Chapter 264 - External Fixation of Fractures
Master Qiao also stroked his beard and smiled: "Yes, it cost Yu Weng half of his savings to buy this thing." ”
Zuo Shaoyang said: "Then you have to cherish it even more, I will try to damage it as little as possible, by the way, after the fracture is cured in the future, the gloomy wooden bone needle that was drawn out can continue to be used, so is this bone needle returned to Uncle Yu?" Or sell it to me for future patients? ”
Shopkeeper Yu smiled: "The old man is not such a stingy person, it is useless for me to come to this bone needle, so I will leave it all to you to save people, and it can be regarded as a matter of accumulating yin virtue." ”
Zuo Shaoyang was overjoyed, and hurriedly thanked him: "Then Uncle Yu's treatment fee is also free of charge, which is a little return." ”
"No, this one!" Shopkeeper Yu waved his hand, "Your family is not rich, I know, I heard that the creditors are forcing the door, and it is only a little better recently, this consultation fee still has to be paid, you just need to help me heal with all your heart." ”
Zuo Shaoyang knew that he was a rich man, although there was no food now, he still had a lot of money, but he didn't insist, smiled and thanked him, and asked Ni Zhi to call Li Dazhuang over.
Zuo Shaoyang told Li Dazhuang that if the shopkeeper Yu agreed to take gloomy wood to graft his bones before the curfew, Li Dazhuang would stay overtime to make bone needles. Therefore, after Li Dazhuang took home the steamed buns that were used to offset his wages and gave them to his mother to eat, he immediately returned to Guizhitang to do carpentry work and wait.
After Ni Zhilai called him, Li Dazhuang came over immediately.
Zuo Shaoyang said: "Look, which leg of this gloomy wooden tea table is more suitable for making three pairs of bone needles?" ”
Li Dazhuang looked at it over and over again, and said: "The thin ones are too fine to count, and the coarse ones are too thick, at least you can make more than five pairs of ......."
Shopkeeper Yu interjected: "Okay, just choose the thickest leg to do it!" Make a few more sets, in case there are too many patients in the future, and they don't have enough, and they come to me again, and after I repair this tea table, it will not be damaged again. Don't blame me for slamming the door then! ”
Zuo Shaoyang was overjoyed, and even said thank you, although the thickest leg is a little curved, but it is very thick, in addition to making a sufficient amount of coarse bone needles, you can also do several sets of fine bone needles of different specifications. In this way, various specifications of bone needles are available, which can meet the needs of different fracture surgeries in the future.
After Zuo Shaoyang thanked him, he told Li Dazhuang about the different specifications of the bone needle, and asked Li Dazhuang to carry the gloomy wooden tea table to the ward to think about how to do it for a long time, and asked for it to be done as soon as possible, and strive to do it before the third watch.
Li Dazhuang pondered for a while, and finally thought of a way to waste as little as possible and make the most bone needles, and then began to cut and produce.
Zuo Shaoyang's side began to prepare for the operation, Miao Peilan and Bai Zhihan acted as surgical assistants, Zuo Shaoyang repeatedly explained his surgical plan, and divided the work of the two in the operation. The relevant decoction is also ready. The operating room is located in the lobby of the pharmacy.
At this time, Li Dazhuang came over with two gloomy wooden bone needles: "Young master, do you think it's appropriate?" ”
Zuo Shaoyang took it up and down to see, it was the same as the shape of an ordinary metal bone needle, it met the requirements, but the hardness didn't know how, picked up one, tried to break it first, the lines didn't move, and added some strength, still no movement, his heart was overjoyed, grabbed the two ends, and broke hard, the gloomy wood was only slightly bent, but it still couldn't be broken, let go of his hand, and the gloomy wooden bone needle returned to straight.
"Great!" Zuo Shaoyang said, "Completely meets the requirements!" It's rare that you can do it in such a short time, and you are really a skilled craftsman. ”
Li Dazhuang smiled a little proudly: "I'll go back and do it again." ”
"Good! Use these two surgeries first, and do the rest slowly. ”
"Okay!" Li Dazhuang is gone.
Zuo Shaoyang hurriedly put the gloomy wooden bone round needle into the pressure cooker, raised the fire and autoclaved sterilize. Because the external fixation device is used outside the body and does not enter the body, it does not need to be sterilized, just cleaned.
After discussion, it was decided to operate on Qiao Qiaoer first, because although Qiao Qiaoer had an open surname fracture, it was a fracture with a simple surname, and in the middle of the femur, it was relatively easy to fix. And the shopkeeper Yu is a fracture of the broken surname, which is relatively troublesome, so after accumulating experience first, then do it for the shopkeeper Yu.
This surgery only requires anesthesia to drill a hole in the bone and insert a bone needle for fixation. The surgery is relatively simple and the lighting requirements are not particularly high, so it can be done with lantern lighting at night.
After sterilization, the surgery is ready. Qiao Qiaoer took the anesthetic and soon entered the anesthetic state. Surgery begins.
Zuo Shaoyang first performed manual correction of the fracture, and then drilled a hole at the far and near ends of Qiao Qiaoer's fracture with a hand bone drill, inserted a gloomy wooden bone round needle, and then fixed and connected the needle tail with an external fixator, and used an adjuster to reduce and mediate the fixation. Maintain the supporting force in the reset position. Then, the wound dressing at the perforation site is treated with antibacterial and anti-inflammatory. The surgery is complete.
After the operation, Qiao Qiaoer was resuscitated with saline and carried back to the ward.
When Qiao Qiao'er woke up, she saw that she had an extra pair of iron dicks on her thighs, and although she knew what it was for, she still felt weird.
When it was almost the third watch, the second piece of equipment was also delivered.
