Chapter 5 Spleen rupture
"You think you can save him?" The man stopped the girl at the last moment and took a good look at Ling Tianmao again.
"I said I...... I can try it. ”
"Do you know who he is?"
"Got it......"
The man didn't seem surprised when he heard Ling Tianmao's answer, but continued to ask:
"And how do you save him?"
"I used to learn a little bit of medicine when I was in my hometown, so I would check him first and then see how to deal with it." Ling Tianmao said tentatively.
"Healing? What's that? The girl standing next to her asked curiously.
"yes, what do you mean?" Dahl also looked inexplicable.
Although Ling Tianmao didn't know what the specific situation was, he also understood that something was wrong, so he hurriedly changed the topic and said:
"I'll explain it to you later, now I'll see how he goes."
The masked man didn't say anything, just stood there and watched Ling Tianmao crouch beside Yasuo, carefully examining it.
Ling Tianmao opened Yasuo's shirt first, he didn't see any obvious scars on his body before, but seeing his pale and unconscious appearance, Ling Tianmao had some guesses in his heart.
Since I don't know what the energy and human structure of this world are, I can only make a diagnosis based on some of my previous experiences.
When his clothes were pulled apart and he saw the bruise-purple bruise on his upper left abdomen, Ling Tianmao was basically able to determine what was wrong with him.
"He must have been hit in the left upper abdomen, causing the rupture of internal organs, and he lost too much blood to do this." Ling Tianmao gave his own conclusion.
"But I didn't see him bleed." The girl stared at Yasuo for two more turns.
"Xiao Yi, don't disturb him yet," the man pulled the girl named Xiao Yi to his side, "How do you think you can save him?" ”
"His blood is all in the abdominal cavity, and he should continue to lose blood, so the abdominal cavity must be opened immediately and the spleen must be repaired or partially removed. But what I'm more curious about is how he survived until now, normal people should be hopeless. ”
"That means he's not a normal person. Now that you know how to do it, let's get started. ”
Listening to the man's words, Ling Tianmao sweated wildly in his heart, he was just a medical student who was about to graduate, although he had also participated in several splenic rupture repairs as an assistant during the internship, but as the chief surgeon, let alone this kind of major surgery, he had not even cut the appendix.
"yes, yes, now that you know how to get it, let's start quickly!" Dahl kept shouting in his head, too.
"Don't make any noise, it's as simple as you think." Ling Tianmao was very annoyed by his noise, and couldn't help but scold.
Then he turned his head and patiently explained to the man: "There are still many problems here, first of all, there is no one else here who can help me, and there is no treatment environment in the health profession, which is prone to infection, I don't know if you can understand it?" The second is that he is now dying and needs to replenish his energy and blood, otherwise he may die directly during the treatment. Also, I don't have much practical experience, so there is no way to guarantee that I will be able to save him. ”
"The first question I don't think you need to worry too much, you can see that he is not an ordinary person, I believe that a little dirty will not kill him." The man circled around Yasuo two more times.
It's not a dirty problem, did you know that sepsis kills people? Ling Tianmao was almost crazy, how backward the medical level of this world was.
"As for the second question, I think I can help you out." The man suddenly crouched down and pulled out a clear glass bottle from his pocket, which contained some bright red liquid. He uncorked the bottle and poured the liquid down Yasuo's mouth, "I think this will last until the treatment you're talking about is over." ”
"Life Potion!" Dahl exclaimed suddenly.
"Can you stop making such a fuss, isn't it just a bottle of red medicine." Ling Tianmao rolled his eyes in his heart.
"You know, this thing isn't as rare as a rare treasure, but it's very rare, and usually only the great heroes carry two bottles on them."
Dahl's words made Ling Tianmao look at this man a few more times, and Yasuo's face was actually a lot more rosy after drinking the bottle of liquid.
"The third question, you don't have to worry, anyway, if you don't save him now, he will definitely not survive, and the rest depends on his luck. If there's nothing wrong with it, hurry up. ”
Ling Tianmao could only nod and took out a small metal box from his coat pocket, which contained some simple surgical equipment, and their graduation exams not only assessed theory, but also simple practical operations, so he always carried them with him.
"You help me hold his body, especially around the abdomen, I don't have anesthetic, he may wake up later, in case he struggles and will be in trouble." Before he started, Ling Tianmao said again.
The man first took out two ropes to tie Yasuo's hands and feet, and then pressed Yasuo's body with Xiaoyi.
Ling Tianmao, on the other hand, came to the right side of Yasuo's body and took out a pair of rubber gloves, two hemostats, a scalpel, and a needle holder from the box.
"Why do your hands keep shaking?" Xiao Yi looked at Ling Tianmao's hand holding the knife in the air, and asked curiously, "And what are you going to do?" Are you going to slit his stomach open? Then I might as well bury him to save trouble. ”
Ling Tianmao's heart was already about to collapse, why did you say I was shaking, wouldn't you tremble if you replaced you? I didn't expect that the first time I was in such a harsh environment, I didn't faint on the spot, and I was already mentally strong.
Fortunately, the man stopped Xiao Yi's words in time again, so that Ling Tianmao would not give up before the operation began.
Finally, the scalpel in Ling Tianmao's hand fell on Yasuo's skin, and surprisingly, at this moment, his hand actually stopped shaking.
But of course Ling Tianmao wouldn't notice this at this time, and all his attention was focused on the operation at hand.
According to the previously estimated position of the incision under the costal margin, Ling Tianmao made an L-shaped incision by incising the skin, subcutaneous tissue, anterior layer of rectus sheath, muscle, posterior layer of rectus sheath, transverse fascia, extraperitoneal fat layer and peritoneal wall layer.
Shortly after the knife cut through the skin, Yasuo let out a cry of pain, then briefly woke up, struggling violently with his hands and feet tied behind his back. Fortunately, he was indeed too weak because of his injury, and his limited struggle did not hinder Ling Tianmao's operation too much, and it didn't take long for the severe pain to make him faint again.
The man also pulled apart the soft tissues and skin on both sides of the incision for him according to Ling Tianmao's request.
Through the incision he had just opened, Ling Tianmao finally saw a large amount of bright red blood in his abdomen and the looming spleen.