Chapter 309: The Emperor Summons
The next thing Jiang Huijia has to do is to make a self-made drainage tube. Pen & Fun & Pavilion www.biquge.info
This thing should have been prepared before the operation, but due to the limited materials in ancient times, it was impossible to make that kind of suitable hose, and Jiang Huijia had not been able to keep this thing in the medicine box.
All she could think of was the animal's aortic blood vessels. This is the same as the last time she did lung intubation for the lady of the Xiao family, she chose the porcine radial artery as the material.
It's just that the lung cannula requires a more slender artery, so a smaller radial artery is used, and the drainage tube is required to be thicker, so the large artery is used.
This thing can only be taken and made on the spot, and Jiang Huijia has not thought of any way to preserve it so that it will not be corrupted.
On the way to come, Jiang Huijia imagined a surgical plan based on speculation, and originally wanted to prepare a drainage tube before operating on Song Yi, but the situation was too urgent at that time, so she had no choice but to do surgery first.
When she asked to borrow the kitchen and fresh the whole pig, Xu De was still a little inexplicable.
But he stayed here at this time, of course, not just because he was concerned about Song Yi's injury. Comparatively speaking, for Xu De, what he needs to figure out more is the extent of Jiang Huijia's medical skills.
Song Yi was taken care of by Imperial Physician Yuan, and Xu De personally led Jiang Huijia to the inner dining room of the Vertical Arch Palace.
The emperor summons his ministers every day, deals with official business, and even has a small court meeting, all of which are in the vertical arch hall, so there is always a small kitchen in the vertical arch hall.
Xu De has some medical skills, although he is not clever, but he generally understands common sense.
He couldn't figure out what Jiang Huijia was doing with fresh whole pigs at this time, and he was still guessing in his heart, could this be some kind of food supplement home remedies? Jiang Huijia was going to boil soup at this time?
When I got to the inner dining room, there was a small episode.
The leader of the imperial diet said cautiously: "Grandpa Xu, that pork is inferior, and there is no one in the inner dining room." ”
In the end, half a cow was selected, and it is forbidden for cattle to be slaughtered privately among the people, but there will be no shortage of this thing in the palace.
The skinned half of the beef with meat and bones was placed squarely on the board, Xu De was waiting to see what Jiang Huijia was going to do, Jiang Huijia flipped his hand, and a scalpel appeared in his hand.
The blade of the scalpel is sharp and narrow, thin and sharp, reflecting the cold light.
Jiang Huijia's fingers moved slightly, the knife flashed, and the scalpel seemed to turn out a cold white flower in her hand.
She is extremely fast, dissecting animal blood vessels, which can only be regarded as one of the basic skills of anatomy in medical school. When I got to Jiang Huijia, it was as simple as a graduate student doing a junior high school question.
Xu De first thought that her cooking method was special, but she waited and waited, and later, she saw Jiang Huijia cut a blood vessel as thick as a little finger in a piece of blood-red beef!
Xu De has been in the floating palace for many years, how many strange and terrible things have not been seen, but at this time, such a scene still greatly affected his vision.
He couldn't help but gasp secretly, and at this time, of course, he would no longer think that Jiang Huijia was going to make medicinal food.
I couldn't help but ask, "Doctor Jiang, what is this thing for?"
Jiang Huijia quickly cleaned the blood vessel, then took a small pot, scooped water from the water tank and put it into the pot, put salt in it, added some special powder, and threw the blood vessel into the pot so simply.
"I had a thoracotomy for Saburo. She said, "Saburo has an injury to his right lung, and even if he takes an arrow and sutures it, it will inevitably cause bleeding, oozing, and even gas accumulation after the operation." A drainage tube is placed to eliminate pneumothorax and fluid accumulation in the pleural cavity to prevent pneumothorax and hemothorax. ”
Xu Dexue's medical skills are mainly in Dafangmai, in order to better take care of the emperor's body. But when it comes to these things in the injury department, he knows less, and at this time, he thinks it is very interesting when he thinks about it, but he doesn't think too much about it.
Soon, the water in the pot over there had been boiled.
After boiling about half a cup of tea, Jiang Huijia opened the pot, poured out the hot water in the pot, and poured out the boiled water that had cooled earlier from a kettle. As soon as the cold water is flushed, the blood vessels in the pot quickly curl up. Jiang Huijia took the opportunity to straighten the two ends of the blood vessels, which was barely out of the pot with a simple and simple drainage tube.
At this time, there is no other way, so I can only use it for the time being.
And to do thoracostomy drainage, in addition to the drainage tube, there is also a water seal bottle to pay attention to.
In order to achieve a perfect siphon effect and not to cause the fluid to flow back, it is also important to take care of it afterwards.
Jiang Huijia was thinking about all kinds of difficulties at this time, but she felt more nervous and embarrassed than when she opened her chest to Song Yi to get arrows before.
Without modern aseptic equipment and a sealing effect that is difficult to achieve by manual means, how to do this closed thoracostomy?
Jiang Huijia only felt that his heart was heavy, and after briefly explaining to Xu De, he didn't care whether he understood it or not, and he was not interested in saying more.
Soon returned to Song Yi's room, only to see that Song Yi's situation had improved. Ginseng aconite soup returns to yang and relieves adversity, and the effect is the best. What's more, the medicinal materials in this palace are all excellent products, and the same single prescription, the quality of the medicinal materials used in it is different, and the effects that can be caused will be very different.
Imperial Physician Yuan greeted him and said, "Doctor Jiang, Song Jieyuan's condition is fine now, but what should he do in the future? I'm afraid that I will have hemothorax again in the near future." ”
One of the major problems with Song Yi's injury is that the wound is penetrated, resulting in a large bleeding area, and it is difficult to achieve complete vascular ligation.
Jiang Huijia's vascular ligation skills are excellent, and she had previously undergone arrow removal surgery for Huo Chong in Baoqing Mansion, although she had an infection after the operation, but it did not cause pneumothorax and hemothorax.
Of course, although Huo Chong's arrow wound at that time was next to the heart, and even caused cardiac arrest for a time, his wound was not big, and the wound on his lung did not form a penetration, which seemed similar to Song Yi's situation, but it was actually different.
In comparison, Song Yi's post-operative care here is much more difficult.
Imperial Physician Yuan has rich experience, and since he is good at Jinyi, of course, he has also encountered pneumothorax and hemothorax.
Jiang Huijia put the "drainage tube" in her hand on another clean tray next to her, and turned to look at Song Yi.
Song Yi heard her footsteps, and her eyelids moved again.
Jiang Huijia squatted on the side of his couch, her heart was sore and painful, and she said softly: "San Lang, I will prescribe two more medicines for you, and you can rest." ”
Song Yi is still in a state of anesthesia, in fact, except for the fact that most of his body is a little scary when he is unconscious, the rest of his feelings are quite good. At least, if there is no pain, it will not be too sad.
But his whole spirit was very weak, and at this time his eyes were slightly closed, but the corners of his lips were slightly raised.
Jiang Huijia couldn't help but lean over and touch the corner of his lips.
Imperial Physician Yuan, who watched this scene: "......"
The old man was simply injured by 10,000 points on the spot!
Offense against decency!
Outrageous!
Imperial Physician Yuan turned his head in an instant, and at this moment, he simply didn't know whether to be angry or envious.
Fortunately, Xu De rescued her, and Xu De's voice sounded at the door: "Doctor Jiang, the emperor invites you to come and meet." ”
(To be continued.) )