Chapter 57 Splenectomy
The second daughter went out and left, and after a while, the two ran back out of breath, and Xue Fei'er said to Du Wenhao: "Oh no! Liu Zhu is dying! ”
Du Wenhao's heart was cold: "So fast? ”
Pang Yuqin said: "It's not necessarily dead, we went to his house just now, his family is already doing a funeral, the female relatives are sitting in the lobby crying, and the bed board where Liu Zhu is lying is parked in the lobby of the house, and the person is motionless." However, no one has yet dressed in linen and filial piety, and it may be that people have not died yet, and they will start mourning only when they are out of breath. ”
A glimmer of hope rose in Du Wenhao's heart: "Let's take a look!" ”
The three of them rushed to Liu Zhukuai's house, the yard was very small, a hut was very dilapidated, and it was obvious that the family was not very good. At this moment, there was a cry in the yard, and the two people at the door who were injured and bandaged were sighing and talking, and when they saw Pang Yuqin and them coming, they hurriedly greeted them with a smile.
Pang Yuqin said: "How is Liu Zhukuai?" ”
"No more! Alas! Poor ......, by the way, Miss Pang, your father is inside! ”
"Huh? Is my dad back? Is my dad okay? ”
"It's okay! He and Lei Catcher both returned, and the escaped thieves were chased and surrounded by them. Your father's martial arts are high, how can those thieves hurt him! ”
Pang Yuqin hurriedly ran into the courtyard, and saw his father Pang County Lieutenant sitting on a long bench under the eaves, talking to Liu Zhukuai's old father, Lei Zhutou and other catchers were busy in the hall to help decorate the mourning hall.
"Daddy!" Pang Yuqin ran over, "You're back?" You okay? ”
"It's okay! What are you doing here? - Mr. Du is here too! When Lieutenant Pang saw Du Wenhao who was following him, he hurriedly got up to greet him.
Pang Yuqin knew that the matter was urgent, and hurriedly said: "Dad! Mr. Du said that he could cure Liu and catch fast! Laparotomy healing! Let Mr. Du treat it! ”
"Really?" When Lieutenant Pang heard about the laparotomy treatment, he couldn't help frowning, and glanced at Du Wenhao: "Is this the case, sir?" ”
"I can try, it's still the same sentence, the condition is very critical, and I may not be sure that it will be cured!"
Liu Laohan stood up and said sadly: "Mr. Du said before, try to see if it can be cured, we didn't agree at the time, and carried someone to find other doctors to see, as a result, all the doctors in the city said that there was no cure, thinking that Dr. Du might not be able to do anything, so he carried it home." ”
Lieutenant Pang pondered for a moment, looked back at Liu Zhukuai lying on the door panel in the lobby, and said to the old man: "If it doesn't work, let Mr. Du take care of it!" It's better to have hope than no hope! ”
The old man wiped his tears, peeked at Du Wenhao, and said in a low voice: "It's good, it's just ......, our family doesn't have ......, and we don't have so many consultation fees......"
Du Wenhao was stunned: "Diagnosis gold? I didn't say I wanted you to pay for the consultation! I told Lei Zhutou before that all the Yamen brothers who were injured in the line of duty and came to my Wuwei Hall to see the injuries would not take a penny! ”
"Really?" The old man looked at Du Wenhao suspiciously, "I carried the dog to the doctor for treatment, and after saying that he had been seriously injured, he was going to carry it to Wuwei Hall to ask Mr. for treatment, but it happened to pass through Renyi Hall, and Dr. Xu asked us where to go, and I said that I wanted to come to Mr. Du to save my son by caesarean section, and Dr. Xu said ......, and said ......."
Xue Fei'er snorted and said, "What did he make bad?" What did you say? ”
"He said that no one knows this medical technique except for the Eastern Han Dynasty Huatuo Divine Medical Association, and said that ......, that Dr. Du clearly wanted to cheat us out of money, and also said that Dr. Du gave the patient a doctor, and the consultation fee charged was very high, and a critically ill patient like my son would not be cured at all without a hundred taels of silver."
"Nonsense! Dr. Du has always sat in the hall for consultation with five cents and ten wen per visit, so how could he ever receive a high consultation fee? This man just can't see that others are better than him, and he is intent on making trouble! ”
Du Wenhao said in a deep voice: "Don't talk about this, old man, don't worry, your son was injured in the line of duty, and we should do to treat him, if you are willing to hand over your son to me for treatment, I will not take a penny from the diagnosis, and I will also send a decoction!" ”
"Really......, really?"
Du Wenhao nodded: "I'll go and see Liu Zhukuai's situation first." Quickly walked in, and found that Liu Zhuai's limbs were cold, and he was already in a deep coma, but he was still alive, so he quickly ran out and said, "Hurry up and carry the person to Wuweitang, I am ready for treatment." ”
Pang County Lieutenant said: "Don't worry, old man! Dr. Du's medical skills are very high, and the concubine is seriously ill, and he also saved it, and he will definitely try his best to save your son's life. Hurry up and carry the people to the Five Flavors! ”
The old man hurriedly agreed, turned around and instructed his family to carry Liu Zhu to Wuwei Hall quickly.
