The storm is about to come and the wind is filling the building

Although it is not obvious, some subtle wind directions have begun to spread quietly in certain circles throughout Sijiu City. This time the wind is not loud, but the movement is not small, at least everyone who hears the wind

People, except for some stakeholders, most of them have begun to put their heads tightly into their shells, and no one dares to participate in it.

But the General Hospital of the Armed Forces was still calm at this time. Jiang Yuan led Doctor Tao to continue the ward rounds. Although Yuan Zhang's words last night made him feel a little strange, he did not realize that Zijiyijing was involved in this maelstrom.

middle.. "" .

Although he is only a small role in it, he is not only a very crucial one; and for the protagonist, no matter how small the role is, it is not critical and cannot be used to make soy sauce.

"This patient needs to complete the operation as soon as possible, so hurry up and do it one day in advance. It is estimated that he can recover three or four days in advance." Jiang Yuan smiled and nodded to Lin Yangzhi beside him.

"Okay, Director Jiang, I will rearrange the order of the surgery and try to arrange it for this afternoon." Lin Yangzhi looked at Jiang Yuan with approval and nodded. Although Director Jiang is young, he does have good eyesight.

His uniqueness is that he is far more sensitive in certain aspects than someone with a professional background like Ziji.

After telling the patient to "rest well" and rest peacefully, Jiang Yuan, accompanied by Qu Yang's people, walked towards another patient.

"Patient Luo Yinming, male, 28 years old, was hospitalized for three days due to injuries to his left abdomen and thigh due to an accident."

After listening to Quyang's advanced trainee's report, which seemed to be vague, Jiang Yuan looked at the sallow-faced young man in front of him, his eyes flickered slightly, and then asked Quyang beside him: "Which army are you from?"

Quyang was stunned for a moment, looked at Jiang Yuan with a surprised look in his eyes, and then whispered back: "North Tibetan Mountain Field Division"

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

Pángbiān’s trainee named Wang Limin heard Jiang Yuan’s words and quickly handed over the medical records in hand;

Taking the medical record, Jiang Yuan looked through it carefully. Although the record in the case was not Tèbiéqingchu due to certain confidentiality principles, Jiang Yuan could still see that the patient was an artilleryman who was injured in an accident with a bomb.

He casually flipped through the medical order page of the medical record in his hand, glanced at it a few times, nodded, and handed it back to Wang Limin;

Several doctors and the trainees behind him were also very concerned about Jiang Yuan's actions. After two days of ward rounds, this was the first time that Director Jiang took the initiative to reach out for the medical records. It seemed that he was interested in the person in front of him.

The patient seemed to have some tèbié concern.

Therefore, everyone became more concerned about Jiang Yuan's next actions.

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

As the wound was opened, a strong putrid smell came to my face.

Several doctors and trainees in Pángbiān could not help but frown slightly when they smelled the smell. However, Jiang Yuan seemed unaware and even leaned down. He came closer and observed the wound carefully.

At this time, several female trainees couldn't help but take out masks from their pockets and wanted to put them on, but when they saw Jiang Yuan leaning over to look at him, he even sniffed and smelled carefully. At this time, their eyes

They all showed a hint of shame again and quickly and quietly put the masks back into their pockets.

"Anaerobic bacterial infection is very serious!" Jiang Yuan frowned slightly and carefully smelled the strong rancid smell coming from his nose. He shook his head secretly and thought of the antibiotics he had just seen from the doctor's orders.

Looking at the serious infection in front of him, Jiang Yuan's brows began to frown tightly.

Many anti-infective drugs have been used specifically, but it is obvious that the effect is not good. Now the patient's wound infection has reached an extremely serious level; but so many drugs have been used, and the effect is not good, then

Can it still be controlled with shime drugs? If this continues, I'm afraid the patient's leg will not be saved.

Jiang Yuan frowned and stood up, then looked at Quyang aside and said, "Have you done bacterial culture?"

"Yijing sent it for culture yesterday morning, but the laboratory said it encountered some trouble. It is estimated that the drug sensitivity test will not be available until the day after tomorrow," Qu Yang replied quickly.

"The day after tomorrow?" Jiang Yuan's brows frowned again. If the drug sensitivity results were not released until tomorrow, and then antibiotics were selected based on the results, it would probably be too late.

Seeing Jiang Yuan frown, Pángbiān Quyang quickly explained: "Director Jiang had nothing to do. He started using various antibiotics as soon as the patient was brought here, but the effect was really not good, and it progressed very quickly."

After listening to Quyang's explanation, Jiang Yuan naturally knew that it was not his responsibility, but the situation in front of him was really giving him a headache. If Ruguo allowed it to continue like this, the patient's legs would definitely not be saved.

