Chapter 105: I'll Sew!
To tell the truth, when Li Yuanjia was a surgeon in his last life, he almost never cared about what kind of sutures were used for surgery.
This thing, for him, will be used.
Studying the material and effect of sutures is a matter for professionals and some doctors who are interested in it, and Li Yuanjia, a surgeon, only needs to know what types of sutures there are, which brand is of better quality, and knows when to use which threads are enough.
But Li Yuanjia also knew that he didn't have many choices during the Tang Zhenguan period.
He was not interested in trying different materials of sutures in the same way, so he carried out the doctrine of taking it as a matter of course, and asked people to prepare several kinds of sutures in advance, ready to try the same.
The material used for stitching is not a random choice.
In addition to factors such as the strength of the material and its ease of preparation, the tissue response of the human body must also be taken into account. Because there is a complete set of defense mechanisms in everyone's body, which will naturally resist foreign invasions, and all sutures are invaders to this defense system, when doctors use them to suture wounds, the "war" between the human body and these sutures has begun.
So the material of the sutures is absolutely crucial.
What Li Yuanjia wants to use is that the strength is strong enough, at least it can be easily operated by Ma Yuan and Huang Ren, and the thread is not easy to tear, and at the same time, the organizational reaction caused by it cannot be too large, so as to reduce the follow-up trouble.
During the Zhenguan years, he only had "pure natural and organic" to choose from.
Fortunately, although he was not interested in sutures in his previous life, as a medical student, Li Yuanjia knew some basic common sense, such as Westerners who have used sheep intestines for thousands of years, and Chinese who have used mulberry threads for thousands of years, can definitely use it to try. Of course, there is also silk thread woven from silk, which is also within the scope of Li Yuanjia's attempt.
As for the other stitches used in the thousands of years of history of China and the West, Li Yuanjia is not interested at all, because he does not have that time.
Therefore, the first human experiment should start with the traditional Chinese mulberry peel thread.
As for the sheep intestines used by Westerners, Li Yuanjia doesn't want to use them for the time being, because the strength is a little poor, and it is not easy to suture external injuries, so it should be better to use it for suturing internal organs such as intestines and uterus; Second, disinfection is also a troublesome matter, now there is no other disinfectant except alcohol, and the sheep intestine is sterilized by high-temperature steaming, and it will be cooked all at once......
"Great, King!"
"Huh? What do you have to say? ”
Seeing that the wounded soldier's face was as pale as paper, Li Yuanjia's brows furrowed, and he asked lightly.
"Goo-dong!"
After swallowing a mouthful of foam with difficulty, the wounded soldier pointed to the sterile instrument bag that Huang Ren had just opened, and asked in a trembling voice: "Wang, what you said just now ...... But you have to use these things...... Come ......"
"That's right, stitch up your wounds, and use these things."
Seeing the wounded soldier stammering, Li Yuanjia worked hard for him, so he immediately nodded and said without waiting for him to speak: "Your wound is too big, if it is just bandaged with a bandage, the healing effect will not be good...... Stitch it together with thread and it will grow faster and work better! ”
The traditional method of bandaging treatment is actually to squeeze the wound of the wound together and let them "connect" again. It's just that in this process, both the effect and the speed are far less effective than the sutures.
Li Yuanjia felt that he had explained very clearly, but when he saw the glittering needles and the Western Front, which looked painful, the wounded soldier's body began to tremble a little: "Big, king, can you not sew?" Like the previous two brothers...... Just bandage it, right? ”
“……”
Looking at the cowardice of the wounded soldiers, Li Yuanjia was also speechless.
The fear of wounded soldiers is actually understandable, after all, it is human instinct to be afraid of sharp objects, which is why many people are more afraid of knives than guns. And the needles in the hands of the doctors are undoubtedly the best, which one is not afraid?
But I have seen the same thing a lot, Li Yuanjia has already become hard-hearted, and he is not moved at all, and he said warmly: "Their wounds are much smaller than yours, and there is no problem if they don't stitch up, but you ...... The wound is too big, so it will get better faster if you stitch it up. ”
The wounded soldier was unlucky, falling off his horse in pursuit of his prey, and was greeted with a warm welcome. The wound was not particularly serious, but it was definitely not light, the length of the wound was more than ten centimeters, and the depth was at least one centimeter......
Anyway, when cleaning up with salt water and alcohol, this guy almost gave Huang Ren a knife in pain!
So even if Li Yuanjia said it very clearly, the expression of wounded soldier No. 3 was still extremely hesitant - this is not because he is afraid of pain, but everyone usually wraps things in cloth, where have you ever seen sewing with needles and threads? In fact, if it wasn't the Tang Dynasty King Han standing in front of him, I'm afraid he would have turned his face a long time ago!
Li Yuanjia was not in a hurry, just quietly waiting for the wounded soldiers to make their own decisions.
Because he knows that the limitations of the times are everywhere.
With the 5,000-year history of China, I don't know how many cutting-edge technologies have appeared. Open the history books, you can always find something that amazes you, such as a book "Treatise on the Origin and Syndrome of Diseases", which made Li Yuanjia's jaw drop many times.
But in the same way, in the long course of history, the ancestors lost more things!
Or it can't be regarded as a loss, but for various reasons, those who find it are not able to continue, or have no conditions to continue.
is like the practice of cleaning wounds with wine in "Fifty-two Prescriptions", the lack of alcohol concentration is actually not of much significance, and naturally there is no future; There is also Ge Hong's saline to clean the wound, which may be very effective, but without the experimental results of a large sample as evidence, how many doctors will believe it? And the price of salt in ancient times was so high, how many people were willing to use it to wash their wounds?
Medical scientists are like this, how can the wounded soldiers in front of them ask too much?
It's just that after waiting for half a minute, seeing that the wounded soldiers were still entangled, Li Yuanjia was still a little impatient after all. He knew that this kid must be afraid of pain, after all, it was no joke to have dozens of stitches without anesthetic; But on the other hand, he didn't dare to refuse his own prince, which was embarrassing.
So after thinking about it for a while, Li Yuanjia simply said directly: "Okay, you figured it out yourself!" If you don't suture, you will bear the consequences, and if you suture...... Well, Huang Ren, every sergeant who is willing to let you stitch up the wound, this king will always reward money! ”
"Huh? Consistently rewarding money? ”
After listening to Li Yuanjia's words, all the people in the camp were stunned.
"Yes, consistently!"
"Goo-dong!"
Seeing that the king was not joking, the wounded soldier reacted first, and immediately nodded his head like a chicken pecking rice: "King, don't think about it, I'll sew!" ”