The ICU was full immediately after the gas gangrene incident.

Four infected patients were admitted to intensive care, and some others were also infected, but their conditions were not as severe as theirs, and they could only temporarily receive special care and treatment in the general ward.

"Doctor Xu, save my mother, Doctor Xu!"

As soon as he stepped into the intensive care unit, Director Zhang rushed over anxiously.

He was also one of the people who used to be hostile to Xu Qiu, but now he has no temper towards Xu Qiu and is only grateful in his heart.

A doctor who does not add any impurities and has a pure intention of treating diseases and saving people deserves everyone's respect.

"Well, let me take a look first."

Xu Qiu put on protective clothing and entered the intensive care unit.

As soon as I opened the door, a strong smell hit my face.

Wang Ping, He Hai and others looked so pale that they almost vomited out.

Xu Qiu also felt very uncomfortable.

He endured the discomfort and got closer to inspect the wound.

Zhang Mu is a standard right subcostal incision for liver cancer resection.

Today, blood-colored pus is constantly oozing from the surface of her wound.

There are already signs of blackening on the skin edges, and there is no doubt that it has been infected.

Xu Qiu unzipped Zhang's mother's trouser legs again.

There are spots on the right thigh.

This is a local manifestation of systemic bacteremia.

It’s also a desperate symptom!

Xu Qiu felt a little heavy.

Her symptoms are no less severe than those of the infectious source in bed 21. The only good news is that Zhang’s mother does not need amputation for the time being.

Her lesions were in the wound where the liver cancer was removed. Even if it spreads, it would not be an amputation. Basically, the germs would flow through the entire body from the heart to the limbs. Surgery cannot save her.

"Dr. Xu, do we need to conduct rescue operations according to septic shock and septic shock?" Director Jiang asked.

Xu Qiu shook his head after thinking for a long time.

Sepsis caused by gas gangrene is different from ordinary septic shock and septic shock.

It often damages the heart first and then spreads throughout the body.

Also because there are a large number of pathogenic bacteria in the blood, which has a great impact on microcirculation, the condition is very critical——

If the rescue is carried out according to ordinary septic shock, the patient will definitely not survive the first round.

He glanced at the blood filter machine next to him.

He said: "Withdraw the hemofiltration, perform surgical intervention immediately, and start with thorough debridement."

Director Jiang was very embarrassed and said: "There is no way. There is no room in the operating room. I have contacted him many times and there is no way. I can only do hemofiltration first!"

Xu Qiu shook his head: "Hemofiltration should not be done. Even if it is sepsis, hemofiltration is not the first choice."

"But...for the patient in bed 21, you also chose hemofiltration and catheter placement!"

After Director Jiang finished speaking, he explained: "I used cvvh because it can quickly remove macromolecular substances and various inflammatory metabolites, and control the internal environment as quickly as possible. Judging from the current situation, the rescue effect is very good.

"

Xu Qiu shook his head: "The situation is different. The patient already has signs of kidney failure and must rely on hemofiltration to replace the kidneys.

As for the rescue effect - this is just a temporary illusion.

Without thorough debridement, you are just using hemofiltration to cover up the body's weakness. When various values ​​drop, it will be too late to save him."

He considered for a moment and said: "There are only two most important things now.

One, debridement.

Two, antibiotics!

Even if ccvh can remove inflammatory substances, this process will interfere with the effective concentration of antibiotics, causing more harm than good!"

Director Jiang's expression changed. Is it really what Xu Qiu said?

On the other side, Xu Qiu did not give everyone time to think. www.bǐqυgetν.℃ǒm

He gave the order directly, saying: "Since there is no operating room, let's do it on the spot! Prepare the instruments!"

Compared with the infection caused by the spread of gas gangrene, the less strict surgical environment is not so scary.

The trade-off between the two is worth it.

So, Xu Qiu and others set up the operating table for the intensive care patient and immediately completed the debridement.

After the operation, Xu Qiu gave the indications for antibiotics: "Penicillin 4 million, q4h, clindamycin 900mg, q8h."

…

After leaving Zhang's mother's ward, Xu Qiu and others washed their bodies carefully and performed strict sterilization.

This is to avoid cross-infection between patients.

Although they are both gas gangrene, their pathogenic bacteria are also different.

Carrying germs from one person to another can have very serious consequences.

After completing the cleaning and putting on new protective clothing, Xu Qiu went to the ward of the old professor of Linhai University.

This old man cannot undergo extensive surgical debridement.

He had diabetes himself, and later developed purpura fulminans, which his body could not tolerate.

After careful consideration, Xu Qiu considered it to be a mixed infection caused by anaerobic bacteria and enterococci.

He made several small incisions in the diseased area, exposed the infected area as much as possible, and performed simple debridement.

After that, in addition to Zhang’s mother’s same antibiotics, cefotaxime and ornidazole were also added.

…

For the next few patients, Xu Qiu made quick judgments and gave them appropriate antibiotics.

Pan Fuyou followed behind, becoming more and more silent.

He originally worked in the emergency department, and after retiring to the second line, he switched to the field of hospital infectious diseases.

Therefore, he can still see some clues.

If we say, other doctors' treatment plan for serious infections such as gas gangrene is fire coverage.

Whether the pathogen dies or the patient dies depends on whether the patient can survive it.

but,

Xu Qiu seemed to know the pathogenic bacteria of each patient.

The medicine is like a magic weapon descending from heaven, striking accurately without harming innocent people at all.

The benefits of this are obvious - with the right medicine, the infection can be quickly controlled and the patient's damage is minimized.

But the shortcomings are equally fatal.

Once the wrong medicine is used, the patient will die!

Can such a desperate treatment method really be successful?

Pan Fuyou didn't care about this.

"If the patient dies after using this medicine, Xu Qiu is also mainly responsible..."

However, as soon as this idea came into his mind, Pan Fuyou suddenly fell silent again.

He looked at Xu Qiu not far away who was enduring the stench, concentrating on examining the patient, and kept asking for help. At this moment, Pan Fuyou suddenly felt extremely ashamed.

…

That night, it was around ten o'clock late at night.

Dean Wang Shengde finally rushed back to the hospital.

I happened to bump into Xu Qiu and others who had returned from handling the patient.

"Xu Qiu, how's the situation?" Wang Shengde was impatient.

"We have been given targeted antibiotic treatment plans for the time being, and the results will be announced tomorrow morning," Xu Qiu said.

"Okay, great. If you can really control it, Xu Qiu, you have done me a big favor and saved Linhai No. 1 Hospital!" Wang Shengde held Xu Qiu's hand, extremely excited.

After Xu Qiu left, he called Pan Fuyou alone.

It is said that that night, Wang Shengde, who rarely lost his temper, took Pan Fuyou to the office and scolded him all night long.

Wang Shengde was still a little short of oxygen during the journey.

After breathing oxygen for a while, he grabbed Fan Lei who was sleeping soundly and continued scolding him.
Chapter completed!