"Burn infection is the main factor threatening the lives of patients at present, and three military hospitals in China have given reference guidelines, 52% of patients with scald injuries die from infection, and the Cincinnati Burn Center in the United States reports that 75% of patients with large-scale scald injuries die from infection. "Zhang Fan came as soon as he opened his mouth, and these data came from the liver when he was transferred to the dermatology department.

Medicine is a science, and when you can't convince the other party about surgery or treatment, you can only rely on data. These data, if not specially prepared, it is very difficult for ordinary doctors to come when they want to open their mouths, and these data are not used for treatment, this is the difference between doctors and scholars, things in the world are so nonsense, it is really not easy to be a good doctor.

"It has little to do with the use of antibiotics against anaerobes. I think the use of anti-anaerobic bacteria in this triple antibiotic is a waste, which not only occupies the channel, but also easily causes drug resistance. The doctor at the military hospital directly interrupted Zhang Fan's words.

The battle of ideas seems to be very gentle, but in fact, the slightest carelessness in this can be fatal. Grab a point, and you can overturn all of you, and then it's a matter of pushing back the responsibility.

Human life is at stake, and a small matter can be magnified to the point that ordinary doctors can't bear it, not to mention that this wounded man is still a hero.

Ouyang felt that something was wrong, she turned her head and looked at the doctor in her hospital, the meaning was very clear, help the field! She knew Zhang Fan, the surgery was very powerful, but the internal medicine was average, and Zhang Fan, who was in the cardiology department, was about to collapse.

And she knows this kind of thing 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, is actually very united, you help me, I help you, in this special industry cautious and slowly.

The head of the respiratory department, Jumabek was just about to speak. Zhang Fan nodded at him and motioned for him to wait for a while. Then, Zhang Fan continued: "Where there is rot, there must be bacteria! Although most of the burns are bacilli. However, after the use of spectral antibiotics, the effect is still not obvious, why? is because of the omission of anaerobic bacteria. ”

"Is there any basis for what you say? Is there any laboratory data? Where does this come from, this is treatment, this is human life, not what you say. "One of the doctors in the army is starting to get a little bit on the line.

In fact, how to say this, there are too many detours in my country's burn department, and compared with other departments, this discipline is really not easy.

The blockade of Europe and the United States in the early years, especially when it came to war, really did everything for the tightness of the blockade in our country. In that year, during a war in the south of our country, a large number of soldiers were burned.

The entire medical system, especially the military's medical system, can be said to be doing everything they can to find out what they can do.

For example, after the wounded person is admitted to the hospital, a number of surgeons are gathered to comprehensively debride the patient, but the result is still not good, and the infection is still the same.

Then there is aseptic isolation, quite strict aseptic isolation, medical staff entering the ward must bathe, wear isolation gowns, mouth with antibacterial chewing gum, enter the ward of a stroke, a piece of paper are strictly disinfected, but the infection continues.

These are the results of human lives, the lives of countless soldiers.

"Hehe!" Zhang Fan smiled expressionlessly. Did he really want to say that it was necessary? Is it necessary?

"First of all, there are various germs in the human body. Bacteria that were not pathogenic have become pathogenic bacteria under this large-scale trauma. And 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. military war in Afghanistan, their Telplitz research center clearly pointed out that burns are antibacterial in the first place, and antibiotics must be the first anti-anaerobic bacteria. ”

Zhang Fan directly threw out the results in the system. Infection is a large part of the surgical system, and when Zhang Fan revisited the basics of liver surgery, he didn't know how many times he had read it. Zhang Fan's step-by-step improvement is really not in vain.

"Well, but there's a lot of debate at the moment, and I think it's up to the debate that it takes up such a precious liquid channel. The tone of the military doctor who questioned immediately dropped several notches, no way, the other party is too capable, such a niche journal can dabble in it, he has nothing to say.

This kind of journal also takes a look at the doctors in the military scald department, because the medical industry also has a field of battlefield first aid, and the Telplitz center is only a small center for the US military to study battlefield burns, and he has also read it, so he is speechless.

The director of the burn department of the main hospital was also surprised, there were not many doctors who could read such periodicals in their hospital, after all, the war seemed to be far away.

And the doctors here in Chasu City have hardly heard of this center, but this does not prevent them from being proud! Ouyang's frowning brows slowly let go, and the corners of his mouth began to curl slightly, proud! Zhang Fan didn't embarrass her, and she didn't stand up for him in vain.

"It seems that Dr. Zhang is confident! Can you make sure your patients survive the bacterial outbreak?" said the director of the scalding department at the main hospital, to the point.

Zhang Fan opened his mouth and couldn't speak. Treatment, especially this antimicrobial treatment, has too many factors to be expected, and even if there is a 99% chance that it is safe, not to mention that this treatment has not yet reached such a high rate.

"Even if you don't use anti-anaerobic treatment, can you ensure that the patient can safely pass this dangerous period?

"However, this is the treatment plan for our army at the moment. ”

Can you make sure that the wounded survive the danger outbreak?"

I don't know, but what Zhang Fan can be sure of is that no one can convince anyone.

"Okay, let's not discuss this issue yet, what now?" the face of the director of the general hospital turned red with anger.

"Hmph!" Arguments, especially this kind of ideological or inconclusive line arguments, Ouyang didn't know how much she had experienced when she was young, and the director of the General Academy was her opponent.

"I understand the patient's feelings when he is lying in the hospital bed, but now is not the time to discuss this. Now, I command. Ouyang fought back, the old lady is really strong, her brain is alive and her language is sharp, and ordinary people are not opponents. After she seized the initiative, she directly began to give orders, not giving you a respite at all.

As soon as these words were said, all the doctors in Chasu City Hospital stepped forward and listened attentively, no matter how angry the doctors of the main hospital were, they had to carry it out, 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, and the director of the scald department of the General Hospital and the president of Stone Town Hospital are the deputy team leaders, and I am fully responsible for the condition of the wounded, and do a good job of coordinating and reporting in a timely manner.

The director of the dermatology department of Chasu City and the deputy director of the scalding department of the General Hospital led the vice president of Shicheng and its ICU director and head nurse as the first group to fully monitor the patient's skin and life status and monitor it 24 hours a day.

The director of the respiratory department of Chasu City, the director of cardiology, and the doctors of the general hospital are the support group, timely and accurately synthesizing the patient's condition, estimating the patient's condition, adjusting the treatment at any time, and being on call 24 hours a day.

Zhang Fan led the other personnel to prepare for all surgeries for the second group and was on call 24 hours a day. ”

After speaking, Ouyang looked at everyone present and continued: "Now, put aside the controversy and go all out. As the leader of the current position, I will give you a preventive shot first, if anyone is not attentive and shirks responsibility during the rescue period, no matter which system you are, I will definitely not give up.

The hero lying in bed has already paid such a great price, and we, as doctors, as his last and only hope doctor, must not let him chill. Get on board!"

In white coats, everyone put on the white coats of Stone Town Hospital and entered their respective posts.

"Heart rate, pulse, blood pressure, recorded every ten minutes. Steroids and colloidal fluids are increased. "The figures in the ICU swayed, and the families of the firefighters thousands of miles away set off with the help of the local government.

Silent tears were sprinkled across this thousand-mile road.

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