and may even be discarded, at least you can save your life!" This is the compromise that critically ill patients make. For the sake of life, throwing away the digestive tract, although cruel, is a helpless act in the face of death! "It's feasible..." Director Zhang nodded. "If you stay in the ICU, you can at least save your life." "Yes, although he will have to rely on nutrient solution every day for the rest of his life, but to put it harshly... the old professor is over seventy..." The implication is that even if he experienced such a big car accident this time, he would not survive for a few years. Just when everyone agreed to give up the car to save the commander-in-chief, Xu Qiu's voice sounded again. “There’s a chance the intestines can be saved. There is also a treatment, fecal microbiota transplantation. " That is, feces from healthy people are transplanted to patients, allowing the patients to rebuild the microbial flora in their bodies, thus killing superbugs. In that case, the old professor would have a chance to save his life at any cost. This plan made many people’s eyes light up. Director Zhang, Director Yu and others checked the information on the spot. After a while, they took a deep breath: "Maybe, we can really give it a try..." But the director of the burn surgery department shook his head: "What if a serious infection occurs?" Xu Qiu said calmly: "The main problem now is super bacteria. By rebuilding the bacterial flora and driving away superbugs, patients can rely on their own immunity to prevent serious infections. " "I agree!" "You can give it a try. If it doesn't work, it's not too late to consider intravenous nutrition!" "Yes, just be careful of sepsis. Once there are signs of sepsis, give up fecal transplant therapy immediately!"
After another half an hour, Xu Qiu's opinion was finally decided as the final plan. … As expected, The old professor's condition was almost exactly as Xu Qiu predicted. After the fecal transplant, he successfully established a normal flora and the superbugs gradually disappeared. As for the amputation wound, although there were several infections, they were quickly controlled, and then gradually recovered, and finally the wound healed successfully! The director who participated in this case consultation was shocked. In Linhai No. 1 Hospital, not many trauma wounds have been treated. The most experienced director of burn surgery, fecal contamination is his blind spot. but…… Xu Qiu can accurately judge that feces will not have a fatal impact on the patient! This kind of clinical judgment cannot be learned even if you want to! During the few days of signing in, Xu Qiu also gained multiple surgical capabilities. As a daily mission reward, I got a few bottles of primary physical potions and primary energy potions. The effect of drinking it is similar to eating a full meal or sleeping for eight hours. It was almost like being resurrected from the same place with full health and mana. "Ding! Congratulations on getting the sign-in reward: master testicular tumor removal!" On this day, Xu Qiu signed in again. When he saw the reward, he raised his eyebrows. Quite a coincidence. He originally planned to let Xie Qinran go to the Department of Urology for surgery, but now it seems that there is no need to transfer. During morning rounds, Xu Qiu came to Xie Qinran's ward. The couple had already discussed and decided to undergo surgery. As for the XY chromosome thing—— Their relationship is not recognized by the law, and they cannot have children. Let alone XY, even if it is XO, it will not have any actual impact. The woman with the earrings rubbed Xie Qinran's head helplessly and said: "I am T (Gong), but her chromosomes turned out to be male. I really didn't expect it..." Xie Qinran pursed her lips in grievance. She raised her head and looked at the woman with the earrings, but hesitated to speak. "What's wrong? Is there anything else you're hiding from me?" The earring woman pinched Xie Qinran's ears and asked.
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