The catchers used the door panel to carry Liu Kuai to Wuweitang and put him on the simple operating table in the living room of the backyard. Du Wenhao hurriedly used acupuncture to fight shock, and then asked Silly Fat and Wu Cong to help him pour the anti-shock ginseng four reverse decoction into his stomach with a pot. At the same time, he, Xue Fei'er and Pang Yuqin washed their hands and disinfected them with disinfectant to make preoperative preparations.
After anti-shock acupuncture and medicinal decoction poured a stick of incense, Liu Chukuai's body limbs finally began to become warm, and his pulse also increased, indicating that the shock was improving. Only then did Du Wenhao order the second daughter to pour the new anesthetic boiling soup into Liu Zhukuai for general anesthesia.
Du Wenhao asked Silly Fat to help take off Liu Zhukuai's clothes and pants, and used a pillow to raise his left waist. With the help of Pang Yuqin, she put on a sterilized surgical coat, a hat, a mask and gloves, and Xue Fei'er began to disinfect the surgical area with traditional Chinese medicine disinfectant according to what Du Wenhao had taught before, laid out the surgical sheet, and exposed the surgical field of the left upper abdominal incision. The edges of the incision are covered with large gauze pads.
Originally, Du Wenhao was going to let the two daughters be assistants to help him complete auxiliary work such as hemostasis, ligation, blood swiping, hooking, thread cutting, and passing surgical instruments, but I thought that it was the first time for the two of them to come into contact with this kind of modern laparotomy, or they were watching from the sidelines, and they would pass the psychological barrier first, so as not to add chaos when they got it bad. So let the second daughter stand one meter away on the left side and watch.
After calling the stupid fat to go out and pull the door, Du Wenhao stood on the right side of the patient, holding a scalpel, trying to calm himself, and decisively cut in the middle of the patient's left upper abdomen.
After the abdominal cavity opened, there was blood everywhere in the abdominal cavity, and he quickly reached into the left subdiaphragmatic area with his right hand, holding his spleen inward and forward. Sure enough, it was a ruptured spleen! The initial estimate of the amount of bleeding, it is not too much, the injured should not die due to hemorrhagic shock for the time being, it seems that the trick that he gave Liu Zhukuai to take Panax notoginseng powder is completely correct, and it has played a significant role in slowing down blood loss, and has won time for rescue!
He was a little more open-minded, and immediately used a simple siphon device designed by himself to extract blood and blood clots in the abdominal cavity, and at the same time check the bleeding point and other organs.
After the blood was drawn, he found that the injured person's spleen was relatively large, and he was happy, indicating that there was a large amount of blood in the spleen, and he immediately performed splenic artery ligation, so that a large amount of blood in the spleen could flow back into the circulating blood, which is the best autologous blood transfusion! It can solve some problems of hemorrhagic shock.
After the splenic artery was ligated, Du Wenhao massaged his spleen with both hands, and the spleen quickly shrank by more than half. Then, he pushed the spleen upward, ligated, cut the spleen and colonic ligament attached to the lower pole of the spleen, pulled the spleen to the medial, cut and ligated the spleen-kidney ligament, reached into the back of the superior pole of the spleen with his right hand, grabbed the spleen and rotated it downward to support the incision, and immediately blocked the large gauze pad into the spleen fossa, cleaned the connective tissue around the spleen pedicle, ligated and cut off the splenic portal artery and vein, and put the excised spleen aside.
Next is to stop the bleeding. Du Wenhao ligated the bleeding point of the torn variceal vein to stop the bleeding, sutured the wound surface of the tail of the pancreas, covered it with a posterior peritoneal suture, and placed the omentum in the left renal area and spleen fossa to establish collateral circulation. Later, other organs in the abdominal cavity were examined, and no damage was found, which was really a blessing in misfortune, and I couldn't help but breathe a sigh of relief.
At this moment, Du Wenhao found that the back of his spine had been soaked in nervous cold sweat. Xue Fei'er had already opened her abdomen, so she ran to the corner of the house to vomit, although Pang Yuqin's face was pale, she was still standing there and watching, seeing Du Wenhao's forehead dripping with cold sweat, hesitated for a moment, and finally took the disinfectant towel and came over to gently wipe the sweat on his forehead for him.
Du Wenhao smiled at him and nodded in encouragement.
Then, Du Wenhao poked another wound in the splenic fossa of the injured person, placed a hollow pumpkin vine as a drainage tube, and placed a cigarette roll drainage tube with gauze stuffed in the pumpkin vine at the tail of the pancreas.
After the operation was completed, Du Wenhao was so nervous that he was almost empty, he reached out and pressed Liu Zhukuai's heart, and found that the heartbeat was still there, and it was relatively stable, so he was relieved.
The wound was sutured, gold sore medicine was applied to the wound, the wound was wrapped with gauze, a urinary catheter was inserted, and a porcelain basin was placed underneath to be used to observe the urine output to determine the renal function.
When he washed his hands, took off his surgical coat, and opened the door, he found that the courtyard was already full of people. In the crowd, Liu Zhukuai's relatives, Yamen's Zhukuai brothers, and neighbors who heard about this all gathered in the backyard and looked at it. Silly Fat and Wu Cong are maintaining order and not allowing people to make noise. So everyone quietly went outside and took turns looking inside through the cracks in the windows and doors.