Zuo Shaoyang then performed bone grafting surgery for Shopkeeper Yu. This one was much more troublesome, but it was done relatively smoothly.
Although I can't see the effect now, after the shopkeeper Yu woke up, he felt that he could eat some strength on his legs, and he suddenly had a lot of hope in his heart.
Zuo Shaoyang was already in a hurry and had just begun to recover from hemorrhagic shock, although with the help of the best old ginseng, the recovery was much faster than others, but in the end, he was still seriously injured and had just recovered, and he was tired all night, which was really physically and mentally exhausted. After finishing his work, he went back to the room and lay down under the support of Bai Zhihan and fell asleep.
As soon as it was dawn the next morning, Zuo Shaoyang woke up, Bai Zhihan served him to get dressed, and gave him the light armor given by Liu Huochang when the three of them went to the front line to treat the wounded last time, and put a jacket on the outside. Zuo Shaoyang said that there was no need, Bai Zhihan insisted that he wear it, anyway, the light armor was not heavy, so he relied on her.
After cleaning up, Zuo Shaoyang first gave Cao'er, Shopkeeper Yu and Qiao Qiao'er a follow-up.
Cao'er was still unconscious, and the injured leg of Shopkeeper Yu was fixed very strongly, and the wound showed no signs of infection. Nothing was wrong and I felt good.
Qiao Qiaoer's fracture fixator is no problem, but the redness, swelling and suppuration of the open wound on the leg are even worse, and the body fever is more obvious, Zuo Shaoyang's heart suddenly lifted, it seems that the alternative medicine he used is not good for heat clearing and detoxification, and he must take back the medicine as soon as possible and use the five-flavor disinfectant drink to treat it with flavor in order to control the inflammation, otherwise, once the wound is infected in one step, it will lead to yellow sepsis, which will endanger Qiao Qiaoer's life! The infection must be cut off before this danger arises and the infection must be controlled!
Miao Peilan and Li Dazhuang had already packed up and waited. Miao Peilan changed into a wide men's clothes, put her head in a men's bun, touched some pot ashes on her face, and carried a large back basket, in which Zuo Shaoyang's first aid kit was placed, as well as hoes and firewood knives, as well as a few black-faced buns prepared by the Liang family. Li Dazhuang also carried a basket and a hoe.
Although the Liang family agreed to let Zuo Shaoyang go out of the city to collect medicine, he was still worried, but he had already said that he would save Qiao Qiao'er, who might be his future daughter-in-law, and he couldn't help but let him go. can only snot and tears, and tell Miao Peilan and Li Dazhuang to take care of him carefully.
Zuo Shaoyang thought about it, but still called his father aside, and said, "I went out to collect medicine this time, there shouldn't be any danger, but just in case, I still want to tell you about the food." lest anything happen to you, you will have no food to eat. ”
Father Zuo frowned and said, "Wasn't the grain taken away by your brother Xiao?" ”
"No, I deposited the food in the Qingfeng Temple at the entrance of the alley behind us. Master Zhikong, the abbot of this Qingfeng Temple, is a good friend of Brother Xiao, and this jade pendant was left to me by Brother Xiao, in case something happens and I can't come back, you can take this jade pendant to Qingfeng Temple to find Abbot Zhikong, and he will give you food. ”
Zuo Gui's father nodded, took the jade pendant and put it in his arms, and patted Zuo Shaoyang's shoulder: "Zhong'er, no matter what, you have to come back safely, remember, I and your mother will still rely on you to support you for the rest of our lives!" ”
"Yes! I will definitely come back safely! ”
Zuo Shaoyang explained the compatibility of Cao'er and Qiao Qiao'er's medication, and then took Miao Peilan and Li Dazhuang to say goodbye to everyone and walked to the gate of the city tower.
When I came to the city gate tower, there were already a lot of people here, all carrying baskets and baskets, men, women and children, all of whom were ready to go out of the city to pick wild vegetables to satisfy their hunger. One by one, they looked anxiously at the closed door. Some people are already clamoring for the officers and soldiers to open the city gates.
Seeing Zuo Shaoyang, many people recognized him as the "model of supporting the army" canonized by the general, and the red man in front of the general, whoever dared to provoke him, all got out of the way and greeted him with a smiling face. Some of them didn't have anything to say and asked: "Model Zuo, you also go out of the city to pick wild vegetables?" ”
Zuo Shaoyang heard that someone really called himself Zuo Model, Zuo Shaoyang felt a little embarrassed, and said, "I'm going out of the city to collect some medicine." ”
Another person said to the previous person: "What you are asking is really strange, how can Zuo Model be so hungry that he can go up to the mountains to pick wild vegetables when he can take out grain and sell it to the officials and soldiers at a low price?" ”
Zuo Shaoyang didn't want people to have this impression, so he smiled and said: "In addition to picking medicinal herbs, I also picked some wild vegetables by the way, and the family rations are not enough to eat." ”
The previous man smiled very proudly: "How about it, I'll just say, one bucket of rations per person, even the shopkeeper of the jade shop has not been spared, Zuo Model gave the grain to the officials and soldiers at a low price, how can there be too much food, what do you eat if you don't pick wild vegetables?" You can't drink the northwest wind, can you? ”
As he was talking, he heard an officer on the city tower say in a loud voice: "Folks, the city gate is about to be opened, don't mess around, listen to me!" ”
The crowd fell silent.
The officer said: "After scouting the horses last night, I found that the enemy army did not appear near the city tower, so I can open the city and let the villagers go out of the city to collect wild vegetables to satisfy their hunger, but I still have to tell you a few words." These words are said every day these days, but they still need to be repeated again! ”
(To be continued)