事件记录
面试官: You just had a surgical procedure and a few days later an infection develops. Would you know what that even looks like? We'll talk about that next on 范围.
播音员: This is From the Front Lines with emergency room physician Dr. 特洛伊马德森在范围报道.
面试官: Dr. 特洛伊马德森 is an emergency room physician at University of Utah Health Care, and one point we were talking about some of the things that you see and one of the things that you see fairly commonly are surgical site infection. So if somebody has had a procedure done and it's gotten infected, 这是可能发生的, and then they come into the ER to get treatment. 跟我说说这个吧.
Dr. 马德森: 你是对的. 它是发生的事情. Surgeons do everything they possibly can do to limit the infection rates with sterile procedure and all the steps that are taken during and after an operation, 但感染仍然不罕见. We do see those cases in the ER of people who have had operations and have infections, and I think the biggest thing that's challenging with this is sometimes we see cases where people have really severe infections.
面试官: 好像他们等得太久了?
Dr. 马德森: 完全. 你自己想, “人, if they had just come in two days ago, they could have just gotten on an antibiotic and gone home." But at this point it's become so severe that they have to be admitted to the hospital on IV antibiotics, sometimes have to go back to the operating room to open that up and try and get that infection out. So it's certainly worth knowing what to watch for.
最重要的是发烧. If you've had an infection, if you're having 发热s, that's a reason to absolutely call your surgeon. They will likely tell you either see me in clinic tonight or today or tomorrow or go to the ER to get blood work done and take a look at the wound.
The other thing we'll see is drainage from the wound. It's natural to have some kind of drainage, maybe a little bleeding from the wound after an operation, but if you start to see this yellowish colored or darker colored pus coming out of there, or you're seeing this on the dressing that goes on the wound, that's a reason to again call your surgeon and/or get to the ER.
The other big thing is 伤口周围发红. You figure you had part of your body cut open, 它会有点烦躁, 有点发炎, but when you start to see this bright red color around a wound, 你触摸它, 感觉很温暖, that's another pretty serious sign that you've got an infection in your wound.
So these are probably the three biggest things that I see; drainage from the wound, 伤口周围发红, 发热, all reasons to get in touch with your surgeon, 找人来看看这个, and then possibly get on an antibiotic to catch this early enough so it's not something that requires hospitalization or another surgery.
面试官: So it sounds like time is crucially important, and it's not one of those things that you might want to go, “嗯, I'm just going to wait another half day and see if it starts looking any worse."
Dr. 马德森: 完全, and there's no harm in just having someone take a look at it. It's a time where you really do have to be careful. No harm in having someone take a look and say, “实际上, 这是正常的, 这是手术后的预期结果," and then giving it another day or two, but you want to catch these things early.
面试官: 是的. 打电话给你的外科医生. If you're not able to get a hold of them, an urgent care if they're open, would that be okay?
Dr. 马德森: 是的, as long as you've got someone who can look at it, an urgent care or . . . 他们可能更希望你来急诊室, 因为如果是在急诊室, preferably the one affiliated with the hospital where you had the surgery, because then the ER knows exactly what the procedure was. The surgeon can then access all the records from the ER. It just makes it a little easier that way to get a sense of what's going on.
面试官: 问题. 所以找个人来看看. 认真对待.
Dr. 马德森: 是的.
面试官: 尤其是如果你刚做过手术.
Dr. 马德森: 绝对.
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