Chapter 466: The Great Almighty, the Great Four, the Last Line of Defense against Infection!

"Gel sponge." At this time, Xu Qiu spoke.

Mo Wan was stunned.

Gel sponge?

Isn't this a commonly used material in dentistry? After tooth extraction, a hemostatic material needs to be placed in the alveolar socket, and the gel sponge is used.

Liver repair... need to use this?

In her incomprehensible eyes, Xu Qiu took out the No. 10 silk thread and passed the gel sponge through the two ends of the suture. Soon, a thin thread wrapped in a soft sponge was successfully prepared.

This scene made the clinical doctors including Wang Ping feel very familiar.

At that time, the criminal who had a steel bar stabbed in his head was also proposed by Xu Qiu to wrap the steel bar with a condom, and finally successfully removed it.

Now the same trick is used again, but the wrapped thing has become a suture as thin as a hair.

"This really works?!" Mo Wan felt incomprehensible.

But she quickly realized that the gel sponge is soluble, can be absorbed by the human body, and has been proven to be harmless. In theory, it can really be used in liver repair!

Xu Qiu's behavior also proved this point.

The suture wrapped in a protective film shuttled through the broken liver tissue, and intermittent sutures were made along the wound edge and liver capsule.

Each suture accurately passed through the bottom of the laceration, perfectly avoiding the formation of dead space.

Deeper liver lacerations, even with the protection of gel sponges, still cannot be sutured directly. Xu Qiu simply made a parallel mattress suture at the wound edge of 1.5 cm, and then intermittent sutures on the outside of the mattress suture, and then closed the wound.

This step by step made Mo Wan dumbfounded.

The gel sponge avoided liver cutting...

Mattress suture + intermittent suture, and solved the dilemma of deep liver lacerations...

Are you here for surgery?

This is to solve the problems of existing surgical procedures!

"No wonder you dislike me!" Mo Wan's voice was trembling.

With Xu Qiu's surgical ability, a two-point injury score is simply an insult to him!

...

"The operation is over. The operation took 27 minutes."

This speed amazed everyone present.

The operation, which took more than an hour, was shortened to less than half an hour by Xu Qiu.

Liver repair and spleen repair, both operations were done smoothly.

The damage caused by aortic occlusion, which was originally required special attention, was restored to blood flow early because the operation was completed too quickly, without any negative effects.

Not to mention the innovative operations during the operation.

"The patient's liver damage is relatively serious, and the probability of postoperative shock is relatively high. Anti-shock treatment should be continued within 48 hours after the operation."

"Monitor blood potassium, sodium, chloride and CO2 binding capacity for 24 hours, and replenish sufficient water and electrolytes in time."

"In addition, after the liver is broken, thrombin and factor VII will decrease by about 40%, and the patient will have a tendency to bleed. Fresh blood and vitamin K will be combined with fluid replacement after the operation..."

Xu Qiu's explanation was meticulous, and finally explained the use of antibiotics: "Conventional broad-spectrum coverage, mepm+vcm+clid."

That is, meropenem combined with vancomycin and clindamycin hydrochloride.

This is the most commonly used antibiotic combination in clinical practice.

After leaving the operating room, Shi Lian couldn't help but be curious. After thinking for a while, he said, "Teacher, the book says that for this kind of patient, shouldn't the universal plan be used?"

"Universal plan?"

If Xu Qiu hadn't taken the postgraduate entrance examination last year and read all the textbooks, he might not have understood what this meant at the first time.

He shook his head and said, "It's outdated. Universal plan is a plan from more than 20 years ago."

This is also the most criticized point of medical textbooks.

The latest version of the textbook was revised only two years ago, but it still includes clinical experience from more than 20 years ago. It can still be used now, but it is no longer as invincible as it was at that time.

Twenty years ago, the "universal plan" of Diflucan + Vancomycin + Tylenol was amazing when it came out.

The three can complement each other, and each has its own targeted infectious bacteria. The universal plan can cover fungi, Gram-positive bacteria, and Gram-negative bacteria at the same time, which can be regarded as the last line of defense of the infectious department.

However, nowadays, with the continuous iteration of antibiotics and the emergence of new drugs, there is already a stronger line of defense against infection in clinical practice.

For example, antibiotics are surrounded, which is many times stronger than the universal ones.

And now, the top anti-infection treatment in clinical practice is the Dasixi therapy.

That is, Taineng combined with linezolid, moxifloxacin, and fluconazole.

However, Linyi has not yet carried out a case of patients who have used Dasixi. Such patients are generally very serious. Basically, they can't hold on to Dasixi before they are announced to be bad news by the ICU and taken home by their families to prepare for a feast.

"It turns out to be like this..." Shi Lian nodded. It's good to follow the teacher. A casual word can benefit her for a long time.

"Okay, there's nothing for you to do next. If you want to take the postgraduate entrance examination, go prepare for it. If you want to intern, you can continue to do surgery with me." Xu Qiu said.

"I'm admitted to the same school, and I want to continue to follow you!"

"Oh."

Xu Qiu was a little surprised.

This year's first place in the major actually chose to be admitted to the same school?

Linhai University Medical School is not very strong, and it only has some job-seeking advantages in Baiyun Province. It is not very useful outside the province or in the south.

Therefore, those who had guaranteed admission to graduate school in previous years basically went to places like Tiandu and Shanghai for further study, some went to Union Medical College, some went to West China University, and there were also a lot of people from Fudan University and Sun Yat-sen University.

This phenomenon is not unique to Linhai University.

Almost all medical schools around the world are a reserve pool for supplying talents and fresh blood to top medical schools. The top medical students eventually go to top medical schools, and those who come out of top medical schools become doctors in top hospitals...

This is an unbreakable cycle, which will further aggravate the Matthew effect in the medical field.

But it seems that Linhai University School of Medicine has broken away from the cycle. With Xu Qiu alone, more and more people want to come to Linhai.

"Who else has been admitted to our school?" Xu Qiu asked.

"There are many. Seven of the top ten majors this year have given up the admission to other schools. In addition, the school has conducted a survey before. This year, 67% of people want to apply for our school, while before it was only about 40%!"

Mo Wan followed silently.

To be honest, if she were in Shi Lian's position, she would choose to stay in Linhai without hesitation.

After seeing Xu Qiu's surgery, other doctors seemed like butchers...

"How is it, is our Doctor Xu's surgery okay?" Wang Ping took two quick steps and chatted with Mo Wan with a smile.

Mo Wan looked at Xu Qiu's back: "Not only okay, but amazing!"

Never expected that in just a few hours, she went from someone who despised Shi Lian and could only shout 666 to the person who shouted 666 the loudest!