Chapter 59 Autologous blood transfusion
Yang Xianmao asked Ruan Caiyun to scoop out all the blood in Feng Qiuyu's abdomen. Until then, he couldn't go ahead with the next surgery because the blood blocked his vision.
At the same time, all he needed to do was to insert the elbow blood needle used for blood transfusion into the vein of Feng Qiuxue's hand and connect the funnel to allow the blood to be transfused.
In fact, the most suitable is internal jugular venous puncture back blood transfusion, but this technique is more difficult than the arm, for fear of not getting out of danger, so it is safer to use the arm vein back for blood transfusion.
It is easier said than easy to stick a needle into a blood vessel, but it is still more difficult to do. Previously, Yang Xianmao didn't have time to operate in this area, so he tried several times, and finally inserted the needle into the blood vessel, and saw that blood flowed out of the screw cap of the blood vessel, so he quickly took the annular copper tube and connected it.
At this time, Ruan Caiyun had already scooped out most of the blood in Feng Qiuxue's abdominal cavity, and began to filter it with four layers of gauze according to the method of Yang Xianmao's teaching. Yang Xianmao peeked at him and found that his face was slightly pale, but his expression was focused, he was not flustered, and he breathed a sigh of relief.
Then, as the blood scooped out and the internal organs were exposed, he began to probe for damage. At a glance, I saw the liver part facing the pitch-black palm, and the entire left outer lobe had basically been broken, so it was no wonder that there was a lot of blood loss. Fortunately, Feng Qiuxue's martial arts skills are superb and she can withstand shock, otherwise she is afraid that she will die before she can wait for the operation.
What Yang Xianmao needs to do now is to immediately perform a thorough debridement, remove all the inactivated liver tissue and clots, and then stop the bleeding and drain it.
He first performed irregular resection of the broken part of the liver according to the record of the divine doctor Hua Tuo's "Green Capsule Sutra", and ligated the blood vessels and bile ducts above to stop bleeding. Cover the wound with omentum. Subsequently, he examined the spleen, gastrointestinal tract, kidneys and other parts, and found no new damage, which was a relief.
A drain is placed, layer-by-layer sutures are performed, and the operation is closed to close the abdomen.
Ruan Caiyun, who was standing next to him to help him operate the blood transfusion, was still methodically pouring the blood into the funnel and returning it to Feng Qiuyu's blood vessels, because the blood was added with a decoction of traditional Chinese medicine and embalming, so it did not coagulate. After Yang Xianmao completed the operation, all the blood scooped out returned to Feng Qiuyu's veins.
Yang Xianmao, now the most worried about two things, one is whether the operation is successful, and the second is whether the autologous blood retransfusion technology used by himself can play a role, and whether the blood is contaminated? Because this is the special attention emphasized in Hua Tuo's "Green Capsule Sutra", the most likely situation of surgical failure.
Ruan Caiyun took a stool and sat beside him, until this moment, he felt his heart pounding, he witnessed for the first time a person disemboweling his stomach and sewing the organs inside, scooping out the blood and then transfusing it back to the patient, such a miraculous thing actually let him see, the shock caused to his heart was indescribable, but before she focused on Yang Xianmao's explanation of her affairs, and did not have time to marvel at this wonderful medical skill. It wasn't until he calmed down at this moment that he looked at Yang Xianmao with adoring eyes and whispered, "You are so powerful"
Yang Xianmao smiled, didn't answer, just stared nervously, still on the hospital bed, Feng Qiuyu, who was still motionless on the operating table, only saw that his chest was still there, constantly rising and falling, and was sure that he was still alive, so he breathed a sigh of relief.
Yang Xianmao said, Ruan Caiyun said: "Thank you, if it weren't for you, this operation might not have been completed smoothly, you helped me a lot"
"Don't say that, Brother Yang, it's really eye-opening for me to be able to see your miraculous medical skills, if you have such an operation in the future, ask me to help you." ”
Yang Xianmao couldn't help but move in his heart, this is a good way, when he wants to do this kind of major surgery, he is afraid that he really needs an assistant to help. Today's experience has proved that Ruan Caiyun is very suitable for this role, because she has martial arts, is not chaotic, bold and careful, and the whole operation of filtering blood and re-infusing it just now can be described as very successful, allowing him to calmly focus on the operation, which is really a very satisfying assistant.
So Yang Xianmao happily said to Ruan Caiyun: "Then I can tell you if what you said is true, I can call you to help if there is anything." ”
"Of course what I said is true, I am very willing to help Brother Yang with you, but I'm afraid that I won't be able to do well. Anyway, I'm going to come to the city every once in a while to sell fish, and I'll come to your pharmacy and ask if you need any help. ”
"Okay, thank you for that!"
While the two were talking, the time for the anesthetic had passed, and Feng Qiuyu finally opened her eyes slowly, but the anesthetic had not completely failed, and her mind was not very clear, she just looked at Yang Xianmao in a daze, her eyes showed joy, nodded slightly, and closed her beautiful eyes again.
This happy glimpse has already made Yang Xianmao feel the gratitude and joy contained there. - Indeed, what could be more wonderful than surviving death?
So, Yang Xianmao and Ruan Caiyun lifted Feng Qiuyu on the operating table and carefully transferred it to the bed. Ruan Caiyun put on Feng Qiuyu's clothes and pants and placed a drainage tube.
When Feng Qiuyu was transferred to the bed to be placed with a catheter, Yang Xianmao remembered that he had forgotten to insert a urinary catheter for Feng Qiuyu before the operation.
This kind of major surgery catheter insertion is very effective, and its effect is mainly because Ma Boiling Powder is a kind of general anesthetic anesthetic, the anesthesia time is long, the anesthesia disappears slowly, and it is impossible to urinate spontaneously in the anesthesia state, and it is easy to suffocate the bladder. At the same time, urine output should be observed to determine whether the heart and kidney function is normal.
Therefore, Yang Xianmao decided to make up for this process. He had already ordered a special urinary catheter, took it out immediately, and after sterilizing the potion, he personally inserted the catheter for Feng Qiuyu.
Originally, Ruan Caiyun should have been asked to do it, but Ruan Caiyun had no experience in this area and was worried about hurting Feng Qiuyu. Although he has not inserted it himself, there are relevant techniques described in Hua Tuo's "Green Capsule Sutra", especially when he once dissected this part of the female organ, knowing its anatomical position and angle, he can insert the urinary catheter smoothly.
At this time, Feng Qiuyu was already in a semi-conscious state, and felt that Yang Xianmao inserted a slender thing into his lower body, and couldn't help but feel ashamed and embarrassed, not knowing what he was doing. But he believed that Yang Xianmao did this for an absolute reason, and it must be a necessary means to treat her. Therefore, she closed her eyes tightly and did not say anything, pretending to be still unconscious.
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