medical road high rise

Chapter 452 The idea of ​​colony transplantation

Chapter 454 The Idea of ​​Colony Transplantation

Just as Qin Feng got off the operating table, he went to the ward and had a few conversations with the patient. When he was about to leave, the patient in the bed next to the patient had an emergency.

"Which doctor's patient is this?" Qin Feng asked.

"Doctor Li Hao." The intern watching the bed said weakly.

"Go and inform Dr. Li Hao, I'll check the patient's condition first." Qin Feng quickly arranged for the nurse to take the patient's temperature and blood pressure.

"The patient's body temperature is 39 degrees and blood pressure is 50/70." The nurse said.

The middle-aged man who just finished the operation looked dumbfounded. You must know that all the appendicitis patients living in this ward are on observation, but he didn't seem to care at all before.

If he hadn't listened to Qin Feng's words, then he should be the one being rescued now.

Qin Feng stepped forward to lift the patient's quilt, uncovered the gauze on the patient's body, and found that the patient's wound was clean and showed no signs of inflammation. Looking around, Qin Feng found stains on the moon work door on the bed.

What causes the patient to lose control of the sphincter and expel the contents of the bowel?Could it be fecal incontinence caused by high fever infection? How did the patient get the infection if the incision was clean?
Qin Feng has a lot of doubts, but it needs a little bit of breakthrough. Qin Feng called the intern doctor, "Prepare to give oxygen and collect blood for blood biochemistry. At the same time, let the laboratory rush to do toxin and bacterial culture."

"Prepare 2 grams of meropenem and 500 mg of paracetamol for intravenous injection."

"Do cardiac ultrasound and electrocardiogram, abdominal ultrasound for patients."

Qin Feng issued orders one by one, and the whole ward became busy. The curtain blocked the sight of the middle-aged man, and he could only vaguely see the figure inside.

"Doctor Qin, is this patient infected? Is there something wrong with the incision?" Li Hao came panting.

"It's not clear now, your incision has been treated very well without any symptoms of infection and inflammation, the specifics still depend on the results of the ultrasound and the laboratory." Qin Feng said.

"Mr. Qin, the patient's electrocardiogram, echocardiogram, and abdominal ultrasound are all normal." The intern finished the examination seriously.

After listening to Qin Feng, he was more inclined to have a bacterial infection. Infections after surgery are actually very common, but such infections right after surgery are too rare.

The most common infection is a wound infection, and the patient's wound will show redness, swelling, exudate, etc., which are caused by staphylococcus and streptococcus.

But it will take some time for the bacteria to multiply in the laboratory, so Qin Feng and Li Hao can only stand where they are. ,

Suddenly, the word bacteria flashed through Qin Feng's mind.

Clostridium difficile, also known as Clostridium difficile, is an anaerobic bacterium that generally lives in the human intestine. Extensive use of antibiotics will cause its growth to be too fast, affecting other bacteria in the intestinal tract and causing inflammation. It is a type of super bacteria kind.

"Attention everyone, everyone who has just been in contact with the patient, do not touch the mouth and nose, and sterilize and disinfect the hands. At the same time, the patient's bed sheets must be sealed separately and closed, and the patients in the same ward must be moved."

"Collect a sample from the patient's bed sheet and do an agglutination test. I judge that the patient may be infected with Clostridium difficile." Qin Feng said.

When everyone heard it, their expressions instantly became serious.

Clostridium difficile is a kind of super bacteria that often breaks out in hospitals. This kind of bacteria is very resistant to drugs. At present, only vancomycin and metronidazole are effective, and they are only effective.

When Li Hao heard about Clostridium difficile, he contacted the family members of the patient directly. This bacteria is too special and overbearing, and the possibility of being cured is very slim.

Half an hour later, the patient's parents rushed over.

Li Hao explained the patient's situation to them, and the patient's parents were frightened.

"Can't this disease be cured?" the patient's father asked.

"Theoretically, it is possible to recover by adjusting the body, but it depends more on the patient himself. There is very little we can do." Qin Feng said.

"Thank you." The patient's mother thanked her.

It's useless to say any more.

Following Li Hao back to his office, Li Hao received a call from his doctor.

"Dr. Li, the diagnosis is confirmed. The patient is indeed Clostridium difficile."

Li Hao looked at Qin Feng, "Doctor Qin, what should I do next? Shall I do a colonoscopy directly?"

"You take it for a colonoscopy first, and I'll make a call." Qin Feng said in a deep voice.

Li Hao left directly, and Qin Feng called Mr. He.

This disease cannot be solved by surgery, Qin Feng needs to listen to He Lao's opinion.

After chatting with He Lao for nearly 10 minutes, Qin Feng still couldn't find a solution.

If it is done step by step, Qin Feng feels that the possibility of the patient being cured is very small.

After seeing the results of the colonoscopy, Qin Feng frowned directly.

"This section of infected colon is more than 30 centimeters." Qin Feng said.

"The key is that if it is cut off, the patient won't be able to recover, and I'm afraid he will have to hang the water forever." Li Hao sighed.

The last thing Qin Feng wants to see is this result, but if the patient's intestines have shown signs of necrosis, resection is certain.

"Can taking probiotics improve the patient's bacterial tract?" Li Hao asked.

"There is an effect, but the effect is negligible. Now the value of Clostridium difficile in the patient's intestine has reached a terrifying value. I think the medicine may not be able to control it." Qin Feng frowned.

After temporarily handing the patient over to Li Hao, Qin Feng returned to the clinic and began to search for various information.

Until the afternoon, Qin Feng checked the information while seeing the doctor.

Yue Meng and Zhang Yao asked him if he wanted to eat, Qin Feng shook his head, he already had the guts to fight this Clostridium difficile to the end.

Mr. He came to Qin Feng's consulting room with strides, saw Qin Feng's table full of materials, not only shook his head.

"Little Qin."

"Teacher He." Qin Feng said respectfully.

"Still struggling with Clostridium difficile?" Mr. He asked.

"Yes, I see that there is a fecal transplant method abroad to deal with the second and third recurrences of Clostridium difficile. I wonder if it can be improved to completely solve the patient's situation." Qin Feng expressed his thoughts.

The only one who can answer Qin Feng now is He Lao.

"In fact, two years ago, some people in our country were researching this direction, but finally found that although the beneficial bacteria had the upper hand to suppress the reproduction of Clostridium difficile, there were too many bacteria in the feces, and we could not judge which kind of bacteria was difficult to suppress. Clostridia, and at the same time there will be a result, that is, a large outbreak of bacteria will directly lead to the death of the patient." He got up and poured himself a glass of water.

"Another point is that it's hard to find donors. How do you know who provides healthy stool? Everyone's physical condition is different, and the number and proportion of bacteria in the intestine are also different."

"The success rate of your idea is only a few percent, and there is a high probability of failure." He Lao warned.

Qin Feng nodded, He Lao was right, the risk of this matter is too great, it does not mean that Qin Feng will succeed by taking risks, it is a bit different from surgery.

(End of this chapter)