Looking at that young and hopeful face, Jiang Yuan sighed secretly, leaned down again, and observed the wound. If Ruguo couldn't find suitable antibiotics now, the only way was to perform surgery to clean the wound first, and then

Infected muscle tissue is removed to inhibit further development of infection.

However, this approach has a very bad consequence, which is that the patient's future recovery and recovery will be very troublesome and require a long time.

Several doctors and trainees at the back saw Jiang Yuan approaching the patient's wound and observing it carefully. At this time, their faces began to show a hint of admiration, and they secretly said: "No wonder this Dr. Jiang

You can't reach this level at such a young age. Although such dedicated people as Jingshén, Ziji and others think that they are quite dedicated, compared with Dr. Jiang, they are still far behind."

Jiang Yuan carefully assessed the entire wound and silently calculated how severe the patient's wound would be and what the prognosis would be like after completing the debridement surgery.

However, after Jiang Yuan made this assessment, he sighed secretly in his heart. Even if the operation was performed carefully and sufficient and effective antibiotics were found afterwards, the patient would probably need more than a year to recover slowly.

Function.

Just as he sighed. Jiang Yuan took a deep breath and was about to stand up when a message flashed through Turán's mind: "The rancid smell is caused by moon-shaped single-celled anaerobic bacteria."

Seeing this message flashing through his mind, Jiang Yuan was slightly stunned, but his heart suddenly felt happy. It was probably due to Ziji's enhanced nose sense at this time, but he never thought that there was such a thing.

kind of effect.

"Moon-shaped single-celled anaerobic bacteria" Jiang Yuan quickly came up with information about this anaerobic bacteria. This anaerobic bacteria is extremely anaerobic, so it is very difficult to decompose it. The laboratory said that it had encountered a problem.

, I guess it’s because bacteria can’t be broken down.

This kind of moon-shaped single-cell anaerobic bacteria seems to be extremely resistant to common drugs, but it is only relatively sensitive to 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 thorough at all. It only needs to completely remove all the infected surfaces. Then use this drug to control the patient's recovery.

Quite fast;

According to Ziji's idea, the patient will not only be able to save his leg, but it will only take up to two months for him to fully recover.

Standing up slowly, Jiang Yuan turned to look at Quyang beside him and said: "Today, I stopped taking metronidazole and levofloxacin, and switched to chloramphenicol. I will continue to use it together with cephalosporins. After the ward rounds, I will give him

Perform debridement surgery”

"Ah" everyone in Zhouwei was startled when they heard Jiang Yuan's words. They had all studied this case secretly in their minds just now. They all felt that such a case was very troublesome and they couldn't find a suitable drug.

, I am afraid that this leg really cannot be saved; but the situation in front of me is indeed like this, and there is no other way.

But when Jiang Yuan Turán proposed the use of chloramphenicol, a drug that has long been out of date and is only short of being eliminated, all these people were stunned.

Qu Yang was stunned for a while before he came back to his senses. He looked at Jiang Yuan and said in surprise: "Director Jiang, the side effects of chloramphenicol."

"You can't even save your legs, why do you care about the side effects? If you use it for two days, if it's effective, there won't be much side effects." Jiang Yuan said solemnly: "Otherwise, when the drug sensitivity results over there come out, we won't know the side effects yet; since

The current drugs are not very effective, so we can’t just do nothing and just watch, and we must always find a way!”

After being reprimanded by Jiang Yuan's words, everyone couldn't help but straighten their backs. In the past two days, they have always seen Director Jiang smiling and being very friendly to people. But this time it became official.

This majesty is not ordinary, it seems that even Director Zhao has such a momentum; and the few trainees following behind are even more silent at this time, not even daring to breathe loudly.

"Yes, I'll use it for him right away!" Quyang, who was about to be hit, naturally tensed up his back. After Jiang Yuan finished speaking, he immediately nodded vigorously and responded.

"Okay, okay, let's go next, hold on tight"

Seeing Jiang Yuan turn around and walk out of the room, Qu Yang secretly exhaled. Thinking of the majesty of Director Jiang just now, he couldn't help but reach out and wipe his sweat. At this time, the other two doctors also handed over a sympathy letter.

With a look in his eyes, he was secretly glad that he was not Ziji's patient, otherwise it would have been Ziji who was facing Director Jiang's pressure.

Dr. Tao from the pángbiān also sighed secretly at this time. No wonder Xu Xiaoling, Ziji's trainee student, said yesterday that Dr. Jiang was very dignified. First of all, Ziji didn't feel it, but now he discovered that at work, Director Jiang is really impressive when he is serious.

People are in awe.

However, Dr. Tao is also very passionate. Only with this kind of aura and control can he truly be called an excellent department director.

Now I just found out that the girl who was blushing yesterday turned out to be a girl. I’m so embarrassed.
Chapter completed!