On September 23, in the operating room of the First Affiliated Hospital of An Yi, the surgical robot opened the veil and carried out the final installation and positioning. This is the first surgical robot in Anhui Province. At 8:30 today, it will carry out the first operation in the “Doctor Careerâ€. Stereoscopic presentation of the patient's body cavity Yesterday (September 23) morning, in the operating room of the Anyi First Affiliated Hospital, the surgical robot was undergoing final installation. It consisted of three main parts, an ergonomically designed doctor's operating system; with 3 instrument arms and 1 A 4-arm bedside manipulator system consisting of a camera arm; a high-definition 3D video imaging system. During the operation, the doctor sits on the console and has 3D glasses in front. The robot's camera arm can display the internal structure of the patient's body cavity in three dimensions. The doctor is like being in it, which can better recognize the anatomy and grasp the distance. Xie Shenju, director of the medical engineering department of the hospital, said that the robot arm can use scissors, tweezers, scalpels and needle holders for sutures to rotate 360 ​​degrees, complete cutting, electric burning, knotting, etc., penetrating and knotting. Even more flexible than human hands. Difficult surgery is more elaborate The Da Vinci surgical robot is worth more than 20 million. The procurement of surgical robots needs to be submitted to the National Health and Planning Commission for approval. Currently, there is only one in the province. The reason why the introduction of surgical robots is that it can break through various limits and assist doctors in completing difficult and finer operations. Xie Shenju introduced that its special lens can produce three-dimensional images and magnify the surgical field of view 10 to 15 times, ensuring the accuracy of treatment. It also improves the surgeon's ability to operate. In the area where the hand can't reach, the robot can travel flexibly in a 360-degree space. "It's stable and accurate, which is unmatched by the human hand." The patient has a small recovery A robot can perform various operations in the "cross" department, including the corresponding diseases in the multi-disciplinary departments such as urology, hepatobiliary and pancreatic, thoracic surgery, anorectal, gynecology, and cardiac surgery. However, the cost of surgery is relatively slightly more expensive. "It is not the cost of the surgery itself. It is not expensive to comprehensively compare the factors such as shortening the length of hospital stay and returning to work as soon as possible." According to the introduction, robots are used for surgery, and there is less bleeding in the wound. “Before doing thoracotomy, some patients may need to be hospitalized for eight or nine days, but now minimally invasive surgery may only require three days of hospitalization.†The doctor said that the most important thing for patients is pain reduction and reduced injuries. More than 20 surgical robots nationwide At the end of 2006, China's first Da Vinci surgical robot was introduced into the General Hospital of the People's Liberation Army (301 Hospital); in January 2007, a patient from Shijiazhuang was willing to undergo surgery. The operation was held on January 15 of the same year. The Da Vinci robot implemented the first all-robot surgery in Asia without minimally invasive cardiac surgery. At present, there are more than 20 surgical robots in China. Gentamicin sulfate is an organic substance. The mechanism of action of gentamicin sulfate is to firmly combine with the specific protein on the bacterial ribosomal subunit, interfere with the ribosomal function, prevent protein synthesis, and cause the error of translating the code on messenger RNA (mRNA) to form a non functional protein. 10% Gentamycin Injection,Gentamicin Injection for Veterinary,Animal Medicine Gentamicin,Gentamycin Sulfate Injection Shandong Unovet Pharmaceutical Co.,Ltd. , https://www.unovetcn.com
Clinically, it is used for sepsis, respiratory tract infection, biliary tract infection, suppurative peritonitis, intracranial infection, urinary tract infection and bacillary dysentery caused by Staphylococcus aureus, Pseudomonas aeruginosa, Escherichia coli, dysentery, Klebsiella, Proteus and other sensitive bacteria.
The product was absorbed rapidly and completely after intramuscular injection, and reached the blood peak concentration (Cmax) in 0.5 ~ 1 hour. The blood elimination half-life (T1 / 2b) is about 2 ~ 3 hours, and can be significantly prolonged in patients with renal dysfunction. Low protein binding rate. It can be distributed in various tissues and body fluids, accumulate in renal cortical cells, and enter the fetus through the placental barrier. It is not easy to enter the brain tissue and cerebrospinal fluid through the blood cerebrospinal fluid barrier. It is not metabolized in the body. It is excreted with urine through glomerular filtration, and 50% ~ 93% of the dosage is excreted within 24 hours after administration.
Hemodialysis and peritoneal dialysis can remove a considerable amount of drugs from the blood and significantly shorten the half-life.
[indications]
1. It is suitable for treating severe infections caused by sensitive Gram-negative bacteria, such as Escherichia coli, Klebsiella, enterobacter, proteus, Serratia, Pseudomonas aeruginosa and methicillin sensitive strains of Staphylococcus, such as sepsis, lower respiratory tract infection, intestinal infection, pelvic infection, abdominal infection, skin and soft tissue infection, complex urinary tract infection, etc. In the treatment of abdominal infection and pelvic infection, it should be combined with anti anaerobic drugs. Gentamicin and other antibiotics are often used in clinic. Combined with penicillin (or ampicillin) can treat enterococcal infection.
2. When it is used for central nervous system infection caused by sensitive bacteria, such as meningitis and ventriculitis, it can be injected intrathecally at the same time as an adjuvant treatment.