Chapter 252: Qiao Qiao'er
Zuo Shaoyang carefully cut the ribbon that bound the splint with scissors, removed the splint, and then cut the gauze that bandaged the wound, exposing the wound.
The wound was in the front of the thigh, Qiao Qiaoer should have lost her balance when she jumped down, and her right thigh hit the stone railing, and the broken bone impact poked out of the body, causing an open fracture.
The wound has been sutured, but pus is slowly leaking from the lower end of the wound, and pus is leaching from the gauze at the wound.
Zuo Shaoyang frowned, turned around and asked Dr. Ni, "Was there dirt attached to the broken end of Qiao'er's bones at that time?" β
Doctor Ni nodded: "There should be, when I sent it to our pharmacy, the broken end of the bone has been torn into the muscle, and there is a lot of mud on the wound, I washed the wound with boiling water, then the bones, and then bandaged with medicine, but it still suppurated, alas! β
Zuo Shaoyang turned his head and asked Master Qiao: "After Miss Qiao'er broke her leg, have you dealt with it?" β
"Nope!" Master Qiao and his wife glanced at each other, and they both shook their heads together, "We rescued things in the bedroom, and Qiao'er ran to the backyard granary to save food by herself." Later, it was the servants who came to report. We rushed, and it was already like this. β
Zuo Shaoyang asked Qiao Qiao'er, "Why did your legs get dirty?" β
Qiao Qiao'er smiled: "It was very chaotic, when I arrived at the granary, the fire was already very big, the slaves stood there and didn't dare to go in to save the food, so I rushed in, rushed upstairs, I wanted to carry the rice bag, but the bag of rice was too heavy, I couldn't carry it at all, so I ran to the window and called them to come up to help, none of them dared." As the fire grew bigger and bigger, I untied my belt, and when some rice came out, I carried the rest of the rice to the window and threw it down, and threw two and a half bags like this, and the smoke was so thick that I could not breathe, and I could not see the direction, and there was fire all around, and I heard the servants outside shouting: 'Miss! Come out! 'I wanted to go out, but I couldn't open my eyes, I coughed so hard, I didn't know where to go, and at that moment I thought, I'm going to die, I don't want to die......"
Speaking of this, Qiao Qiao'er's eyes were red, and her eyes were full of tears, as if she saw herself in the blazing granary again, isolated and helpless by the smoke, unable to breathe, and unable to find an exit.
Zuo Shaoyang said softly: "You are so brave, and you are also very keen and decisive, at this time, you can still think of saving food, not saving your own dowry." β
Qiao Qiao'er's tears had already rolled down, but when she heard this, she laughed again, looked at him with tears in her eyes, her pretty face was crimson, and she said angrily: "I'm still young, but I haven't prepared any dowry." β
"No, I heard that all of you are beautiful, and you can walk and start thinking about your dowry, clamoring to learn from the girl, and when you learn, you start sewing your wedding dress with stitches and threads......"
"Giggle...... I don't," Qiao Qiao'er smiled and bent over, glancing at the beautiful Bai Zhihan, "Are you talking about your beautiful maid, or that big-eyed sister?" β
Zuo Shaoyang glanced at Bai Zhihan and Miao Peilan, and said with a smile: "Maybe." - How did you escape? β
"I held my breath and closed my eyes on the floor and crawled in the direction of the sound of the servants shouting outside, climbed to the wall, looked up and opened my eyes to a slit, and found that the smoke was gushing in one direction, I guess it must have been the window I had opened earlier, so I got up with my eyes closed and touched it, and sure enough, I touched the window, and the fire had burned behind me, so I closed my eyes and jumped down, and as a result, my legs were ......, hehe, I fell to death without my head, which was already a great luck."
"Hehe, seriously, you're the bravest, calmest, and quickest girl I've ever seen!"
"Hee-hee, thank you big brother for the compliment. - I call you big brother, don't you think I'm reckless? β
"It's good, what's so presumptuous."
"Hehe, I have two older brothers, my eldest brother is a petty official like a sesame mung bean, and he doesn't smile seriously all day long, and he says that this is an official authority, but I secretly saw him talking to his boss, but his face was about to laugh, and as soon as the boss left, he immediately lost his smile. The other ran the business, but he smiled all day long, and saw a dog all smiles, saying that this is called harmony and making money, and I said that he was smirking, and he was not angry. None of them are as good as you, big brother, who smiles sincerely and is comfortable to watch. β
Zuo Shaoyang was happy: "You are so funny! β
Seeing that the two of them were talking and laughing very well, the old man Qiao's family and Zuo Gui and his wife next to him were all smiling, secretly happy in their hearts, and nodded frequently at each other.
