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The mountain rain is coming, and the wind is full of buildings

Although it is not obvious, some subtle wind directions have begun to quietly spread around in certain circles throughout Sijiu City; This time the wind was not loud, but the movement was not small, at least everyone who heard the news, except for some stakeholders, most of them began to tightly retract their heads into their shells, and no one dared to participate in anything.

But the General Hospital of the Three Armed Forces was still calm at this time, Jiang Yuan led Dr. Tao to continue his rounds, although Yuan Yizhang's words last night made him feel a little strange, but he didn't realize that he had been involved in this big whirlpool.

Although he is only a small character, he does not know that he is a very crucial one; And for the protagonist, no matter how small the role is, it is impossible not to come out to play soy sauce without being critical

"This patient should complete the operation as soon as possible, and if the operation is done one day earlier, it is estimated that he will be able to recover three or four days earlier," Jiang Yuan smiled and nodded to Lin Yangzhi on the side.

"Okay, Director Jiang, I will readjust the order of the operation and try to arrange it this afternoon" Lin Yangzhi looked at Jiang Yuan very approvingly, and nodded, although this Director Jiang is young, he does have his own uniqueness in seeing things, far more sensitive in some aspects than a person like himself.

After "have a good rest" explained that the patient was resting at ease, Jiang Yuan walked towards another patient accompanied by the person of the repertoire Yang.

"Patient Luo Yinming, male, 28 years old, was admitted to the hospital for three days due to injuries to his left abdomen and large leg due to an accident"

After listening to the report of the trainee who seemed to be a little vague, Jiang Yuan looked at the young man with a sallow face in front of him, his eyes flashed slightly, and then he asked Qu Yang on the side, "Which unit?" ”

Qu Yu Yang was slightly stunned, and after looking at Jiang Yuan's eyes flashing a trace of surprise, he then replied in a low voice: "Northern Tibetan Mountain Field Division"

Sure enough, it was sent by the military, Jiang Yuan nodded, stretched out his hand and said, "I'll take a look at the medical records."

The scholar next to him was called Wang Limin, and after hearing Jiang Yuan's words, he hurriedly sent the medical records at hand with both hands;

After taking the medical record, Jiang Yuan looked at it carefully, although the records in the case were not particularly clear due to some confidentiality principles, Jiang Yuan still saw that this patient was an artilleryman who was injured by an accident with a bomber.

casually flipped through the medical order page of the medical record in his hand, and after looking at it a few times, he nodded and returned it to Wang Limin;

empty

For Jiang Yuan's movements, several doctors and the trainees behind him are also very concerned, this is followed by two days of ward rounds, this is the first time that Director Jiang has taken the initiative to reach out to take the medical records, it seems that he seems to be a little particularly concerned about the patient in front of him.

Therefore, everyone paid more attention to Jiang Yuan's next moves.

Jiang Yuan carefully opened the wound on the patient's left leg.

As the wound was opened, only a strong rancid smell came to my face

Several doctors and trainees next to him couldn't help frowning slightly when they smelled this smell, but Jiang Yuan was as if he didn't realize it, and even leaned down, approached carefully, and observed the wound

Several female trainees couldn't help but take out the mask from their pockets and wanted to put it on at this time, but seeing Jiang Yuan leaning over like this, they even sniffed it carefully, and then there was a trace of self-shame in their eyes, and they hurriedly and quietly put the mask back in their pockets.

"Anaerobic infections are very strict!" Jiang Yuan, who frowned slightly, carefully sniffed the rich rancid smell coming from the end of his nose, and shook his head secretly, remembering the antibiotics he had just seen from the doctor's order, and looking at the obvious infection in front of him, Jiang Yuan's brows began to wrinkle tightly at this time.

A lot of anti-infective drugs have been used, but it is obvious that the effect is not good at all, and now the patient's wound infection has reached the point of being extremely strict; But so many drugs have been used, and the effect is not good, so what drugs can be used to control it? If this continues, I am afraid that the patient's leg will not be saved.

Jiang Yuan stood up with a frown, then looked at Qu Yang on the side, and said, "Have you done bacterial culture?" ”

"I sent it for cultivation yesterday morning, but the laboratory said that it had encountered a little trouble, and it is estimated that the antimicrobial susceptibility test will not come out until the day after tomorrow," Qu Yuyang hurriedly replied.

"The day after tomorrow?" Jiang Yuan's brows furrowed again, if he waited until the day after tomorrow to get the drug sensitivity results, and then chose antibiotics based on this result, then it would be too late

Seeing Jiang Yuan frowning, the repertoire Yang next to him hurriedly explained: "Director Jiang can't help it, the patient has been sent over and started to use various antibiotics, but the effect is really not good, and it is developing very quickly."

Listening to Qu Muyang's explanation, Jiang Yuan naturally knew that it was not his responsibility, but the situation in front of him was indeed a headache for him, and if he was allowed to continue like this, the patient's leg would definitely not be saved.

