Everyone was gone, Du Wenhao returned to the table and sat down, Xue Fei'er and Pang Yuqin also sat back on the stool, and everyone didn't have the heart to talk for a while.

Pang Yuqin finally spoke first, and asked in a low voice: "I heard that only Hua Tuo, the divine doctor of the Han Dynasty, can perform laparotomy therapy, just now Mr. You said that you will too, is it true?" ”

"Is there any difference, people won't let me do it anyway." Du Wenhao said in frustration.

"That's different, if you really know, maybe there are people who are willing to let you do it, I heard that Aunt Li, who opened an oil and salt shop last year, had an argument with someone and was kicked in the stomach, and the doctor also diagnosed that the stomach and organs have been injured, and if they die, they will die within seven days. As a result, he died within seven days, and before he died, he was so painful that he came back to life, and screamed for many days. If only you could heal, it would be great, so many people wouldn't die! ”

Du Wenhao's heart moved, yes, most of the surgical acute abdomen will be life-threatening, and it needs laparotomy to solve, only a small proportion of conservative treatment can be used, if he can do surgery, it will save many people's lives!

I come from a modern society, have received a formal and systematic modern medical education, and have a solid foundation in traditional Chinese medicine, and I should be able to carry out some less complicated surgeries with a combination of Chinese and Western medicine. Hua Tuo can use pure Chinese medicine methods to carry out laparotomy treatment, he is a human being, not a god, he can do it more than 2,000 years ago, and his medical knowledge is 2,000 years better than him, and he should be able to do it. During the Anti-Japanese War, the base area of the Eighth Route Army was tightly sealed, and the commonly used medicines could not be sent in, let alone any modern first-aid equipment. It shows that things are man-made!

He also remembered the eastward expansion of Western medicine in modern history, when Western medicine landed in China, encountered a strong sniper from Chinese medicine, and no one believed that those high-nosed and blue-eyed missionaries would cure diseases. At that time, the mission hospital seized the fatal death point of traditional Chinese medicine - surgery, and used ophthalmology, chest and abdominal surgery and other surgical emergencies that were quick and difficult to treat with traditional Chinese medicine as a breakthrough point, and gave free treatment to the poor people, sending doctors and medicines, so that the common people flocked to it, and soon caused a sensation, successfully occupied the landing bridgehead, and the church hospital also quickly spread to important cities and towns across the country.

Therefore, in ancient times, to compare with the ancient doctors who did not charge money to compare the syndrome differentiation and treatment of traditional Chinese medicine, their own advantages were not obvious, but surgery was not mastered by them, which was their own killer weapon, and they could learn from the successful example of Western medicine in the east, establish their own medical reputation, and use their modern medical knowledge that was 1,000 years ahead of the doctors of the Song Dynasty to serve the poor people of the Song Dynasty and save the lives of tens of millions of people.

Thinking of this, Du Wenhao felt his blood boiling.

At this time, Xue Fei'er said, "According to me, they will come back." ”

Du Wenhao was stunned: "Why? ”

"Do you think, the doctor can't cure the patient without collecting money, and asserts that the patient who can't be cured, who can cure the patient well? If their family still cares about Liu Zhukuai's life, and can't find anyone to treat them after turning around, they will eventually come back to you for treatment! After all, it's better to have hope than to despair! ”

That's right! It's totally possible! Du Wenhao thought to himself, if this is the case, he must prepare for surgery immediately!

Du Wenhao stood up and said to the second daughter: "That's right! I need your help, and I'm going to teach you some of the necessary knowledge right now, and you're going to help me when the time comes. ”

"We? We won't! Xue Fei'er said.

"Follow me! I'll teach you right away, it's important to need you to do it, but it's relatively simple, and it should be fine. Du Wenhao turned his head to Wu Cong, a man in the medicine cabinet, and said: "If there is a patient coming, as long as it is not a critical patient, let them come back another day, I will prepare for laparotomy treatment." ”

"Okay! Mr. Du. Wu Cong and Silly Fat hurriedly agreed.

Du Wenhao took his second daughter to the backyard and told Lin Qingdai his thoughts. Lin Qingdai was surprised, but she didn't say a word, and immediately started to help him set it up.

The operating room is located in the living room on the first floor of the small building where they live in the backyard, and a single bed has been moved over, and it is raised according to the height set by Du Wenhao. Du Wenhao briefly talked about his operation and said that he needed the help of the second daughter, which was very simple, and the second daughter quickly mastered it.

Then Du Wenhao began to prepare for surgery.

A few days ago, during the closure and decoration of Wuweitang, Du Wenhao had already made some surgical preparations, ordered knives, tweezers and other instruments, prepared various drugs and dressings, and also designed and produced a special pressure cooker for disinfection, and used green oil-soaked cowhide as a sealing ring, and the sealing effect was not bad. Potions for disinfection were also prepared, and several sets of surgical coats, hats and masks were even designed and ordered. These are sterilized separately and sealed for later use.

