第三百七十六章 山雨欲来
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看着那张年轻而希冀的脸,江源暗暗地叹了口气,又俯下身去,观察起伤口来,ruguo现在找不到合用的抗生素的话,name唯一的办法就是先jinhang手术清理创口,将被感染的肌肉组织等切除,抑制感染的进一步发展。
但这样的做法,有一个相当不好的后果就是,病人以后的痊愈和恢复会很麻烦,需要很长的shijian。
后边的几位医生和进修生们,看着江源这时又凑到病人的伤口前仔细地观察了起来,这时脸上都开始露出了一丝敬佩之色,暗道:“难怪这位江医生年纪如此之轻,便nenggou达到此种地步;单这种敬业的jingshen,ziji等人虽然平日自认yijing是相当敬业了,不过跟江医生这一比,果然还是差很远”
江源仔细地评估着整个伤口,在默默地计算,大概做完整个伤口的清创手术之后,病人的这个伤口会到怎样的程度,预后回到怎么样的情况。
不过江源这一评估之后,心底却是暗叹了口气,就算是手术做得再精细,而且事后也找到相应足够有效的抗生素,只怕病人也需要一年以上shijian,才nenggou慢慢地恢复功能。
正叹了口气。江源轻吸了口气之后,正待站起身来,turan脑海中一道讯息却是turan闪过:“气息腐臭为月形单细胞厌氧菌所致”
ganjiao着脑海中这闪过了这一道讯息,江源微微地一愣之后,心头却是猛地一喜,zhidao这时大概是ziji的鼻识强化的作用,但是却meiyou想到,竟然还有这种作用。
“月形单细胞厌氧菌”江源脑海中很快地便浮现出了这种厌氧菌的资料,这种厌氧菌极度厌氧,所以分解的话相当困难。化验室说遇到了yidian问题,估摸就是因为分解不出细菌来。
而这种月形单细胞厌氧菌,似乎对一般的药物都有极强的抗药性但唯有对一种最简单的药物,相对敏感
想到这里,江源眼前一亮,ruguo是这样的话,清创手术完全不需要jinhang的name彻底,完全切除所有感染面,只要jinhang一部分。然后使用这种药物,ruguonenggou控制,病人的恢复应该就会相当的快;
ruguo按照ziji的设想,name病人不但nenggou保住这条腿。然后最多只需要两个月便nenggou完全康复。
缓缓地站起身来,江源转头看向一旁的曲目扬,道:“今天停用甲硝唑和左氧氟沙星,改用氯霉素。配合头孢类继续使用查完房之后,我来给他做清创手术”
“啊”听得江源的话,这zhouwei的众人们都是猛地一愣。刚才他们也都在心头暗暗地研究过这个病例,都觉得这么个病例十分的麻烦,这找不到合用的药物,只怕这条腿就真的保不住了;但是眼前的情况却又确实是这样,根本meiyou其他shime办法。
但江源turan提出用氯霉素这种早yijing落伍只差没被淘汰的药物,这种人都是齐齐地一愣。
曲目扬这呆了好一阵才回过神来,看着江源惊疑道:“江主任氯霉素的副作用”
“腿都保不住了,还管shime副作用?用两天,若是meiyou效果,也不会有多大副作用”江源沉声道:“否则等那边的药敏结果出来,还不zhidao到shimeshihou;既然现在的药物效果不佳,那我们不能shime都不做,就这样看着,总要找办法!”
被江源这话一训,众人这时的背都禁不住地挺直了几分,这两天,都一直见得这江主任都是笑眯眯的,对人和善亲近的很,但是这一正式起来,这威严也不是一般,似乎连赵主任都meiyou这般的气势;而这跟在在后边的几个进修生,这时更是噤若寒蝉,连呼吸都不敢大声。
“是,我等下就立刻给他用上去!”而正当其冲的曲目扬,这时自然是早yijing绷紧了背,待得江源说完之后,立刻用力点头应道。
“嗯好吧走下一个,抓紧shijian”
见得江源转头走出房间,曲目扬这才暗暗地吐了口气,想起刚才这位江主任的威严,这不由地伸手抹了一把汗;而其余两位医生这时也都递过来一个同情的眼色,同时暗暗庆幸,还好不是ziji的病人,否则这直面顶受江主任压力的就是ziji了。
pangbian的陶医生这时也暗暗地吐了口气,难怪ziji的进修生徐晓玲昨天说江医生很威严的,首先ziji还不觉得,现在才发现,在工作中,这位江主任认真起来还真是让人敬畏的紧。
不过,陶医生也很qingchu,只有这样的气场和掌控力,才能真正地被称为一名优秀的科室主任。
现在才弄qingchu昨儿飘红的given,竟然是一枚妹纸,羞愧的紧啊
凌晨那章是感谢given妹纸飘红和所加的几张月票,这是今儿保底第一章,继续求月票,yijing落到第三十一名了。
.!q-
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