Chapter 1063 If ​​you want to survive, you must amputate

Although the treatment of sepsis is on the right track, it is not so easy for Tian Ling to survive!

Shi Lian said: "At present, the wound surface of most areas of the patient has been freed from the infection of Pseudomonas aeruginosa, but..."

Speaking of this, her expression was a little complicated.

After a pause, she said: "But the burns on the right lower limb are very serious, the skin and flesh are almost rotten, and this local infection has not been controlled until now!"

At this moment, her mood is mixed.

The good news is that it should not be a big problem for Tian Ling to survive at this point.

But the worry is that in order to survive, she must pay a huge price!

The simplest way is naturally to remove the right lower limb!

Compared with before, if you can survive by just losing a leg, this deal is too cost-effective!

Therefore, Shi Lian is actually quite satisfied.

For this kind of patient, if you change the attending doctor, you will be absolutely powerless, and only your own teacher can drag it until now!

However, Xu Qiu's brows have never been relaxed since the beginning.

He is a person who demands perfection.

If amputation is the only option left, then he would have to give it up. But if there are other options and the efficacy of other options is not necessarily weaker than amputation, he still hopes to give the patient a complete body.

——Even if she has been burned into that state.

"Notice, there will be a meeting in the afternoon." Xu Qiu said.

This time, it should be the last meeting related to the treatment plan. If there is a problem again, just amputate.

...

In the afternoon, before the working hours, the clinic began to get busy.

In addition to the original treatment team, this meeting also attracted a large number of experts.

They are experts from the province and neighboring provinces.

As long as they can arrive at the clinic in half a morning, all qualified burn surgery experts basically come.

Among them, there are six academicians alone!

This is excluding Xu Qiu and Kong Lan. If they are added, there are a total of eight academicians!

In addition, the president of Huashan Hospital, the president of Zhongshan Hospital, and several other hospitals with a high reputation in the field of burns have basically sent top experts and administrative bosses to attend the meeting.

The reason is very simple:

Before this, no one thought that Tian Ling could really survive!

Although everyone knew that Xu Qiu had outstanding medical skills, it was still quite incredible that he could save a patient with extremely severe burns.

This can almost be said to be unprecedented in the field of burn medicine.

The few survival examples are basically all from the laboratory, which is not universal.

It is completely different from people like Tian Ling who were rescued in the clinic!

So, they don't want to miss this opportunity again!

No matter what, they have to show their faces!

At least there will be one more item on their resume in the future: I once participated in the rescue of the world's first extremely severe burn clinically cured patient...

As for how to participate, participating in the meeting is also called participation!

However, Xu Qiu naturally couldn't just let them get the reputation.

Since a group of big guys are here, wouldn't it be a loss if they don't use them?

So, he asked Wang Shengde to move more than a dozen chairs on the spot, arranged seats for these big guys, and sat at the conference table.

Now they have to speak even if they don't want to speak.

Taking this opportunity, I can also learn from the experience of these top burn hospitals and give some insights to the head of the burn department of Linyi.

…

The meeting started at around 3:00 p.m.

The big screen lit up first, showing the patient's photo taken during the noon rounds, and it was aimed at the skin graft of Tian Ling after skin grafting.

Seeing the picture, everyone present was amazed.

There are two stages in the early healing of skin grafts.

They are the plasma nutrition stage and the vascular nutrition stage.

The former occurs within one to two days of skin grafting, and the nutrition of the skin graft is entirely provided by the plasma exuded from the wound surface.

Then, it enters the vascular nutrition stage.

At this time, equal-caliber capillaries are established between the skin graft and the wound surface, and the endothelial cells of the blood vessels at the base and edge of the wound surface produce new capillary tube buds, which can grow into the skin graft with the help of the cellulose network between the skin and the wound surface...

If this step can be achieved, the blood vessels are basically formed, and the transplantation has been more than half successful.

Everyone expected that the skin graft would recover well.

However, like Tian Ling, the skin grafts were perfectly sutured, the subcutaneous layer was stably attached, and there was almost no flaw on the transplanted surface... This still shocked them!

Is this the strength of Academician Xu?

It was just a skin grafting operation, but it could make a big difference!

The simpler the operation, the more details it tests.

For example, suturing, the difference between the attending physician and the academician may not be that big, and the attending physician may even be better than the latter.

But when it comes to complex scientific research, when it comes to some top operations such as the Fontan procedure... the academicians in the industry are definitely better at doing it than the attending physicians.

Skin grafting is exactly like this.

How complicated can the so-called skin transplantation be? To put it bluntly, it is just the tailoring of the skin, cutting the skin of the donor, covering it on the recipient, and then sewing it up.

That's all.

For each operation, let alone the director, the attending physician can learn it after doing it a few times, and there is no difficulty coefficient.

However, the result of Xu Qiu's action was still far beyond understanding.

Only then did they realize that a simple surgery like skin grafting could make such a big difference...

There is almost no hematoma under the skin graft, no movement under the skin, even pressure on all parts of the skin graft, and the pathological tissue is removed cleanly.

It can be said to be perfect.

For a moment, everyone present doubted the authenticity of the picture on the screen... Is this really not P's?

However, when they saw Xu Qiu, everyone lowered their heads at the same time.

Oh, it's Dr. Xu. His medical skills are much better than those in the P picture.

…

After giving ordinary academicians a little shock, the meeting discussion began.

This conference mainly focuses on one core issue: infection control of the right lower limb!

"First provide nutritional support and immune regulation, and then carry out external intervention when necessary to improve the body's innate immune function..."

"We can start from the biological characteristics, virulence and drug resistance of bacteria. The patients are mainly infected with Pseudomonas aeruginosa. There was a study a while ago that said that the non-receptor tyrosine kinase Tec induced RAW264.7 in LPS. Murine monocytes and macrophages play an important role in the production of pro-inflammatory cytokines..."

Medical scholars and directors of top hospitals in various places have all put forward their opinions.

Those who can be present are basically the best in the field of burns. If they are not on the front line, they are on the front line. None of them has left clinical practice, so they all have quite rich experience.

But at the end of the discussion, various methods were debated, and in the end even the traditional Chinese medicine Astragalus was used to play the role of "burn immune regulation"...

No one can convince anyone.

So in the end, everyone stopped talking at the same time, and then the last solution came into their minds.

An option that no one can refuse.

"Amputation!"

The point of contention is actually to save the limb while controlling the infection.

But as long as the legs are removed, the problem will be solved.

No matter how powerful Dr. Xu is, he definitely can't save his leg now, right?

Thinking of this, everyone looked at Xu Qiu and couldn't help but think: If Dr. Xu performed the amputation, Tian Ling's life would have been saved.