Now the key is to address a few key aspects of the operation.

The first is anti-shock. The preliminary judgment is that Liu Zhukuai is a ruptured spleen, then there must be internal bleeding, there has been shock just now, and there may be hemorrhagic shock again during the operation, in that case, it will be fatal, due to the lack of infusion means, he can only be given anti-shock drugs in advance before anesthesia is given to the patient. Of course, if you have shock during the operation, you can also use acupuncture for first aid, but that will delay your own operation. Don't take this step until you have to.

When Lin Qingdai and the others were preparing the operating table, Du Wenhao began to prepare an anti-shock decoction - ginseng four reverse decoction combined with solid yin decoction, and yin and yang double supplement to solidify and detach.

The second thing to solve is anesthesia. In the Song Dynasty, there was already an anesthetic "Sleep Shengsan", the main ingredients were mandala flowers and fire twist flowers, which were taken at the end of the study, but the anesthetic effect was relatively poor. So Du Wenhao decided to use the research results of their medical school in this area.

Modern Chinese medicine has been carrying out the exploration of traditional Chinese medicine anesthesia, and the most famous traditional Chinese medicine anesthetic is, of course, Hua Tuo's "numbing powder", but unfortunately it was later lost in China. However, at that time, the formula of Mafusan had already spread to overseas countries such as Japan and South Korea. In 1805, the Japanese surgeon Hanaoka Qingshu prepared an internal anesthetic with mandala, shengcao wu, angelica, angelica, Chuanxiong, and fried Nanxing, and performed several cases of acute abdominal surgery, all of which achieved satisfactory results and caused a wide sensation in Japan at that time. Huagang Qingzhou called his anesthetic prescription "Ma Boiling Soup", which means the "Ma Boiling Powder" inherited from Hua Tuo.

Du Wenhao and their medical university is a pilot unit of the combination of Chinese and Western medicine, and has made a lot of research achievements in the integration of traditional Chinese and Western medicine, two of which involve anesthesia, one is the redevelopment of traditional Chinese medicine anesthetic decoction on the basis of Huagang Qingzhou Ma boiling decoction has been successful, and has been used for clinical application after approval, this traditional Chinese medicine anesthetic also has a certain anti-shock effect, which can be used as an auxiliary anti-shock drug; The other is acupuncture and analgesia. The use of acupuncture to enhance the effect of anesthesia has long been widely recognized by the international medical community, and in some surgeries, acupuncture and anesthesia have been used as an auxiliary or even the main means of anesthesia. Du Wenhao has mastered these two techniques and used them during his internship, so Du Wenhao is not worried about surgical anesthesia. The anesthetic decoction was soon ready.

The third is the preparation of antibacterial and anti-inflammatory drugs, which is no problem, and he is not in a hurry to use them immediately, and he has time to use them after surgery, but he still has them in advance.

The fourth is to prepare surgical tools such as abdominal drainage. In order to prevent various fluids from remaining in tissue fissures or body cavities, which may affect tissue repair and healing, and to prevent secondary infection or aggravation of infection, and to observe whether there is active bleeding in the surgical area after surgery, a drainage strip is required. For patients with urinary retention, catheterization is also needed, and without rubber products, what is used as a drainage and urinary catheter?

Du Wenhao pondered for a while, and finally decided to use pumpkin vines as drainage tubes, and urinary catheters with thin onion tubes. There are two kinds of vegetables sold on the street outside. Du Wenhao found a suitable size and bought a few back, and then disinfected it with potion for later use.

He designed a simple siphon irrigation device to cope with abdominal irrigation after an abdominal infection.

Du Wenhao checked all the equipment, dressings and medications. Then I started to disinfect my hands, and at the same time, I carefully recalled the whole process of splenectomy, the essentials of the operation, and the precautions I had learned in my mind.

After opening the abdominal cavity after a while and confirming that it was a ruptured spleen, in order to maximize the success, Du Wenhao decided to perform total splenectomy, because compared with splenectomy, the operation is relatively complicated, and there is a possibility of postoperative bleeding. Moreover, the patient is critically injured and must end the operation as soon as possible, the most important thing is that the spleen-sparing surgery requires high surgical technical requirements, Du Wenhao has no experience in this type of surgery, and chooses a relatively simple total splenectomy, the insurance coefficient will be much higher, and the operation time can be greatly reduced, and the surgical risk can be reduced.

It stands to reason that for patients with internal bleeding, blood transfusion support is generally needed, but Du Wenhao has no blood transfusion-related equipment and has no way to transfuse blood, so he can only hope that the amount of internal bleeding is not too large, or it will be over.

After everything was ready, they still didn't see the family carrying Liu Zhu back quickly.

Xue Fei'er and Pang Yuqin ran to the door and looked at it several times, all of which were strange. In the end, the second daughter couldn't bear it anymore and decided to find out.