Looking at that young and hopeful face, Jiang Yuan sighed secretly, leaned down again, and observed the wound, if there is no suitable antibiotic now, then the only way is to perform surgery to clean the wound first, and remove the infected muscle tissue to inhibit the further development of the infection.

However, one of the rather undesirable consequences of this practice is that the patient's recovery and recovery in the future will be very troublesome and will take a long time.

Several doctors and trainees in the back watched Jiang Yuan come to the patient's wound and observe it carefully, and then their faces began to show a hint of admiration, and said secretly: "No wonder this Doctor Jiang is so young that he can reach such a point; With this kind of dedication alone, although I and others think that they are quite dedicated on weekdays, they are still far from Dr. Jiang."

Jiang Yuan carefully assessed the entire wound, silently calculating what kind of course the patient's wound would go to after the debridement of the entire wound, and what the prognosis would be.

However, after Jiang Yuan's assessment, he sighed secretly in his heart, even if the operation was done carefully, and the corresponding antibiotics that were effective enough were found afterwards, I am afraid that it would take more than a year for the patient to slowly recover his function.

Just as he sighed, Jiang Yuan took a light breath, and was about to stand up, when suddenly a message flashed in his mind: "The rancid breath is caused by the lunar-shaped single-celled abysthetic oxygen bacteria."

Feeling this message flashing in his mind, Jiang Yuan was slightly stunned, but his heart was suddenly happy, knowing that it was probably the effect of his nose sense strengthening at this time, but he didn't expect that there would be such an effect.

"Lunar-shaped single-celled anaerobic bacteria" Jiang Yuan quickly came up with the information of this anaerobic bacterium in his mind, this anaerobic bacterium is extremely anaerobic, so it is quite difficult to decompose, the laboratory said that it has encountered a little problem, and it is estimated that it is because it cannot decompose bacteria.

This crescent-shaped single-celled anaerobic bacterium seems to be extremely resistant to general drugs, but it is relatively sensitive to only one of the simplest drugs

Thinking of this, Jiang Yuan's eyes lit up, if this is the case, the debridement surgery does not need to be carried out so thoroughly, completely remove all the infected surfaces, as long as a part of it is carried out, and then use this drug, if it can be controlled, the patient's recovery should be quite fast;

If you follow your own assumptions, the patient will not only be able to save the leg, but will also be able to fully recover in a maximum of two months.

Standing up slowly, Jiang Yuan turned his head to look at Qu Yang on the side, and said, "Today, stop using metronidazole and levofloxacin, switch to chloramphenicol, and continue to use cephalosporin, and after the ward round, I will come to debride him."

"Ah" Hearing Jiang Yuan's words, all the people around here were stunned, just now they had all secretly studied this case in their hearts, and they all felt that such a case was very troublesome, and they couldn't find a suitable drug, but they were afraid that this leg would really not be saved; But this is indeed the case in front of us, and there is no other way.

But Jiang Yuan suddenly proposed to use chloramphenicol, a drug that had long been outdated and had not been eliminated, and this kind of person was stunned in unison.

Qu Yu Yang stayed for a while before coming back to his senses, looked at Jiang Yuan and said in surprise: "Director Jiang's side effects of chloramphenicol"

"I can't save my legs, so what are the side effects? After using it for two days, if it has no effect, it won't have many side effects" Jiang Yuan said in a deep voice: "Otherwise, when the drug sensitivity results over there come out, I don't know when; Since the current drugs are not working well, then we can't do nothing, just look at it, and always find a way! ”

Being reprimanded by Jiang Yuan's words, everyone's backs couldn't help but straighten up a little at this time, in the past two days, I have been seeing that Director Jiang is smiling and very kind to people, but this formalization, this majesty is not ordinary, it seems that even Director Zhao does not have such momentum; And the few trainees who followed behind were even more silent at this time, and they didn't even dare to breathe loudly.

"Yes, I'll give it to him right away!" And the song Yang who was in the brunt of it, naturally had already tensed his back at this time, and after Jiang Yuan finished speaking, he immediately nodded vigorously in response.

"Uh-huh, let's go next, hurry up"

Seeing Jiang Yuan turn his head and walk out of the room, Qu Muyang secretly exhaled, remembering the majesty of Director Jiang just now, he couldn't help but reach out and wipe his sweat; And the other two doctors also gave a sympathetic look at this time, and at the same time secretly rejoiced, fortunately it was not their own patient, otherwise they would be the ones who were facing the pressure of Director Jiang.

Dr. Tao next to him also secretly exhaled at this time, no wonder his fellow student Xu Xiaoling said yesterday that Dr. Jiang was very majestic, first of all, he didn't think it, but now he found out that in his work, this Director Jiang is really awe-inspiring when he is serious.

However, Dr. Tao also knows very well that only with such aura and control can he truly be called an excellent department director-

Only now do I figure out that GivEn, which was red yesterday, turned out to be a sister paper, and I was ashamed to be tight (to be continued)