Zuo Shaoyang asked again: "What about after you fell?" Remember? β
Qiao Qiao'er said: "Why don't you remember, I feel a terrible pain in my right thigh, and when I open my eyes and look down, the broken bones have pierced through my pants, -- I usually like to wear Hufu tights, I don't like to wear long skirts, it is uncomfortable to get in the way." β
"Yes, the hufu is close-fitting, and it is very comfortable and good-looking to wear." Zuo Shaoyang remembered Bai Zhihan's pretty appearance in a hufu, and couldn't help but glance at her sideways, and saw her looking at herself, smiling smartly. Hurriedly turned around, thinking about how this girl had slept for a while, it was different from before, and her expression was no longer faintly indifferent, but always smiling at herself. I really didn't understand, and then asked Qiao Qiaoer: "What happened later?" β
"Then I was crawling on the grass, and the fire was so hot that my hair was burnt, and the slaves just looked at me and told me to hurry up, and I thought to myself, I don't know how to hurry? Tell me to hurry up and don't come to help me! Hmph, I had to crawl lifelessly, crawled out of the way for a long time, a few maids and old mothers came up to carry me away, my legs hurt terribly, told them to lighten, they were afraid of the fire and did not listen, somehow, all the mess, the broken bones retracted into the wound. β
While talking to Qiao Qiao'er, Zuo Shaoyang carefully used scissors to cut the wound sutures little by little.
The wound unfolded, and the smile on Zuo Shaoyang's face disappeared immediately! ββThe wound infection is much worse than I thought! Some of the muscle tissue has died, and there is more pus in the wound cavity!
If the wound is infected like this, it will not only cause fever and chills, but also a severe pain that lasts for the surname. In this case, Qiao Qiaoer can still maintain a cheerful mood, talk and laugh freely, and don't even frown, let alone moan in pain, she is really strong-willed. I can't help but admire it very much.
Zuo Shaoyang now knows that although Dr. Ni's debridement was relatively thorough, because Qiao Qiaoer was crawling on the grass at that time, the end of the fracture poked into the soil, and later the maid carried it away in a panic, pulling the broken bone back into the wound, which also brought dirt into the wound, causing infection. With the knowledge and technology of Dr. Ni's time, it is impossible to achieve the desired result in dealing with this infection.
After seeing Qiao Qiaoer's wound, Zuo Shaoyang's mood was even heavier, what he was most worried about now was causing sepsis, that is, going yellow, which would be life-threatening. Anti-infective drugs must be administered urgently.
What's even more tricky is that the wound cannot heal in a short time, and the wound condition determines that it cannot be fixed with a splint or plaster!
This kind of wound should first remove pus and necrotic tissue, dissolve and drain pus, and then place a strip of decaying medicine. After the pus in the wound is drained and fresh and healthy granulation tissue grows in the wound, the drug for muscle replacement and the granulation tissue that is higher than the wound should be removed. This period of time can be as little as ten days, or as much as one or two months, depending on the wound and medication.
For such a long time, the leg bone must be fixed, otherwise the slightest movement can cause the fracture to re-fracture that has just begun to heal. Because the wound is infected, swollen and suppurated, and requires frequent drainage, splints and plaster brackets are not used and can only be fixed with external fixators.
The external fixator should be inserted into the body with a bone needle and drilled into the bone for fixation, and the material used as the bone needle is the key. The broken strand is the bone of the femoral shaft, which needs to withstand a lot of force during the recovery stage of functional exercise, so the material used as a bone needle, in addition to being moisture and corrosion resistant, must also be strong enough to withstand the activities of early functional exercise, so as to prevent complications of femoral shaft fracture.
In the Tang Dynasty, he really couldn't think of what materials to use to make bone needles.
After thinking about it and not being able to think of suitable materials, he decided to treat the wound first and then think of another way.
Qiao Qiao'er saw him staring at his wound in a daze again, estimating that the treatment was very tricky, and grinned: "What? It's a hassle, isn't it? It doesn't matter, I know it's hard to do, I've already thought about it, I should have died in that fire, I escaped by luck, and my life in the future will be earned in vain, and one more day of life is a day, and you will be cured of a dead horse as a live horse. β
Zuo Shaoyang said with a straight face: "That's not possible!" β
"Why?" Qiao Qiao'er was surprised.
Zuo Shaoyang grinned slyly: "Because I'm not a veterinarian, I can't treat horses." β
"Okay, you, you dare to laugh at me for being a horse." grabbed Zuo Shaoyang's arm and twisted it vigorously.
"Ouch, you're really screwed?" Zuo Shaoyang smiled, "If you wring my hand, I can't give you medical treatment." β
"Humph! Who told you that I am a horse! β
"You said it yourself. Hehe, okay, don't make a fuss, I'll rinse your wounds. β
Zuo Shaoyang asked Miao Peilan to bring the wound irrigation potion.
This potion for washing wounds is based on Sihuangsan, and is compatible with white mustard seeds, Wang Buliuxing and other heat-clearing, detoxifying, putrefting, putrefaction, and purulent medicines. This kind of potion was prepared as early as the approach of the war, and the two flavors of red peony and wood turtle were not found because they had not been used as medicinal materials in the early Tang Dynasty, so they were replaced with other medicines. The rinsing solution for debridement is only a topical drug for wound irrigation, and the effect of changing the drug is not great, and the key to debridement is aseptic.
Zuo Shaoyang poured the potion into the crane beak pot, and asked Miao Peilan to bring a wooden basin and put it under Qiao Qiao'er's injured leg to prepare for the rinse. Then he took the crane beak pot and said to Qiao Qiao'er: "I'm going to help you wash the wound and debride it now, it's a little painful, you have to hold back, don't move, okay?" β
Qiao Qiao'er smiled: "I said everything, my life was chosen, whatever you want." β
(To be continued)