Siheyuan: Started in 1952, full-level medical skills

Chapter 53

Qian Ming brought a comrade-in-arms named Song Xiaoyu to Xu Cheng and asked him to treat his old comrade-in-arms.

Song Xiaoyu, who was also a soldier of Regiment Commander Liu, was shot in the abdomen on the battlefield.

Conditions are limited.

The field doctor simply removed the bullet from the abdomen.

After returning to China, he found that his stomach was faintly painful, and remembered the instructions of the war doctor when he returned to China, if there was any situation in the wound, he could go to the hospital for treatment after returning to China.

Xu Cheng pondered.

He thought that it was because the wound was not well treated at that time, which caused inflammation, and the germs entered the abdomen retrograde and caused infection.

Xu Cheng said: "It's better to operate, I will open his abdominal cavity for debridement, and then use penicillin for sterilization treatment, and see the situation!" "

The patient only said that he had a stomachache, and the other conditions were not clear.

Xu Cheng also had no way to make an accurate judgment.

Qian Ming turned his gaze to his comrade-in-arms Song Xiaoyu.

Song Xiaoyu said: "I don't know these either, but I believe Qian Ming, he said that you have excellent medical skills, people are fine, my life will be handed over to you, you can treat it as you say!" "

It's all lifelong friendship on the battlefield.

How could he not believe Qian Ming?

The patient is brought into the operating room.

Start surgery.

Local anesthesia.

Xu Cheng found that the patient's old injury incision treatment was indeed a little not very good, and there were faint signs of suppuration.

But.

This cannot be blamed on the poor operation of field doctors.

The main thing is that the environment is too harsh.

Even.

Anything can happen in war.

Sometimes it may be too late to use penicillin for sterilization and anti-inflammatory after surgery.

Treated the wound a little.

Continue surgery.

Cut open the tissue.

Open the abdominal cavity.

Xu Cheng found that the abdominal cavity was still intact.

The intestine is not damaged by ulceration, necrosis, etc.

But.

He still didn't dare to be careless.

Serious and careful debridement.

Suture the tissue layer by layer.

Stitching is complete.

The surgery is complete.

The nurse sent Song Xiaoyu to the ward and used a penicillin.

After a few hours, the anesthetic wears off, and the patient does not say that his stomach still hurts.

Xu Cheng was slightly relieved.

Unexpectedly.

When Xu Cheng went to work the next day, nurse Xiaolu told him that Song Xiaoyu had a problem again.

Still stomachache.

The nurse took his temperature and found that it was elevated.

Xu Cheng hurriedly ran into the ward to carefully examine Song Xiaoyu.

He was also found to have a rosy rash.

This is a condition unique to Salmonella typhi.

"Could it be typhoid fever caused by Salmonella?" Xu Cheng "clicked" in his heart.

The expression is a little unnatural.

"What's wrong?" Xiao Lu waited until Xu Cheng came out of the ward and asked in a low voice, "Is his illness serious?" "

"Not too serious, but troublesome!" Xu Cheng said.

To prevent infection.

Xu Cheng asked Xiaolu to re-bandage Song Xiaoyu.

He took the old gauze he had removed to the laboratory for testing.

During the microscopic examination, Salmonella typhi occurred.

shook his head.

He really felt that something was in trouble.

Salmonella typhi is gram-negative.

Penicillin is not sensitive to this bacterium.

Hurriedly took a few freshly prepared gentamicin sulfate and returned to the fifth hospital.

Found Qian Ming and directly told him about Song Xiaoyu's situation, saying that he wanted to inject him with the newly developed gentamicin sulfate.

This is the first clinical trial, and Xu Cheng does not know whether it has an effect.

"This, let Song Xiaoyu decide whether to use this medicine or not!" Qian Ming said: "I know that Dr. Xu is worried that he will not be able to accept the facts, worried that he will choose to avoid using this new drug because he is afraid, but you don't need to have this concern, Song Xiaoyu survived the rain of bullets, he is not a coward, he will definitely face it bravely!" "

Xu Cheng and the two entered the ward.

Qian Ming told Song Xiaoyu about the situation and waited for him to make an idea.

Really.

Song Xiaoyu said: "Doctor Xu, you can rest assured to do what you should do, isn't it just to test the medicine, I am willing, as you said, in addition to the new medicine, there is no longer a cure for the disease, I can't wait for death, the people who come down from the battlefield are still afraid of life?" "

Xu Cheng nodded.

Penicillin and gentamicin in combination.

Injection.

He also let him drink some symptomatic Chinese medicine.

A few hours later.

Song Xiaoyu's abdominal pain was reduced.

Body temperature gradually returns to normal.

At last.

Even the rash is gone.

Clinical trial of gentamicin sulfate successful!

Qian Ming and Song Xiaoyu thanked Xu Cheng one after another.

Because it was the first clinical trial, Xu Cheng focused on Song Xiaoyu.

His condition did not recur.

Seeing that Song Xiaoyu was about to be discharged from the hospital.

Qian Ming thought that his comrades had just come down from the battlefield, and they might not have much money on them.

He took the initiative to help Song Xiaoyu pay.

Thinking in his heart, Xu Cheng's new drug must be more expensive than penicillin.

Penicillin and gentamicin sulfate have been used several in a row, and the price is certainly not cheap.

But.

When he wanted to ask the finance whether he could take credit first, let him go back to collect money, people told him that Song Xiaoyu's medical expenses were all waived.

Testing drugs is risky.

Xu Cheng applied to the dean to waive all medical expenses for Song Xiaoyu.

Today, the five courts have developed considerably.

At least in terms of funding, there is no shortage of funds.

The dean was generous.

Return to the ward.

Qian Ming and Song Xiaoyu said about this.

Song Xiaoyu said: "I took advantage, the hospital cured my disease and exempted me from medical fees!" "

Several nurses were not taboo and said this when they went to work in other wards.

When Xu Cheng came to check the ward, the patients in the nearby ward learned the news that Song Xiaoyu's medical fee was waived, and told Xu Cheng that he also wanted to try the medicine.

Xu Cheng refused without thinking.

Gentamicin is so little, how can it be casually used by others?

And most of these patients came to avoid medical bills.

There may not be people who really want to help.

Song Xiaoyu was discharged from the hospital.

One after another.

He also introduced several comrades-in-arms who had just come down from the battlefield.

What made Xu Cheng feel incredible was that these injured warriors were all infected with Salmonella typhi.

He went to other hospitals to investigate.

Equally.

Penicillin-resistant patients have appeared in many hospitals.

Penicillin given to patients in hospitals does not stop the infection from spreading.